gastrectomy is a partial gastrectomy in which the majority of the greater
curvature of the stomach is removed. In this operation we remove approximately
70 to 80 percent of the stomach, resulting in the creation of a narrow gastric
The new (sleeve)
stomach is small in its capacity (restriction) and has few remaining
ghrelin-producing cells (appetite hormon).
gastrectomy is technically easier to perform than the Gastric By-Pass. It is
also safer as it reduces the risks of complications. It is the most commonly
performed bariatric procedure in the world and in the United States.
How is the procedure is performed?
gastrectomy is performed under general anesthesia and can be done both
laparoscopic and robotic. Both procedures are safe and reliable.
Duration of Surgery/Procedure
Although it depends on the BMI of patients and can
be different from one patient to another, laparoscopic sleeve gastrectomy takes about 45-60 minutes and robotic
sleeve gastrectomy takes about 60-75 minutes.
can occur from the gastric or short gastric vessels during dissection of the
greater curve. Most of the bleeding problems associated with Sleeve Gastrectomy
(SG) occur from the staple line after transection of the stomach. The bleeding
is most likely a result of the large staples used for the thick tissue in the
distal stomach. Large staples are not adequate to seal small vessels. This has
led many surgeons to reinforce the staple line by over-sewing, buttressing, or
after SG are one of the most serious complications and can occur in up to 5.3
percent of patients. Reoperation with primary repair during the early
postoperative course is the best option for a leak following SG. Clinically
stable patients may be able to undergo percutaneous drainage, antibiotic
therapy, and parenteral nutrition until the leak is healed. Endoscopic therapy with the
use of stents has been increasingly employed for management of leaks, but
migration of the stents remains a problem. Early diagnosis, adequate drainage,
and gastric decompression are the mainstay of treatment for leaks.
reflux after SG presents with classic symptoms such as burning pain, heartburn,
and regurgitation. It can occur as an early and late complication. The
first-line treatment is antireflux medical therapy. GERD unresponsive to
antireflux medical therapy with no clear anatomic abnormalities, such as stoma
stenosis or a hiatal hernia, can be effectively treated by conversion to RYGB.
stenosis can create gastric outlet obstruction. The presentation varies
depending on the severity of the obstruction and can include dysphagia,
vomiting, dehydration, and the inability to tolerate an oral diet. Management
of stenosis primarily consists of endoscopic dilation. If the area of stenosis
is too long, surgical intervention may be necessary with conversion to an RYGB,
gastric stricturoplasty, or resection with gastrogastrostomy.
My personal succes rate is high. I have not had any serious complication (leak,
bleeding, stenosis etc.) yet.
Recovery Process /
Period: About 7-10
Days of Admission: 2-3 days.
Days of Stay in the
Country: About 7-10 days.
Expected After Care
We recommend dietitian and psychologist follow up to
our patients for at least 2 years after surgery.
Doctor Experience with the Procedure
My personal experiences for sleeve gastrectomy is
more than 500 cases.
Laparoscopic or Robotic Sleeve Gastrectomy (Gastric Sleeve) EUR€3400- €5150 Book Now!
- 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,
- Diagnostic Tests and examinations vary for Women, Men and for Women 40+
**Hotel Accomodation is not included in the price
Buy Now !
*Click here, before buying the package, if you prefer to Start Conversation with Hospital
Prof. Abdulcabbar Kartal, MD
Posted: May 9, 2022 at 17:00 UTC
Updated: May 23, 2022 at 17:30 UTC
Scanned original that contain the doctor stamp and signature
1) Benchmarking best practices in weight loss surgery on Pubmed2) Comparison of New Era's Education Platforms, YouTube® and WebSurg®, in Sleeve Gastrectomy
3) Laparoscopic sleeve gastrectomy: More than a restrictive bariatric surgery procedure.
4) Robotic versus laparoscopic
sleeve gastrectomy:a MBSAQIP analysis on Pubmed