DR. MURAT ÇAYCI

Metabolic Surgery

There is a surgical solution for diabetes mellitus type 2 and it is called metabolic surgery. This operation is suitable for patients whose pancreatic capacity is adequte, and this decision is made after blood tests that show pancreatic enzyme levels. In this surgical process stomach is narrowed and then connected to the most distant part of small intestines. Thereby, 1/3 of the food follows the normal digestive route and 2/3 of the food follows the new way and ends up in distant small intestines. After 3 days of hospitalization we discharge our patients. The aim of this process is to lower or end the need for oral anti-diabetic medications or insülin.

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Sleeve Gastrectomy

Sleeve gastrectomy is the most commonly performed obesity surgery technique worldwide. Sleeve gastrectomy is a restrictive procedure in which up to 70-80% of stomach is resected, including the part that produces the ‘hunger hormone’ ghrelin. For this procedure we use high quality stapling and tissue fusion – vessel sealing devices. We usually discharhge our patients after 3 days of hospital stay. To our international patients, we recommend two more days of stay at a hotel and then send them back to their countries after medical controls. By the end of the fisrst year after surgery, 30% of the total weight should be lost.

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Gastric Balloon

This non-surgical procedure is suitable for patients who are slightly overweight. This procedure does not require hospitalization. There are two types of intragastric balloons: the ones inserted via endoscopy and the swallowable ones. Endoscopically placed balloons also have two types: the ones lasting 6 months and the ones lasting 12 months. The goal is to lose up to 20-30 kilos in 6 months. By the end of the 6 or 12 month period, intragastric balloon is extracted via endoscopy.

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Gastric Botox

Patients who are mildly or moderately overweight are candidates for gastric botox. This is a non-surgical procedure that is performed at endoscopy unit under sedation anesthesia and does not have any known side effect. This procedure that takes 20-25 minutes to complete and does not require hospitalization. During the procedure, botox is injected to 30 different locations of the stomach which results in reduction of gastric movements. As the gastric motility reduces, there will be an early feeling of saiety and appetite will subside. These effects will begin in 48-56 hours after the procedure and will last 6 months. Within this 6 month period, patients are expected to lose 15-20 kilos, due to their body-mass index.

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Gastric By-pass

Gastric by-pass is an important techniqe for being the first operation performed for the treatment of obesity. This procedure can be done in two ways: single-anastomosis (mini) gastric by-pass and Roux&Y gastric by-pass. Roux&Y gastric by-pass reduces gastric volume to 40-60cc. Divided stomach is then connected to small intestines and by this anastomosis fewer calories can be absorbed. Metabolic features of this technique are more prominent. In single-anastomosis (mini) gastric by-pass, gastric volume is reduced to 100 cc and divided stomach is then connected to small intestines at 200 cm from their origin.

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Treatments

Metabolic Surgery

Sleeve Gastrectomy

Gastric Balloon

Gastric Botox

Gastric By-pass

We Touch Your Life

Health Corner

Obesity and Its Consequences

What Should We Do During the Obesity Process?

Obesity and Change in Life Habits

Diet Recommendations for Obesity Treatment

Obesity and Drug Therapy

Obesity and Botox

Who is a Gastric Balloon Applied to?

Who do we operate on for obesity?

Sleeve Gastrectomy (Gastric Sleeve Surgery)

Gastric bypass surgery and its effects

Revision After Bariatric Surgery

Diabetes Surgery – Metabolic Surgery