Gastric Reduction Methods

Gastric Reduction Methods: A New Chapter in Healthy and Permanent Weight Control

Hello dear friends, cherished readers of Forever Clinica! Today, I want to talk to you about a very important topic that profoundly affects the quality of life for many people and perhaps is on your mind as well: gastric reduction methods. As the Forever Clinica family, we consider it our duty to shed light on your journey towards a healthy life and to provide you with the most accurate information in the warmest possible tone. If you’re ready, let’s take a closer look at some of our strongest weapons against obesity and excess weight, namely gastric reduction surgeries and their non-surgical alternatives. Remember, what you’ll read here isn’t just medical information, but also the first steps towards a healthy and happy future for you, right here in Istanbul, Turkey!

The Reality of Obesity and the Importance of Gastric Reduction Methods

Obesity, one of the biggest health problems of our time, is much more than just an aesthetic concern; it’s a insidious enemy that opens the door to many serious illnesses. From diabetes to heart disease, joint problems to sleep apnea, it can trigger numerous ailments. Years of diets and exercise programs sometimes aren’t enough or don’t yield lasting results. This is precisely where gastric reduction methods offer a powerful and permanent solution in the fight against obesity. These methods reduce the volume of the stomach or alter the functioning of the digestive system, thereby limiting food intake and increasing feelings of fullness, aiding in appetite control. This makes it possible for you to make a new start, both physically and mentally.

So, with so many different methods available, which one is right for you? At Forever Clinica, we know that every individual is different, and we adopt a personalized approach to determine the most suitable method for you. Let’s delve into these methods one by one.

1. Gastric Reduction Surgeries (Bariatric Surgery): Radical Solutions Against Obesity

Bariatric surgery, or gastric reduction surgeries, is one of the most scientifically proven and effective treatment methods for patients with advanced obesity problems who haven’t found success with other treatment approaches. These operations permanently alter the structure of the stomach to achieve weight loss. At Forever Clinica, we perform these surgeries using state-of-the-art equipment and with our expert surgeons, adhering to the highest safety standards, right here in Istanbul, Turkey.

a) Sleeve Gastrectomy: A Rapid and Effective Transformation

Perhaps one of the most commonly heard and popular bariatric surgery methods, sleeve gastrectomy involves surgically removing approximately 80% of the stomach. The remaining stomach takes the shape of a thin, long tube. This operation not only reduces stomach volume but also removes the portion of the stomach that secretes ghrelin, the hormone that triggers hunger, making the weight loss process even easier. When ghrelin levels decrease, your appetite naturally diminishes, and you feel full more quickly.

Technical Details and Advantages:

• Laparoscopic Method: Sleeve gastrectomy is typically performed using the laparoscopic method. This is a minimally invasive surgery performed through several small incisions in the abdomen, rather than large cuts, using specialized instruments. This results in a faster recovery period, less pain, and minimal post-operative scarring.
• Stomach Shrinkage: The stomach volume is reduced to about 100-150 ml. This naturally leads to you eating much less.
• Hormonal Changes: The reduction in ghrelin hormone not only curbs appetite but also has positive effects on metabolic diseases like type 2 diabetes.
• Less Malabsorption: The effect on nutrient absorption is less pronounced compared to gastric bypass, which reduces the risk of vitamin and mineral deficiencies.
• Permanent Weight Loss: The vast majority of patients undergoing sleeve gastrectomy lose 60-80% of their excess weight and can maintain this weight loss for a long time.

Sleeve gastrectomy is a highly effective option, particularly for individuals who struggle with weight loss, have a high Body Mass Index (BMI), and suffer from metabolic diseases.

b) Gastric Bypass (Roux-en-Y Gastric Bypass): Stronger Impact on Metabolic Diseases

Gastric bypass is a complex bariatric surgical method aimed at both reducing stomach volume and decreasing nutrient absorption. In this operation, a small pouch is created in the upper part of the stomach, and this pouch is directly connected to a more distal part of the small intestine. This way, food bypasses a large portion of the stomach and the first part of the small intestine, reaching the more distal parts of the intestine directly.

