Metabolic Bariatric Surgery in Turkey

Gigi Lilly Bariatric Center has one of the most comprehensive and respected bariatric (weight loss) surgery programs in Turkey. We offer the full range of weight loss surgery procedures, including vertical sleeve gastrectomy, Roux-en-Y gastric bypass surgery and adjustable gastric band.

We are a leader in minimally-invasive laparoscopic techniques, which offer the potential for fewer complications, less pain, a quicker return home and a lower risk of needing a follow-up surgery. Our surgeons are also experts in revisional surgery and regularly work with patients who had a previous surgical weight loss procedure and experienced complications or did not achieve your weight loss goals.

We perform a high number of bariatric surgeries per year, as well as report long-term patient outcomes, have an on-site inspection to verify all data, and maintain a dedicated, multidisciplinary bariatric team.

Bariatric Treatment Options

Our nationally recognized bariatric surgeons perform various treatment options for weight loss surgery. We work with you to determine which of the procedures best meets your needs in a culturally-sensitive environment.

Vertical sleeve gastrectomy (VSG) reduces your stomach size to three or four ounces. The surgery limits the amount of food you can eat to help you lose weight. Also, levels of ghrelin (a “hunger” hormone) drop, so your appetite is initially reduced.
Roux-en-Y gastric bypass surgery is a procedure where a surgeon creates a smaller stomach pouch and attaches a Y-shaped section of the small intestine directly to the pouch. This causes food to bypass most of your stomach and the first part of your small intestine. The amount of food you can eat will be very small and weight loss occurs mostly because portion sizes are limited.

Gastric Sleeve
€3.200
£2.750

Gastric ByPass
€3.600
£2.990

PRICE & TREATMENT DETAILS

The surgeon has practiced general medicine for 35 years and bariatric surgery for 15 years and is a specialist in surgery.
VIP airport transfer
VIP transport to and from the airport
Arrivals transfer for check-in
Hospital with ICU authorization
3-4 nights in hospital
5/4 star hotel, one night stay
Initial meal kit
Detailed pre-operative tests
Round-the-clock nurse visits
Personal organizer for all activities
Your personal coordinator will personally check you into the hospital on the day of your procedure. At an appropriate location in the hospital, he or she will perform the necessary pre-operative tests and follow-up that includes your discharge from the operating room, anesthesia, and full recovery.
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Bariatric Surgery for Weight Loss

Cancer affects more than half a million lives per year in the United States alone. Obesity is believed to cause up to 90,000 cancer deaths each year. As body mass index (BMI) increases, so does your risk of cancer and death from cancer. These cancers include:

Endometrial cancer 
Cervical cancer 
Ovarian cancer 
Postmenopausal breast cancer 
Colorectal cancer 
Esophageal cancer 
Pancreatic cancer 
Gallbladder cancer 
Liver cancer 
Kidney cancer 
Thyroid cancer 
Prostate cancer
Non-Hodgkin’s lymphoma
Multiple myeloma
Leukemia

Obesity is a major cause of Type 2 diabetes. Diabetes occurs when blood sugar is too high for your body to manage. People affected by obesity are about 10 times more likely to have high blood sugar (1). Type 2 diabetes can nearly double the risk of death (2).

For people with severe obesity, the death rate increases for all types of cancer. The death rate is 52 percent higher for men and 62 percent higher for women (1).

1. Calle, Eugenia E., et al. “Overweight, obesity, and mortality from cancer in a prospectively studied cohort of US adults.” New England Journal of Medicine 348.17 (2003): 1625-1638.

Type 2 diabetes can lead to:

Amputations (loss of limbs)
Heart disease
Stroke
Blindness
Kidney disease
High blood pressure
Nerve damage and numbness
Hard-to-heal infections
Impotence
And more

Obesity and type 2 diabetes (adult-onset diabetes) are closely related conditions, both linked to problems with the body’s metabolism. The same changes that lead to weight loss after surgery can also lead to the remission of type 2 diabetes. Most importantly, patients with this disease should know that the body’s ability to use sugar in a healthy way can be regained with surgery.

Diabetes is one of the top 10 leading causes of death in the United States.
Living with diabetes puts a person at a higher risk for heart disease, stroke, kidney failure and blindness.
About 10 percent of Americans live with type 2 diabetes.
Type 2 diabetes is caused by overweight and obesity about 90 percent of the time.
One out of every ten dollars spent on health care is spent on diabetes care.
Diabetes surgery is the most effective treatment for type 2 diabetes and may result in remission (being able to stop taking all medications) or improvement in nearly all cases.

