RNY vs. Sleeve

 

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RNY (Roux-en-Y) gastric bypass and the gastric sleeve (sleeve gastrectomy) are two of the most common bariatric surgeries. While both procedures restrict the stomach’s size, the RNY bypass also reroutes part of the small intestine, reducing calorie absorption. The sleeve removes a large portion of the stomach without altering the intestines. The choice between the two depends on the patient’s health, goals, and surgeon recommendations.

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In the UK, gastroenterology is a well-established medical field. The NHS provides access to gastroenterologists through referrals, though wait times can be significant depending on the region. Private gastroenterology services are available for those seeking faster treatment. The role of a gastroenterologist in the UK is crucial for managing digestive disorders and bariatric surgery outcomes, as well as performing diagnostic and therapeutic procedures such as endoscopies and colonoscopies.
Following gastric sleeve surgery, patients adhere to a post-op diet that gradually transitions from liquids to pureed foods, soft foods, and eventually solid meals. High-protein, low-carb meals are recommended to promote healing and support long-term weight loss while avoiding nutrient deficiencies.
Pregnancy after weight-loss surgery is generally safe, but it’s recommended to wait at least 12-18 months after bariatric surgery before trying to conceive. This waiting period allows the body to stabilize and ensures proper nutrition for both the mother and baby. Women should work closely with their doctors to monitor their nutritional intake and ensure they are getting adequate vitamins and minerals during pregnancy.
A bariatric surgeon specializes in performing weight-loss surgeries like gastric bypass, sleeve gastrectomy, and gastric banding. These surgeons are trained in both traditional open surgery and minimally invasive techniques such as laparoscopy. They also provide guidance on pre- and post-operative care to ensure the success of the weight-loss procedure and minimize complications.
A gastroenterologist is a specialist in diagnosing and treating diseases of the gastrointestinal tract, including the stomach, intestines, liver, pancreas, and gallbladder. Common conditions treated include IBS, Crohn's disease, and gastritis. They play a critical role in the care of patients post-bariatric surgery, helping manage complications and ensuring proper digestion.
The balloon pill, also known as the gastric balloon, is a non-surgical weight-loss device that is swallowed and then inflated inside the stomach. It takes up space, helping patients feel fuller on less food. The balloon is temporary and is usually left in place for six months before being removed. It is a popular option for people who want a non-invasive weight-loss method without committing to surgery.
The balloon pill, also known as the gastric balloon, is a non-surgical weight-loss device that is swallowed and then inflated inside the stomach. It takes up space, helping patients feel fuller on less food. The balloon is temporary and is usually left in place for six months before being removed. It is a popular option for people who want a non-invasive weight-loss method without committing to surgery.
Wegovy is available through the NHS for patients meeting specific criteria. To qualify, individuals generally need to have a BMI of 30 or higher, or a BMI of 27 or higher with at least one weight-related health condition such as diabetes or hypertension. Wegovy is a relatively new option and is prescribed under careful medical supervision.
The Roux-en-Y procedure is a type of gastric bypass surgery where the stomach is divided into a small pouch, and part of the small intestine is rerouted to the new pouch. This reduces both food intake and nutrient absorption, leading to significant weight loss and improvements in obesity-related health conditions.
In the UK, lap band surgery (also known as adjustable gastric banding) is available both privately and through the NHS in some cases. The surgery involves placing an adjustable band around the upper part of the stomach, reducing food intake. Private lap band surgery in the UK typically costs between £5,000 and £8,000.
The term bariatric refers to the branch of medicine focused on the prevention and treatment of obesity and related disorders. Bariatric procedures, such as gastric bypass or sleeve gastrectomy, are designed to help patients achieve significant, long-term weight loss when other methods like diet and exercise have failed.
RNY reversal is the process of undoing the Roux-en-Y gastric bypass. Although rare, reversals are sometimes necessary due to complications such as malnutrition, severe dumping syndrome, or other medical issues.
After a stomach bypass (gastric bypass) surgery, patients must follow a strict diet to promote healing and sustain weight loss. This typically starts with liquids, then progresses to pureed and soft foods, eventually allowing small, nutrient-dense meals. Long-term dietary adjustments are crucial to prevent complications like dumping syndrome.
Turkey has emerged as a leading destination for weight-loss surgery, offering affordable yet high-quality treatments such as gastric sleeve, gastric bypass, and lap band procedures. Medical tourism agencies in Turkey also provide package deals that include surgery, accommodation, and post-op care, making it an attractive option for international patients.
