WHAT IS SLEEVE
GASTRECTOMY?

As reported in the Global Report 2021 published by the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO), it is the most frequently applied Obesity surgery technique all over the world.

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WHO IS THE SLEEVE GASTRECTOMY PROCEDURE APPLIED TO?
Op. Dr. Ersun Topal

It is the least risky surgical procedure that can be applied to all obese people between the ages of 18-70 with a Body Mass Index (BMI) value >35. Because of the permanent (irreversible) reduction of the stomach volume, it has a restrictive effect on food/calorie intake. Thanks to the reduced stomach volume, satiety is felt with a “smaller portion”, calorie intake is restricted, and it also provides “maintenance of the lost weight” thanks to the continuation of this effect for a lifetime. The success rate of sleeve gastrectomy surgery in bariatric surgery is quite high, with an average of 85-90%.

WHY DO THE DIETS I APPLY FOR DO NOT WORK?
Op. Dr. Ersun Topal

In an adult, the gastric volume is approximately 600-900cc, approximately 2-3 portions of food can easily be swallowed, and when the stomach is fully filled, a “feeling of fullness” occurs. However, all diet strategies applied when we want to lose weight are based on “restricting food / calorie intake”. Unfortunately, people do not feel “satiety” because the stomach is not fully filled with nutrition in small portions and leaves the diet they started.

Morbidly obese (BMI>40) people have less than 2% chance of decreasing the “ideal BMI” with diet and exercise alone. The success rate of sleeve gastrectomy surgery in bariatric surgery is quite high, with an average of 85-90%.

IS OBESITY SURGERY SAFE DURING THE CORONA VIRUS PANDEMIC?
Op. Dr. Ersun Topal

Patients with metabolic disorders like cardiovascular diseases, diabetes and obesity may face a greater risk of infection of COVID-19 and it can also greatly affect the development and prognosis of pneumonia Studies have also shown that prior bariatric surgery conveys protection against mortality from COVID-19 and that obesity is the biggest risk factor for mortality from COVID-19 infection in adults. Bariatric surgery has been safely performed in patients who made a full recovery from COVID-19 without increased complications due to cardiovascular, pulmonary, venous thromboembolism, or increased mortality rates. The following positive results were also reported in the Italian study; Introduction of strict COVID-19 protocols concerning the protection of patients and health-care professionals guaranteed a safe response of elective BMS in Italy. The safety profile was, also, maintained during the second wave of outbreak, thus allowing access to a cure for the obese population.

HOW SHOULD I CHOOSE SURGEON FOR SLEEVE GASTRECTOMY SURGERY?
Op. Dr. Ersun Topal

The most important criterion in Bariatric and Metabolic surgery is the choice of surgeon. According to IFSO criteria, surgeons who have performed a total of 400 or more bariatric surgical procedures are accepted as “expert surgeons”. Your surgery will be performed by Expert Bariatric Surgery Specialist, Ersun Topal, MD, General Surgeon. He has 9 years of bariatric surgery experience and >1500 cases (sleeve gastrectomy, rny gastric bypass, omega/mini gastric bypass, sadi-s, duodenal switch-biliopancreatic). diversion, revisionally surgery) has extensive experience and is a member of IFSO and Turkish Obesity Surgery Society

HOW IS SLEEVE GASTRECTOMY DONE?
Op. Dr. Ersun Topal

It is done with a method called Advanced Laparoscopic Surgical Technique. In the laparoscopic technique, it is usually performed by means of 4 trocars/incisions on the patient’s abdominal wall. Medical Device Company Signia Smart Stapling Tech product is reduced to a volume of approximately 90-100 cc by dividing the stomach by means of an FDA APPROVED endoscopic titanium stapler. Operating time is about 30-40 minutes.

IS SLEEVE GASTRECTOMY A SAFE PROCEDURE?
Op. Dr. Ersun Topal

It is the least risky bariatric surgery procedure among bariatric surgical techniques.
The surgeon’s experience and the quality of titanium staples used are very important. Only U.S FDA (Food and Drug Administration; The FDA is responsible for protecting the public health by ensuring the safety, efficacy, and security of human and veterinary drugs, biological products) approved Medical Device Company Endoscopic Staples is used in our clinic.

