Gastric sleeve surgery, or sleeve gastrectomy, is a popular weight loss procedure that involves the removal of a portion of the stomach, resulting in a sleeve or tube-like structure.

This procedure has gained popularity due to its effectiveness and relatively short recovery time. For those considering this surgery, choosing the right location is crucial.

In this article, we will compare gastric sleeve surgery in Sheffield, UK, with that in Turkey, covering various aspects such as cost, quality of care, facilities, and overall patient experience.

Overview of Gastric Sleeve Surgery

Gastric sleeve surgery is a minimally invasive procedure performed laparoscopically.

It involves the removal of approximately 75-80% of the stomach, leaving a banana-shaped sleeve that limits food intake and reduces hunger by removing the portion of the stomach that produces the hunger hormone ghrelin.

This procedure not only aids in significant weight loss but also improves obesity-related conditions such as type 2 diabetes, hypertension, and sleep apnea.

Procedure Steps

• Preoperative Assessment: Includes medical evaluations, dietary consultations, and psychological assessments.
• Surgery: Performed under general anesthesia, involves small incisions and laparoscopic instruments.
• Recovery: Hospital stay of 2-3 days, followed by gradual return to normal activities over 4-6 weeks.
• Postoperative Care: Includes follow-up visits, dietary adjustments, and monitoring for complications.

Types of Gastric Sleeve Procedures.

Standard Gastric Sleeve Surgery (Laparoscopic Sleeve Gastrectomy)

Standard gastric sleeve surgery, often referred to as laparoscopic sleeve gastrectomy, is the most common form of this weight loss procedure.

It involves the removal of approximately 75-80% of the stomach, leaving a slender, tube-like structure. This significantly reduces the stomach’s capacity, limiting food intake and promoting early satiety.

Procedure Details:

During a laparoscopic sleeve gastrectomy, the surgeon makes several small incisions in the abdomen. A laparoscope (a small, tube-like instrument with a camera) and other surgical tools are inserted through these incisions.

The surgeon then removes the majority of the stomach, creating a sleeve-shaped stomach that holds much less food.

This method is minimally invasive, leading to shorter recovery times and reduced postoperative pain.

Benefits:

• Significant Weight Loss: Patients typically lose 60-70% of their excess weight within the first two years.
• Reduced Hunger: Removal of the portion of the stomach that produces ghrelin, the hunger hormone, decreases appetite.
• Improved Comorbidities: Conditions such as type 2 diabetes, hypertension, and sleep apnea often improve or resolve.
• Minimally Invasive: Smaller incisions lead to quicker recovery and less scarring.

Single-Incision Laparoscopic Sleeve Gastrectomy (SILS)

Single-Incision Laparoscopic Sleeve Gastrectomy (SILS) is a variation of the standard procedure that aims to minimize the invasiveness even further.

Instead of making multiple small incisions, the surgeon makes one single incision, typically at the navel.

Procedure Details:

The SILS technique involves a single entry point for the laparoscope and surgical instruments. This approach requires advanced laparoscopic skills and specialized instruments to perform the surgery through a single, small incision.

The surgical steps remain similar to the standard procedure, but the cosmetic outcome is significantly improved due to the reduced number of incisions.

Benefits:

• Minimal Scarring: Only one incision, usually hidden in the navel, results in virtually no visible scarring.
• Less Pain: Fewer incisions may result in less postoperative pain.
• Quicker Recovery: Reduced invasiveness can lead to a faster return to normal activities.
• Enhanced Cosmesis: Patients often prefer this method for its better cosmetic results.

Robotic-Assisted Sleeve Gastrectomy

Robotic-assisted sleeve gastrectomy leverages advanced robotic technology to enhance the precision and control of the surgical procedure.

The use of robotic systems like the da Vinci Surgical System allows surgeons to perform the surgery with enhanced dexterity and visualization.

Procedure Details:

In a robotic-assisted sleeve gastrectomy, the surgeon operates from a console that controls robotic arms equipped with surgical instruments and a high-definition 3D camera.

The robotic system translates the surgeon’s hand movements into precise micro-movements of the instruments.

This method provides greater accuracy, flexibility, and control, especially in complex cases or for patients with specific anatomical challenges.

Benefits:

• Enhanced Precision: Robotic assistance allows for more precise cuts and sutures.
• Improved Visualization: High-definition 3D visualization provides a clearer view of the surgical area.
• Reduced Risk of Complications: Enhanced control and precision reduce the risk of intraoperative complications.
• Faster Recovery: Patients often experience quicker recovery times due to the minimally invasive nature of the procedure.

