Gastric bypass in Iran

Gastric bypass surgery or Roux-en-Y gastric bypass is a minimally invasive weight loss surgery for the obese people who want to experience quick weight loss and significant health improvements. Gastric bypass is operated in two steps: the first step involves cutting a small portion of the top of the stomach and sewing it, making a small pouch, the second step is the shortening of the small intestines. Then these two parts, pouch, and intestines, are connected together. The remaining part of the stomach which produces digestive juices is not removed. (The juices flow to the small intestines and digest the food)

Why gastric bypass?

Obesity’s negative effects fall into two main categories. The first one is psychological, which includes depression. Another effect is physical, which involves diabetes, high blood pressure, sleep apnea, and joint pain. When a surgeon suggests gastric bypass, they definitely want special impacts on your health improvements and weight loss. This procedure functions in two ways: first, you will feel sated sooner, second, less nutrition and calories are absorbed.

woman cutting her excess abdominal fat as a symbol for weight loss

Are you a good candidate for gastric bypass?

This weight loss surgery is recommended for those who are suffering from obesity and they haven’t seen a significant weight loss by dieting and exercising. If you are unable to lose weight by exercise, you can be determined as a good candidate for this procedure. If your body mass index (BMI) is higher than 45 (you are super obese) or you are suffering from one of the obesity-related diseases, like type 2 diabetes, high blood pressure, sleep apnea, and high cholesterol with body mass index higher than 35, your surgeon will probably suggest this procedure. (Calculate your BMI)

What are the advantages of gastric bypass surgery?

  • It is the most effective weight loss surgery;
  • It is less likely that you regain weight;
  • Up to %70 cases of type 2 diabetes are cured. If not, the necessity of insulin and other diabetes medicines decreases;
  • It is doable for the ages between 18 and 70;
  • In the case of any problem, it is reversible;
  • Neither a part of the stomach nor small intestines are removed from your body;
  • As it is done laparoscopically in most cases, the surgery doesn’t have excessive pain;
  • Within 2 years, more than 80% of the excess weight is lost;
  • Changes take place rapidly;
  • After the surgery, you are able to keep the lost weight off;
gastric bypass procedure showing food flow after weight loss surgery

What are the disadvantages of gastric bypass surgery?

As a large part of the stomach and small intestines are cut, absorption disorder may happen. The patient needs to take calcium, iron and vitamin pills for almost their whole life. It is better not to get pregnant before two years.

How is a gastric bypass performed?

The bypass procedure is doable in two ways, laparoscopic surgery and open surgery. In both cases, general anesthesia is performed.

Laparoscopic surgery: After applying anesthesia, 4 to 6 incisions are made on your abdomen. A long tool with a camera at its end, called a laparoscope, is introduced to your body by one of your incisions. Your surgeon checks your organs by a monitor showing inside of your body and performs the procedure.

Open surgery:

Your surgeon makes a large cut on your abdomen and operates on your stomach and small intestines openly.

In both cases, the top of your stomach is cut (which constitutes 5% to 10% of it) making a small pouch. The cut part is then stapled or sewed. 120 centimeters of the small intestines, which is below the stomach, is cut and then connected to the new pouch. After eating, food flows from the small pouch to small intestines. The remaining part of the stomach produces digestive juices. The upper part of the small intestines, connected to the bigger part of the stomach, is reattached to the small intestines, helping the digestive juices reach food. 2 or 3 days after the surgery, you are discharged from the hospital.

What to do before a gastric bypass?

Consulting a surgeon long before your surgery helps you in gaining long-term success is the operation. They help you become aware of your surgery and explain new eating habits. Attending support groups is also helpful. Several weeks before the appointment, stop smoking; it decreases the risks of surgery. Under your doctor’s instructions, stop taking medication, especially those which hinders blood clotting process, medications such as aspirin, ibuprofen (Advil, Motrin), vitamin E, and warfarin. Have blood tests and other required pre-operative tests. The night before your surgery, neither eat nor drink anything. Make sure that you will have a safe transportation after the hospital time and appropriate post-operative cares.

What are gastric bypass recovery and post-operative cares?

