After a patient qualifies for Gastric Bypass, their Patient Coordinator, along with a treatment schedule, will provide the patient with a Liver Fat Reducing Diet that has to be followed before arriving at the hospital. The patient should not consume any food or liquid 12 hours before the surgery. The following dietary and medicinal restrictions have to be followed before the surgery as well:

• Usage of vitamin K should be stopped 30 days before surgery as it is an anticoagulant, i.e. blood thinner, and increases the rate of complications associated with internal bleeding.

• Oral contraceptives and any other contraceptives that have estrogen or progesterone, like coils, HRT patches, or birth control implants, must be stopped or taken off 30 days before the surgery as they increase the rate of complications arising from blood clots. Hormonal and oral contraceptives can be used 30 days after surgery. Non-hormonal implants are safe and recommended if considering a Gastric Bypass (Roux en Y).

• Smoking should be avoided starting a week before surgery until three weeks after surgery. Smoking causes the veins to constrict and limits blood circulation, potentially causing complications such as leakage.

• Alcohol consumption should preferably be avoided in the last 3 months leading up to the surgery. Alcohol consumption a week before surgery should especially be avoided as it will increase the burden on the liver and might cause complications with anesthesia.

• The patient will have a consultation with an internal diseases specialist, radiologist, anesthesiologist, and a general surgeon before the surgery.

• Preoperative tests at the hospital will include full abdominal ultrasound, chest x-ray, breath functioning test, electrocardiogram, endoscopic investigation of the stomach, and full blood test as pre operation test and exams.

The surgery is performed under general anesthesia. The surgeon makes 4 - 6 small cuts on certain points of the patient's abdomen. These help to insert the scope and needed instruments that will be used to perform the surgery.

A camera is inserted into the patient that is connected to a video monitor in the surgery room, the camera allows the surgeon to view the inside of the abdomen while operating.

The surgeon divides the stomach into a small upper pouch and a larger bottom section by using staples. Ingested food will go through the upper pouch, and the pouch has enough volume to hold about an ounce, around 28 grams, of food.

The surgeon then connects the Jejunum to the pouch. The food then passes from the small pouch to the new opening and into the small intestine causing the body to absorb less calories.

The surgeon, then, uses the stapler to divide the upper part of the small intestine into a tube with two ends. One end of the small intestine, the Roux limb, is brought up to the stomach pouch, and a small connection, an anastomosis, is made between them.

The other end of the small intestine is then connected to another part of the small intestine. At the end the surgeon may test for leaks with a dye study or an upper endoscopy.

Note that the unused parts of the stomach, unlike the Gastric Sleeve, are not removed.

Laparoscopic Gastric bypass surgery takes around 2-3 hours.

Gastric Bypass Surgery, while considered relatively safe mainly due to it being done Laporoscipally, has some risks associated with it like any major surgery. These risk include:

• Bleeding

• Infections

• Intestinal Obstruction

• Leakage

• General anesthesia complications

• Blood clots

• Deep Vein Thrombosis

Blood thinners and compression socks provided after surgery lower the likelihood of blood clots and deep vein thrombosis.

These risks most likely show up within the first month after surgery.

The long-term complications of Gastric Bypass (Roux en Y) Surgery can be explained as follows:

Malnutrition:

Malnutrition occurs when the body is deprived of vitamins, minerals and other nutrients needed to maintain healthy tissue and organ function.

The long term side effects of Gastric Bypass (Roux en Y) Surgery, as a result of malnutrition, include:

• Vomiting

• Pain

• Fatigue

• Dry Skin

• Mood Changes

• Hair Loss

• Hernias

• Gastroesophageal reflux

• Hypoglycemia

Gallstones:

During the rapid weight loss after Gastric Bypass surgery, approximately the first 6 months, gallstone formation increases by up to 20%.

Dumping syndrome:

Dumping syndrome is caused by the food and liquids in the stomach reaching the small intestine in a short time after gastric Bypass Surgery.

If the Roux En Y Gastric Bypass surgery is performed correctly by a certified surgeon, it has a very small risk of failure. The surgery is considered a failure if the patient regains the weight in a few years. Going back to old eating habits by forcibly overeating or frequently drinking carbonated drinks may cause the stomach to enlarge, therefore allowing weight regain.

Poor weight loss often leads to consideration of a revision surgery. In such a case, a revision from gastric bypass to gastric bypass might be performed by reducing the size of the dilated pouch or narrowing the Bypass surgery’s anastomosis.

Gastric Bypass (Roux en Y) is one of the most commonly performed types of bariatric surgery. The advantages of gastric bypass, which is considered the golden option for bariatric surgeries, can be listed as follows:

• Gastric Bypass is reversible as parts of the old stomach are not removed from the abdomen.

• Alleviates obesity-related health problems such as type 2 diabetes, hypertension, sleep apnea, and acid reflux.

• Within the first year after the surgery, patients lose 75% of their excess body weight, and 80% - 90% of their excess body weight within the first two years.

• Less likely to gain back excess weight, unlike yo-yo dieting, the weight loss is usually for life.

• Produces positive changes in intestinal hormones that reduce appetite and increase the feeling of fullness.

• Decrease in excess weight alleviates the pressure on the knees and joints, increasing the recovery rate of osteoarthritis up to 85%.

While Gastric bypass surgery has many advantages, it does possess some disadvantages that have to be considered before going through with the surgery. Some of the disadvantages include:

• Fewer options when revision surgery is required.

• Compared to other stomach reduction operations, the possibility of complications is higher since the operation involves a wider portion of the digestive system.

• Although it is rare, as Gastric Bypass reduces absorption, vitamin deficiency may occur.

