Gastric Sleeve by Obesity (overweight) treatment in Israel
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Department of General Surgery
The Department of General Surgery offers the full range of surgical treatment for patients. It performs both planned and emergency surgical interventions. The department is the leading medical facility in Israel, whose surgeons regularly demonstrate outstanding treatment results. The surgical interventions are performed by experienced doctors who were trained in the most famous American Medical Centers. The department's specialists prefer sparing minimally invasive interventions, which significantly shorten the hospitalization period and minimize the risks of complications.
Sleeve gastrectomy is one of the most sparing weight loss surgical procedures. In Israel, it is performed by experienced surgeons using a minimally invasive surgical approach. It is an effective and safe method of bariatric surgery in Israel that allows losing 40-50% of excess weight in 1-2 years, without the need to control the diet.
Who may need this surgery?
Millions of patients around the world are obese and seek to lose weight. If a person is unable to achieve weight loss using diet and physical training, surgery will help to get a guaranteed result. There are several basic bariatric surgical procedures that can provide weight loss even in the most severe cases of obesity. One of the most sparing techniques is the sleeve gastroplasty.
A gastric sleeve can be required in the following clinical situations:
- A person has a body mass index of more than 40 kg/m2 and conservative treatment methods do not bring sufficient results
- A body mass index exceeds 35 kg/m2 in the presence of diseases associated with obesity (diabetes mellitus, cardiovascular pathologies, osteoarthritis of the large joints of the lower extremities, etc.)
As a rule, the surgery is not performed in patients with a body mass index over 45 kg/m2, as in this case gastric bypass is the preferred treatment option. This surgery is more complex and traumatizing, but the patients lose weight faster after it.
How is the gastric sleeve performed?
Gastric sleeve surgery is performed laparoscopically. The doctor removes most of the organ. The stomach turns into a sleeve, which has a diameter of 1-2 cm and a capacity of about 100 ml.
This is the simplest and the safest surgery. It has a low cost and a low risk of complications. Therefore, more than two thirds of all weight loss surgeries performed in Israel are the gastric sleeve. Gastric band surgery, gastric bypass surgery, biliopancreatic bypass are much less common here.
After the gastric sleeve, weight loss occurs through several mechanisms:
- Reduced stomach capacity – leads to early satiety
- Decreased secretory activity – the production of gastric juice and enzymes decreases
- Decreased production of ghrelin, a hunger hormone, since it is synthesized precisely in that part of the stomach that is removed during the surgery
The weight loss reaches 50-70% of excess weight within two years after surgery. The greatest progress is made by patients with initially less excess weight.
Advantages and disadvantages of the surgical procedure
The main advantage of sleeve gastrectomy is its safety. It has a minimal number of medical contraindications. This operation was initially used in high-risk surgical patients who could not tolerate gastric bypass surgery.
Other advantages:
- Short-term rehabilitation
- Technical simplicity
- Low cost
- Avoiding impairments in the stomach function
- Avoiding necessity to take vitamins constantly
Nonetheless, the technique also has disadvantages. The sleeve gastroplasty is less effective in patients with severe obesity than biliopancreatic or gastric bypass surgery. After 5-10 years, some patients have a distended stomach, so they may have a weight regain after weight loss.
Safety of the surgery
The surgery is usually safe and well tolerated by patients. In a day after the surgery, they can eat liquid food, and in a week after the operation – solid food as well. There is no doubt that sleeve gastroplasty brings more benefits to human health than harm, because obesity shortens life expectancy by increasing the risk of developing many pathologies such as:
- Diabetes mellitus
- Atherosclerosis
- Stroke
- Heart attack
- Gallstone disease
- Cancer
The surgery normalizes the weight, improves lipid and carbohydrate metabolism, and many patients with diabetes mellitus may even refuse drugs.
Nevertheless, like any other operation, gastric sleeve surgery carries certain health risks. 30% of patients develop gastroesophageal reflux disease. But if such risk is assessed as high, then the doctor can perform antireflux surgery at the same time.