For patients with type 2 diabetes and even milder degrees of obesity, bariatric surgery should be recommended. It is the single most effective way to resolve the condition and stop the need for medication. Diabetes surgery is very safe with complication rates as low as common procedures such as knee replacement and gallbladder surgery

Weight loss surgery is also known as bariatric and metabolic surgery. These terms are used in order to reflect the impact of these operations on patients’ weight and the health of their metabolism (breakdown of food into energy). In addition to their ability to treat obesity, these operations are very effective in treating diabetes, high blood pressure, sleep apnea and high cholesterol, among many other diseases. These operations also have an ability to prevent future health problems. The benefits allow patients with obesity who choose to undergo treatment to enjoy a better quality of life and a longer lifespan.

Today's metabolic and bariatric procedures have been improved over many decades and are among the most thoroughly researched therapies in contemporary medicine. They are conducted using tiny incisions utilizing minimally invasive surgical procedures (laparoscopic and robotic surgery). These innovations provide patients with a better overall experience, including less pain, fewer problems, shorter hospital stays, and faster recovery times. These surgeries are highly safe, with lower complication rates than typical procedures such as gallbladder removal, hysterectomy, and hip replacement, but patients should keep in mind that they are still undergoing surgery. It is not risk-free. Lower complication rates do not imply simplicity.

The goal of these operations is to modify the stomach and intestines to treat obesity and related diseases. The operations may make the stomach smaller and also bypass a portion of the intestine. This results in less food intake and changes how the body absorbs food for energy resulting in decreased hunger and increased fullness. These procedures improve the body’s ability to achieve a healthy weight. The common procedures endorsed by the Metabolic and Bariatric Surgery typically;

Each surgery has its own advantages and potential drawbacks. Your bariatric surgeon will review your health history and work with you to determine which surgery is best for you.

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Tonic Weight LossGastric Bypass Manchester Ramsay Health Care UKMr Javed Sultan. Mr SultanPrivate Gastric Sleeve ClinicDr. HE Gast The London Weight Clinicric Sleeve Obesity ClinicWeight Loss Surgery Kent - Tunbridge WellsThe Runnymede HospitalBrighton Bariatrics Weight loss Mr Goldie Khera Highly experienced Emergency GI SurgeonSimon Monkhouse SurgeryAhmed R AhmedThe Bariatric GroupPlymouth WincantonOHSU Bariatric Surgery Clinic, South WaterfrontAdvanced Surgical Institute: Jacobs Moises MDKendall Surgery CenterKeralty Hospital MiamiSleeve CenterThe Women’s Hospital | Jackson MemorialMoon Gastric SleeveUm Bariatric SpecialistsSteven Henriques, MDDr. Joshua A. Lampert, MDHollywood Regional Surgery Center - miVIP Surgery Centers affiliatedJeremy Gallego Eckstein, MDNew Radiance Cosmetic Centers - Fort LauderdaleBariatric Surgery CornerBariatrix Florida - Paul B Wizman MDDr. Kahlil Shillingford MD PANational Bariatric LinkPlastic Surgeon Boca Raton: Dr. Gregory Albert's Optimization CentreNew Radiance Cosmetic Centers - Boca RatonKenneth Larson, MDThe Laser and Surgery Center Of The Palm BeachesRadiance Age Management Hormone Therapy in Palm BeachOrbera Intragastric BalloonLakeland Regional Health Institute for Metabolic and Bariatric Surgery and MedicineAdventHealth Surgery Center WellswoodOrlando Health Weight Loss and Bariatric Surgery InstituteScott A. Lynch, MDNew Life Surgical AssociatesEndocrine PracticeBeltline Bariatric and Surgical Group - Newnan OfficePeachtree Surgical & BariatricsA. Christopher Ibikunle MD FACSBariatric Innovations of Atlanta & General Surgery: MidtownAtlanta BariatricsPeachtree Surgical & BariatricsAtrium Health Weight ManagementGateway Ambulatory Surgery CenterBlue Sky MD CharlotteRex BariatricsDuke Center for Metabolic and Weight Loss Surgery, Durham Clinicgastric sleeve usa Surgical Center For ObesityThe Silhouette Clinic. Endoscopic Weight Loss.Steven J. Rottman, MD Plastic SurgeryThe Bariatric and Hernia InstituteBariatric Surgery Services of ChristianaCareNew York Bariatric GroupLong Island Obesity SurgeryBariatric Surgery Program at North Shore University HospitalLenox Hill Bariatric Surgery ProgramLawrence Hospital Center - Bariatric Weight Loss SurgeryNYU Langone Bariatric Surgery AssociatesNew Jersey Bariatric Center Springfield OfficeVadim Gritsus, MD - Advanced Surgical SolutionsBariatric Surgery at The Mount Sinai Hospital

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Gastric Bypass or Gastric Sleeve

Metabolic reset: Benefits of bariatric surgery beyond weight loss

When a person has obesity, many of the factors that contribute to the excess weight result from a positive-energy balance, which is not as metabolically cheerful as it sounds.

