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GASTRIC SLEEVE SURGERY QUESTIONS

GET SLIM IN TURKEY GASTRIC SLEEVE SURGERY F.A.Q.

1- What happens on the day of my surgery?
You will see several doctors before the procedure. The preoperative tests consist of examinations blood tests, urine analysis, X-Rays, Ultrasound, ECG, respiratory function test, endoscopy and consultations with anaesthetist, cardiologist, chest doctor, internal medicine consultant and psychiatrist.

2- I have slightly raised blood pressure and I take medication for it can I book for Sleeve Surgery?
Yes, all your medications will be checked by our doctors prior to booking Sleeve surgery.

3- Post Sleeve surgery do I start with purée and then onto soft food?
Yes, that is the procedure for post Sleeve surgery and you will receive a full diet sheet from the hospital team.

4- I had Sleeve surgery and my weight has been the same for over a year, I want to get some plastic surgery for my tummy is that possible?
Yes, you will need to send photos for the surgeon to assess your case for surgery please email your details to getsliminturkey@gmail.com

5- How many days after Sleeve surgery can I fly home?
We recommend that you spend at least 3 days in hospital with 1 night at a hotel before flying home.

6- I am 4 weeks post of from Sleeve surgery, can I eat what I like now or are there still restrictions?
Please follow your doctors post op instructions with regard to eating and remember to exercise for 1 hour per day, eat little but often.

7- I am 6 weeks post op and I want to know if it is ok to have a gin and tonic?
It isn’t a good idea at this stage to be having fizzy drinks, they can cause gas and may cause pain it is better to choose flat drinks orange/cranberry juice as a mixer.

8- What is the recovery time after Sleeve surgery?
Most patients have a very fast recovery and after 3 days in hospital return to their normal daily activities as the Sleeve Surgery is a keyhole procedure.

9- Are we allowed, ice cream/ice pops/lollies on puree stage after Sleeve surgery?
Yes, try lactose free ice cream to avoid upsetting your tummy.

10- How long after sleeve surgery can I start to try to get pregnant?
We recommend that you wait 1 year before getting pregnant.

11- Why do I need to use un-flavoured protein?
Unflavoured protein is perfect to mix in soup, drinks etc.

12- What does my BMI need to be so I can get Sleeve surgery?
Your BMI needs to be 30 or over.

13- What is included in the Sleeve Package?
Our gastric sleeve package is the sleeve operation including all tests, transfers 3/4 nights in hospital depending on arrival time and 1 night in a hotel.

14- What medication do I need to get after my surgery?
The postop pack which is supplied to you before being discharged from the hospital consists of tummy protectors, blood thinning injections, vitamins etc. and costs in the region of £170/€190 depending on your prescription and surgeon.

15- How much weight will I loose on average after Sleeve surgery?
Most gastric sleeve patients lose up to 70% of their excess weight in a year and up to 80% of it in two years.

16- How does Sleeve surgery work?
The gastric sleeve is a restrictive procedure, meaning that it achieves weight loss by restricting the amount of food that can be eaten. It also works because it removes the part of the stomach that produces the hormone Ghrelin that stimulates appetite and hunger. The elimination of Ghrelin results in a significant reduction or loss of appetite. Surgery combined with changing behaviour is a proven method of achieving long-term weight loss for obese people.

17- When can I eat normally after Sleeve surgery?
There are 4 stages, you should aim to be eating ‘normal’ foods approximately 1 month after your operation. You will be given full information from the dietician prior to your discharge. After 4-5 weeks you will be having 3 meals a day with no more than 4-5 hours between meals. The long term aim is to have 3 tea plate sized meals a day, with nutritious healthy snacks such as a piece of fruit, yoghurt or nuts in-between.

18- Will I be vomiting a lot once I start eating after Sleeve surgery?
You should not expect to be sick after gastric sleeve surgery, if you are it is likely you have eaten too much or too quickly, not chewed the food enough or had a drink too near to the meal.

19-Are there specific foods that I will not be able to eat after surgery?
Some people find it difficult to tolerate some foods, and this varies from person to person. Common foods initially known to cause problems may be dry meat, soft white bread, rice, stringy or very fibrous vegetables, salad, sweetcorn, nuts, dried fruit and seeds. If you can not tolerate a particular food, try it again in a few weeks’ time, there is a lot of adaptation in the first few months.

20- I have constipation after my Sleeve surgery what can I do?
You should have at least 2½ litres of water a day, take 1 an actimil probiotic drink per day try to choose more high fibre foods such as wholegrain products, fruit and vegetables. Regular exercise will also help to alleviate constipation, if constipation persists please consult your doctor or GP.

