Assoc. Prof. Ahmet Tekin
General Surgeon

Your journey towards the weight

you need to be in starts with us

A healthy and fit body is not a dream
with bariatric surgery.

Thanks to bariatric surgery
Regain your health

Sleeve Gastrectomy

They have regained their health,
Now it's your turn!

Bariatric Surgeries;
Your health is in safe hands.

Change is up to you.

Expert team

ASSOC. PROF. AHMET TEKIN (CV)
GENERAL SURGEON

26 years of experience in Laparoendoscopic Surgery;

26 years of experience in Laparoendoscopic Surgery: In the last 20 years, almost all operations of general surgery have become laparoscopic. This technique has many advantages over the classical open technique. As of the end of 2020, 7800 gallbladder surgeries, 1180 appendicitis, 1865 inguinal hernia, 220 gastro-esophageal reflux, 77 liver hydatid cyst, 129 colon and rectum and 1480 bariatric surgeries (1330 sleeve gastrectomy, 150 gastric bypass) have been performed laparoscopically by me. In addition, 287 bile duct stones were removed using a combined laparoendoscopic technique. All results are excellent. The laparoendoscopic technique is developing day by day and opens new horizons in surgery.
OBESITY
Obesity, which is the most important health issue in the world, especially in developed countries, has now become an important health problem in our country. The obesity rate in Turkey has reached 30% (BMI ≥ 30). Especially Type 2 diabetes, hypertension and cardiovascular diseases may develop due to obesity. If the BMI is between 30-40 in obese patients, the treatment is the use of diet, exercise and gastric balloon. If BMI ≥ 40, treatment is surgery. Most common surgeries are sleeve gastrectomy and gastric bypass. Today, results of bariatric surgery are excellent, depending on experience and technical developments. The treatment of metabolic syndrome caused by obesity-related insulin resistance, Type 2 diabetes, abdominal fat, hypertension and high cholesterol is metabolic surgery.

SLEEVE GASTRECTOMY (STOMACH REDUCTION)

In this method, 2/3 of the stomach is removed laparoscopically. Normally, the volume of the stomach is 800-1000 ml. After sleeve gastrectomy, the stomach volume is reduced by 250-300 ml.

GASTRIC BYPASS

The stomach is divided into 2 separate parts by stapling so that approximately 50-60 ml of volume is left just below the junction of the stomach with the esophagus.

MINI GASTRIC BYPASS

It is a method that has emerged as an alternative to Roux en Y Gastric Bypass surgery and has been popular in recent years. Compared to gastric bypass, it is technically simpler and the surgery duration is shorter. Complications are less than traditional gastric bypass.

METABOLIC SURGERY

Metabolic syndrome is a bundle of cardiometabolic risk factors that develop in common genetic and environmental environments, characterized by large waist circumference, high blood pressure, qualitative and quantitative disorders in blood lipids, and high blood sugar.

GALLBLADDER

Gallstones are small, pebble-like substances that form in the gallbladder. The gallbladder is a small pear-shaped sac located under the liver in the upper right abdomen.

REFLUX DISEASE

Reflux is the backflow of stomach contents into the esophagus. Normally, the sphincter consisting of muscles in the lowest part of the esophagus acts as a valve, preventing the stomach contents from returning to the esophagus.

INGROWN HAIR

Pilonidal sinus is a cavity (space, cyst) formation in the coccyx area, usually containing a hairball.

HEMORRHOIDS

Hemorrhoids, which are very common today and also known as piles among the people, is the enlargement of veins detected in anus and its cause is unknown.

YEARS

SURGERIES

1400
 SURGERIES
 IN 12 YEARS If diet, exercise and drug therapy fail in the treatment of obesity, the remaining option is surgery. Although it is difficult to make a decision for obesity and metabolic surgery, you can feel more confident having the right information when making a decision. Below are the most important steps in the decision-making phase.

1. Who is a candidate for bariatric surgery?

There are many criteria that determine that a patient is a candidate for bariatric surgery. In general, these criteria are mainly:
The failure of efforts to lose weight with diet and exercise
The patient's BMI is 40 or above
The patient has a BMI of 35-39.9 and has a serious obesity-related medical condition such as type 2 diabetes, hypertension, or sleep apnea. In some cases, patients with a BMI of 30-35 experiencing serious obesity-related health problems may be candidates for certain types of bariatric surgery.
Absence of hormonal diseases
Failure to apply traditional methods such as diet and exercise to lose weight
Obese patient feeling ready for a healthy and active lifestyle
Absence of any health problems that may cause serious complications during or after the surgery
Being knowledgeable about the benefits and risks of surgical options Being 18 years of age or older. However, in special cases, the age limit can be reduced to 16.

2. Information

As an examination to an bariatric surgeon or his team, the status of obesity and accompanying diseases must be determined. You have to participate if there is a possibility of a consultation program or a seminar. If these options are not available, you can access this information about the "websites on obesity". These keep you well-informed on the options for bariatric and metabolic surgery, as well as the benefits and risks of each method. Having enough information will make it easier for you to make the right decision.

3. Do insurance and SSI cover bariatric and metabolic surgery?

Private insurance institutions generally exclude bariatric and metabolic surgery procedures. SSI partially covers obese people with a BMI over 40, if an indication is given by a committee including an endocrinologist.

4. Finding the right surgeon and team

In addition to choosing the doctor who performs the bariatric and metabolic surgery, it is very important to choose the assistant staff who will help you. If you choose the whole team correctly, you will feel more comfortable and safe. Take the time to find a well-qualified surgeon who is close to you and has a good supportive staff. Don't be afraid to ask questions about the doctor's experience, your post-operative lifestyle, and anything else that worries you.
The most important criteria for choosing a surgeon
You should have surgery in a center where excellent preoperative and postoperative care can be provided.
The surgeon should have successful laparoscopic experience in gastric bypass, sleeve gastrectomy, gastric band and plication surgeries.
Does the surgeon have the experience to treat complications that may arise after surgery?
Ask any questions that come to your mind and talk to previous patients to build your confidence in a bariatric surgeon.
Are the surgeon's staff qualified to help you stay relaxed, comfortable, and motivated?
When the above criteria are met, of course, the cost should also be taken into account.

Ahmet Tekin - DoktorTakvimi.com