Gastric Sleeve Gastrectomy, Antalya, Turkey

Gastric sleeve, Stomach reduction, sleeve gastrectomy is performed laparoscopically.

 

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

 

So 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 found in the parietal cells in the epithelium of the gastric fundus, but also by the

ε-cells of the pancreas are produced and in a preliminary stage in the hypothalamus and the pituitary gland and converted into the active form by splitting off some amino acids.

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

hormones.

The level of ghrelin in the blood rises during periods of hunger and falls after a meal.

Lack of sleep induces increased ghrelin secretion and in this way presumably contributes

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 falls.

 

It stimulates the secretion of neuropeptide Y, which is known to be in the hypothalamus

it increases food intake, as well as agouti-related peptide hormones (AGRP) in the arcuate nucleus.

In terms of the frequency of the procedure, stomach reduction is now well ahead of Gastric bypass.

One advantage over gastric bypass surgery is that no bowel diversion is required and therefore this procedure is more suitable, for example, for patients with chronic inflammatory bowel disease, Crohn's disease or intestinal adhesions. Furthermore, the resorption of medication is undisturbed.

However, the irreversible loss of a large part of the stomach is a disadvantage.

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

Weight reduction can result in a significant improvement in the general state of health, as many secondary diseases are also favorably influenced.

The gastric sleeve is a strictly restrictive procedure in which a large part of the stomach is removed.

 

This means that food can only be consumed in small portions. 

 

About 30% of patients lose 60% of their excess weight after gastric sleeve surgery and their accompanying illnesses are largely eliminated. Approximately 10% of patients do not achieve this reduction in weight, but lose enough weight that they are satisfied with the result, since most of the comorbidities have been eliminated or significantly improved. The rest of them experience minimal weight loss and are not satisfied with the result.

The causes of insufficient weight loss are:

No change in eating habits, inadequate physical activity, and continued behavioral errors related to food intake.

There are seldom anatomical reasons for the lack of weight loss. In some cases, too little was removed from the stomach during surgery. Most of the time, however, patients have consumed excessively large amounts of food per serving and thus gradually caused an increasing widening of the stomach tube (dilation). The stomach tube is a muscle that wears out with constant overstretching, thereby becoming larger again and also allowing larger portions.

A scarred narrowing in the stomach tube (stenosis) usually leads to more frequent vomiting and heartburn. This condition, if it occurs early, can possibly be treated with an enlargement. This is done without surgery with the gastric mirror through which a balloon is inserted to expand it. Another possibility is to insert a self-expanding stent (a tube that widens the constriction) if the constriction occurs prematurely. This also happens with the stomach mirror. The stent is removed again after 4-6 weeks. If these measures do not bring about permanent improvement, an operative correction must be carried out. The tube stomach is then preferably converted into a bypass.

 

Many patients suffer from heartburn even before the operation. Heartburn is caused by gastric juice flowing back into the esophagus. In many patients, these symptoms improve when their body weight drops. In some patients, however, there is no improvement or even an increase in heartburn. In about 8% of the patients who had no heartburn before the gastric sleeve surgery, these symptoms develop again. Most heartburn can be improved or eliminated with acid-blocking medication. However, when gastric juice runs through the esophagus to the larynx, especially when lying down, coughing fits occur, which can be very painful and cannot be eliminated with tablets. In this case, only a corrective operation remains, which usually also consists of converting the gastric tube into a bypass.

In the case of insufficient weight loss and a highly dilated gastric sleeve, further reduction in size of the gastric sleeve rarely leads to good results. This measure should then be combined with an additional bypass operation. This means that the sleeve stomach is made smaller and the small intestine is also partially eliminated in front of or behind the gastric outlet. 

 

Difference:
Laparoscopic Surgery & Endoscopic Surgery

 

Laparoscopic surgery

This is done using the keyhole technique, i.e. laparoscopically or minimally invasively, through five small holes with 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 interior of the abdomen. Now the surgeons solve it

In a special technique, the stomach from adhesions, for example to the spleen, in order to then carry out the actual reduction.

An important part 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 through a small gastric tube to ensure that the seams are absolutely tight.

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

 

Endoscopic surgery

Endoscopic (this is how the Apollo procedure is carried out in Germany, for example)

 

Body cavities and hollow organs can be viewed with endoscopy. To do this, the internist pushes a flexible rubber tube, the so-called endoscope, into the mouth. 

 

The most important at a glance:

 

Stay in the clinic:

3 or 4 hours

Duration of treatment:

1 - 2 hours

Sport:

after 6 weeks

 

Do you have any questions?

Then write us or call us:

 

Mobile Phone & WhatsApp: +90 531 421 40 02
E-Mail: admin@mediterranean-obesity-clinic.com
Homepage: www.mediterranean-obesity-clinic.com

________________________________________________________________________________________

Here you can find Before / After Pictures of the Patients part 1:

Here you can find Before / After Pictures of the Patients part 2:

Here you can find Eating after the Gastric Sleeve Surgery:

Here you can find Movies Gastric sleeve plication & Gastric Sleeve Surgery

Here you can find Pictures Obesity Clinic Antalya:

Here you can find Pictures Obesity Doctors / OP Team Antalya:

Here you can find Prices for Obesity treatments:

Here you can find Turkish Holidays:

________________________________________________________________________________________

 

Gastric Bypass Antalya, Turkey

 

 

 

 

 

The most important at a glance:

 

Stay in the clinic:

3 or 4 hours

Duration of treatment:

1 - 2 hours

Sport:

after 6 weeks

 

Do you have any questions?

