Gastric Bypass, cost, prices, Antalya, Turkey, Obesity Clinic, Obesity Center.

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?

Mobile phone:  +90 531 421 40 02

Revision operations, Revision surgery, Antalya, Turkey, costs, prices. The revision surgeries are performed in the obesity clinic, obesity center in Antalya, Turkey, performed laparoscopically. 

If you have already received an operation for weight loss, it may be that months or years after the operation there will be certain difficulties. This is quite rare and should be discussed in practice. At this point, we would like to provide you with some information in advance so that you can describe and discuss your problems in more detail for a medical consultation.

The following problem groups can be identified, regardless of which intervention was previously performed on you:

insufficient weight loss

significant re-increase in body weight despite previous good weight loss.

Complaints caused by frequent vomiting very frequent heartburn, rising of gastric juice with coughing attacks, especially when lying down constrictions in the upper digestive tract with obstruction of passage Ulcer formation in the small stomach pouch Lack of weight loss or a significant increase in body weight after surgery are actually never caused by changes to the operated stomach. Most of the reasons are non-compliance with dietary recommendations, insufficient physical activity (swimming, walking the dog, climbing two stairs a day is not enough). Often, behavioral patterns that have led to overweight and obesity are maintained despite intensive counseling or resumed in frustration situations. These conditions require a new extensive clarification and usually also psychotherapy in order to work up and eliminate the wrong development.

Very rarely, anatomical reasons on the operated stomach or small intestine are the cause for the above-mentioned weight curves. For example, a defective gastric band can lead to an increase in weight, a fistula between the small stomach pouch and the stomach turned off, or a distended tube stomach over time.

In order to find out such causes, an X-ray examination and a gastroscopy are usually required in advance.

Typical complications of the individual surgical procedures will be presented below:

Gastric banding:

a maximum constricted gastric band leads to frequent vomiting several times a day. As a result, the stomach located below the gastric band can turn upwards through the gastric band and thus lead to a passage obstruction. This condition is called slippage. Complete emptying of the gastric band immediately eliminates discomfort. However, as a rule, slippage cannot be eliminated without surgery.

A highly constricted gastric band also leads to an expansion of the esophagus and often to a long-term retention of portions of food in the esophagus with corresponding Inflammatory reaction. It can cause reflux of gastric juice and food residues into the trachea while lying down. As a result, coughing attacks occur.

In rare cases, the gastric band can also migrate through the stomach wall and then lie in the stomach, causing weight gain again (arrosion).

All these states require correction. This consists of removal of the gastric band. The removal of the gastric band alone leads to a re-increase in body weight in 99%. Therefore, it is worth considering combining the removal of the gastric band with another procedure (bypass, tubular stomach).

From large statistics it is known that the re-insertion of a gastric band does not have good results.

Gastric Sleeve:

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.

Gastric bypass:

For gastric bypass with regard to insufficient weight loss or renewed weight gain, the same explanations apply as just indicated for the tubular stomach. The small portion of the stomach (stomach bag, technical term: stomach pouch) can also expand in case of too large food portions and absorb more food again. However, it is more important that the connection between the stomach pouch and the subsequent small intestine also widens and thus the food can slip out of the pouch into the small intestine much faster. This condition is basically due to an undisciplined eating behavior. A correction in the sense that the pouch and the connection between the pouch and the small intestine are reduced rarely leads to good results, the weight loss is low and does not last long. Studies are currently underway to determine whether an additional constriction of the stomach pouch with a plastic ring results in an improvement. However, as a rule, a new nutritional consultation and also psychotherapy is required to treat the continuing disorder in food intake.

Constrictions (stenosis) between the stomach pouch and the subsequent small intestine are rather rare, usually occur a few weeks after the operation and can usually always be eliminated with a balloon dilation with the help of the gastric level.

In about 7% of patients with gastric bypass, ulceration occurs at the transition from the gastric pouch to the small intestine. These ulcers are observed almost exclusively in heavy smokers or in patients who continue to take painkillers from the group of rheumatic drugs. The ulcers can usually be healed with medication. However, it is important that the patient quits smoking and switches the painkillers to stomach-friendly drugs. In extremely rare cases (bleeding, stomach wall breakthrough), surgery is indicated for correction.