The risk of serious complications in different medical clinics is 1-3%. These are usually infections or bleeding. They require additional operations. Mortality after sleeve gastroplasty at the clinics in Israel is close to zero.
What medical clinics can offer treatment?
If you are interested in bariatric surgery services in Israel, you can seek medical help from one of these medical clinics.
- Rabin Medical Center. The sleeve gastroplasty in this hospital accounts for about 70% of the total number of operations performed to treat obesity. The surgical intervention is performed here using the laparoscopic technique. After a few days, the patient can return to work, if it is not associated with physical labor.
- Rambam Health Care Campus. The hospital has the Department of Bariatric Surgery. It performs sleeve gastroplasty, gastric band surgery and bypass surgery. The surgical procedures are performed laparoscopically – without large incisions, through several small punctures. After weight loss, doctors may perform plastic surgery on the abdomen and other parts of the body.
- Sourasky Medical Center. The hospital uses innovative approaches to the surgical treatment of obesity. It performs not only the conventional sleeve gastroplasty with the removal of most of the stomach, but also a minimally invasive procedure to separate part of the stomach with the Apollo OverStitch endoscopic suturing system. The procedure is also called an endoscopic gastric sleeve surgery. The method does not require any incisions in the abdomen: the stomach is sutured from the inside.
- Sheba Medical Center. The medical center employs five surgeons with extensive experience in bariatric surgery. The maximum effect of sleeve gastroplasty is provided not only with a high-quality surgical intervention, but also with the help of coordinated work of other specialists: nutritionists, psychologists, endocrinologists, etc. The medical clinic also performs endoscopic sleeve gastroplasty (ESG) – about 10 sutures are put on the stomach from the inside.
- University Hospital Hadassah. The medical center uses special laparoscopes with elongated instruments, which makes it possible to successfully perform laparoscopy even in patients with a very high body mass index, without having to resort to open surgery. Doctors of the Medical Hospital Hadassah undergo training in the United States of America and Europe, adopting the experience and the most advanced techniques of bariatric surgery.
Benefits of treatment in Israel
The gastric sleeve surgery is the most commonly used bariatric weight loss surgery in Israel. It is performed through a minimally invasive approach, which ensures rapid recovery of the patient.
A huge number of patients from all over the world prefer to undergo the gastric sleeve in Israel. Obesity treatment in this country has many benefits:
- Extensive experience. Doctors in Israel perform 8-10 thousand bariatric surgeries every year. The sleeve gastroplasty accounts for 6 thousand of these procedures.
- There are special operating rooms for gastric sleeve surgery in overweight and obese patients. They have sturdy operating tables with secure fixings, elongated laparoscopic instruments.
- Gastric sleeve in Israel can be performed endoscopically. This operation is performed without any incisions in the abdomen. Doctors put stitches on the inside of the stomach. This is the most sparing method of forming the gastric sleeve in Israel.
- Low cost of gastric sleeve surgery. The patients from developed countries in North America and Europe often come to Israel to receive high-quality medical services at an affordable price.
Where to seek help from?
To undergo treatment in Israel, please, use the Booking Health service. Our portal provides information about hospitals, doctors, medical programs, and prices. You can compare the cost of surgery in different medical centers and book the program at the best price. The Booking Health company will arrange your trip abroad. We offer the following services and benefits:
- Selection of the hospital for treatment in Israel that specializes in bariatric surgery
- Direct communication with the doctor
- Reduced waiting time for treatment in Israel, making an appointment at the hospital on the most suitable dates
- Reduced cost of treatment in Israel – the prices will be reduced due to avoiding additional coefficients for foreign patients
- Information about the cost of medical services provided by the clinic and return of unspent funds after the completion of the program
- Preparation of a medical program without need to repeat previous diagnostic tests
- Buying and forwarding medicines
- Communication with the hospital after the completion of treatment in Israel
- Organization of additional diagnostic procedures, treatment in Israel or rehabilitation
The Booking Health specialists provide high-quality services. We will book a hotel and airline tickets for you, meet you at the airport and take you to the hospital by car.