Gastric Bypass in Iran

Gastric bypass in Iran: gastric bypass is a weight loss (bariatric) surgery that helps people with obesity to lose weight and improve their health. It alters the digestive system, making it easier to lose weight. We at DoitMedTour do all the arrangements for your trip to Iran to get a gastric bypass surgery done with the best bariatric surgeons Iranian.

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All you need to know about Gastric Bypass in Iran

Gastric bypass is the second most common weight loss surgery after gastric sleeve. Studies have shown that gastric bypass patients lose 60 percent of their excess weight and maintain that weight, even ten years after surgery.

Commonly performed using the minimally-invasive laparoscopic surgery, gastric bypass has several variations, the most common version being Roux-en-Y.

Roux-en-Y (roo-en-wy) gastric bypass, is a surgical procedure that involves creating a small pouch from the stomach and connecting the newly created pouch directly to the small intestine. After gastric bypass, swallowed food will go into this small pouch of stomach and then directly into the small intestine, thereby bypassing most of your stomach and the first section of your small intestine. Because of this, your body will not get all of the calories from the food you eat.

How Gastric Bypass Works

The Roux-en-Y gastric bypass works in two ways:

Restriction: it restricts the amount of food you can eat by decreasing the size of the stomach.

Malabsorption: it allows the food you eat to bypass the main part of your stomach and small intestine so that the food you do eat is not fully absorbed, prompting an even faster weight loss.

Because of these two functions, gastric bypass is a restrictive-malabsorptive weight loss surgery.

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Preparing for gastric bypass surgery

Consulting a surgeon before your surgery helps you get a good understanding of the procedure, results, and your life after surgery. Your doctor will advise you about any changes you need to make to medicines and diet in the weeks or days before surgery.

You should stop smoking several weeks before surgery in order to have a satisfactory and safe surgery. Also, you need to avoid taking some medications such as aspirin, ibuprofen (Advil, Motrin), vitamin E, and warfarin for two weeks before surgery.

You will need to have various lab tests and exams before surgery. Do not eat or drink anything the night before your surgery. Arrange for someone to take you home from the hospital and make sure that you will have appropriate post-operative care at home or hotel.

Gastric Bypass in Iran Procedure

Typically, a gastric bypass is performed under general anesthesia so you will be unconscious during the procedure. Most surgeons perform gastric bypass using the minimally-invasive laparoscopic technique. In this technique, which is also called keyhole surgery, the surgeon makes small incisions in the abdomen through which he/she inserts surgical instruments, a laparoscope (a long instrument with a camera and light at its end, used to see the inside of the body), and a tube to perform the operation.

After making the incisions, the surgeon cuts across the top of the stomach and seals it off from the rest of the stomach. The resulting pouch is about the size of a walnut and can hold a very small amount of food, so your appetite will be reduced dramatically.

The surgeon then cuts the small intestine into two sections and sews the lower section, which is called “Roux limb”, directly onto the pouch. Food then goes into this small pouch of stomach and then directly into the small intestine sewn to it, bypassing most of the stomach and the first section of the small intestine, which is where some calories from food are absorbed. In the end, the end of the duodenum is reattached to the small intestine at a lower point to allow flowing of other digestive juices.

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Gastric bypass in Iran recovery and aftercare

Typically, you will need to stay in the hospital for 2-3 days following surgery. Depending on the age, weight, overall health, and lifestyle, recovery time can vary for each individual. But the average time for a full recovery at home after gastric bypass is five weeks. You may experience changes as your body reacts to the rapid weight loss in the first three to six months after gastric bypass, including pain, feeling tired, as if you have the flu, feeling cold, dry skin, hair thinning and hair loss, mood changes.

Immediately after surgery, you may have liquids but no solid food as your stomach and intestines begin to heal. You will then move on to pureed food and eventually add solid food to your diet. Some post-op instructions are listed below.

Post-Operative Instructions

  • Eating is not permitted for the first two days after the operation
  • Liquids and soft foods (whole meal soup, juices, stew, milk and other soft foods with rich nutrition) are recommended for the first two weeks
  • pureed foods are recommended for the second two weeks
  • After 4 weeks, you are permitted to eat solid foods, like fruits, cooked vegetables, and small slices of chicken or meat
  • Eat and drink slowly. If you eat and drink fast and have a sweet tooth, dumping syndrome happens
  • Chew carefully. Food has to become like a pureed food before swallowing
  • Don’t drink while eating
  • Drink 6-8 glasses of water every day during the recovery period
  • Do not eat too much food. Only 30 grams of food is accepted by your stomach after the surgery, or else vomiting and nausea are inevitable
  • Eat organic food
  • Avoid frequent snacking
  • Take vitamin and mineral supplements, including a multivitamin with iron, calcium and vitamin B-12 to ensure you are getting all the nutrients your body needs for a healthy lifestyle
  • Take daily exercises

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Am I a Good Candidate for Gastric Bypass?

In general, gastric bypass and other weight-loss surgeries could be an option for you if:

  • You are committed to losing weight and maintaining your weight loss through lifestyle and gastric bypass diet changes.
  • Your body mass index (BMI) is 40 or higher.
  • Your BMI is 35 to 39.9 (obesity), and you have other medical conditions such as type 2 diabetes, severe sleep apnea, or high blood pressure that may be improved by losing weight.
  • You are fit enough to have a general anesthetic and surgery.
  • You haven’t seen a significant weight loss by dieting and exercising.

Advantages and Disadvantages of Gastric Bypass Surgery

Each type of weight loss surgery has some advantages and disadvantages. The main benefits and drawbacks of gastric bypass are as follows:


  • Generally higher average excess weight loss than in patients who have had restrictive surgeries such as sleeve gastrectomy and gastric banding. It means that it is the most effective bariatric surgery.
  • Weight loss will be more rapid after surgery compared to other procedures such as the lap band.
  • It doesn’t require that an external device be placed inside the body.
  • Up to 70% of type 2 diabetic patients are cured or their need for insulin is significantly decreased after gastric bypass.
  • Sleep apnea and high blood pressure are likely to be improved or cured after gastric bypass.
  • Less weight regains, an average of 10 to 13 percent after 10 to 14 years, according to medical studies.
  • You would not feel excessive pain and no scar would remain on your body as it is usually performed laparoscopically.
  • It can be done for people aged 18 to 70.

