Gastric Sleeve (Bariatric Surgery)
Sleeve gastrectomy is a weight loss method performed by surgically removing a large portion of the stomach. By giving the stomach a thin, long tube shape, its volume is reduced, and a decrease in the level of the ghrelin hormone, which triggers appetite, is achieved. It is generally applied to individuals who suffer from obesity-related health problems and cannot achieve permanent results through diet and exercise. The goal of the surgery is not only for the patient to lose weight but also to control accompanying diseases such as diabetes and hypertension. The postoperative process is supported by dietitian follow-up, and sustainable results are achieved through long-term lifestyle changes.
What is Bariatric Surgery?
Bariatric surgery includes surgical procedures performed on the stomach and digestive system to ensure long-term control of obesity. Obesity is directly associated with serious health problems such as heart disease, type 2 diabetes, hypertension, and sleep apnea. Therefore, in cases where diet and lifestyle changes are ineffective, bariatric surgery is considered an effective treatment option.
The goal of surgery is not only to lose weight but also to reduce the effects of obesity-related diseases and improve the individual’s quality of life. Bariatric surgery helps to reestablish metabolic balance in addition to supporting weight loss.
The surgical approach in obesity treatment is considered not only as a weight loss method but also as a comprehensive treatment model that allows individuals to transform their lifestyle. For permanent success, disciplined follow-up and lifestyle changes are required after the surgery.
How is Bariatric Surgery Performed?
Bariatric surgery is generally performed using a laparoscopic, i.e., closed technique. In this method, several small incisions are made in the abdominal area, and special instruments and a camera are inserted. Thus, the operation is completed with less tissue damage, and the recovery process accelerates. The duration of the surgery varies depending on the chosen method but generally lasts between 2 to 4 hours.
During the operation, the stomach can be reduced, the intestinal passage can be rearranged, or both procedures can be performed together. The technique applied is determined according to the patient’s health status, body mass index, and metabolic needs. In some patients, reducing the stomach volume is sufficient, while in others, the absorption process of foods can also be controlled.
2-4 Hours
1-2 Weeks
5 Days
What are the Types of Bariatric Surgery?
Different techniques are included in bariatric surgery. These methods are shaped according to the individual’s needs, and each supports weight loss through different mechanisms.
Sleeve Gastrectomy: One of the most commonly performed methods. About 75-80% of the stomach is removed, leaving a tube-shaped structure. Thus, stomach capacity is reduced, the appetite hormone called ghrelin decreases, and the feeling of fullness increases.
Gastric Bypass: The upper part of the stomach is reduced and directly connected to the small intestine. Both food intake and absorption decrease. It is generally preferred for the control of metabolic disorders such as type 2 diabetes.
Mayclinik stands out with its highly experienced surgical team in bariatric surgery applications. Advanced technologies such as Signia, used in surgeries, increase the safety and success of the procedure; while dietitian support and a holistic approach ensure systematic patient follow-up.
Who are Suitable Candidates for Bariatric Surgery?
Individuals who may benefit from bariatric surgery are evaluated according to certain health and body mass index criteria. In general, the following conditions are considered suitable:
- Those with a body mass index (BMI) of 40 and above,
- Those with a BMI between 35-40 and accompanying diseases such as type 2 diabetes, hypertension, and sleep apnea,
- Those who cannot lose weight despite diet and exercise,
- Individuals whose quality of life is significantly reduced due to obesity.
In addition, bariatric surgery is recommended for individuals who are physically and psychologically ready for surgery and can adapt to the postoperative process. Psychological evaluation helps to predict the person’s capacity to adapt to lifestyle changes after surgery.
What Should Be Done After Sleeve Gastrectomy?
In the first days after surgery, only liquid foods are consumed. During this period, it is necessary to drink water in small sips, avoid carbonated beverages, and focus on high-protein liquid foods. In the first two weeks, liquid foods are consumed, followed by a gradual transition to pureed and soft foods in the following weeks.
Chewing each bite thoroughly is very important since the stomach volume is reduced. Fluid intake is limited during meals. Fluids are consumed 30 minutes before and after meals.
Apart from the nutrition plan, sleep regulation, stress management, physical activity, and mental support are also important parts of the recovery process. Exercises starting with short daily walks can gradually turn into more brisk activities. Keeping psychological motivation high makes it easier to adapt to the process and sustain lifestyle changes.
