The program includes:
- Initial presentation in the clinic
- clinical history taking
- physical examination
- review of medical records
- laboratory tests:
- complete blood count
- biochemical analysis of blood
- TSH-basal, fT3, fT4
- indicators of inflammation
- indicators blood coagulation
- ultrasound
- preoperative care
- laparoscopic or open gastric bypass
- consultation on nutrition
- symptomatic treatment
- control examinations
- the cost of essential medicines and materials
- nursing services
- full hospital accommodation
- explanation of future recommendations
Required documents
- Medical records
Service
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About the department
The Department of Bariatric Surgery at the Kesler Clinic Tekirdag offers all modern surgical interventions to treat morbid obesity. The surgical interventions are performed only for patients with a body mass index of 35 and above. The department specializes in sleeve gastrectomy, classical gastric bypass surgery, mini gastric bypass surgery, as well as combined weight loss interventions with simultaneous performance of two types of bariatric procedures. The surgical treatment is performed in high-tech operating rooms specially adapted for such narrowly focused operations. In addition, the interventions are performed using laparoscopic techniques, which significantly reduces the risk of postoperative complications and speeds up patient recovery. Over the entire period of clinical work of the medical facility, the team of bariatric surgeons has performed more than 3,500 bariatric procedures of varying complexity, and therefore it has a rich and successful experience in its field of competence. The main goal of the clinical practice of the department's doctors is to help the patient lose excess weight and gain a chance for a healthy life in a new body.
The department is headed by Dr. med. Onur Kesler. The surgeon has tremendous clinical experience, while his success in the field of bariatric surgery is widely known not only in Turkey, but also abroad.
The admission of the patient to the clinic is followed by an initial consultation, after which he is appointed the whole range of diagnostic tests that allow the doctor to comprehensively assess his health and suitability for surgery. Important attention is also paid to a detailed analysis of the patient's medical history, since bariatric surgery is an extreme measure in the fight against obesity, and specialists resort to it only if all conservative treatments (diet therapy, drug treatment, physical activity) have exhausted themselves, but the patient has not managed to get rid of his extra pounds.
The most common and preferred type of bariatric surgery is gastric bypass surgery. The department's specialists perform the operation laparoscopically, which eliminates the need for a large incision or opening the anterior abdominal wall. When performing gastric bypass surgery, the surgeon forms a small reservoir ("small stomach") in the upper part of the organ with a capacity of up to 30-40 ml, to which he sutures the small intestine bypassing most of the stomach, which ensures fast passage of food into the small intestine. The high efficiency of this operation is due to the fact that the patient will eat much less food, and its absorption will decrease due to the direct connection of the "small stomach" with the small intestine. The operation takes about one and a half hours and the patient will be discharged on the third day after the intervention. It is noteworthy that gastric bypass surgery allows not only to effectively fight against excess weight, but also has a positive effect on the health of patients suffering from diabetes, hypercholesterolemia and other pathologies.
In the clinical practice of the department, mini gastric bypass surgery is also widely used. The operation gives excellent results in the fight against excess weight. It involves two main stages – connecting the stomach with a rather distant part of the small intestine, as well as dividing the stomach into two parts to reduce its volume to 80 ml. Thus, the procedure helps to limit the amount of food consumed at one time, reduce the absorption of nutrients and reduce the production of hormones that cause hunger. The operation is performed laparoscopically, while its duration is 40-60 minutes. Three days after surgery, the patient will be discharged and he can return to his usual life.
Sleeve gastrectomy is another effective bariatric procedure that the department's doctors specialize in. When performing sleeve gastrectomy, the surgeons remove most of the stomach and form a narrow sleeve from the remaining organ tissue. The operation is performed laparoscopically, without opening the anterior abdominal wall. Its duration does not exceed 40 minutes. As a result of this intervention, the amount of food consumed is significantly reduced. In addition, the surgery facilitates the decreased levels of the ghrelin hormone responsible for the feeling of hunger, which is produced in the stomach. If the patient follows all postoperative recommendations, he can lose approximately 85-90% of excess weight. In the first 6 months after surgery, weight loss occurs very quickly, but then the process slows down a little.
In recent years, the department has successfully used combined bariatric interventions, which give tremendous results. For example, the surgeons quite often combine sleeve gastrectomy with mini gastric bypass surgery. The combination of two highly effective techniques allows getting rid of excess weight as soon as possible, and also gives the best chances for long-term maintenance of the result.
