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.

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

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.

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.

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.

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.

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”.