Then write us or call us:

 

Mobile Phone & WhatsApp: +90 531 421 40 02
E-Mail: admin@mediterranean-obesity-clinic.com
Homepage: www.mediterranean-obesity-clinic.com

________________________________________________________________________________________

Here you can find Before / After Pictures of the Patients part 1:

Here you can find Before / After Pictures of the Patients part 2:

Here you can find Eating after the Gastric Sleeve Surgery:

Here you can find Movies Gastric sleeve plication & Gastric Sleeve Surgery

Here you can find Pictures Obesity Clinic Antalya:

Here you can find Pictures Obesity Doctors / OP Team Antalya:

Here you can find Prices for Obesity treatments:

Here you can find Turkish Holidays:

________________________________________________________________________________________

 

Diabetes Treatment in Antalya, Turkey, Abroad,

Sleeve Gastrectomy or Gastric Bypass

 

revision

 

 

 

 

 

The most important at a glance:

 

Stay in the clinic:

3 or 4 hours

Duration of treatment:

1 - 2 hours

Sport:

after 6 weeks

 

Do you have any questions?

Then write us or call us:

 

Mobile Phone & WhatsApp: +90 531 421 40 02
E-Mail: admin@mediterranean-obesity-clinic.com
Homepage: www.mediterranean-obesity-clinic.com

________________________________________________________________________________________

Here you can find Before / After Pictures of the Patients part 1:

Here you can find Before / After Pictures of the Patients part 2:

Here you can find Eating after the Gastric Sleeve Surgery:

Here you can find Movies Gastric sleeve plication & Gastric Sleeve Surgery

Here you can find Pictures Obesity Clinic Antalya:

Here you can find Pictures Obesity Doctors / OP Team Antalya:

Here you can find Prices for Obesity treatments:

Here you can find Turkish Holidays:

________________________________________________________________________________________

 

Endoscopic Sleeve Gastroplasty in Antalya Laparoscopic

Pose ProcedureApollo Procedure, only in AntalyaTurkey

 

Gastric Balloon Antalya, Turkey

 

Gastric Balloon Antalya, Turkey

Botox injection in the stomach, Antalya, Turkey

 

 

 

 

 

The most important at a glance:

 

Stay in the clinic:

3 or 4 hours

Duration of treatment:

1 - 2 hours

Sport:

after 6 weeks

 

Do you have any questions?

Then write us or call us:

 

Mobile Phone & WhatsApp: +90 531 421 40 02
E-Mail: admin@mediterranean-obesity-clinic.com
Homepage: www.mediterranean-obesity-clinic.com

________________________________________________________________________________________

Here you can find Before / After Pictures of the Patients part 1:

Here you can find Before / After Pictures of the Patients part 2:

Here you can find Eating after the Gastric Sleeve Surgery:

Here you can find Movies Gastric sleeve plication & Gastric Sleeve Surgery

Here you can find Pictures Obesity Clinic Antalya:

Here you can find Pictures Obesity Doctors / OP Team Antalya:

Here you can find Prices for Obesity treatments:

Here you can find Turkish Holidays:

________________________________________________________________________________________

 

 

 

 

 

The most important at a glance:

 

Stay in the clinic:

3 or 4 hours

Duration of treatment:

1 - 2 hours

Sport:

after 6 weeks

 

Do you have any questions?

Then write us or call us:

 

Mobile Phone & WhatsApp: +90 531 421 40 02
E-Mail: admin@mediterranean-obesity-clinic.com
Homepage: www.mediterranean-obesity-clinic.com

________________________________________________________________________________________

Here you can find Before / After Pictures of the Patients part 1:

Here you can find Before / After Pictures of the Patients part 2:

Here you can find Eating after the Gastric Sleeve Surgery:

Here you can find Movies Gastric sleeve plication & Gastric Sleeve Surgery

Here you can find Pictures Obesity Clinic Antalya:

Here you can find Pictures Obesity Doctors / OP Team Antalya:

Here you can find Prices for Obesity treatments:

Here you can find Turkish Holidays:

________________________________________________________________________________________

 

 

 

 

 

The most important at a glance:

 

Stay in the clinic:

3 or 4 hours

Duration of treatment:

1 - 2 hours

Sport:

after 6 weeks

 

Do you have any questions?

Then write us or call us:

 

Mobile Phone & WhatsApp: +90 531 421 40 02
E-Mail: admin@mediterranean-obesity-clinic.com
Homepage: www.mediterranean-obesity-clinic.com

________________________________________________________________________________________

Here you can find Before / After Pictures of the Patients part 1:

Here you can find Before / After Pictures of the Patients part 2:

Here you can find Eating after the Gastric Sleeve Surgery:

Here you can find Movies Gastric sleeve plication & Gastric Sleeve Surgery

Here you can find Pictures Obesity Clinic Antalya:

Here you can find Pictures Obesity Doctors / OP Team Antalya:

Here you can find Prices for Obesity treatments:

Here you can find Turkish Holidays:

________________________________________________________________________________________

 

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phone & WhatsApp:

 

+90  531 421 40 02

________________

 

Central Turkey:

phone & WhatsApp:

 

+90  531 421 40 02

________________

 

Central Turkey:

phone & WhatsApp:

 

+90  531 421 40 02

________________

 

Central Turkey:

phone & WhatsApp:

 

+90  531 421 40 02

________________

 

Central Turkey:

phone & WhatsApp:

 

+90  531 421 40 02

________________

 

Central Turkey:

phone & WhatsApp:

 

+90  531 421 40 02

________________

 

Central Turkey:

phone & WhatsApp:

 

+90  531 421 40 02

________________

 

Central Turkey:

phone & WhatsApp:

 

+90  531 421 40 02

________________

 

Central Turkey:

phone & WhatsApp:

 

+90  531 421 40 02

________________