Gastric Bypass in Iran
All you need to know about Gastric Bypass in Iran.
What is Gastric Bypass?
Gastric bypass is a kind of weight loss surgery. During this operation, your specialist makes changes to your stomach and small intestine to modify the way they absorb and digest food. In addition, the surgeon will re-route or bypass part of your digestive system so you won’t absorb as much food. Gastric bypass will help you lose weight by limiting the amount of food that your stomach holds and the amount of calories and nutrients your body absorbs. It also changes your gut hormones, which help you feel full for a longer period of time because of appetite suppression.
Why Gastric Bypass in Iran?
It’s important to note that Iran is the best and the most affordable place for undergoing Bariatric surgeries. Both Roux-en-Y gastric bypass and mini-gastric bypass are carried out in Iran at specialized clinics in Tehran, Mashhad, Isfahan, Kish Island, Tabriz, and Shiraz. In addition to it, Iranian experts are highly recommended for performing such surgeries, especially gastric bypass. They are well-known, and most of them have graduated from the leading Iranian universities and then completed specialized courses and fellowships in plastic surgery in top clinics and medical institutes.
It’s important to note that the majority of Iranian plastic surgeons are members of American and European societies of plastic surgery or other specialties. They will help you understand the whole process and determine the technique which best suits your needs. In this case, you can ensure that your desired outcomes will be achieved.
Cost of Gastric Bypass in Iran
With regards to both medical and cosmetic operations, money talks louder than any other factor in the whole world, except in Iran. These days, Iran is attracting patients from all over the world because of:
- High number of candidates for gastric bypass surgery in Iran
- Low cost of gastric bypass surgery in Iran
- Low cost of accommodation in Iran
- Experienced and knowledgeable specialists
There is a dramatic difference between the cost of this surgery in Iran and other countries. While regular gastric bypass cost in Iran is around $5,500, the similar operation costs $24,000 in the U.S, $20,000 in Canada, $17,000 in Australia, $10,400 in India, and $10,500 in Thailand. An average mini gastric bypass cost in Iran is about $5,500, whereas the cost of the same surgery stands somewhere between $15,000 to $25,000 in the U.S, $22,000 in Canada, $7,000 to $10,000 in Mexico, $26,000 in Australia, and between £10,000 to £15,000 in the UK.
Things to know about gastric bypass in Iran
Gastric Bypass Procedure in Iran:
Gastric bypass typically takes a few hours. The details of your operation highly depend on your individual situation and your doctor's viewpoint. While some surgeries are performed with traditional open incisions in your abdomen, most of them involve inserting instruments through multiple small incisions in the abdomen.
After making the incisions with the open or laparoscopic technique, the surgeon cuts across the top of your stomach, sealing it off from the rest of your stomach. The resulting pouch is about the size of a walnut and can hold only about an ounce of food. Next, the specialist cuts the small intestine and sews part of it directly onto the pouch. The procedure is done by connecting the top portion of the divided small intestine to the small intestine further down. Because of these procedures, food will have to go into the small pouch of stomach and then directly into the small intestine sewn to it. The stomach acids and digestive enzymes from the bypassed stomach and first portion of small intestine will finally mix with the food.
This operation works through several mechanisms. First, the new stomach pouch is considerably smaller and digests less food. There is also a segment of small intestine that normally absorbs calories as well as nutrients. It will make less absorption of calories and nutrients more probable. The last point to indicate is that the rerouting of the food stream changes the gut hormones that promote satiety, suppress appetite, and reverse one of the major mechanisms by which obesity causes type 2 diabetes.
Roux-en-Y Gastric Bypass
To perform this surgery, specialists make a small stomach pouch by stapling part of the stomach together or by vertical banding. This limits how much food you can consume. Then, they attache a Y-shaped section of the small intestine to the pouch. That creates a bypass for food, so it skips part of your digestive system. Therefore, you absorb fewer calories and nutrients.
This type of operation is commonly performed since:
- It produces remarkable long-term weight loss (60 to 80 percent excess weight loss)
- It may increase energy expenditure
- It produces satisfying changes in gut hormones that decrease appetite and enhance satiety
- It has a quicker recovery time compared to the other technique
Extensive Gastric Bypass
This is a fairly complex surgery in which doctors remove the lower part of the stomach. Afterwards, they connect the small pouch that remains directly to the last part of the small intestine, completely bypassing the first two parts. Despite the fact that it can result in weight loss, it's not commonly carried out because of its high complication rate and restrictions on nutrients.
Pre-Operative Considerations for having Gastric Bypass in Iran:
During your gastric bypass consultation, you should talk to a board-certified plastic surgeon with good before-and-after photos about your goals and expectations, medical conditions such as drug allergies, and current medications like vitamins or herbal supplements you use. Prior preparation is an important step in this process.
Then, your surgeon will:
- Review your medical history
- Evaluate your overall health to make sure that other medical issues you might have, such as diabetes, high blood pressure, and heart or lung issues, are under control.
- Examine your body thoroughly.
- Order some lab tests like blood tests.
- Give nutritional counseling.
- Take photos for your medical record.
- Ask you to stop smoking since tobacco will slow both recovery and healing process.
- Ask you to avoid taking some medications like aspirin, anti-inflammatory drugs, and herbal supplements for a while before and after the operation since they can increase bleeding and bruising.