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  • Since it takes some time for the digestive organs to heal and get used to the new circumstances, recovery time is longer than other procedures (except gastric sleeve).
  • You will have to stick to a low-starch and low-sugar diet because you may experience vomiting and diarrhea.
  • This bariatric surgery reduces the absorption of vitamins and nutrients and you need to take supplements to make up the vitamin and iron.
  • There is a small risk of complications, including bleeding, leakage, infection, and blockage.

Gastric bypass complications and side effects

There is no doubt that any kind of surgery might cause a number of side effects and complications.

Possible risks of gastric bypass include:

  • Allergic reaction to anesthesia
  • Blood clots in legs (preventable by taking blood-thinning drugs)
  • Leakage in the connection area between the stomach and small intestines
  • Infection
  • Bowel obstruction
  • Dumping syndrome, causing diarrhea, nausea or vomiting
  • Difficulty in swallowing
  • Indigestion
  • Sagging skin
  • Bloating
  • Stomal stenosis
  • Gallstones
  • Hernias
  • Low blood sugar (hypoglycemia)
  • Malnutrition
  • Stomach perforation
  • Ulcers
  • Vomiting

Most of the complications can be prevented by following your surgeon’s instructions and adhering to a healthy diet and lifestyle. Constant visits help you avoid many of the mentioned complications.

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Mini gastric bypass surgery

Mini gastric bypass surgery is a simpler less invasive procedure, compared to the regular gastric bypass. During this surgery, a banana-shaped pouch is created in the stomach and then connected to the small intestine through a so-called anastomosis, bypassing a portion of the small intestine. The mini gastric sleeve works the way a Roux-en-Y gastric bypass works.

Gastric bypass VS gastric sleeve

If you are in a dilemma about whether to opt for a gastric bypass or a gastric sleeve it is important to consider the similarities and differences between the two surgeries in order to make an informed decision.

Similarities between gastric bypass and gastric sleeve

  • After both gastric bypass and gastric sleeve surgeries you need to stay in hospital.
  • You will eat less after both procedures because your new stomach will hold a small amount of food.
  • The recovery period for both surgeries are almost the same.
  • Both procedures deliver a significant weight loss.
  • Both procedures cannot be reversed.

Differences between gastric bypass and gastric sleeve

  • Gastric bypass is usually recommended for extremely obese patients with a BMI over 40, but gastric sleeve can be done for those with BMI 35.
  • Gastric bypass alters how your digestive system handles the food but in the gastric sleeve, the digestion doesn’t change.
  • In the gastric bypass, the stomach is not partially removed from the body while in the gastric sleeve a large portion of the stomach is taken out.
  • Gastric bypass is both a restrictive and a malabsorptive surgery, while the gastric sleeve is a restrictive procedure only.

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Why gastric bypass in Iran?

Gastric bypass is a very popular bariatric procedure in Iran. There are highly skilled and well-trained bariatric surgeons in Iran who have remarkable experience in gastric bypass and other weight loss surgeries.

Both Roux-en-Y gastric bypass and mini gastric bypass are performed in Iran at well-equipped hospitals in Tehran, Isfahan, Mashhad, Tabriz, Shiraz, and Kish Island at very fair prices.

Apart from the quality of doctors and hospitals and affordable costs that do count, Iran is a hot spot to explore for many tourists; just ask someone who’s been there. Most of the people who have visited Iran report that their attitude toward the country was completely changed after their trip.

Cost of Gastric bypass and mini gastric bypass in Iran

The cost of gastric bypass in Iran is more affordable than many other countries. Prices vary based on the method of bypass surgery, surgeon, clinic, and especially, the country. The average cost of regular gastric bypass is $24,000 in the U.S on average, $20,000 in Canada, $17,000 in Australia, $10,500 in Thailand, and $10,400 in India. This is while the cost of a similar procedure in Iran is around $5,500.

An average mini gastric bypass cost in Iran is around $5,500, whereas the cost of the same surgery in the U.S is somewhere between $15,000 and $25,000. An average mini gastric sleeve is $22,000 in Canada, $7,000 to $10,000 in Mexico, $26,000 in Australia, and between £10,000 and £15,000 in the U.K.

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What is Revision Gastric Bypass?

Revision gastric bypass is a second surgery to treat any complication that might occur after the first procedure or to replace a proximal Roux-en-Y with a distal (bypassing a longer portion of the small intestine) in order to prompt more weight loss.


How much weight will I lose after gastric bypass?

Patients lose 60% to 80% of their excess weight on average. Studies have shown that 15% to 35% of patients fail to lose adequate weight loss or regain weight after a while.


Is gastric bypass worth it?

Although a gastric bypass, like any other surgery, has some risks and possible complications, the fact is that the risks posed by obesity are far more life-threatening. Different studies have shown that gastric bypass significantly improves weight-related conditions such as type 2 diabetes, high blood pressure, cardiovascular diseases, infertility, and depression.

Besides, gastric bypass doesn’t pose any risk in the short term, if performed by a qualified surgeon. The long-term complications are also rear, with the only common problem being the vitamin and other nutrients deficiency, which requires you to take supplements for the rest of your life.

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Frequently Asked Questions About Gastric Bypass Surgery

What are the Alternatives to Gastric Bypass in Iran?

Gastric bypass in Iran has a few surgical and non-surgical alternatives. For the surgical alternatives, patients can look into lap-band gastric restriction and vertical banded gastroplasty. For the non-surgical alternatives, they include exercise therapy and dietary therapy.


How will I Know When to Stop Losing Weight?

As long as you stick to your exercise program and nutrition, your body will adjust to the weight loss and stabilize at its appropriate weight.


Is It Possible to Regain my Weight?

Keep in mind that your gastric bypass is only a tool, and not a cure for obesity. Drinking with meals, drinking caffeinated and carbonated beverages, not drinking enough water between meals, snacking, and not exercising are common behaviors that may cause you to regain your weight.


How do I Know if I am Successful with my Weight Loss?

Note that success is not getting to your goal weight; it is getting to a healthy weight. You are considered a success if you have achieved a weight within approximately 40 pounds of your ideal body weight and maintain your weight.

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What do I do about Excess Skin After Weight Loss?

Most people can minimize excess skin by maintaining healthy nutrition, weight training and aerobic exercise, but if you need to have excess skin removed, you can consult with a plastic surgeon.


How Long should I Wait to Get Pregnant After Gastric Bypass in Iran?

If you are a woman of child-bearing age, it is strongly recommended that you wait at least a year and a half after surgery before getting pregnant. By delaying a post-operative pregnancy until this time, your body will be fairly stable and you are better assured that you will be able to get the proper nutrition for the health of your baby and yourself.

