Adler Med Weight Loss
Tailored nutrition, private coaching sessions for additional support, cutting edge slimming procedures and spa therapy. Prices starting from € 500 per night. 1 or 2 weeks.
Gastric Bypass
Your Personalized Treatment Plan
Do not limit your treatment options only to the nearest hospital.
We offer the most effective, quick and affordable weight loss treatments,
thanks to the world’s largest hospital network.
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Gastric Bypass procedure combines both restrictive and hormonal approaches, acting on the digestive tract. It decreases the production of certain hunger-inducing hormones while increasing others that promote a feeling of fullness. These adjustments naturally result in a considerable reduction in appetite and an early sense of satiety, often occurring after just a few bites. As a result, the amount of food intake is significantly diminished, leading to weight loss.
Furthermore, the Gastric Bypass demonstrates a notable metabolic impact. It effectively addresses type 2 diabetes, frequently inducing disease remission—where blood glucose levels return to normal without the need for therapy in many cases—and substantially reducing the required treatment.
Complete Recovery
No Hidden Fees
No Waiting Lists
Leading Surgeons
Private treatment in our hospital network allows you skip waiting lists while at the same time reducing the costs of bariatric surgery considerably, up to 70% cheaper, in countries that are just a short flight from home. The countries listed below make excellent choices with modern hospitals and well-trained English speaking surgeons. Our medical consultants will be happy to advise you for free on the best choice for your weight loss treatments in one of our leading hospitals.
Bariatric Surgery Centers
- Croatia
- Czech Republic
- Estonia
- Hungary
- Latvia
- Lithuania
- Poland
- Turkey
Gastric Bypass Procedure
Indications
Preparation
Procedure
Benefits
Complications
Indications
Due to its metabolic characteristics, it is especially recommended for those who have been dealing with type 2 diabetes for several years, particularly if they are already undergoing insulin therapy. It is also highly suitable for individuals with severe gastroesophageal reflux. This procedure is frequently suggested as a revision intervention for those who have previously undergone gastric banding but have not succeeded in achieving weight loss.
Preparation
It is important to perform a pre-operative endoscopic examination of the esophagus, stomach, and duodenum to rule out the absence of gastric and/or duodenal pathologies.
You typically qualify for bariatric surgery if you have a BMI of 35 or greater, with specific significant health problems like Type 2 diabetes, sleep apnea or high blood pressure.
Procedure
The procedure is conducted through videolaparoscopy with 3-5 surgical accesses and under general anesthesia. It involves creating a “small gastric pouch” (volume of 15-20 ml) to which an intestinal loop is anastomosed, allowing the food bolus to bypass the stomach, duodenum, and the initial part of the small intestine. In Gastric Bypass Surgery, no part of the stomach or intestine is removed. A portion of the stomach is therefore “excluded” from the food transit and will no longer be accessible for endoscopic examination. There are some variants of gastric bypass, supported by scientific literature, that allow the study of the stomach and duodenum.
The mechanism responsible for weight loss is due to multiple effects:
1. Mechanical: Restriction induced by the small-sized gastric pouch and the resulting feeling of satiety upon its distension.
2. Hormonal: Influence on the secretion of entero-hormones and hypothalamic regulatory centers for hunger/satiety.
3. Malabsorptive: Partial “malabsorption” of fats can occur when the bypassed (skipped) intestine exceeds 200 cm.
Gastric Bypass Surgery is considered particularly effective in patients with obesity and gastroesophageal reflux disease due to induced anatomical changes (exclusion of the gastric fundus, Y-shaped reconstruction) and in patients with obesity and diabetes mellitus.
Benefits
Gastric bypass reduces food intake, decreasing hunger, and accelerating the sense of satiety. The overall average weight loss is around 60% of excess weight, with good weight maintenance (beyond ten years) in individuals with a BMI below 50. In patients with a BMI over 50, weight loss is less, and long-term failures are reported in 40% of cases.
This procedure has been widely practiced over the last 20 years and is now prevalent worldwide. In addition to its impact on weight, its effectiveness in treating type II diabetes mellitus (normalization of blood glucose and glycosylated hemoglobin in approximately 80% of cases) and gastroesophageal reflux is noteworthy.
Complications
It is a surgical procedure, carrying all the possible complications of abdominal surgery. It may involve some typical complications of the procedure, including:
1. Iron and/or vitamin B12 and/or folic acid deficiency anemia.
2. Osteoporosis due to calcium deficiency.
3. Intestinal obstruction (volvulus).
4. Dumping syndrome, which involves hypoglycemic crises immediately after eating.
5. Acute vitamin deficiencies in case of persistent vomiting.
Follow-up visits are essential to optimize weight loss and to prevent or treat potential complications (deficiencies and dumping syndrome). Individuals who have undergone gastric bypass surgery must regularly take supplements (iron, vitamins, and sometimes calcium).
Our Leading Specialists
It’s crucial to note that bariatric surgery isn’t a one-size-fits-all solution for those struggling with obesity. Eligibility depends on meeting specific medical criteria and undergoing a thorough screening. Beyond the patient’s readiness to commit to lasting lifestyle changes, choosing a specialist in bariatric surgery and opting for a center employing a multidisciplinary approach is also very important. Such an approach is based on the collaboration among experts in Bariatric Surgery, Nutrition, Endocrinology, Cardiology, and Psychology, ensuring a comprehensive and effective treatment for obesity.
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Diseases related to Obesity
The World Health Organisation (WHO) defines obesity as an abnormal or excessive accumulation of fat in the body that poses a health risk.
Excess weight can lead to diseases affecting various organs and systems in the body:
- Cardiovascular System:
The increase in body mass is accompanied by an enlargement of tissues that require additional blood supply. This leads to the formation of new blood vessels, increasing the overall length of the vascular system and placing additional strain on the heart. Obesity can induce hypertension, ischemic heart disease, heart attacks, and strokes. - Endocrine System Disorders:
The increase in body mass is often accompanied by insulin resistance – reduced sensitivity of tissues to insulin, which can lead to the development of diabetes. Additionally, obesity may disrupt the menstrual cycle in women and decrease testosterone levels in men, causing corresponding changes in the body. - Musculoskeletal System Disorders:
The increase in body mass places additional stress on joints during movement, often leading to joint deformities, spinal deformities, and the development of osteoarthritis. - Oncological Diseases:
Individuals with excess weight are more prone to oncological diseases, such as breast cancer in women and prostate cancer in men, compared to those with normal body weight. Furthermore, obesity can be a contributing factor to liver and gallbladder diseases, as well as mental health disorders.