Endoscopic Sleeve Gastroplasty (ESG)

Endoscopic Sleeve Gastroplasty (ESG) is a non-surgical, minimally invasive procedure that reduces the size of the stomach using an endoscope.

This method is particularly suitable for patients who are not candidates for traditional bariatric surgery or prefer a less invasive option.

Procedure Details:

During ESG, an endoscope (a flexible tube with a camera and surgical tools) is inserted through the mouth and into the stomach.

The surgeon uses suturing devices attached to the endoscope to fold and stitch the stomach, creating a sleeve-like shape.

This reduces the stomach’s volume and limits food intake without removing any part of the stomach.

Benefits:

• Non-Surgical: No external incisions, which significantly reduces the risk of surgical complications.
• Quick Recovery: Most patients can return to normal activities within a few days.
• Reversible: The procedure is potentially reversible if necessary.
• Effective Weight Loss: Patients can achieve significant weight loss and improvement in obesity-related conditions.

Loop Duodenojejunal Bypass with Sleeve Gastrectomy (LDJB-SG)

The Loop Duodenojejunal Bypass with Sleeve Gastrectomy (LDJB-SG), also known as the single anastomosis duodeno-ileal bypass with sleeve (SADI-S), is a combination procedure that includes a sleeve gastrectomy and a loop duodenojejunal bypass.

This method combines the restrictive aspects of the sleeve with the malabsorptive aspects of a bypass.

Procedure Details:

The LDJB-SG procedure starts with a standard sleeve gastrectomy to reduce the stomach’s size. Following this, the small intestine is rerouted to bypass a portion of the duodenum and jejunum, which limits calorie absorption.

The bypassed section of the intestine is reconnected to the remaining stomach, creating a loop that allows food to bypass part of the digestive system.

Benefits:

• Enhanced Weight Loss: Combines restriction and malabsorption to achieve more substantial weight loss.
• Improved Metabolic Effects: Significant improvement in metabolic conditions such as type 2 diabetes.
• Long-Term Results: Offers durable weight loss results and improvement in comorbidities.
• Lower Risk of Nutritional Deficiencies: Compared to other bypass procedures, this method has a lower risk of severe nutritional deficiencies.

Revisional Sleeve Gastrectomy

Revisional sleeve gastrectomy is performed on patients who have previously undergone bariatric surgery but require additional surgery due to inadequate weight loss, weight regain, or complications from the initial procedure.

Procedure Details:

Revisional sleeve gastrectomy varies depending on the patient’s previous surgery and current needs. It may involve resizing the stomach sleeve, addressing complications, or converting the procedure to another type of bariatric surgery, such as a gastric bypass.

The surgical approach can be laparoscopic or robotic, based on the complexity of the revision.

Benefits:

• Address Complications: Helps resolve issues from previous surgeries, such as leaks, strictures, or reflux.
• Achieve Weight Loss Goals: Provides an opportunity to achieve or maintain desired weight loss.
• Customized Approach: Tailored to the patient’s specific needs and previous surgical history.
• Improved Quality of Life: Alleviates symptoms and improves overall health and well-being.

Gastric Sleeve Surgery in Sheffield

Medical Facilities and Expertise

Sheffield boasts several reputable hospitals and clinics that offer gastric sleeve surgery, including both NHS and private options.

Renowned institutions such as Sheffield Teaching Hospitals NHS Foundation Trust and private clinics like BMI Healthcare provide high standards of care.

Surgeon Expertise:

Surgeons in Sheffield are highly qualified, often with extensive experience in bariatric surgery. They are typically members of professional organizations such as the British Obesity and Metabolic Surgery Society (BOMSS).

Quality of Care:

Sheffield hospitals adhere to strict UK healthcare regulations, ensuring high standards of safety and patient care.

Cost

The cost of gastric sleeve surgery in Sheffield varies depending on whether the procedure is done through the NHS or privately.

• NHS: For eligible patients, the procedure can be free under the NHS. However, eligibility criteria are strict and wait times can be long.
• Private: Private surgery costs range from £8,000 to £12,000. This includes preoperative assessments, surgery, hospital stay, and follow-up care.

Patient Experience

Patients undergoing gastric sleeve surgery in Sheffield benefit from a comprehensive support system, including:

• Preoperative Support: Detailed assessments and consultations.
• Postoperative Care: Regular follow-ups, dietary guidance, and psychological support.
• Facilities: Modern hospitals equipped with advanced medical technology.

Gastric Sleeve Surgery in Turkey

Medical Facilities and Expertise

Turkey has become a popular destination for medical tourism, including gastric sleeve surgery, due to its competitive pricing and high-quality care.