• Bariatric vitamin supplements have to be taken permanently after the operation.

• Endoscopy becomes harder to perform on the patient after the Gastric Bypass, but is still possible.

The patients, on average, lose 80% of their excess body weight within a year, their weight loss slows down afterward and stabilizes near their target weight. The rate and amount of weight loss vary greatly from person to person, and according to lifestyle choices and eating habits of the patient as well as their gender and age.

Like the Gastric Sleeve Surgery, the patient is under general anesthesia during the Gastric Bypass Surgery, so there is no pain during the procedure. Gastric Bypass has a comfortable healing process as the surgery is performed laparoscopically with only a few keyhole incisions. Painkillers are provided to prevent any pain after surgery as well. Gas pain occurs due to the modifications made to the digestive system, and patients are encouraged to start walking just 4 hours after the surgery to combat the gas pain

The operation, on average, takes 1.5 - 2 hours. Aiming to provide a robust post operative experience, total hospital stay is around 5 days where the patient remains under surveillance in a fully equipped hospital room until discharge. Medfidners provides full hospital stays for each Bariatric Surgery to prevent possible complications.

Gastric Bypass provides the same advantages for obesity related conditions as Gastric Sleeve Surgery. While Sleeve Gastrectomy exacerbates Acid Reflux, Gastric Bypass eliminates all symptoms of Acid Reflux. But, Sleeve Gastrectomy does not modify the intestines, is a simpler and shorter procedure, and does not complicate future colonoscopies. Both surgeries have pros and cons that make them unique, they offer a trade off between complexity and effectiveness. Neither is better than the other, and the Bariatric Surgeon recommendation should be followed.

Different criteria are evaluated to ensure that gastric bypass surgery is an appropriate procedure for the patient. Patient’s medical history, body mass index, and personal weight loss goals are important factors in determining whether they are a suitable candidate for Gastric Bypass. If the patient suffers from Acid Reflux, the most appropriate bariatric operation is Gastric Bypass, because Acid Reflux is greatly alleviated after Gastric Bypass Surgery. Patients have to have a Body Mass Index, BMI, higher than 30 or must be suffering from obesity related conditions to meet the eligibility criteria.

• Vitamin and Mineral Deficiency

• Hair loss: Hair loss is due to weight loss experienced after obesity surgeries. Vitamins such as Biotin alleviate it to a degree.

• Bleeding

• Infections

• Intestinal Obstruction

• Leakage

• General anesthesia complications

• Blood clots

• Deep Vein Thrombosis

As with other bariatric surgery methods, there is no guarantee that weight loss will be permanent after Gastric Bypass Surgery. Having an active lifestyle, and keeping a healthy diet will make weight regain less likely.

Gastric Bypass Surgery, without medical intervention, is permanent. And if the patient has a habit of eating healthy and staying away from foods and drinks that will enlarge their stomach,the weight loss is permanent as well. Gastric Bypass, if needed, can be reversed through a laparoscopic procedure.

Total hospital stay is around 5 days, 4 days of which are after the surgery. MedFinders aims to provide a robust post operative experience while the patient remains under surveillance in a fully equipped hospital room until discharge, therefore providing a full hospital stay to prevent possible complications.

Roux En Y Gastric Bypass (RYGB) surgery technique involves the creation of a new stomach with a volume of 15 - 30 cc, the old stomach is kept passive and does not assist with digestion. Since the old stomach is still present in the body, Roux En Y Gastric Bypass does not remove the stomach.

We offer a full range of bariatric and endoscopic procedures, including gastric sleeve, mini bypass, Roux-en-Y bypass, swallowable and standard gastric balloons, as well as diagnostic procedures like colonoscopy and therapeutic endoscopy.

The best treatment depends on your medical history, weight-loss goals, and overall health. During your Free Consultation with our Medfinders Registered Nurse, you will provide all your medical information. This will be passed on to our specialists who based on your information will recommend the most suitable option and explain the benefits and risks of each. However, once arriving in our Hospital facilities, a full compreehesive examinations will be performed to confirm and determine the right procedure for you. All prices and explanation are given before your travel.

Surgical options, such as sleeve or bypass, permanently alter the stomach or digestive tract for significant long-term results. Non-surgical options, such as the gastric balloon, are temporary, minimally invasive, and focus on portion control and lifestyle change.

Yes. All procedures are performed by highly experienced surgeons and gastroenterologists in our accredited hospital using advanced technology. As with any medical treatment, risks exist, but our team prioritizes safety and follows international standards of care. So far, we had 0 Zero complications.

Weight loss varies depending on the procedure and patient commitment. On average, gastric sleeve and bypass patients lose 60–80% of excess body weight, while balloon patients lose 10–25% of their total weight.

Recovery depends on the type of procedure. Gastric balloons and endoscopies usually allow you to return to normal activities within days, while bariatric surgeries require 1–2 weeks before resuming daily routines.

Yes. Long-term success requires adopting healthy eating habits. Our team provides nutritional guidance and aftercare support to help you adjust to new eating patterns and maximize results.

We offer comprehensive follow-up, including nutritional advice, medical check-ups, and psychological support if needed. Our goal is to ensure you maintain your results and live a healthier lifestyle. For our patients during the 1st year we offer our continous support in reading and following blood tests every 3 months to make sure nutritional margins are met.

Turkey is a leading destination for medical tourism, offering high-quality healthcare at significantly lower costs compared to Western Europe. At MedFinders, we combine expertise, advanced facilities, and affordable all-inclusive packages.

The first step is to contact our team for a free online consultation. We will review your medical history, discuss your goals, and create a personalized treatment plan. Once you’re ready, we’ll handle all arrangements for your trip, procedure, and recovery.