Summary:

Each operation has its specific risk. The initial interventions for weight loss show a pleasantly low complication rate despite the usually significant concomitant diseases. This does not apply to repeated interventions. Even with reduced weight, the complication rates are significantly higher. If complications occur between 5-7% during the first intervention, the complication rate for the first corrective intervention is 15-25%, for further corrective operations the risk of complications increases to 50%.

The correction of an existing procedure (e.g. the correction of a gastric bypass) does not have good results, as a rule, you should switch to another method. In our own experience, we then see patients who benefit very well from the new procedure. But there are also patients who, despite the changed surgical procedure, are only slightly successful.

Do you have any questions?

Mobile phone:  +90 531 421 40 02

The Endoscopic Sleeve Gastroplasty in Antalya, Turkey, laparoscopic is one novel laparoscopic treatment for Gastric Reduction. Cost, prices, Endoscopic Sleeve Gastroplasty in Antalya, Turkey, laparoscopic.  

In Turkey, this procedure is performed laparoscopically.

A large part of the stomach is folded and sutured from the outside.

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

The pose procedure is a laparoscopic procedure in Turkey, but it is performed by a specialist under general anesthesia in an operating room with all safety measures.

The stomach volume can be reduced by up to 75%.

In Germany, the stomach volume is reduced by about 25%.

The disadvantages of the pose procedure:

If you have a tumor in the stomach, unfortunately you can not see it if it is in the folded area.

You will always be hungry, because the hunger center is not removed, as with the tube stomach, gastric sleeve, or stomach reduction.

This operation cannot be reversed.

If food or drinks get into the clamped stomach, they can not drain into the intestine.

Do you have any questions?

Mobile phone:  +90 531 421 40 02

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?

Mobile phone:  +90 531 421 40 02

Gastric Balloon, cost, prices, Antalya, Turkey, Obesity Clinic, Obesity Center.

By using a gastric balloon in conjunction with a dietary change carried out under supervision can cause serious health problems of obesity patients significantly reduced while achieving a new quality of life.

The gastric balloon system consists of a soft, expandable balloon, an insert tube and a filling system. The balloon can be inserted through the mouth & removed - without surgery or cuts.

When the empty balloon is in the stomach, it is filled with a sterile saline solution.

The amount of filling is adapted to the patient and varies between 400 - 700 ml.

The balloon of the system now floats freely in the stomach and fills it partially.

The patient reaches a feeling of satiety with a much smaller amount of food & now consumes less food.

The Heartburn treatment, Reflux treatment will be in Antalya Turkey, in the Obesity Clinic, Obesity Center. Cost, price Heartburn treatment, Reflux treatment Antalya, Turkey, Obesity Clinic, Obesity Center.  

A heartburn treatment / reflux treatment comes especially in the case of extremely severe heartburn, which has been plaguing the affected person for a long time & on no account

Treatment methods, for use. It can not only relieve the patient of his complaints, but also put an end to the associated psychological stress.

Everyday life then often seems like an insurmountable obstacle and the mental state is often impaired. A reflux surgery can give these sufferers a piece of quality of life.

What happens during reflux surgery?

The primary goal of reflux surgery is to prevent the path of stomach acid from the stomach into the esophagus. This effort is directed not only against the acute symptoms that an untreatable reflux brings with it, but above all against its long-term consequences.

So that exactly this does not happen, doctors have developed antirefluxplasty, i.e. surgical techniques against occurring reflux. This ensures that ingested food can pass through the esophagus as usual, in order to then be crushed and utilized in the digestive tract. The chyme fills the upper part of the stomach, but this area expands and thus narrows the transition from the esophagus to the stomach. The effect: A backflow of the stomach contents is hardly possible anymore.

Most patients no longer or hardly suffer from annoying heartburn afterwards.

Do you have any questions?

Mobile phone:  +90 531 421 40 02