If my Pouch Grows Too Much, can it be Made Smaller Again?

It can be made smaller again, but you would have to undergo another surgery that would increase your risk for complications. The best way to maintain your weight or not regain the weight you have lost is following the guidelines set by the bariatric program.


Is It Possible to Fail to Lose Weight with Gastric Bypass Surgery?

Gastric bypass surgery changes your food tolerances and capacity and will lead to behavioral changes, but only if you listen to your new anatomy, not your old habits. You must consciously choose to live a healthier life, with healthier eating habits, that will lead to improved health. Is it not automatic. You can choose to not change your relationship to eating. You can out eat any surgery. The moment the last stitch is placed, you are responsible for your body’s upkeep and maintenance.


Is passing blood after Gastric Bypass surgery normal?

You can expect to see some blood in your stool for the first few bowel movements after bariatric surgery. The procedures to the stomach will cause some trauma to the tissues and oozing of a small amount of blood is not unusual. If this persists, or if the toilet water is not merely tinged with blood but in fact appears to be purely blood, call your surgeon.


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Lap Band Surgery in Iran

Lap band surgery in Iran: Lap band surgery, or gastric banding, is a surgical treatment for obesity that uses an adjustable ring, or gastric band, around the upper part of your stomach to restrict the amount of food you are able to eat. With the rise in obesity due to the change in people’s lifestyles, this surgery has become popular in both developed and developing countries. Laparoscopic adjustable gastric band is known to be the least dangerous method for fat loss among other surgeries. It can help patients receive long-term effect of weight loss.

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Why Adjustable Gastric Band?

With industrialization and lifestyle changes, lack of sufficient physical activities results in obesity and other chronic diseases like bone and joint diseases, heart diseases, and type two diabetes. In addition, lack of self-confidence and depression are other negative effects of being fat. So, people unhappy with their weight are looking for possible ways to reach their desired weight.

This surgery is recommended when a patient suffers from type two diabetes or heart diseases because of being fat. Lap band surgery in Iran helps obese people control their appetite by keeping their stomach on a leash. So obese people can reach their desired weight and protect their bodies from different chronic diseases.

Who are Candidates for the Lap Band Surgery in Iran?

Lap band surgery in Iran is a good choice for those with a body mass index (BMI) of 35-40 or above, who have tried to lose weight in other ways without success. This surgery is also recommended in cases when there are potentially life-threatening weight-related health problems, such as diabetes, hypertension, heart disease, or sleep apnea.

The weight loss after surgery is guaranteed, but the rest of the story is totally up to you. If you are properly prepared to commit to healthy lifestyle changes and regular medical follow-up, as well as to participate in behavioral therapy, you are a good candidate for this surgery. So, you have to make sure that you will follow your surgeon’s recommendation, follow your diet, and exercise.

This weight loss surgery is not recommended for people with:

  • uncontrolled psychiatric illness
  • impaired ability to understand the risks and benefits, outcomes, alternatives, and lifestyle changes demanded
  • current drug or alcohol abuse

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Some pre-op instructions for gastric band surgery are mentioned below:

  • Do not eat or drink anything for the recommended time before your surgery.
  • Make sure that the laparoscopic adjustable gastric band is the best option for you.
  • Take a blood test based on your doctor’s instruction.
  • Have both psychological and physical tests.
  • Have an upper endoscopy of your stomach.
  • Consult with a nutrition specialist and follow the diet given to you.
  • Quit smoking a few months before surgery.
  • If you misuse alcohol or medicine, stop it as soon as possible.
  • Do not take any sort of medication especially blood-thinning medicines, including aspirin, two weeks before your surgery, unless your anesthesiologist or surgeon asks you to.
  • Use low-calorie meals at least 14 days before your surgery.
  • Make your liver smaller by losing some weight in order to have better and safer surgery.

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Gastric band surgery is performed under general anesthesia in an outpatient clinic. The procedure often takes 30 to 60 minutes. Most people can resume most normal activities within 2 days, but they may need to take a week off work.

During this weight-loss surgery, the surgeon makes 5 or 6 small and slight incisions in the upper part of the abdomen before laparoscopic instruments are introduced to the stomach. He/she then, places the adjustable gastric band, which is a soft silicone ring, at the upper part of the stomach. The band is tightened and locked to the top part of the stomach. This separates the stomach into two parts, with a very small upper pouch that communicates with the rest of the stomach through a channel created by the band. The small upper pouch limits the amount of food you can eat.

The next step would be locating a port under the skin of the belly via a soft tubing, which allows adjustment of the band’s tightness by inflating or deflating the balloon in the band. The next sessions after the surgery, your doctor injects saline into the tube in order to narrow your pouch and you will be able to eat less.

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Lap Band Surgery in Iran Recovery and Aftercare

You will only need one night stay in the hospital. You must have an x-ray in the hospital to make sure of the location of the band. The first two weeks after your surgery, you can only drink clear liquids like black tea, water and juices. After your surgery, you generally won’t be allowed to eat for one to two days so that your stomach and digestive system can heal. After two weeks you can start eating pureed food. Then, you’ll follow a specific diet for about 12 weeks. The diet begins with liquids only, then progresses to ground-up or soft foods, and finally to regular foods.

After your body is healed, you have to change your eating habits. Consider what are listed below:

  • Chew carefully.
  • Never mix liquid and solid foods in a meal.
  • Avoid swallowing big amount of food.
  • Avoid fast food as much as you can.
  • Try to take blood test every few months at least for a year after your surgery.
  • Take daily multivitamins, a calcium-vitamin D, vitamin B12 or iron, or other medicines your doctor asks you to.
  • Take small amount of meals in order to avoid vomiting.
  • Do not neglect visiting your doctor and making sure of the location of your lap band.

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What is a Lap Band Fill?

A lap band fill is the common term for gastric band adjustments. Once your surgery is performed, there is a period of healing that must take place before the first adjustment. Usually, the first fill takes place around 6 to 8 weeks and involves injecting saline into the port just under the skin. Prior to this, there may be little change in appetite. The adjustments may take place to enhance weight loss and to overcome unpleasant side effects, like cramping and nausea (in this latter case, the band is loosened).