Technical Details and Advantages:

• Stomach Reduction and Reduced Absorption: It limits the amount of food consumed and also reduces the surface area where nutrients are absorbed, thereby supporting weight loss.
• Impact on Metabolic Diseases: It provides a very strong and rapid improvement in insulin resistance, especially in type 2 diabetes patients. Bypassing a portion of the stomach and duodenum from contact with food alters the secretion of intestinal hormones, improving blood sugar control.
• Longer-Term Weight Control: Weight loss is generally greater and more permanent compared to sleeve gastrectomy.
• Dumping Syndrome Risk: There is a risk of “Dumping Syndrome,” which manifests with symptoms like nausea, vomiting, and palpitations, especially when consuming sugary and fatty foods rapidly. This can also be seen as a side effect that encourages patients to eat healthier.
• Malabsorption Risk: Due to reduced nutrient absorption, the risk of vitamin (especially B12) and mineral (iron, calcium) deficiencies is higher. Therefore, lifelong vitamin and mineral supplement use is crucial.

Gastric bypass is the preferred method for individuals with serious co-existing metabolic diseases such as diabetes, or those who need to lose a significant amount of weight.

c) Gastric Banding: A Less Preferred Method Today

Gastric banding involves placing an adjustable silicone band around the upper part of the stomach. This band is inflated to create a small pouch at the entrance of the stomach, restricting food intake. Although the surgical risk is lower compared to other methods, it is less preferred today due to the more effective and permanent results offered by other bariatric surgical methods.

Why is it Less Preferred?

• Less Weight Loss: Weight loss is generally less than with other surgeries, and long-term success rates are lower.
• Need for Revision: Complications such as band slippage, erosion, or infection may necessitate revision surgeries.
• Requires Frequent Follow-up: The band needs regular adjustments, which requires patients to attend more frequent check-ups.
• Difficulty Eating: Some patients may experience difficulty eating and vomiting.

At Forever Clinica, as we aim to offer our patients the most current and effective treatment methods, we rarely recommend gastric banding anymore. However, it can be considered as an alternative depending on the patient’s overall health and preferences.

2. Non-Surgical Gastric Reduction Methods: Ameliyatsız Solutions

For individuals who do not wish to undergo surgery or do not meet the criteria for surgery, non-invasive (non-surgical) gastric reduction techniques are also available. These methods are typically performed endoscopically and can aid in weight loss without carrying surgical risks. At Forever Clinica, we safely apply these methods with our experienced gastroenterology specialists in Istanbul, Turkey.

a) Gastric Botox: A Temporary Aid in Appetite Control

Gastric botox is a procedure where botulinum toxin is endoscopically injected into specific muscles of the stomach. This toxin slows down the contractions of the stomach muscles, extending the stomach’s emptying time. Since the stomach remains full for longer, the person feels satiated for a longer period and eats less. Additionally, the secretion of ghrelin, the hormone that triggers appetite, may also decrease to some extent.

Technical Details and Advantages:

• Endoscopic Application: It does not require surgery. It is performed endoscopically through the mouth, under sedation (a light sleep state) rather than general anesthesia.
• Rapid Recovery: Patients can return to their daily lives quickly after the procedure.
• Few Side Effects: Serious side effects are extremely rare. Temporary nausea and mild cramps may occur.
• Weight Loss: Depending on the individual and adherence to lifestyle changes, an average weight loss of 8-15 kg is aimed for. This is less than with surgical methods.
• Temporary Effect: The effect of gastric botox typically lasts for 4-6 months. It is not a permanent solution, and the procedure may need to be repeated for the effect to continue.