The gastric band diet is essential for individuals who have undergone gastric band surgery, a weight-loss procedure that places an adjustable band around the upper portion of the stomach. The diet helps ensure proper healing and promotes gradual, healthy weight loss. Initially, patients follow a liquid diet, then slowly transition to soft foods, and eventually to regular, small meals. Foods high in protein and low in sugar and fat are recommended to optimize weight loss and avoid complications like nausea or... +More
Common VSG side effects include nausea, vomiting, acid reflux, and constipation due to the smaller stomach size. Nutrient deficiencies, like vitamin B12 and iron, may occur if patients don't follow their prescribed supplements. Long-term complications can include weight regain or the development of gastroesophageal reflux disease (GERD).
After lap band surgery, patients must follow a specific diet to maximize the success of the procedure and avoid complications. Immediately post-surgery, a liquid diet is followed by a progression to soft foods and, eventually, solid foods. The diet must be high in protein and low in sugar, with small, frequent meals to avoid overfilling the stomach pouch created by the band.
A gastric balloon is a non-surgical weight-loss option where a silicone balloon is inserted into the stomach and inflated. It takes up space, helping patients feel fuller sooner and eat less. The balloon is temporary and is removed after 6-12 months, during which patients must follow a strict diet and exercise regimen to ensure lasting weight loss.
Stomach stapling is an older term for bariatric surgery procedures that reduce stomach size. It involves surgically creating a smaller stomach pouch using staples, which limits food intake. Modern techniques like gastric sleeve surgery have replaced traditional stomach stapling, but the principle remains the same—restricting food capacity.
A bowel specialist, or gastroenterologist, diagnoses and treats diseases of the digestive tract, including the stomach, intestines, and colon. Common conditions treated include IBS, Crohn’s disease, ulcerative colitis, and colon cancer.
Gastric bypass surgery typically costs between £10,000 and £15,000 in private clinics in the UK. This surgery is a popular option for long-term weight loss and involves creating a small stomach pouch and rerouting the intestines to limit food intake and absorption.
The sleeve in weight-loss surgery refers to the stomach after a portion has been removed during a sleeve gastrectomy. The remaining part of the stomach is shaped like a narrow tube or sleeve, significantly reducing the amount of food the stomach can hold and aiding in long-term weight loss.
The lap band and sleeve gastrectomy are two different bariatric surgeries. The lap band is adjustable and reversible, involving the placement of a band around the upper stomach. The sleeve, on the other hand, is permanent and involves the removal of part of the stomach. Sleeve gastrectomy tends to offer more substantial long-term weight loss, but the lap band has fewer immediate risks.
Weight lost refers to the reduction in body weight that is typically achieved through lifestyle changes, medications, or bariatric surgeries like the RNY or gastric band. Weight loss, particularly significant or rapid weight loss, can have dramatic positive effects on a person's overall health, reducing the risk of heart disease, diabetes, and other obesity-related conditions. Successful weight loss usually requires long-term changes to diet, exercise, and behavior.
Unlike some bariatric procedures, the gastric sleeve is considered irreversible because a large portion of the stomach is permanently removed. While Turkey offers various bariatric revision surgeries, reversing a sleeve gastrectomy is not an option. However, other procedures, such as converting a sleeve into a gastric bypass, are available if patients experience complications or insufficient weight loss.
Gastro consultants are specialists in diagnosing and treating conditions related to the digestive system, including the stomach, intestines, liver, and pancreas. They help manage conditions like irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), acid reflux, ulcers, and gastrointestinal cancers. Regular consultations are key for patients with chronic digestive issues or those undergoing treatments like bariatric surgery.
Endoscopic sleeve gastroplasty (ESG) is a non-surgical, minimally invasive weight-loss procedure where the stomach is reduced in size using sutures placed through an endoscope. Unlike surgical sleeve gastrectomy, ESG does not involve any incisions and has a quicker recovery time. It is recommended for individuals who want to avoid surgery but need help with significant weight loss.
The cost of gastric sleeve surgery varies depending on the country and clinic. In the UK, private gastric sleeve surgery ranges from £8,000 to £12,000. The procedure is also available on the NHS for eligible patients who meet specific criteria, such as having a BMI over 40.