Bariatric Surgery Prices
Since bariatric surgery applications consist of a series of evaluations, operations, and follow-up processes planned individually, it is not possible to make a fixed pricing. Factors such as the type of surgical method to be applied, the patient’s general health condition, the surgeon’s experience, and hospital facilities determine the cost of the process.
However, what is important here is to see the procedure not just as a surgical intervention but as a comprehensive transformation process that changes the lifestyle. Successful results are achieved through multidisciplinary teamwork and long-term patient follow-up.
Frequently Asked Questions About Gastric Sleeve (Bariatric Surgery)
Sleeve gastrectomy surgery is a bariatric procedure that surgically reduces the stomach volume to support weight loss. The operation typically lasts between 2 to 3 hours. The duration may vary depending on the patient’s stomach anatomy, any additional health issues, and the surgeon’s experience. The procedure is performed laparoscopically, meaning through small incisions using a minimally invasive technique. This results in less tissue damage, minimal blood loss, and a faster recovery process.
During sleeve gastrectomy, approximately 75–80% of the stomach is removed, creating a narrow, tube-shaped new stomach. This reduction not only decreases stomach volume but also removes the part of the stomach that produces the hunger hormone ghrelin, leading to reduced appetite.
Advanced stapler systems are used during surgery, and the staple line is carefully checked for leaks to ensure safety. These technical details can influence the overall duration of the surgery.
The recovery period after sleeve gastrectomy is generally quick, although individual differences should be considered. Patients are usually monitored in the hospital for about 5 days after surgery. Mild pain and fatigue are normal but typically improve quickly.
People working in office environments can often return to work within 7–10 days. For those in more physically demanding jobs, this period may extend to about 2 weeks. Light daily activities can usually be resumed within the first week. Simple exercises like walking help support the healing process. However, heavy exercise, lifting weights, or intense sports should be avoided for at least 4–6 weeks.
It is crucial to adhere to dietary guidelines and hygiene rules after surgery. Surgical sites must be protected, and medical advice should be followed diligently. Clinics providing post-operative counseling support help patients return safely to social and physical life.
Although the stomach volume is significantly reduced after sleeve gastrectomy, the stomach is a flexible organ and can gradually expand over time. However, this usually happens in the long term and mostly if dietary rules are not followed.
Eating too quickly, consuming portions larger than the stomach can handle, eating frequently, and drinking high-calorie liquids may cause the stomach to stretch. This can eventually lead to weight regain. However, patients who maintain discipline in their lifestyle, control portion sizes, and exercise regularly tend to experience minimal stomach expansion.
In some cases, stomach enlargement may require revision surgery. Therefore, dietitian follow-up after surgery is important to prevent this situation.
Weight loss after sleeve gastrectomy typically begins quickly and effectively. In the first 3 months, patients may lose 25–35% of their excess weight. By the 6th month, this can increase to 45–60%. After one year, most patients lose about 60–70% of their excess weight. The rate of weight loss varies according to age, metabolism, diet, and physical activity.
In the first weeks, patients follow a liquid and puree diet consisting of low-calorie but nutrient-rich foods. The body compensates for the calorie deficit by using stored fat. Appetite reduction and decreased stomach volume significantly lower daily calorie intake, accelerating weight loss.
Although weight loss slows down in later months, maintaining healthy lifestyle habits ensures steady and lasting results. Sleeve gastrectomy provides strong initial support, but long-term success depends on patient compliance.
Post-operative nutrition is critical to support healing and maintain weight loss after sleeve gastrectomy. In the initial days, since the stomach is sensitive and limited in volume, the diet starts with liquids such as water, broth, sugar-free compote, and herbal teas. Drinking slowly and in small sips is important during this period.
From the second week, patients move on to soft pureed foods such as yogurt, boiled vegetables, vegetable purees, and soft eggs. After the third week, soft solid foods can be gradually introduced. Each new food should be tested carefully while monitoring stomach reactions.
Adequate protein, vitamin, and mineral intake is essential. Protein powders and multivitamin supplements may be recommended. Acidic drinks, sugary and fatty foods should be avoided. Eating small, frequent meals prevents stomach overload and helps proper nutrient absorption.




