Obesity Surgery

Sleeve Gastrectomy

Sleeve gastrectomy planned after medical evaluation — never as an online package.

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Procedure time
Usually 1–2 hours
Anaesthesia
General anaesthesia
Time in Istanbul
Typically 7–10 nights
Back to desk work
Often after 2–3 weeks
Overview

About Sleeve Gastrectomy

In a sleeve gastrectomy, about three quarters of the stomach is permanently removed by keyhole surgery, leaving a narrow tube or “sleeve”. You feel full with smaller portions, and levels of a hunger hormone produced in the removed part of the stomach fall.

The operation cannot be reversed. It does not reroute the intestine, so nutrient absorption is less affected than after a bypass, but lifelong supplements and follow-up are still needed. It can cause or worsen acid reflux, which is assessed before surgery.

Suitability

Who it may be suitable for

  • A BMI of 40 or more, or 35 or more with weight-related conditions such as type 2 diabetes, high blood pressure or sleep apnoea
  • No severe acid reflux, or reflux assessed and discussed beforehand
  • Previous attempts at weight loss through diet, activity and medical treatment
  • Readiness to change eating habits and attend follow-up, with lifelong supplements where needed

These are general points only. Whether a procedure is suitable for you is decided by the treating surgeon and team after reviewing your medical history, tests and an in-person assessment, not from weight or BMI alone.

The process

How it works

  1. Medical review

    You share your height, weight, medical conditions, medication, previous operations and recent blood tests. The team decides whether an assessment is appropriate and what else is needed before you travel.

  2. Assessment in Istanbul

    You meet the surgeon and anaesthetist and have blood tests and other checks, often including an ultrasound or endoscopy. A dietitian explains the eating plan, and the procedure is confirmed only if it is still appropriate.

  3. Surgery

    Under general anaesthesia, through several small incisions, most of the stomach is divided with a stapling device and removed.

  4. Discharge and follow-up

    You leave with written diet and medication instructions. Follow-up with the clinic’s dietitian and regular blood tests continue remotely and with your own doctor at home.

Recovery

What recovery usually looks like

  1. First days

    You stay in hospital, usually for two to four nights. You walk early to lower the risk of clots, start with small sips of clear fluids and receive pain relief and blood-thinning injections.

  2. Weeks 1–2

    You follow a liquid diet in small, frequent amounts. Most people return to desk work after about two weeks, avoiding heavy lifting.

  3. Weeks 3–6

    You move gradually to puréed and then soft foods, eating slowly and stopping as soon as you feel full. Daily vitamin and mineral supplements begin.

  4. Months 2–18

    Most weight loss happens in the first year to eighteen months. Regular follow-up and blood tests help catch deficiencies early.

Timelines vary between people. Always follow the aftercare instructions from your treating clinic.

Good to know

Risks and considerations

  • As with any major operation, there is a risk of bleeding, infection, blood clots in the legs or lungs and reactions to anaesthesia.
  • A leak from a staple or join line is uncommon but serious, and may need further surgery.
  • Vitamin and mineral deficiencies can develop, so blood tests and supplements are needed long term.
  • Weight loss varies, and some weight can be regained over the years, particularly without lasting changes to eating and activity.
  • Rapid weight loss can bring gallstones, temporary hair thinning and loose skin.
  • New or worse acid reflux is common after a sleeve and may need long-term medication or, occasionally, conversion to a bypass.
  • Removing part of the stomach is permanent; it cannot be put back.
FAQ

Common questions

Why not book a sleeve as an online package?

Because suitability depends on your medical history, reflux, tests and readiness for the changes afterwards. A responsible team confirms the plan only after evaluation, and may recommend a different procedure or none.

Can a sleeve be converted to a bypass later?

Yes. Conversion is sometimes done for severe reflux or insufficient weight loss, but it is a further operation with its own risks.

Will I need vitamins for life?

Usually, yes. After bariatric surgery, most people need daily supplements and regular blood tests for life to prevent deficiencies, such as of iron, vitamin B12, calcium and vitamin D.

How long should I stay in Istanbul?

For bariatric surgery, most people stay around seven to ten nights: assessment, the operation, several nights in hospital and a check before flying. Your surgeon confirms when it is safe to travel, as flying soon after surgery raises the risk of blood clots.

How is the cost decided?

It depends on the procedure recommended after your assessment, the hospital stay and any additional tests. You receive a written, itemised quote before anything is booked, with no obligation to proceed.

Related treatments
Next step

Talk to a coordinator about Sleeve Gastrectomy

Share your details and a coordinator will reply with clear next steps. There is no obligation to proceed.

This page is general information, not medical advice; a treating clinician confirms your plan after assessment. ELAVIA Global coordinates care; clinical evaluation and treatment are delivered by independent, licensed partner facilities and their specialists.