21 When can I drink Alcohol after Sleeve surgery?
It is not recommended that you drink alcohol for the first 6 weeks after your operation and remember that you will feel the effects of the alcohol much more quickly than before.
Please remember it is not recommended to drink fizzy drinks or Beer as this can cause discomfort or even worse could stretch your stomach.

22- Do I get a vitamin list after Sleeve surgery or information on what to do when I get home?
Yes, vitamins will be prescribed by your surgeon and for 1 year post op you are required to have regular blood tests.

23- When can I have sexual intercourse after my Sleeve surgery?
Each person is different but we recommend to wait 2 -3 weeks after surgery.

24- Is it OK to take the juice plus shakes I’m 5 months post opp?
Yes, once you have checked the nutritional value they are Ok to take.

25- Can my Gallbladder or Gallstones be done and
the same time as my Sleeve Surgery?
Yes, this is possible there is an additional charge for this procedure.

26- Can Reflor be bought over the counter in sachets?
Yes, it can be bought over the counter.

27- Should I buy Reflor in sachets or capsules?
We recommend sachets.

28- I am feeling very tired all the time after– my Sleeve Surgery is that normal?
Yes, this is normal in the first few weeks after surgery, each person is different and you need to listen to your body.

29- I just got my first blood test result where do I send the information?
Please email your test results to getsliminturkey@gmail.com and a member of our team will come back to you with further instructions etc.

30- I am home and my doctor has prescribed iron tablets is it OK to take them?
No as they may cause constipation they can only be taken once your surgeon confirms they are OK to take.

31- Do I need to stop any of my additional tablets like biotin/sea kelp/menopause vitamins?
Cutting down on caffeine pre surgery is good, you can still continue to take vitamins prior to surgery that’s no problems, just after surgery you will need to wait 4 weeks before you can take vitamins again in capsule form Post op the Doctor recommends Centrum multi vitamins.

32- When can I fly home after Sleeve Surgery?
You can fly home on the 5th day after your Sleeve surgery.

33- What do I need to be careful about after I am discharged from hospital?
Before your discharge you will receive your post-op pack with specific details and procedures and a member of our GSIT Team will be there to assist you.

34 – What are the instructions for prescribed medications after I leave the hospital in Gozde?
Pantpas (Stomach protector) should be used continuously for at least 3 months with 1 sip of water half and hour before morning meals. This period can be extended if deemed necessary. Dexday (Pain Relief) should be used at most twice a day and should be dissolved in a glass of water on a full stomach. Oksapar (Blood Thinner) After your discharge 1 shot should be used every day for 10 days as described at 22:00 in the evening as perscribed by your surgeon. Vitaboil Syrup (Vitamin) 2 spoons in the morning after your breakfast then continue with Centrum Multivitamin. Metpamid (Nausea Preventative) 1 tablet should be taken on an empty stomach half and hour before meals at most 3 times a day if needed.

35- What are the instructions for prescribed medications after I leave the hospitalin Ekol?
Pantpas (Stomach protector) should be used morning and night on an empty tummy for 1 month, then morning only for a further 5 months. Dexday (Pain Relief) should be used at most twice a day and should be dissolved in a glass of water on a full stomach. Oksapar (Blood Thinner) After your discharge 1 shot should be used every day for 10 days as described at 22:00 in the evening as
perscribed by your surgeon. Vitaboil Syrup (Vitamin) 1 spoon in the morning and 1 spoon in the evening on a fully tummy then continue with a liquid Multivitamin
for 1 month then a Centrum Multivitamin. Ursomed (Anti Gaulstone Medication) 1 cap in the morning and one cap in the evening for 2 months on a full or emply tummy.

36- I want to have a Mummy makeover and sleeve surgery also which procedure is preformed first?
The sleeve surgery is preformed first.

37- How do I take my tummy protectors?
Tummy Protectors are to be taken whole.

38- How many hotel nights are included in the Sleeve package?
One night hotel accommodation is included for Sleeve package.

39- My friend had sleeve surgery and her after care was very different to mine? Why is that?
Always follow the instructions of your surgeon as in both hospitals the surgeons do things differently. It may be your friend had different instructions so please ensure that you only listen to your surgeon and follow his specific instructions.

40- Will I be awake or asleep during my sleeve surgery?
You will receive a general anesthetic for the Sleeve Surgery.

41- Which hospital and doctor prescribes gallbladder meds?
Dr. Ismail from Ekol Hospital in Izmir prescribes gallbladder medication to all his patients after Sleeve Surgery.

42- What is the best sweetner to use I am from the UK?
Please look for products with stevia in them as this is a natural sweetner and low in carbs.

43- Is there anything I should know that will help in my preparation before I come for surgery?
You should have realistic expectations as you are having surgery in a foreign country and you will need to have a postive mind which helps with recovery. If you drink alot of coffee then try and reduce coffee intake a week before to help with withdrawal headaches which some patients may suffer from after surgery.

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