ROBOTIC and LAPAROSCOPIC SLEEVE GASTRECTOMY at ANADOLU MEDICAL CENTER

Sleevegastrectomy is a partial gastrectomy in which the majority of the greatercurvature of the stomach is removed. In this operation we remove approximately70 to 80 percent of the stomach, resulting in the creation of a narrow gastrictube.

The new (sleeve)stomach is small in its capacity (restriction) and has few remainingghrelin-producing cells (appetite hormon).

Sleevegastrectomy is technically easier to perform than the Gastric By-Pass. It isalso safer as it reduces the risks of complications. It is the most commonlyperformed bariatric procedure in the world and in the United States.

How is the procedure is performed?

Sleevegastrectomy is performed under general anesthesia and can be done bothlaparoscopic and robotic. Both procedures are safe and reliable.

Duration of Surgery/Procedure

Although it depends on the BMI of patients and canbe different from one patient to another, laparoscopic sleeve gastrectomy takes about 45-60 minutes and roboticsleeve gastrectomy takes about 60-75 minutes.

Anticipated Risks

Bleeding:

Bleeding (0.3%-0.5%)can occur from the gastric or short gastric vessels during dissection of thegreater curve. Most of the bleeding problems associated with Sleeve Gastrectomy(SG) occur from the staple line after transection of the stomach. The bleedingis most likely a result of the large staples used for the thick tissue in thedistal stomach. Large staples are not adequate to seal small vessels. This hasled many surgeons to reinforce the staple line by over-sewing, buttressing, orboth.

Gastric leaks:

Gastric leaksafter SG are one of the most serious complications and can occur in up to 5.3percent of patients. Reoperation with primary repair during the earlypostoperative course is the best option for a leak following SG. Clinicallystable patients may be able to undergo percutaneous drainage, antibiotictherapy, and parenteral nutrition until the leak is healed. Endoscopic therapy with theuse of stents has been increasingly employed for management of leaks, butmigration of the stents remains a problem. Early diagnosis, adequate drainage,and gastric decompression are the mainstay of treatment for leaks.

Reflux:

Gastroesophagealreflux after SG presents with classic symptoms such as burning pain, heartburn,and regurgitation. It can occur as an early and late complication. Thefirst-line treatment is antireflux medical therapy. GERD unresponsive toantireflux medical therapy with no clear anatomic abnormalities, such as stomastenosis or a hiatal hernia, can be effectively treated by conversion to RYGB.

Stenosis:

Narrowing orstenosis can create gastric outlet obstruction. The presentation variesdepending on the severity of the obstruction and can include dysphagia,vomiting, dehydration, and the inability to tolerate an oral diet. Managementof stenosis primarily consists of endoscopic dilation. If the area of stenosisis too long, surgical intervention may be necessary with conversion to an RYGB,gastric stricturoplasty, or resection with gastrogastrostomy.

Success Rates

My personal succes rate is high. I have not had any serious complication (leak,bleeding, stenosis etc.) yet.

Recovery Process /Period: About 7-10days

Days of Admission: 2-3 days.

Days of Stay in theCountry: About 7-10 days.

Expected After Care

We recommend dietitian and psychologist follow up toour patients for at least 2 years after surgery.

Doctor Experience with the Procedure

My personal experiences for sleeve gastrectomy ismore than 500 cases.

Price

Laparoscopic or Robotic Sleeve Gastrectomy (Gastric Sleeve) EUR€3400- €5150 Book Now!

Price Includes:

- Pre-op Screening Tests and Examinations*
- Robotic Sleeve Gastrectomy Surgery
- Post-op Tests and in-patient medicine
- Days of Hospitalization
- Nutrition Counseling
- Airport Transfers
- English Translation of the surgery report and the medical reports

Days of Hospitalization: 3 Days
Days of Stay in Turkey: 10 Days

*Pre-op Screening Tests and Examinations inlcuded in the price:
- Gastroscopy, Required Diagnostic Tests, Radiological Imaging, Bloodwork,Endocrinology Examination, Pulmonology Examination, Cardiology Examination,Psychological Examination
- Diagnostic Tests and examinations vary for Women, Men and for Women 40+

**Hotel Accomodation is not included in the price