WHY SHOULD I CHOOSE ISTANBUL BARIATRIC CLINIC?
Op. Dr. Ersun Topal

a-Surgeon’s experience (+1500 bariatric and metabolic surgeries)
b-Using FDA approved Medical Device Company Tri-Staples Tech stapler
c-Sleeve Gastrectomy staples line with special suture technique
Comparing staple line reinforcement (SLR) by invaginating the whole staple line using unidirectional absorbable 3/0 V-Loc 180 sutures (Covidien, Mansfield, MA, USA) to no SLR in a relatively large cohort of patients undergoing LSG, in a randomized controlled prospective study, has proved statistically significant value for SLR by invaginating sutures.

IS CHECK-UP REQUIRED BEFORE SLEEVE GASTRECTOMY PROCEDURE?
Op. Dr. Ersun Topal

Before obesity surgery, blood tests, chest X-ray, Electro-cardiography, upper gi endoscopy (with and under sedation anesthesia) will be performed. If you have heart disease or diabetes, your consultations will be made.

WHAT ARE THE RISKS OF SLEEVE GASTECTOMY?
Op. Dr. Ersun Topal

The major complication rate of the surgery is <2%. In randomized clinical trials, the mortality rate within 30 days was 0.08% Systematic review of 88 included studies representing 8,920 patients found that the leak rate in LSG was 1.9%. Post-operative gastrointestinal bleeding 0.56%. The most common complication of Sleeve Gastrectomy surgery is “gastro-esophagial reflux”.

Transportation from Istanbul Airport to
Bursa is Very Easy

Transportation from Istanbul Airport to our Clinic in Bursa with our VIP Vehicle Only Takes One Hour
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Frequently Asked Questions
Questions

Sleeve Gastrectomy Bursa Diabetes And Obesity Surgery Clinic
DO I HAVE TO PAY MONEY FOR CHECK-UP PROCEDURES BEFORE SLEEVE GASTRECTOMY?

You will not pay extra-charges for the “standard tests and examinations” that must be done before the surgery.

WILL I HAVE PAIN AFTER GASTRIC SLEEVE SURGERY?

Before your surgery begins, pre-medication will be administered to control analgesia. Also A patient controlled analgesia (PCA) system allows you to give yourself a dose of intravenous pain medicine, with the push of a button. This system decreases any pain and anxiety you may feel while waiting for medicine.

IS STAPLER QUALITY IMPORTANT IN SLEEVE GASTRECOMY SURGERY?

In bariatric and metabolic surgery, the quality of the stapler to be used determines the quality of the surgery. Only original American product with Medical Device Company Tri-Stapler Tech is used in our clinic. We definitely do not use the cheaper Chinese made staplers.

HOW WILL I FEED AFTER SLEEVE GASTRECTOMY?

After your surgery, you will start feeding with foods prepared by your Bariatric Surgery Dietitian in accordance with the “AACE/TOS/ASMBS Guidelines Clinical Practice Guidelines for the Perioperative Nutritional, Metabolic, and Nonsurgical Support of the Bariatric Surgery Patient”.

DO I HAVE TO PAY FEE TO FOLLOW THE BARIATRIC DIETICIAN AFTER SLEEVE GASTRECTOMY?

Our Bariatric Surgery Dietitian, who is part of our clinical team, will follow you online free of charge for the first year.

WHEN CAN I STAND UP AFTER SLEEVE GASTRECTOMY?

Early mobilization of patients is recommended 4 hours after bariatric surgery.

CAN I TOUR CITY TOUR WHEN I DISCHARGE FROM THE HOSPITAL AFTER SLEEVE GASTRECTOMY?

After being discharged from the hospital, Istanbul or Bursa, Iznik (Iznik is the place where the first ecumenical (universal) council of Christianity was held. In other words, in 325 AD, 228 bishops from all over the world attended and the basic principles of the Christian religion were discussed and decided. The only church accepted by the Christian sect, St. Koimesis Church, St. Neophytos Basilica) Ephesus, Meryem Ana church can be visited.

WHEN SHOULD I START SPORTS AFTER SLEEVE GASTRECTOMY?

After bariatric and metabolic surgery, there is no obstacle to activities such as walking, jogging, cardio, yoga in the first week, swimming running spinning from the 2nd week, pilates, step, aerobic, zumba, weight lifting from the 3rd week.

Op. Dr. Ersun Topal
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