Diabetes Treatment, Diabetes Operation, Turkey, Antalya, Price, Cost

Gastric Sleeve or Gastric Bypass

Diabetes Center, Diabetes Clinic, Turkey, Antalya

Cost, price Diabetes Operation, Diabetes Treatment Antalya, Turkey.

Diabetes Operation, Diabetes Treatment in the Diabetes Clinic, 

Diabetes Center, Antalya, Turkey. 

In recent years, in a large number of obesity surgeries,

weight loss has been associated with the disappearance
of type 2 diabetes.


There are several methods:


1.) stomach reduction, the success rate is 80%.


2.) The best results were obtained after a bipartition bypass.

Here, a switching off of the stomach is performed with bypassing the duodenum.


The operation is performed laparoscopically, ie by means of "keyhole surgery".

Immediately after surgery there should be a decrease in the required insulin therapy.


Do you have any questions?

Handy:  +90 531 421 40 02


Gastric Sleeve, Turkey, Antalya, Price, Cost

Obesity Center, Obesity Clinic, Turkey, Antalya

Cost, Price, Gastric Sleeve, Turkey, Antalya.

The Gastric Sleeve, is performed by the Obesity Doctor, laparoscopically  in Turkey Antalya in the Obesity Clinic, 

Obesity Center in Turkey, Antalya.


A large part of the stomach is removed, so that only one tube remains along the small stomach curve as a connection between the esophagus & intestine


Thus, the stomach loses a large proportion of its filling volume & only small portions can be taken.


In addition, the hunger hormone ghrelin is influenced, which has a positive effect on the feeling of hunger.

Ghrelin is mainly produced in the parietal cells in the epithelium of the stomach fundus, but also by the ε cells of the abdomen-salivary gland, as well as converted to the active form in a preliminary stage in the hypothalamus and pituitary gland and by cleavage of some amino acids.


Ghrelin is a hormone that regulates food intake and the secretion of growth hormone.

In periods of hunger, the level of ghrelin in the blood rises, after eating it decreases.


Lack of sleep induces increased ghrelin secretion and in this way probably contributes to the development of Obesity.

Other hormones that control the feeling of hunger or satiety are leptin, orexin & cortisol.

In the fasting state, the ghrelin secretion is increased, after eating, the ghrelin level decreases.


From the frequency of the procedure, the gastric reduction, meanwhile, is significantly ahead of the gastric bypass. An advantage over gastric bypass surgery is that no intestinal diversion is required and therefore this procedure is more suitable, for example, for patients with a chronic inflammatory bowel disease Crohn's disease or intestinal adhesions. Further, the absorption of drugs is undisturbed.


But the disadvantage is the irreversible loss of a large part of the stomach.


After a bariatric surgery, the affected person must switch to a special, balanced diet.

Due to the weight reduction, a significant improvement in the general state of health can occur, since many secondary diseases are also favorably influenced.


The tube magenop, is a purely restrictive procedure in which a large part of the stomach is removed.

This means that food can now be taken only in small portions.

About 30% of patients lose 60% of their excess weight after gastric sleeve surgery, as well as a substantial elimination of their concomitant diseases. About 10% of patients do not achieve this reduction in their weight, but lose so much weight that they are satisfied with the result, since most of the concomitant diseases have been eliminated or significantly improved. The rest experience only a minimal weight reduction and are not satisfied with the result.


The cause of insufficient weight reduction are:


No change in eating habits, insufficient physical activity and continued behavioral errors regarding food intake.


Rarely there are anatomical reasons for the lack of weight loss. In some cases, too little was removed from the stomach during the operation. In most cases, however, patients have taken too large amounts of food per serving in the long run and thus gradually caused an increasing dilation of the tubular stomach (dilatation). The gastric tube is a muscle that wears out with constant overstretching, thereby getting bigger again and also allowing larger portions.