Some Advantages of Lap Band Surgery in Iran

  • It is a minimally invasive weight loss surgery.
  • Less surgical complications than invasive procedures.
  • It is reversible. It can be removed later without having made any alteration to the stomach if you don’t want to have it any longer.
  • With the use of laparoscopy, there will be no need for large incisions. As a result, patients feel less pain.
  • It is adjustable. During pregnancy, it can be loosened and after that, tightened again. So, it is a good option for women who want to get pregnant.
  • No alteration occurs to the anatomy of the stomach.
  • It costs less than gastric bypass surgery.
  • Patients are less in need of nutrition supplements and medication.

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Common Risks and Side Effects of Lap Band Surgery in Iran

As with any major surgery, lab band surgery poses potential health risks. Every surgery may bring infection, bleeding or breathing problems. The specific potential risks related to lap band include:

  • Movement of the band
  • Gas embolism
  • Anemia due to restriction in eating red meat
  • Vomiting and pain if a patient does not follow the instructions and recommendation of their doctor
  • Injury to different parts of the body including organs near the stomach, stomach wall, and major blood vessels
  • Eroding of the band up to 1%

Why Lap Band Surgery in Iran?

Lap band surgery has its professionals as there are great surgeons in Iran for different operations. There are modern and well-equipped clinics offering gastric band surgery in different cities all around Iran, including Tehran, Shiraz, Isfahan, Tabriz, Mashhad, and Kish Island. So, people from all around the world can benefit from medical facilities and well-trained specialists in Iran at a low cost and with high quality.

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How Much does a Laparoscopic Adjustable Gastric Band Cost in Iran?

Unlike other countries, lap band surgery is done at much more affordable prices in Iran with high quality. It is performed by highly qualified and well-skilled surgeons in some of the best hospitals and clinics of Tehran and other major cities across Iran. While an average gastric band surgery in Iran costs around $3,000, a similar procedure costs $15,000 in the US, $12,000 in the UK and $8,000 in India.

What Is Lap Band Revision Surgery?

If you have a lap band and you are not able to lose weight or keep it, you may need lap band revision surgery to replace or remove the device. The lap band device is designed to stay in place for life, so while most patients are able to achieve and maintain their weight loss goals, a small number of people do not lose much or gain weight.

Common Reasons for Lap Band Revision Surgery include:

  • Slippage of the lap band (the band finds itself in an abnormal position over the stomach)
  • Erosion of the band (having a band grow into the stomach) so that it no longer limits food intake.
  • A stomach pouch that becomes stretched out due to over-eating or natural changes in stomach tissue
  • An infection in the area of skin near the tubing
  • Complications from a band that is too tight, such as stomach acid irritating the lower part of your throat (acid reflux), nausea, vomiting or difficulty swallowing

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How is Lap Band Revision Surgery Performed?

Following thorough evaluation, your weight loss surgeon may decide to remove the lap band device to alleviate your symptoms and prevent further damage to esophageal motility. In some cases, band removal alone is not enough and additional surgeries may be required to fix the problem.

Here’s what to expect:

  • Your surgeon gives you medicine to help you fall asleep and not feel any sensation during the procedure (general anesthesia).
  • Then the surgeon makes up to 5 small incisions in your abdomen and places a camera and special instruments through these incisions to carry out the surgery.
  • He or she removes the lap band, connective tubing and access port.
  • If the lap band device has grown into the stomach tissue, the surgeon removes scar tissue and repairs damaged stomach tissue.
  • It is possible to receive gastric bypass or gastric sleeve during the same procedure if you wish to switch to a different bariatric option. However, if there is a lot of scar tissue or damaged stomach tissue, the surgeon may wait until you have healed.
  • The surgeon then completes the surgery by removing the instruments and camera and closing the incisions with stitches.

Once the band is removed, you will no longer feel full on small portions of food. That’s why it is recommend to replace the lap band with another bariatric treatment, such as gastric bypass or gastric sleeve.


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Gastric Balloon in Iran

Gastric balloon in Iran: Gastric balloon or intragastric balloon is a short-term, non-invasive weight loss treatment for obese people who have tried other weight loss programs, such as following a diet, exercise and behavior modification program. This non-surgical endoscopic method reduces feelings of hunger and helps you feel fuller for longer after eating only small amounts. To produce the best results, the procedure can be combined with both physical activity and diet.

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In this procedure, the surgeon inserts a balloon into your stomach which gets filled with a liquid. The balloon occupies one-third of the mass of the stomach and often stays in the stomach for 6 to 9 months. The effects of this short-term option appear 9 months after the surgery and the results are long-lasting.

Why Gastric Balloon in Iran?

Nowadays that Iranians pay more attention to their health condition and their weight, weight loss procedures are growing and progressing in Iran. Gastric balloon is one of the most popular weight loss procedures in Iran which is done by great and well-trained specialists at well-equipped clinics in different cities of Iran like Tehran, Shiraz, Mashhad, Isfahan, Tabriz, Kish Island and other cities.

Why Choose to Have a Gastric Balloon Procedure?

Obesity is a very dangerous issue that may cause chronic diseases and social problems. So it needs to be resolved. Type 2 diabetes, heart disease, high blood pressure, and sleep apnea are some conditions that occur as a result of obesity. Low self-confidence is another negative effect of obesity because obese people are not as good at physical activities as others. Gastric balloon prevents them from overeating, helps patients resolve their obesity quickly and manage their eating styles. For obese people who were unable to lose weight by trying different methods, gastric balloon is a good option.

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Are You a Good Candidate for Gastric Balloon in Iran?

A gastric balloon may be an option for you if you:

  • have a body mass index (BMI) of more than 29 and less than 40. (Calculate your BMI)
  • do not wish to undergo a surgery.
  • are allergic to anesthesia.
  • have not had any previous stomach or esophageal surgery.
  • have a serious condition, such as diabetes, high blood pressure, or sleep apnea.
  • are properly prepared to commit to healthy lifestyle changes and regular medical follow-up, as well as to participate in behavioral therapy.

You are not a good candidate for gastric balloon if you:

  • are pregnant.
  • have a BMI of more than 35.
  • are suffering from either stomach or duodenum ulcer.
  • have undergone other stomach surgeries.
  • abuse alcohol or drugs.
  • have been using anti-blood coagulation drugs.
  • have cirrhosis of the liver.
  • are suffering from gastric hernia which has a length of more than 5 centimeters.
  • have mental health problems.
  • are suffering from inflammatory bowel disease, collagen diseases, chronic renal failure, or certain cancers.

