الأكمام الغازية

Gastric sleeve surgery (sleeve gastrectomy) removes about 75 to 80 in 100 of the stomach, leaving a narrow tube the shape of a banana. You feel full after small portions, and levels of the hunger hormone ghrelin fall.

Typical loss is 55 to 70 in 100 of excess weight over 12 to 18 months, with improvement in diabetes, blood pressure and sleep apnoea. It cannot be reversed, it may cause or worsen acid reflux, and weight can return if eating habits drift.

What Gastric Sleeve involves

The operation is laparoscopic, through four or five small incisions. The surgeon frees the outer curve of the stomach from its blood supply and from the spleen. A sizing tube (bougie) is passed through the mouth to lie along the inner curve. A stapler is fired repeatedly alongside this tube from near the outlet of the stomach up to the angle beside the oesophagus, dividing and sealing the stomach. The detached portion, about three quarters of the stomach, is removed through one of the incisions. The staple line may be reinforced with stitches or buttress material, and it is tested for leaks. The intestines are not rerouted.

Who is a good candidate for Gastric Sleeve?

It is for adults with obesity that has not responded to supervised non-surgical treatment, following a team assessment.

• BMI of 40 or more, or 35 or more with weight-related illness
• BMI of 30 to 35 with poorly controlled type 2 diabetes, in selected cases
• People who prefer to avoid intestinal rerouting and its nutritional burden
• Very high BMI, as a first stage before a second operation

It is usually not the right choice if:

• Severe acid reflux, Barrett's oesophagus or a large hiatus hernia, where bypass is usually the better choice
• BMI under 30, or wanting surgery for cosmetic weight loss
• Untreated eating disorder, substance dependence or unstable psychiatric illness
• Pregnancy or plans for pregnancy within 12 to 18 months
• People unfit for general anaesthesia
• Anyone without access to follow-up and blood tests at home

الخيارات التقنية

• Standard laparoscopic sleeve: The usual approach worldwide.
• Sleeve with hiatus hernia repair: When a hernia is found, to lower the risk of reflux.
• Robotic sleeve: Same operation with robotic instruments; no proven advantage in outcome.
• Staged sleeve then bypass or duodenal switch: For very high BMI or later weight regain.

ماذا يحدث خلال علاجك

Surgery takes 45 to 90 minutes under general anaesthetic, with 2 to 3 nights in hospital. You are helped to walk within hours. Nausea and a feeling of pressure in the upper abdomen are common for the first day or two. Sips of water begin after a leak check, as the team directs.

الإعداد لرحلتك

Plan for 5 to 7 days in Istanbul. Your surgeon reviews photographs and your medical history before you book, and you meet in person the day before surgery for examination, marking and consent with a professional interpreter.

• Stop smoking and nicotine at least four weeks before and after surgery; it is the single biggest avoidable cause of wound problems
• Tell the team about every medicine and supplement you take; blood thinners, some herbal products and hormone treatment may need to be paused on your doctor's advice
• Arrange for someone to travel with you or to be reachable, and keep the first days at home free of work and lifting
• Book a changeable return flight; your surgeon confirms when you are fit to fly

التعافي والنتائج

You follow a staged diet: liquids for 2 weeks, purees for 2 weeks, then soft food, reaching normal textures at about 6 weeks. Desk work is possible at 1 to 2 weeks; avoid heavy lifting for 4 to 6 weeks. Take a daily multivitamin with B12, vitamin D and calcium, plus an acid-suppressing tablet for the first months. Blood tests are advised at 3, 6 and 12 months and then yearly. Hair thinning at 3 to 6 months is common and temporary.

• Back to everyday activity: 1 to 2 weeks
• When results show: Steady loss over 12 to 18 months
• How long they last: Permanent change to the stomach; results depend on habits

سياسة السلامة والمخاطر والتنقيح

The sleeve is among the safer bariatric operations, but its complications can be serious and may show up after you have gone home.

• Staple line leak in about 1 in 100, usually within the first 2 weeks: fever, fast pulse and worsening pain need urgent care
• Bleeding from the staple line
• Blood clots in the legs or lungs
• New or worse acid reflux in up to 1 in 4 over time
• Narrowing or twisting of the sleeve causing vomiting
• Vitamin and iron deficiency
• Gallstones during rapid weight loss
• Weight regain after several years, sometimes leading to revision

Every written proposal arranged through Clinic-Y states what the clinic covers if a correction is needed. Ask for it before you book, not after.

Cost of Gastric Sleeve in Türkiye

Clinic-Y does not publish a single price for Gastric Sleeve, because the honest figure depends on your case. What moves it:

• Pre-operative work-up: blood tests, endoscopy, ultrasound, cardiology and anaesthetic review
• Stapler and reinforcement materials used
• Hospital nights and whether hiatus hernia repair is added
• Dietitian follow-up and supplements
• Revision surgery versus a first operation

Send your photographs or reports and you receive written, all-inclusive proposals from suitable teams, side by side. Reviewing your case is free.

الأسئلة المتكررة