Cicatricial narrowing in the gastric tube (stenosis), as a rule, leads to more frequent vomiting and heartburn. This condition, if it occurs early, can possibly be treated with an expansion. This is done without surgery with the gastric mirror over which a balloon is inserted for dilation. Another possibility, in the case of a narrowing that occurred at an early stage, is to insert a self-expanding stent (a tube widening the narrowing). This also happens with the level of the stomach. The stent is removed again after 4-6 weeks. If these measures do not bring about a permanent improvement, an operative correction must be made. The tubular stomach is then preferably converted into a bypass.


Many patients suffer from heartburn even before the operation. Heartburn is provoked by gastric juice flowing back into the esophagus. In many patients, these complaints improve when the body weight decreases. However, in some patients there is no improvement or even an increase in heartburn. In about 8% of patients who did not have heartburn before gastric sleeve surgery, these complaints are newly formed. For the most part, it is possible to improve or eliminate heartburn with acid-blocking drugs. However, when gastric juice, especially when lying down, passes through the esophagus to the larynx, coughing attacks occur, which can be very excruciating and cannot be eliminated by tablets. In this case, only a corrective operation remains, which, as a rule, also consists in the transformation of the tubular stomach into a bypass.


With insufficient weight loss and a greatly expanded tubular stomach, the re-reduction of the tubular stomach rarely leads to good results. This measure should then be combined with an additional bypass operation. That is, the tubular stomach is reduced in size, and in addition, in front of or behind the exit from the stomach, a partial shutdown of the small intestine is made.


Laparoscopic surgery 

This is done by keyhole technology, i.e. laparoscopically or minimally invasively, over five small holes in a size of 1.5 to 2.5 cm. The abdomen is first filled with a gas so that the surgeon has a better view of the abdominal interior. Now, the surgeons use a special technique to loosen the stomach from adhesions, for example to the spleen, in order to subsequently perform the actual reduction.


An important sub-step of the operation is the so-called leak test:

at the end of the procedure, the doctor briefly fills the new stomach with a blue liquid via a small gastric tube to ensure that the sutures are absolutely tight. 

Thus, the rate of complications in the hands of experienced surgeons is very low. 


Do you have any questions?

Handy:  +90 531 421 40 02


Gastric Bypass, Turkey, Antalya, Price, Cost

Obesity Center, Obesity Clinic, Turkey, Antalya

Gastric Bypass, cost, prices, Antalya, Turkey, 

Gastric Bypass in the Obesity Clinic, Obesity Center, Antalya, Turkey.

When gastric bypass the stomach is separated a few inches below the stomach entrance.

t leaves a small remaining stomach, "pouch", which holds about 15 ml and serves as a brake for the food supplied, the small intestine is also severed, one end of the intestine is connected to the small remaining stomach and the other redirected so that the Food and digestive juices are first mixed in the middle small intestine and the upper, directly to the stomach adjoining small intestine is bypassed. The digestive juices are introduced in the deeper intestinal sections and thus can only begin digestion by the decomposition of the food components. The result is that not all food components can be decomposed and thus only a part taken up "resorbed". There are thus fewer nutrient components available to the blood. The undigested food is transported to the colon. 


The disadvantages of the gastric bypass

The physiology in the digestive process is changed. Not only the intake of calorie carriers is reduced, but also the vitamins, minerals and trace elements. In particular, vitamin B 12 can no longer be "absorbed" by the normal digestive power and the dose must be given by injection for life. In some cases this also applies to the absorption of iron. The permanent intake of a multivitamin preparation is required daily. Certain medications should no longer be taken orally because they may damage the intestinal mucosa. Others are degraded in their effectiveness, e.g. Hormones. 

Depending on the food composition, side effects such as bloating, foul-smelling fatty stools, diarrhea and the so-called "dumping syndrome" with circulatory decline and lightning-like evacuation may occur after eating very sugary foods and drinks. 

The restrictive effect of the little "pouch" can be lost over time and then normal-sized to large amounts of food can be eaten again. 

It is no longer possible to perform an endoscopic gastroscopy or to remove bile duct stones.


Do you have any questions?

Handy:  +90 531 421 40 02


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