* There are certain issues they will not resolve. It is important that you discuss your goals in detail with your surgeon. That way they can ensure you are having the right treatment to get the results you want.

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Advantages of Gastric Balloon Procedure

Gastric balloon has the following advantages compared to other weight loss treatments:

  • It is non-invasive.
  • Complications and risks are less than other weight loss treatments and surgeries.
  • It is available to patients who may not be eligible for weight loss surgery.
  • The procedure is less expensive than surgical options
  • The balloon is temporary and procedure is reversible.
  • It can have a good effect on people’s mood and self-esteem.
  • It can be combined with a diet to help you change your lifestyle.
  • You are able to leave hospital 2 hours after the procedure.

How Much Can You Expect to Lose?

You will lose between 10 and 25 kilograms. The important thing is that you need to continue your physical activities and never return to your previous eating habits which cause you to gain weight.

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Gastric Balloon Procedure

Gastric balloon is done on an outpatient basis as it is a mere procedure and not a surgery. Local anesthetic, with or without sedation, is usually used during this procedure. During the procedure, a deflated balloon (about the size of a grapefruit) is inserted into your stomach through your mouth and esophagus via an endoscope. With using the endoscope, the balloon and its place are checked. The balloon is then filled with saline to occupy one-third of the stomach, allowing you to feel fuller for longer period of time after eating only small amounts. After inflating to the right size, the surgeon removes the endoscope and leaves the balloon in the stomach. This process needs 15 to 20 minutes.

There are a variety of gastric balloon products available. Although they may vary from clinic to clinic, they are all inserted in a similar way. Single and dual gastric balloon are the two types of gastric balloon procedure. The dual balloon is a good option for those who want to lose a greater amount of weight. It also has the merit of fitting more perfectly inside the stomach due to the natural curvature of the stomach and it has less movement.

What to Do Before Gastric Balloon?

Before you have your procedure, you should make sure that you fully understand what the procedure involves and the risks and complications. That way, you can be sure you are making the right decision whether or not to go ahead with the procedure. Apart from all the pre-operative cares that any surgery requires, do what is listed below before gastric balloon procedure:

  • Do not eat 12 hours before the procedure.
  • Do not drink for 6 hours before the procedure.
  • Get special nutrition education.
  • Have anti-nausea medicine and acid-reflux prepared at home for your return.
  • Do not forget psychological counseling.
  • Have endoscopy of the stomach (gastrointestinal endoscopy), esophagus (EGD), duodenum (esophagogastroduodenoscopy), and H. Pylori test.
  • Have blood test, including blood globules, parasite test, sodium and potassium of the blood, blood glucose, coagulation tests, albumin, cholesterol, and blood triglyceride.
  • If you are suffering from pulmonary diseases, have pulmonary tests and abdominal ultrasound.
  • Have heart tests including chest X-ray and electrocardiogram.

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Gastric Balloon Recovery and Aftercare

The recovery process is an important part of having any procedure so you should try to follow your surgeon’s instructions closely. You will be able to go home on the same day of the procedure, but it is unlikely that you will be able to drive. You may find that your throat is numb or sore and that you feel a bit groggy. It is normal to feel pain or nausea after the procedure for a couple of days. Overall, you should be able to return to work within one or two days. This will largely depend on how much nausea and discomfort the balloon initially causes. Your appetite will return during the second week. Consider what are listed below:

  • Sleep on the left side of your body with your head and neck higher than your left shoulder.
  • Avoid fast food as much as you can.
  • Nutrient dense foods like fish, vegetables and fruits are better for your weight loss and health condition.
  • Stick to your recommended diet and take the medication given to you.
  • Eat soft foods during the first month.
  • Eat slowly and chew carefully.
  • Avoid drinking while eating.
  • Drink 10 glasses of water every day.
  • Have diverse fruits rather than juices.
  • Avoid any kind of sodas, coffee, and alcohol.
  • As you are unable to control the amount of food when watching television, do not eat meanwhile.
  • In the case of any digestive discomfort, consult a specialist.

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What are possible Risks and Side Effects of Gastric Balloon?

Depending on the health condition, some people do not experience any discomfort while others may experience some complications. The most common side effects of the placement of the gastric balloon in the stomach are pain and nausea that affect one-third of people. However, these symptoms usually only last for a few days after balloon placement. And they can be treated with oral medication.

Some possible complications are:

  • Slight bleeding as a result of the insertion of the balloon
  • Gastric discomfort
  • Infection
  • Nausea and sea-sickness
  • Vomiting and indigestion
  • Abdominal and back pain
  • Gastro-esophageal reflux
  • Balloon leakage
  • Balloon rupture
  • Ulcers or a hole (perforation) in the stomach

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Cost of Gastric Balloon in Iran

As the cost for placing and removing the gastric balloon is not usually covered by health insurance, the whole payment is on the patient.

Unlike other countries, gastric balloon procedure is done at much more affordable prices in Iran. There are services given to patients like a diet plan and counseling in addition to the procedure itself. All these services appropriate a price of around $2,000 in Iran while gastric balloon procedure in other countries like the United States costs between $6,000 and $9,000, the United Kingdom around £3,950, Germany between 1,500 and 4,500 euros, and the United Arab Emirates around $5,000.

We, at DoitMedTour will help you plan both a trip to Iran and receive an affordable gastric balloon procedure. We will assist you in choosing your desired clinic if you put in your request.

Gastric Balloon Removal

The balloon is normally removed in the same way it was inserted, via the mouth. Using endoscopic equipment, your surgeon will extract the saline solution from the gastric balloon and then remove the deflated gastric balloon through your mouth. The entire procedure can be completed in less than 30 minutes. Following a short in-house observation, you are free to leave with your prearranged ride.

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Common Gastric Balloon FAQs

It’s important that you feel very well informed about your procedure. Therefore, it’s important to ask your surgeon any questions you have. Some patients find it difficult to think of questions at their consultation. As a result, we recommend you to write down what you would like to ask. That way you can take them with you and will remember to ask them during your consultation. Some common gastric balloon FAQs are provided here that you may find useful.


When will I See the Final Results of my Gastric Balloon Surgery?

You will have to make some lifestyle adjustments as part of having a gastric balloon fitted. These adjustments include changing your diet and exercise levels. So, it can be difficult to know how long it will take before you reach your desired weight. However, following your surgeon’s advice and instructions carefully will bring you closer to achieving the results you are looking for.

Is a Gastric Balloon Permanent?