Gastric botox can be a good starting point for individuals who are overweight (BMI between 27-35) but do not meet the criteria for obesity surgery or do not wish to undergo surgery. It is also a supportive method for those who struggle with portion control and have a high appetite.

b) Gastric Balloon: A Practical Solution that Fills the Stomach

The gastric balloon is a procedure where a silicone or polyurethane balloon is endoscopically placed into the stomach and then inflated with a sterile liquid (usually saline solution). The balloon, by occupying space within the stomach, causes the person to eat less and increases feelings of fullness.

Technical Details and Advantages:

• Endoscopic Application: Like gastric botox, it does not require surgery and is performed under sedation.
• Different Types: Various types are available, including swallowable balloons (swallowed and inflated in the stomach without the need for endoscopy) and endoscopically placed balloons.
• Temporary Solution: Depending on the type, the gastric balloon remains in the stomach for 6 months to 1 year and must be endoscopically removed after this period.
• Weight Loss: An average weight loss of 15-25 kg is aimed for. Weight loss depends on the individual’s adaptation to the balloon and lifestyle changes.
• Undesirable Side Effects: Nausea, vomiting, and abdominal cramps may occur during the first few days. This condition can usually be controlled with medication.
• Suitable Candidates: It is suitable for individuals with a BMI between 27-35, who have high surgical risks, or do not wish to undergo surgery.

The gastric balloon can be an effective method for individuals who want to lose weight without surgery and are ready to change their eating habits through a controlled process. However, adherence to lifestyle changes afterwards is crucial for its permanence.

c) Endoscopic Sleeve Gastroplasty (APOLLO Method): Non-Surgical Sleeve Gastrectomy

Endoscopic Sleeve Gastroplasty, also known as the APOLLO method, is a non-surgical method that reduces the stomach with sutures. Using a special endoscopic device, sutures are placed from the inside of the stomach, reducing its volume. This method creates a similar effect to sleeve gastrectomy but is performed without any incisions or external sutures.

Technical Details and Advantages:

• Non-Surgical Method: Does not require laparoscopic or open surgery. It is applied endoscopically.
• No Incisions, No Scars: No incisions or scars are formed on the body.
• Rapid Recovery: The hospital stay is short, and the recovery period is much faster.
• Potential for Permanent Weight Loss: Since it reduces stomach volume similarly to sleeve gastrectomy, it can provide significant and permanent weight loss when supported by lifestyle changes.
• Lower Risk: Surgical risks (bleeding, infection, etc.) are lower compared to open or laparoscopic surgeries.
• Revision Possibilities: If necessary, the procedure can be repeated, or bariatric surgery can be considered afterwards.

Endoscopic Sleeve Gastroplasty is becoming an increasingly popular option for individuals with a BMI between 30-40 who do not wish to undergo surgery but aim for more permanent weight loss.

3. Lifestyle Changes After Gastric Reduction: The Key to Success is in Your Hands!

Gastric reduction procedures, whether surgical or non-surgical, are never a “magic wand” on their own. These procedures provide you with significant support and advantages on your weight loss journey, but the key to success is in your hands! To achieve permanent and healthy results, making fundamental lifestyle changes after the procedure is vital. At Forever Clinica, we never leave you alone in the post-operative period and stand by you with a multidisciplinary approach.

Essentials for a Healthy Life:

• Protein-Rich Diet: In the post-operative period, consuming a protein-rich diet is crucial to preserve muscle mass and support the healing process. Lean meat, chicken, fish, eggs, dairy products, and legumes should form the basis of your diet.
• Small Portions and Slow Eating: Since your stomach volume has decreased, you will need to get used to feeling full with much smaller portions. Eating your meals slowly and chewing thoroughly facilitates digestion and helps you better understand the feeling of fullness. Eating too quickly can lead to nausea, vomiting, and discomfort.
• Fluid Intake Rules: Avoid consuming liquids with meals. Drink liquids 30 minutes before or 30 minutes after meals. This is important to avoid affecting your stomach’s emptying rate and to stay full longer. Make sure to drink at least 2-2.5 liters of water daily. Water is critical for both your metabolic rate and to prevent dehydration.
• Regular Exercise: Regular exercise is essential to accelerate the weight loss process, preserve muscle mass, minimize skin sagging, and improve your overall health. You can start with light-paced walks and gradually increase the intensity and duration of your exercise over time. Seeking support from a physiotherapist or exercise specialist will be beneficial.
• Vitamin and Mineral Supplements: Especially after operations that affect absorption, such as gastric bypass, vitamin and mineral deficiencies may occur in the body. Regularly taking vitamin and mineral supplements as recommended by your doctor is indispensable for maintaining your health. These supplements usually continue for life.
• Regular Follow-up and Check-ups: After a gastric reduction procedure, regular check-ups with our expert team at Forever Clinica are crucial to monitor your weight loss progress, diagnose potential complications early, and receive personalized nutrition and lifestyle advice.