Cities like Istanbul, Izmir, and Ankara are home to numerous internationally accredited hospitals.

Surgeon Expertise:

Turkish surgeons are often internationally trained and members of global medical organizations. Many have extensive experience with international patients.

Quality of Care:

Many hospitals in Turkey are accredited by organizations such as Joint Commission International (JCI), ensuring adherence to global healthcare standards.

Cost

The cost of gastric sleeve surgery in Turkey is significantly lower than in the UK.

• Private Clinics: Prices range from £3,000 to £5,000, which typically includes the surgery, hospital stay, and follow-up care. This price often includes additional services such as airport transfers and accommodation.
• Packages: Many clinics offer all-inclusive packages that cover surgery, preoperative assessments, postoperative care, and even travel logistics.

Patient Experience

Turkey offers a unique experience for medical tourists:

• Preoperative Support: Comprehensive preoperative assessments and consultations, often conducted remotely.
• Postoperative Care: Extensive postoperative follow-ups, both in-person and remotely.
• Facilities: State-of-the-art hospitals with modern amenities. Many clinics offer luxurious accommodations and concierge services.

Comparison of Gastric Sleeve Surgery in Sheffield vs. Turkey

Cost Comparison

One of the most significant differences between having gastric sleeve surgery in Sheffield and Turkey is the cost.

• Sheffield: £8,000 to £12,000 for private care. NHS options are available but with strict eligibility and long wait times.
• Turkey: £3,000 to £5,000, often inclusive of additional services and amenities.

Quality of Care

Both Sheffield and Turkey offer high-quality care, but there are differences in the healthcare systems and facilities:

• Sheffield: Benefits from the robust UK healthcare system, with stringent regulations and high standards. Patients have access to a comprehensive support system and experienced surgeons.
• Turkey: Many hospitals are internationally accredited, and surgeons are often highly experienced with international patients. The cost savings do not generally come at the expense of quality, but thorough research is essential to choose a reputable clinic.

Surgeon Expertise

• Sheffield: Surgeons are typically UK-trained with memberships in professional organizations like BOMSS.
• Turkey: Many surgeons have international training and memberships in global organizations, offering extensive experience with a diverse patient base.

Facilities and Technology

• Sheffield: Hospitals are equipped with advanced medical technology and offer modern facilities.
• Turkey: Many hospitals provide state-of-the-art facilities, often with a focus on medical tourism, including luxurious accommodations and comprehensive patient services.

Patient Support and Experience

• Sheffield: Comprehensive support with preoperative assessments, postoperative care, and ongoing support. The patient pathway is well-structured within the NHS or private system.
• Turkey: Offers a holistic approach to medical tourism, including personalized care, travel assistance, and luxury accommodations. Follow-up care is extensive, with many clinics offering remote consultations.

Travel and Accessibility

• Sheffield: Accessible for UK residents with no need for travel. Local follow-up is convenient.
• Turkey: Attractive for international patients seeking affordable care. Travel costs need to be considered, but many clinics offer packages that simplify logistics.

Making the Right Choice

When deciding between gastric sleeve surgery in Sheffield and Turkey, several factors need to be considered:

Cost Considerations

• Budget: Turkey offers a more affordable option, which can be significant for those without insurance coverage or NHS eligibility.
• Value: Consider the comprehensive nature of the packages offered in Turkey, which often include travel and accommodation.

Quality and Safety

• Regulations: Sheffield hospitals adhere to UK standards, ensuring a high level of safety and care.
• Accreditation: Choose JCI-accredited hospitals in Turkey to ensure quality and safety.

Personal Preferences

• Convenience: For UK residents, Sheffield offers the convenience of local care without the need for travel.
• Experience: Turkey provides a unique medical tourism experience with potential cost savings and additional services.

Postoperative Care

• Local Follow-up: Sheffield allows for easy access to local follow-up care.
• Remote Support: Turkish clinics often provide extensive remote follow-up, but local medical support might be limited upon return.

Conclusion

Choosing between gastric sleeve surgery in Sheffield and Turkey involves weighing the benefits and drawbacks of each location.

Sheffield offers the reliability and convenience of the UK healthcare system, with experienced surgeons and comprehensive care.

Turkey provides a cost-effective alternative with high-quality care, luxurious facilities, and extensive support for international patients.

Ultimately, the decision will depend on individual circumstances, including budget, personal preferences, and the importance of local versus international care.

Thorough research and consultation with medical professionals are essential to making an informed choice that aligns with your health needs and financial situation.