Since the acidic conditions of the stomach can weaken and damage the balloon material, gastric balloons are not supposed to be left in permanently. As a result, they can remain in place safely for 6 to 12 months and longer periods of use are not recommended. After this time, you will need to have your current balloon removed. However, if you still require a gastric balloon, you can have another one put in.

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Can I Eat Normally after Gastric Balloon Surgery in Iran?

A gastric balloon fills around a third of the stomach. It means that there is less space for food. Also, the balloon can cause some discomfort, especially in the first few days. So, you will be unable to eat as much as you did before. You will be given a special diet to follow during the first few weeks after the procedure. For the first few days, you will only be able to eat liquid foods. Eventually, you can begin to eat soft foods and then solid foods after that. This diet can last for up to 3 weeks.

Are There Any Alternatives to Gastric Balloon in Iran?

The simple approach to losing weight involves eating less, improving your diet and doing exercise. There are also other surgical options to gastric balloon in Iran, such as sleeve gastrectomy, gastric bypass or gastric banding. All of these are major surgical procedures that involve a hospital stay. However, the balloon has fewer complications in installation and there is a lower risk of serious complications. Also, recovery in the more invasive procedures is usually slower.



Gastric Plication in Iran

Gastric Plication in Iran

Gastric plication in Iran: Laparoscopic gastric plication, also known as laparoscopic greater curvature plication, has recently emerged as a minimally invasive weight loss surgery. This bariatric surgery neither requires an external device implanted inside the stomach nor removal of any part of it. In gastric plication, the surgeon folds the stomach inwards and sews it up, narrowing the diameter of the stomach to potentially cause patients to feel satiety more quickly.

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If you want to get your stomach capacity reduced but don’t like to get a portion of it removed, gastric plication is for you. We at DoitMedTour, are prepared to offer you a free consultation about gastric plication surgery in Iran and organize your medical trip to get your procedure done with the best bariatric surgeons.

Why Gastric Plication?

Diabetes, sleep apnea, hypertension, abnormal cholesterol levels, and depression are the negative physical and psychological effects of obesity. Although there are different methods to lose weight, doctors suggest gastric plication because patients lose weight sooner (within a year) and with fewer side effects. After gastric plication, people are able to manage the amount of their meal and their health condition improves quickly.

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Advantages of Gastric Plication Surgery

• It costs less than other bariatric procedures.
• It is minimally invasive and does not possess open surgery disadvantages, like scarring.
• During the first year, between 40% and 70% of the excess body weight is lost.
• In the case of weight gain, the procedure can be repeated to restrict the mass of stomach.
• Health improvements, like resolution of diabetes and high cholesterol levels, are more noticeable after gastric plication compared to other weight loss surgeries.
• The patient feels less pain as the surgery is done by laparoscopy and there are no large incisions.
• Procedure may be reversible, unlike sleeve gastrectomy or gastric bypass.
• It does not involve implanting a banding device around a portion of the stomach.
• No rerouting of intestines as with gastric bypass.
• Unlike gastric sleeve, no part of the stomach is removed.
• The patient is released from hospital within 24 hours or at most 48 hours.
• There is no need for periodical and constant visits.
• Normal activities are doable within a week.
• Due to its restrictive quality, the patient does not necessarily need much supplement or medication.

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Who is a Good Candidate for Gastric Plication in Iran?

You could be a good candidate for gastric plication surgery if:

  • You have tried to lose weight by traditional methods and never succeeded.
  • Your body mass index (BMI) is higher than 35 and less than 40.
  • You have a serious obesity-related health problem, such as high cholesterol, high blood pressure, diabetes, or sleep apnea.
  • You are prepared to change your eating habits because this surgery makes you eat small and controlled portions.

If you adhere to your surgeon’s instructions, physical activity included, you will get the most satisfactory results from this surgery.

What to Do Before Gastric Plication?

Like other surgeries, there are some general pre-operative things to be done in order that you have a better surgery:
• Consult a nutrition specialist.
• Make sure that you are psychologically and mentally prepared for the surgery.
• Talk to your surgeon before the surgery and make sure you know everything about the complications and post-operative cares.
• Let your doctor know about any prescription and over-the-counter drugs you are currently taking.
• Have a blood test.
• Stop smoking and drinking alcohol two weeks before surgery.
• Do not eat 12 hours before the surgery.
• Do not drink 6 hours before the surgery.
• Make sure you have someone to drive you home the day of your procedure.

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Questions to ask your Surgeon

Questions you may want to ask the surgeon include:

  • How long have you been practising?
  • How many of these procedures have you performed?
  • Why are you recommending gastric plication surgery for me?
  • How do the outcomes of gastric plication surgery compare with other types of bariatric surgery?
  • What risks are involved with the surgery?
  • How often do you see complications?
  • How much does gastric plication surgery cost?
  • What is involved in gastric plication?
  • What other treatments will I need?
  • When can I go home from the hospital?
  • What is the expected healing time?
  • What results can I expect and what is the timeframe of result?
  • Must I follow a special diet pre-operatively and/or post-operatively?
  • What post-operative information do I need to know in terms of work, exercise, and personal care?
  • When can I return to work and other activities?
  • When should I follow up with you?

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How is Gastric Plication in Iran Performed?

Gastric plication is performed in a hospital under general anaesthesia. The surgery is conducted through a laparoscopy, which means that 5 to 6 small incisions are made in the abdomen. Your surgeon will insert small surgical instruments through these incisions to perform the operation. Using these instruments, your surgeon will create large stomach folds and sew them in place. The stomach folds reduce the size and capacity of your stomach by approximately 75%, increasing the feeling of satiety faster and with smaller amounts of food. The procedure takes 40 minutes to two hours.

Gastric Plication in Iran Recovery and Aftercare

Following surgery, most patients make a full recovery within one month. Within the first two weeks, mostly smooth liquids like water, milk and juice are permitted, and within the second two weeks after the surgery, you are permitted to take vegetable and other soups that do not contain carbs. Heartier soup, fruit and yogurt can be eaten in weeks 5 and 6. When your stomach is recovered, thick foods are permitted. Daily light exercise such as walking should begin about one month after surgery.
Consider what is listed below to have a continual fat loosing:
• Use a small spoon.
• Eat slowly and chew carefully to have easy digestion.
• Avoid drinking while eating.
• Avoid alcohol, sodas, and confections.
• Take proteins daily (red meat, milk, and/or eggs).

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How might Gastric Plication Affect my Life?