The body stores this extra energy in fat cells, which may be under the skin, inside the belly, or in vital organs such as the liver and pancreas. Excess fat deposits interfere with production and effectiveness of hormones such as leptin, ghrelin, and insulin, which manage how our bodies sense hunger and use calories. This can result in further weight gain that creates inflammation, damages cells throughout the body, and taxes the cardiovascular and metabolic systems.

More than 42% of adults in the U.S. have obesity, and although there is a lot of variability in how a higher body weight may affect the health of individuals, excess body fat can greatly increase the risk for health complications in people with obesity in addition to impacting quality of life.

Obesity increases the risk of many cancers, including breast, uterine, and colon cancer. People with obesity face significantly elevated risks of cardiometabolic diseases, such as:

Type 2 diabetes
Heart failure
Coronary artery disease
Obstructive sleep apnea

Even patients who have obesity without significant health problems today are at greater risk of developing complications within three to five years.

Bariatric surgery is a safe, effective, and underutilized procedure for treating obesity that can lead to significant improvements in metabolic health. In some instances, it can put Type 2 diabetes and fatty liver disease into remission and significantly reduce the risk of heart disease and many cancers.

Unfortunately, bariatric surgery is often viewed as an extreme weight-loss procedure, even though surgical advances and post-operative care have made it as safe as having your gallbladder removed.

The narrative around bariatric surgery needs to change. It should be more accurately described as a preventive and therapeutic cardiometabolic procedure – one that can reverse or stop health conditions before they ever develop.

How bariatric surgery can reset metabolic health

Bariatric procedures such as sleeve gastrectomy, gastric bypass, and endoscopic sleeve gastroplasty revise the stomach and impact hormonal pathways that influence appetite, feelings of fullness, and blood sugar metabolism. Some of the hormone processes bariatric surgery alters include:

Ghrelin: The hormone that signals hunger and stimulates the appetite.
Growth hormone secretagogue receptor (GHS-R): This receptor stimulates food intake and growth hormone secretion, which promotes storing fat rather than burning it for energy.

Leptin: This hormone signals satiety (feeling full). Obesity can cause leptin resistance, which may lead to overconsumption of calories.

Insulin: This hormone manages how the body uses and stores sugar. Excess body fat can cause insulin resistance, which can contribute to further weight gain and Type 2 diabetes.

We are advanced about weight-loss surgery for more than a decate, offering all types of bariatric operations – including minimally invasive and robotic procedures.

Our expert bariatric surgeons have performed more than 4,000 operations and have trained more than 100 board-certified surgeons. The team also works closely with subspecialists in cardiology, endocrinology, gastroenterology, plastic surgery, abdominal wall reconstruction.

Weight loss goals for metabolic health

One of the first questions that usually comes up when discussing bariatric surgery is, “How much weight will I lose?”

It’s important to understand that weight loss varies between people, whether it is from dieting, working out, medications, or surgery. BMI is a medical formula of weight divided by height. Bariatric surgery is typically recommended for patients with a BMI of 35 or above with an obesity-related complication such as hypertension or Type 2 diabetes or a BMI greater than 40 without any complications.

gastric-sleeve-gastric-by-pass-gigi-lilly-turkey

According to research, the average BYPASS patient will lose roughly 70% of their excess body weight (EWS) by 18 months compared to other bariatric procedures. It also had a higher success rate, with 90% of patients losing at least 50% of their excess body weight by 18 months compared to 75% from other procedures. It is also considered the most effective strategy for patients with significant obesity, especially for those with a BMI over 40.

The procedure itself is also more complicated than other bariatric surgeries, and often more expensive in Europe and the USA. Nevertheless, it is the most effective bariatric surgery currently available for promoting maximum weight loss. It's crucial to emphasize the importance of choosing a highly experienced and qualified surgeon who uses life-saving precautions. Their specialized knowledge can greatly impact the outcome of the surgery and subsequently, your overall health.

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Overall Highest Rated Procedures

For many, the “best” weight loss surgery is one that combines a low complication rate with a high success rate. For that, the debate is between two procedures: Gastric Sleeve (vertical sleeve gastrectomy) and Gastric Bypass. There are successful arguments in favor of both procedures.

Roux-En-Y Gastric Bypass

Gastric bypass has a very high success rate. Most estimates put the excess weight loss (EWL) at 60%, with 80% of patients seeing success with the procedure. It is considered one of the most widely accepted forms of bariatric surgery available, with the most research of any other bariatric procedure. It also has a very high success rate at curing obesity-related diseases, including diabetes.