- Discuss the available options.
- Recommend a course of treatment.
- Discuss likely outcomes and potential complications.
Gastric Bypass Recovery:
You will usually have to stay in hospital for one to four days after the operation. On the same day, you will be asked to walk a little. You won’t be able to eat for the first one to three days. Then, drinking liquids and eating soft foods will be permitted.
Meanwhile, you can take pills to relieve pain if prescribed by your surgeon. When you can easily move around without a lot of pain, you will be able to go home. It’s better to ask someone to take care of you since you should rest for a while. At first, you may have some limitation on what you can eat and drink. Your doctor will recommend taking nutritional supplements, vitamin, and mineral supplements after surgery such as a multivitamin with iron, calcium, and vitamin B-12. Most patients are able to go back to work in one or two weeks. For the first month, you will only be able to eat small amounts of soft food and liquids. Gradually, you can add solid foods back into your diet. During this period, you will feel full very quickly after eating about two tablespoons of food. In the first several months, you should have medical checkups frequently to evaluate your overall situation.
You don’t need to worry if your skin becomes dry or your mood changes. These are totally natural since your body reacts to the rapid weight loss in the first three to six months after the surgery. You can avoid such complications with proper care.
Gastric Bypass Results:
Within the first two years, you can expect to lose one-half to two-thirds of your extra body weight depending on your type of operation and changes in your lifestyle. Nevertheless, weight loss will decrease as time passes. By having a well-balanced diet and exercising on a regular basis, you will lose more weight. Fortunately, gastric bypass can provide long-term weight loss, enhances your ability to do routine daily activities, resolves all obesity-related problems, and finally improves your quality of life.
Gastric bypass Diet
Depending on the severity of the procedure and the patient’s overall situation, diet recommendations might vary. Consuming the special diet recommended by your surgeon will help you eat solid foods without any worries after passing the recovery process. Needless to say, how quickly you move from one step to the next highly depends on how fast your body heals and adjusts to the change in eating patterns.
At each stage of the gastric bypass diet, you will have to:
- Drink 64 ounces of fluid a day to avoid dehydration.
- Sip liquids between meals, not with meals. In addition, avoid drinking 30 minutes before eating a meal.
- Eat and drink slowly. Otherwise, foods and liquids enter your small intestine quickly and in larger amounts than normal which will cause nausea, vomiting, dizziness, sweating and diarrhea.
- Try to eat foods and drinks that are low in fats and sugar and rich in protein.
- Avoid alcohol and caffeine because they cause dehydration.
- Take vitamin and mineral supplements daily as prescribed by your medical team.
Choose foods that will puree well, namely:
- Lean ground meat, poultry or fish
- Cottage cheese
- Soft scrambled eggs
- Cooked cereal
- Soft fruits and cooked vegetables
- Strained cream soups
You are allowed to have three to five small meals a day. After about eight weeks, you can start eating solid foods. Undoubtedly, the amount of food you can eat in each meal is dependent on the extent to which your stomach can tolerate. To ensure that you are making the right decision, it’s better to consult with your dietitian.
Remember that consuming some certain foods might cause problems. The list is provided below:
- Carbonated drinks
- Raw vegetables
- Cooked fibrous vegetables, such as celery, broccoli, corn or cabbage
- Red meat
- Fried foods
- Spicy foods
- Nuts and seeds
As time passes, you might be able to try some of these foods if permitted by your specialist.
Generally yes. You need to talk to your doctor in advance about all the surgeries you have had. In this case, the best option will be determined to help you obtain our favorable results.
Yes. But you need to consult with your cardiologist to make sure you are making a right decision. In general, bariatric surgery can improve most problems related to heart disease like high blood pressure, heart enlargement, etc.
Most women become much more fertile after the operation. It’s important to note that controlling pills are not very reliable during the time your weight is changing. For this reason, you are recommended to adopt other techniques if you want to avoid pregnancy. Most specialists believe that it’s better to wait 12-18 months after surgery before getting pregnant. The good news is that after the operation, there is much less risk of dealing with problems caused because of pregnancy and childbirth. Furthermore, kids born after the surgery are less at risk of being affected by obesity later. The reason is the activation of certain genes during fetal growth.
Yes. Some hair loss is usual between three and six months following operation. Nonetheless, this is almost always temporary and can be controlled by using vitamins and minerals prescribed by your specialist.
Yes. Most surgeons talk to their patients about a special diet they should have for about 2 or 3 weeks before the operation. The reasons are shrinking the liver and reducing fat in the abdomen.
Six to eighteen months after the surgery, most patients get some form of appetite back. However, they cannot eat whatever and whenever they want. Eating healthy nutritious foods is important for achieving the desired results. Moreover, they don’t need to do strenuous activities; exercising on a regular basis can help them maintain a stable weight and enjoy the results for a longer period of time.
As you lose weight, you may be permitted to stop some medications you take for high blood pressure, heart disease, etc. Undoubtedly, you should talk to your doctor about all these issues beforehand.
You should eat at least 600 per day even if you have no appetite in the early days. This number may seem terribly low to you now, but you will get used to it after a while.
This surgery can easily change your food capacity only if you stick to the new habits recommended by your surgeon. This surgery alone does not fix your problems. You must live a healthy lifestyle, have a well-balanced diet, and exercise regularly to maintain your health for a long time.