Any kind of weight loss surgery can be life changing. One of the biggest changes will be your diet. Your stomach will be significantly smaller after gastric plication, which means that you will need to eat smaller, more frequent meals. Also, you will need to change the types of food you eat and limit portion sizes. In order to ensure you get enough calories, protein, and other nutrients, you can work with a dietitian.

Unlike some other types of weight loss surgery, severe malnutrition is usually not a problem following gastric plication in Iran. Since the surgery does not divert food past the upper small intestine, your body is still able to absorb nutrients. If issues arise, your dietitian may recommend supplements.

Behavior therapy and exercise will also be part of your life after gastric plication in Iran. They are part of treatment protocols because they make bariatric surgery more successful.

Common Side Effects and Risks of Gastric Plication

Like any other surgery, laparoscopic gastric plication surgery carries some risks. But complications and risks related to this surgery are less than other surgical operations and most of them can be prevented by following the doctor’s instructions. Some possible risks include:
• Complications related to general anesthesia
• Bleeding
• Infection
• Nausea and vomiting
• Leakage from sutured areas of the stomach
• Injury to other organs
• In the case of overeating, stomach expansion is possible up to 15%

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Reducing Your Risk of Complications

You can reduce your risk of certain complications by:

  • Understanding and following your surgeon’s instructions and recommendations before your surgery and during recovery.
  • Taking your medications exactly as directed
  • Telling your surgeon if you have allergies.
  • Informing your surgeon if you are nursing or if there is any possibility of pregnancy.
  • Notifying your surgeon immediately of any concerns, such as fever, bleeding, or increase in pain.

Why Gastric Plication in Iran?

Gastric plication, which is newer among other kinds of weight loss surgeries, was first introduced to the medical world by Iranian surgeons. With good results and low complication rate compared to other weight loss surgeries, this surgery is now popular among both surgeons and patients from all around the world. There are many professional doctors in Iran who perform gastric plication at well-equipped clinics with great quality in different cities of Iran, like Tehran, Mashhad, Tabriz, Shiraz, Isfahan, Kish Island and other cities.

Gastric Plication Cost in Iran

Your gastric plication surgery cost will depend on a number of factors, including which surgeon and hospital you choose and in what part of the world you receive the procedure. It really matters who and where you choose for your surgery because laparoscopic gastric plication is a very important and delicate procedure.
Like other surgeries, gastric plication is done at reasonable and affordable prices in Iran. Cost of this surgery in Iran ranges from $3500 to $5000 while it costs around $10,000 to $15,000 in the United States. We at DoitMedTour assist you in choosing your surgeon and clinic to get a low-cost treatment.

Gastric Sleeve in Iran

Gastric sleeve in Iran: Gastric sleeve surgery, also known as sleeve gastrectomy, is a restrictive bariatric surgery (weight loss surgery) that has dramatically increased in popularity over recent years. This surgery makes the stomach hold less food by reducing its size, which leads to weight loss. It is done as a laparoscopic surgery with highly trained surgeons who have completed fellowships in bariatric and laparoscopic surgery at top universities.

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There are two types of gastric sleeve surgery in Iran. 1.Mini sleeve or wide sleeve in which 60 percent of the stomach is removed and it is suitable for people with a BMI between 32 and 35. 2.Normal sleeve or tight sleeve in which 80 percent of the stomach is removed and it is suitable for people with a BMI between 35 and 50. After a gastric sleeve surgery, 60 to 80 percent of the patient’s excess weight is lost (50 percent within the first 6 months after the surgery and up to 80 percent after 2 years).

Why Gastric Sleeve Surgery in Iran?

Enjoying modern healthcare facilities and skilled and experienced bariatric surgeons, all board-certified, Iran is increasingly becoming a popular destination for weight loss surgery candidates from across the world want to have an affordable yet safe gastric sleeve surgery.

Proficient Bariatric Surgeons in Iran

Iranian bariatric surgeons are very skillful in gastric sleeve surgery. They Have studied medicine and surgery at prestigious universities and have pursued advanced courses and fellowships in general surgery, laparoscopic surgery and bariatric surgery in Iran and/or developed countries, including the United States and England.

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Modern Hospitals

Modern and well-equipped hospitals in Iran enjoy specialized bariatric surgery clinics offering all types of laparoscopic weight loss surgeries. Hospitals in Iran with medical tourism licenses are staffed with highly-skilled and experienced doctors. So, these hospitals are well-prepared to offer world-class services to international patients suffering from obesity.

Affordable Costs

The cost of a gastric sleeve in Iran is among the lowest in the world while the efficacy of gastric sleeve surgeries done in Iran as well as the patient satisfaction rate are very high. So, you can save up to 80% of your budget by having a gastric sleeve surgery done in Iran.

Why DoitMedTour?

With DoitMedTour, a reputable medical tourism facilitator, you would not worry about the hassle of traveling and finding a good surgeon and hospital. We will do all the arrangements for you from helping you choose help you choose your bariatric surgeon, arrange your doctor’s appointment and surgery, and stay alongside you from the moment you arrive in Iran until you get your treatment done and return back home.

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Cost of Gastric Sleeve in Iran

The average cost of a gastric sleeve surgery in Iran is currently around $3800. DoitMedTour offers gastric sleeve surgery with the best bariatric surgeons for $3780, including all costs (pre-op tests and consultation, anesthesia cost, doctor’s and clinic’s fees, and post-op support).

Are You a Candidate for Gastric Sleeve?

You may be eligible for gastric sleeve surgery if you have:

  •  a BMI (body mass index) score of 40 or more
  •  a BMI of 35 or more and you have severe comorbidities such as high blood pressure, diabetes and sleep apnea.
  •  tried to lose weight by eating healthily, exercising and taking relevant medicines, for at least six months and this has not worked.

Make sure to consult with a doctor and discuss your general health condition before deciding to have a gastric sleeve surgery. Consultants help you choose the best type of weight loss surgery by analyzing your medical documents and photos.

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Preparing for Gastric Sleeve Surgery

  1. Research everything you can about gastric sleeve in Iran

Read books, view websites, and talk with others who have had surgery to get information about the details of the preparation for gastric sleeve surgery, its advantages and disadvantages, the risks and the lifestyle changes. So that you will have greater chances of success, not only immediately after surgery but also in the long term because you know what you should do, what you should avoid and how to get the best results as far as weight loss is concerned.