24 hours after the surgery you are not permitted to drink. You are asked to walk and move slowly in the hospital. Within 4 to 6 weeks, you are fully recovered. It is important to be adherent to your diet. Some post-op instructions are listed below:

  • For two days after the operation, eating is not permitted;
  • For the first two weeks, liquids and soft foods (wholemeal soup, juices, stew, milk and other soft foods with rich nutrition) are recommended;
  • Within the second two weeks, pureed foods are suggested;
  • After 4 weeks, you are permitted to eat solid foods, like small slices of meat or chicken, fruits, and cooked vegetables;
  • Within the first weeks, 6 meals are needed. Then, it is decreased to 4 and 3;
  • Eat less. Only 30 grams of food is accepted by your stomach after the surgery, or else vomiting and nausea are inevitable;
  • Eat and drink slowly. If you eat and drink fast and have a sweet tooth, dumping syndrome happens;
  • Chew carefully. Food has to become like a pureed food before swallowing;
  • Drink 6 to 8 glasses of water every day;
  • Don’t drink while eating,
  • Have nutrient and beneficial foods;
  • Take supplements like multi-vitamin, multi-mineral, calcium, vitamin D, iron, and vitamin B2;
  • Eat organic food;
  • Take daily exercises;
  • Avoid snacks;

What are common side effects and risks of gastric bypass?

There is no doubt that any kind of surgery has some side effects and complications. Gastric bypass, too, has some minor side effects which can be lessened by performing post-operative cares and adherence to diet and exercises. Possible risks of this procedure are blood clots in legs (preventable by using blood thinning drug); leakage in the connection area between the stomach and small intestines; dumping syndrome; difficulty in swallowing; diarrhea; indigestion; sagging skin; nausea; vomiting; bloating; sweating; allergic reaction to anesthesia; Stomal stenosis; infection; bowel obstruction and distension of the blind stomach;

Most of the complications can be prevented by following surgeon’s instructions. Constant visits help you avoid many of the mentioned complications.

Mini gastric bypass surgery

Mini gastric bypass surgery (MGBS) is a simpler and easier procedure, compared to the regular gastric bypass. In this surgery, a banana-shaped pouch is created and connected to the cut small intestines. In mini gastric bypass, a longer part of the small intestines is cut. So, loss of iron and vitamins is more likely in this surgery than in regular procedure. One of the possible complications is bile reflux which increases the possibility of gastric cancer. Marginal ulcer is a complication of mini gastric bypass while it does not happen in the traditional version

new stomach after mini gastric bypass procedure

On the other hand, it is more affordable than the normal version in some countries. As it is a quicker surgery compared to the traditional one, many surgeons prefer mini gastric bypass. Comparing these two procedures, mini gastric bypass cures type 2 diabetes better and causes more weight loss.

How much do gastric bypass and mini bypass cost?

As a bariatric surgery, both gastric bypass and mini gastric bypass cost differently depending on the surgeon and the hospital. If you are not covered by the insurance, in the United States the average price of these surgeries is $24,000.

Gastric bypass and mini bypass in Iran

Gastric bypass is a very popular bariatric procedure in Iran. As obesity has become a global issue, Iran has become a pioneering country in weight loss surgeries, boasting high-quality medical facilities which offer this service. There are many well-skilled and professional surgeons in Iran who have remarkable experience in gastric bypass and other weight loss surgeries. Both gastric bypass and mini gastric bypass are performed in Iran in well-equipped clinics all around the country. Some of these clinics are in Tehran, Mashhad, Isfahan, Kish Island, Tabriz and Shiraz.

teenager weight loss surgery before and after

Gastric bypass and mini gastric bypass cost in Iran

Gastric bypass cost varies depending on the surgeon, the method of bypass surgery, clinic, and especially, the country. In Iran, gastric surgeries are more affordable than other countries. Regular gastric bypass cost in Iran is around $5,500 while a similar procedure in the U.S. approximately costs $24,000, in Canada $20,000, in Australia $17,000, in India $10,400, and in Thailand $10,500. An average mini gastric bypass cost in Iran is around $5,500, whereas the cost of the same surgery in the United States stands somewhere between $15,000 to $25,000, in Canada $22,000, Mexico $7,000 to $10,000, Australia $26,000, and the United Kingdom between £10,000 to £15,000.

As a medical tourism facilitator, AriaMedTour helps you find an affordable treatment, including a professional surgeon and a clinic for a gastric bypass or mini gastric bypass surgery in Iran. Please contact us by applying your request below for more information.

Weight Loss Surgery Video Testimonials in Iran

Patients video testimonials can help you make your decision! Below you see some of our weight loss surgery patients’ testimonial videos.

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Weight Loss Surgery Story in Iran
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Arab patient and AriaMedTour staff

Before and After Gastric Bypass and Mini Gastric Bypass Photos

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