The department's range of surgical services includes:
- Classical gastric bypass surgery
- Mini gastric bypass surgery
- Sleeve gastrectomy
- Combined bariatric interventions (mostly a combination of sleeve gastrectomy with mini gastric bypass surgery)
- Other bariatric interventions
Curriculum vitae
Dr. med. Onur Kesler is the Head of the Kesler Clinic Tekirdag, as well as the Chief Physician of the Department of Bariatric Surgery at the same clinic. The specialist received his medical education at the Faculty of Medicine of Istanbul University – in 2003 he received his Doctorate in Medicine. In the same year, the doctor completed an internship in the Department of General Surgery at the Sisli Etfal Training and Research Hospital in Istanbul. Until 2009, Dr. Onur Kesler had his specialized training in General Surgery. This was followed by a position in the Kahramanmaras Yenisehir State Hospital, where the specialist established an Endoscopy Unit and was engaged not only in patient care, but also in the training of medical specialists in the field of endoscopic procedures.
The doctor has always had a particular interest in laparoscopic surgery. After many years of clinical practice in the field of laparoscopic interventions for the treatment of tumors, gastroesophageal reflux disease and other pathologies, the doctor underwent a highly specialized training in Bariatric Surgery at the Faculty of Medicine of Istanbul University. During his clinical work in this field, Dr. Onur Kesler has already performed more than 3,500 bariatric interventions, which have helped save many lives of patients suffering from morbid obesity. He specializes in sleeve gastrectomy, classical gastric bypass surgery, mini gastric bypass surgery, as well as combined weight loss interventions with simultaneous performance of two types of bariatric procedures.
Photo of the doctor: (c) Kesler Clinic
About hospital
The Kesler Clinic Tekirdag is a modern highly specialized medical center in Turkey, which provides excellent medical services in the field of bariatric surgery, as well as plastic and aesthetic surgery. The clinic operates under the direction of a highly competent bariatric surgeon Onur Kesler, whose success has been heard a lot not only in Turkey, but also abroad. During his many years of clinical practice, the doctor and his medical team have performed over 3,500 successful bariatric interventions that have helped patients with morbid obesity improve their health and appearance, and even saved lives for some patients. The clinic has state-of-the-art technical facilities and progressive operating rooms, which contributes to good treatment results.
Structurally, the clinic consists of two departments – the Department of Bariatric Surgery, the Department of Plastic and Aesthetic Surgery. The Department of Bariatric Surgery employs a highly qualified team of doctors who work for the benefit of their patients. They masterfully perform sleeve gastrectomy, classical gastric bypass surgery, mini gastric bypass surgery, as well as combined weight loss interventions with simultaneous performance of two types of bariatric procedures. Prior to the appointment of a particular surgical intervention, the patient undergoes comprehensive diagnostics, which helps to assess his health status, determine the stage of obesity, and also decide on the advisability of a particular bariatric procedure. The Department of Plastic and Aesthetic Surgery successfully performs surgery to improve the appearance of patients, such as abdominoplasty, thigh lift, arm lift, breast lift, breast augmentation and reduction in women, gynecomastia correction in men, liposuction, facelift, nose and ear reshaping, etc. The use of the advanced computer systems allows the doctors to simulate the expected result at the stage of preparation for surgery, which guarantees maximum patient satisfaction with the results of surgery.
The clinic strictly observes all hygiene and safety standards, so the patients can be sure of the highest quality of surgical treatment. In addition to providing excellent medical service, the doctors at the clinic aim to surround the patient with care, show understanding and establish friendly relations with him. Turkish hospitality pleasantly surprises foreign patients of the clinic who come here from different parts of the world. It helps them to go through the entire therapeutic process with dignity and get the body of their dreams.
Photo & Video: (с) Kesler Clinic
Accommodation in hospital
Patients rooms
The patients of the Kesler Clinic Tekirdag live in comfortable rooms with modern design. Each patient room has an ensuite bathroom with shower and toilet. The furnishings of the standard patient rooms include an automatically adjustable bed, a bedside table, a wardrobe, a small couch for receiving visitors, a telephone and a TV.
Meals and Menus
The patient and the accompanying person are provided with delicious three meals a day. If you are on a specific diet for any reason, you will be offered an individual menu. Please inform the medical staff about your dietary preferences prior to the treatment.
Further details
Standard rooms include:
Accompanying person
During the inpatient program, an accompanying person may stay with the patient in the room or at a hotel. Our managers will help you choose the most suitable option.
Hotel
During the outpatient program, the patient may stay at the hotel. Our managers will help you choose the most suitable option.