  1. Stop smoking and discontinue use of all tobacco and nicotine products

Smoking and the use of tobacco and nicotine products will slow the healing process and reduce the risk of postoperative complications. So, if you smoke, you are required to quit smoking and use of all nicotine products a month before surgery, as it will give your body a chance to recover from the aggression that smoking represents to your whole body.

  1. Change your diet

Every patient with a significantly body mass index should undergo a preoperative diet, which should be provided by your bariatric surgeon. The sooner you prepare your body for life with a gastric sleeve, the quicker you will adapt. Try to eat three regular meals and one to two small snacks per day. Focus on increasing protein and fruits and vegetables, while eliminating high-fat foods, fast-food, and sugar.

  1. Drink more water and limit other beverages

You as an adult need at least 64 ounces of water every day. You should limit or eliminate sources of liquid calories, including alcohol, soda, juice, energy drinks and coffee with sugar or cream. Stop drinking liquids with your meals and wait at least 30 minutes after a meal before drinking.

  1. Commit to not gaining additional weight

When you are preparing for surgery it’s important to not gain weight. Avoid overeating in anticipation of making diet and lifestyle changes later on. Your doctor will discuss additional pre-surgery weight loss goals with you.

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  1. Begin an exercise routine

It will always be useful trying to create a consistent physical activity plan that fits your ability before surgery. You can find an activity you enjoy and focus on frequency rather than intensity. The goal is make your body and your mind used to being active and acquire the habit of exercise. If your work and daily life does not allow you to exercise a lot, at least take a few minutes of the day or from the off hours to just walk, try walking your dog, try going to the park with your kids, etc.

  1. Change your relationship with food

Begin to think about food as essential fuel for your body and pay attention to how your body reacts to the food you eat. Avoid eating while distracted, for instance don’t eat food when you watching TV. Try to eat slowly and chew thoroughly your food. Work to reduce or eliminate reactive eating when tired, bored, stressed or using food to cope with emotions.

Keep in mind that making lifestyle changes is a process that takes time – take small steps, set realistic goals and stay positive.

Gastric Sleeve in Iran: Procedure

Our surgeons perform the gastric sleeve surgery under general anesthesia in hospitals authorized by the Ministry of Health and Medical Education of the Islamic Republic of Iran. The operation takes about 2 hours. The patient typically needs to stay in the hospital for one night or two, during which our hospitals provide VIP services to international patients.

Using the minimally-invasive laparoscopic technique, the surgeon makes small incisions in the upper abdomen, through which he/she inserts a laparoscope and other surgical instruments for the operation. The surgeon then removes a part of the stomach and stitches up the remaining part which is now a narrow tube called a sleeve. Food empties out of the bottom of the stomach into the small intestine the same way that it did before surgery. After the surgery, less food will make you full when eating.

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How Long Should You Stay in Iran for Gastric Sleeve Surgery?

You need to stay in Iran for 6 days for a gastric sleeve surgery because you need to visit the doctor a few days after surgery for a check-up.

What should You Eat after Gastric Sleeve Surgery?

In order to recover quickly and adjust to the new stomach size after gastric surgery, you must follow a strict diet for one month. You can read a guide to a healthy diet after weight loss surgery. Also, your doctor will discuss with you the dos and don’ts of eating after gastric sleeve surgery.

Is Gastric Sleeve Reversible?

No. Once a portion of your stomach is removed, it is not possible to reattach it.

Will You Regain Weight after Gastric Sleeve Surgery?

Weight regain will happen in some cases because of the stomach’s elasticity which makes it stretch gradually. However, the overall result will be a significant weight loss for most patients. Additionally, following a healthy diet helps you get the most out of a gastric sleeve surgery.

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Advantages of Gastric Sleeve

Advantages of gastric sleeve surgery are as follows:

  • Gastric sleeve surgery is a very effective weight loss treatment with a high patient satisfaction rate.
  • Gastric sleeve surgery is very effective in combating chronic diseases associated with obesity, such as hypertension and diabetes.
  • The surgery is performed using laparoscopy, thus it will be a painless operation.
  • A gastric sleeve surgery takes a short time (about 2 hours)
  • The recovery is very quick and the patient will typically be up and around on the day of surgery.
  • Most patients are able to walk the day after surgery.
  • A gastric sleeve makes hormonal changes that will lead to decreased appetite.
  • A gastric sleeve does not alter the normal function of the stomach, i.e. the anatomy of the digestive system will be preserved.
  • No external device is inserted into the body.
  • Unlike malabsorptive bariatric surgeries such as gastric bypass that reduce the absorption of nutrients by bypassing a portion of the intestine, the gastric sleeve does not impact the absorption of nutrients.
  • Since the appetite will shrink to a great degree, the process of weight loss will not be a daunting challenge.

Gastric Sleeve Risks and Complications

Gastric sleeve is one of the safest surgeries. However, no surgery is 100% risk-free. You may experience some side effects such as pain, bruising, swelling, and bleeding immediately after gastric sleeve, but they will normally disappear within a few days after surgery.

In less than 1% of cases, internal bleeding, staple line leakage, gastritis (Inflamed stomach lining), bloating in the abdominal area, infection, pneumonia, and nausea and/or vomiting might occur.

Our bariatric surgeons will discuss possible complications and side effects in detail with you before you decide to have gastric sleeve surgery. They will give patients proper instructions and dietary guidelines for post-op gastric sleeve in order to lessen the chances of developing post-op complications.

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Gastric Sleeve vs. Gastric Bypass

Each type of weight loss surgery has its own advantages and disadvantages. In order to make a right decision, you should consult with your surgeon, discuss your desired results and your health issues, and consider all the pros and cons of gastric sleeve and gastric bypass surgery. Then you will be able to opt for one of them.

Similarities between gastric sleeve and gastric bypass

  • Both are very effective weight loss methods.
  • Both methods work by curbing your appetite, though in different ways.
  • In both procedures, you should stay in the hospital for 2-3 days after surgery.
  • The recovery time for both procedures is 2-4 weeks.
  • They are both not reversible.

Differences between gastric sleeve and gastric bypass

  • The procedures are completely different.
  • Gastric sleeve does not change the normal function of the digestive system, but gastric bypass does.
  • Gastric bypass is a malabsorptive bariatric surgery, which means it reduces the absorption of nutrients by bypassing a portion of the intestine, while sleeve gastrectomy does not affect the absorption of nutrients.
  • sleeve gastrectomy is usually recommended for patients with a BMI over 35 but gastric bypass usually is recommended for very obese patients with a BMI of over 45.