Restriction

The small pouch and stoma make you fill up on much less food. For the first few months after surgery, this may be only about a quarter of a cup. As time goes on, people can usually eat about a cup of food.

Dumping

The intestines are much more sensitive than the stomach, and this can cause unpleasant reactions to certain types of food. Usually high-calorie foods, such as concentrated sugars and fats, are the type that cause problems. Dumping can include nausea, diarrhea, cramping and low blood sugar. These unpleasant side effects help you stay away from junk food.

It does come with some complications, with one of the most common beings “dumping syndrome,”. Which is an uncomfortable and painful digestive issue where the body “dumps” food into the small intestine. The patient is also at risk for high levels of vitamin deficiency, so diet may require monitoring with supplementation.

Reduced Appetite

There is usually no hunger at all for the first few weeks to months after gastric bypass. Hunger may come back eventually for some people and not for others. If hunger does come back, it is usually less than before surgery and can be satisfied with much less food. Gastric bypass reduces a “hunger hormone” called ghrelin.

Gastric Bypass Advantages (compared to other bariatric operations)

Somewhat higher average weight loss than sleeve gastrectomy or gastric band
Best chance of controlling of GERD (acid reflux)
Better chance of controlling diabetes than sleeve gastrectomy
Reversal: although it is rarely done, a gastric bypass can be reversed
Less risk of malabsorption problems than with “switch” procedures (SADI-S or BPD/DS)

Gastric Bypass Disadvantages

More complex surgery than sleeve gastrectomy or gastric band
Risk of a type of ulcer that cannot happen with sleeve gastrectomy, gastric band or switch operations (SADI-S or BPD/DS). These ulcers are rare if you abstain from tobacco products and NSAIDs (Non-steroidal anti-inflammatory drugs)
Although still very uncommon, there is an increased risk of bowel obstruction (from internal hernia or adhesions) compared to the other bariatric operations

Gastric Sleeve Surgery (VSG)

Gastric Bypass Disadvantages

More complex surgery than sleeve gastrectomy or gastric band
Risk of a type of ulcer that cannot happen with sleeve gastrectomy, gastric band or switch operations (SADI-S or BPD/DS). These ulcers are rare if you abstain from tobacco products and NSAIDs (Non-steroidal anti-inflammatory drugs)
Although still very uncommon, there is an increased risk of bowel obstruction (from internal hernia or adhesions) compared to the other bariatric operations

Sleeve gastrectomy has a nearly comparable success rate for excess weight loss, with a relatively low failure rate of around 15%. The average weight reduction is slightly worse, although only by a few percentage points. When you evaluate the complication risk and intricacy of bypass surgery, it is highly reasonable to choose sleeve surgery over bypass straight immediately. Gastric sleeve surgery is quite popular for this reason, as well as its capacity to lessen hunger by limiting the quantity of hunger hormone produced by the body.

Gastric sleeve tends to have fewer complication rates overall. Since there is no change in the intestines, vitamin deficiency risk is very low provided the individual eats the right foods. There are also few to no food restrictions. One of the few complications is acid reflux, which is common but rarely severe enough to warrant revision surgery.

Malabsorption

After sleeve gastrectomy, you may not digest all of the calories in the food you eat. This is a very minor effect of the surgery.

Dumping

While not as much as with gastric bypass, you may experience unpleasant reactions to certain foods, including fatty foods, high-calorie liquids and sweets. Dumping can include nausea, diarrhea, cramping and low blood sugar. This helps you stay away from high-calorie foods.

Reduced Appetite

As with gastric bypass, sleeve gastrectomy reduces a “hunger hormone” called ghrelin. There is usually no hunger at all for the first few weeks to months. After that, it varies, with some people getting normal hunger back, and others who never seem to.

Gastric Bypass Disadvantages

More complex surgery than sleeve gastrectomy or gastric band
Risk of a type of ulcer that cannot happen with sleeve gastrectomy, gastric band or switch operations (SADI-S or BPD/DS). These ulcers are rare if you abstain from tobacco products and NSAIDs (Non-steroidal anti-inflammatory drugs)
Although still very uncommon, there is an increased risk of bowel obstruction (from internal hernia or adhesions) compared to the other bariatric operations

Sleeve Gastrectomy Advantages

Higher average weight loss than gastric band (Very high.It has a slight percentage of difference than ByPASS)
No device as compared to the gastric band
Less complex surgery than gastric bypass or switch
Preserves the pylorus and does not have the ulcer risk of gastric bypass
Less chance of vitamin or mineral deficiencies than gastric bypass or switch procedures (SADI-S or Classic BPD/DS)
Less risk of malabsorption problems than with switch procedures