Remember, working with a team consisting of a nutritionist, psychologist, and exercise specialist will increase your chances of success in this process. At Forever Clinica, we are proud to offer you this multidisciplinary team.

Frequently Asked Questions (FAQ): Answers to All Your Questions!

We know you have many questions about gastric reduction methods. Here are the most frequently asked questions and answers from Forever Clinica specialists:

1. Who is eligible for gastric reduction surgery?

Gastric reduction surgeries are generally applied to individuals who meet specific criteria:

• Those with a Body Mass Index (BMI) of 40 or higher: This is defined as “morbid obesity.”
• Those with a BMI between 35-40 and co-existing serious obesity-related diseases such as diabetes, hypertension, sleep apnea, or joint problems.
• When deciding on surgery, the patient’s general health status, previous weight loss attempts, and psychological state are also taken into consideration.

2. Is gastric reduction surgery risky?

Like any surgical procedure, gastric reduction surgeries have some potential risks. These can include bleeding, infection, leakage, anesthesia-related complications, and nutritional deficiencies. However, at Forever Clinica, thanks to our experienced and expert surgeons, modern operating room conditions, and advanced technological equipment, these risks are minimized. A detailed pre-operative evaluation and risk briefing are provided. All these procedures are performed in Istanbul, Turkey, adhering to international safety standards.

3. How much weight can be lost with gastric botox?

The amount of weight that can be lost with gastric botox varies from person to person and depends on the individual’s adherence to lifestyle changes. Generally, an average weight loss of 8-15 kg is aimed for. This method provides less weight loss than surgical methods and is more often used for appetite control and portion reduction.

4. Will there be skin sagging after gastric reduction?

Yes, skin sagging can occur in individuals who experience rapid and significant weight loss. This can be particularly noticeable in the abdomen, arms, legs, and chest areas. Regular exercise (especially muscle-strengthening exercises) and moisturizing your skin can reduce sagging to some extent. However, in cases of severe skin sagging, aesthetic surgery (body lift, arm lift, etc.) may be considered. At Forever Clinica, we can guide you in this regard if needed.

5. Does the gastric balloon cause pain?

During the first few days after gastric balloon placement, mild nausea, vomiting, and abdominal cramps may occur due to a foreign object entering the stomach. This condition is usually temporary and can be controlled with medication recommended by your doctor. If you experience severe or persistent pain, you should definitely contact your doctor. The adaptation period to the balloon can vary from person to person.

Step Towards a Healthy and Confident Future with Forever Clinica!

Dear readers, fighting obesity and achieving a healthy body and mind can be a long and sometimes challenging journey. However, at Forever Clinica, we are with you on this journey. With our team of expert doctors, experienced nurses, nutritionists, and psychologists, we guide you every step of the way, from determining the most suitable gastric reduction method for you to adopting a healthy lifestyle after the operation. All these services are provided in our state-of-the-art facilities in Istanbul, Turkey.

Remember, a healthy life is not just about losing weight; it also boosts your self-confidence, increases your life energy, and helps you look to the future with more hope. Forever Clinica is here to experience this change with you.

If you would like to get more information, consult with our specialists, or have a personalized evaluation, please do not hesitate to contact us. We wish you healthy and happy days!

💙 A healthy life, a confident future! 💙