A gastric specialist is a doctor who focuses on diagnosing and treating conditions affecting the stomach and digestive system. This includes conditions like ulcers, gastritis, acid reflux, and cancers of the stomach. These specialists may perform endoscopies and recommend lifestyle changes, medications, or surgery.
The gastric sleeve surgery in Turkey is one of the most frequently performed bariatric procedures. With advanced medical facilities and experienced surgeons, Turkey has become a hotspot for individuals looking to undergo this life-changing weight-loss surgery.
Fat burner pills are supplements that claim to increase metabolism, enhance fat oxidation, and reduce appetite. These products often contain ingredients like caffeine, green tea extract, and capsaicin. While they can support weight loss, they are not a substitute for a healthy diet and exercise.
The gastric sleeve surgery in Antalya is typically performed laparoscopically, meaning small incisions are made in the abdomen to insert surgical instruments. The number of incisions usually ranges from 3 to 5, depending on the patient's anatomy and the surgeon's technique. These incisions are small, and patients generally experience minimal scarring.
The Roux-en-Y gastric bypass is a common bariatric surgery where the stomach is divided into a small upper pouch and a larger lower portion. The small intestine is then rearranged to connect with the new stomach pouch. This procedure reduces food intake and limits calorie absorption, making it highly effective for weight loss.
The balloon pill, also known as the gastric balloon, is a non-surgical weight-loss device that is swallowed and then inflated inside the stomach. It takes up space, helping patients feel fuller on less food. The balloon is temporary and is usually left in place for six months before being removed. It is a popular option for people who want a non-invasive weight-loss method without committing to surgery.
The "fat jab," also known as Saxenda or liraglutide, is an injectable weight-loss drug that has been approved for use on the NHS in the UK for individuals struggling with obesity. It is intended for use in conjunction with a reduced-calorie diet and increased physical activity. The medication helps control appetite, leading to weight loss. It is typically prescribed to those with a BMI over 30 or individuals with weight-related health problems.
Gastritis is a condition where the stomach lining becomes inflamed, often due to factors such as excessive alcohol use, prolonged medication (NSAIDs), or bacterial infections. Symptoms can range from mild discomfort to severe pain, and treatment usually involves addressing the root cause, such as medication or lifestyle changes.
A gastric infection often results from bacteria such as Helicobacter pylori (H. pylori), which causes inflammation in the stomach lining. This infection is a major cause of ulcers and, in some cases, can lead to stomach cancer. Treatment involves antibiotics to eradicate the bacteria, along with acid-reducing medications.
Before undergoing bariatric surgery like RNY, patients are required to follow a pre-op diet to reduce liver size and fat around the stomach. This makes the surgery safer and easier for the surgeon to perform. The pre-op diet typically consists of high-protein, low-carbohydrate shakes, and liquids for 1-2 weeks before surgery. It’s an important step in preparing the body for surgery and ensuring optimal recovery post-op.
Atrophic gastritis is a chronic condition where the stomach lining thins and loses its ability to produce stomach acid and digestive enzymes. This condition can be caused by long-term H. pylori infection or autoimmune diseases and may increase the risk of stomach cancer. Treatment focuses on addressing the underlying cause and managing symptoms.
The Orbera gastric balloon is a non-surgical, temporary weight-loss device placed in the stomach to reduce food intake. The balloon is inflated and left in place for six months. During that time, patients follow a strict diet and exercise regimen to lose weight. It’s a popular choice for patients who want to avoid invasive surgery.
The long-term effects of sleeve gastrectomy include sustained weight loss, improvement or resolution of obesity-related conditions such as type 2 diabetes, hypertension, and sleep apnea. However, patients may also experience long-term nutritional deficiencies, requiring them to take supplements like vitamin B12, calcium, and iron. Regular follow-up with healthcare providers is essential to monitor these effects.
Similar to stomach stapling, gastric stapling is a weight-loss surgery where staples are used to partition the stomach. The procedure has largely been replaced by more advanced surgeries like the gastric sleeve and Roux-en-Y bypass, which offer better long-term results and fewer complications.
Irritable Bowel Syndrome (IBS) and gastritis are two distinct conditions, though both cause abdominal discomfort. IBS is a chronic condition affecting the large intestine, while gastritis involves inflammation of the stomach lining. Both can be triggered by stress, poor diet, or infections, and treatment usually involves dietary adjustments and medications to manage symptoms.
The cost of gastric band surgery in the UK ranges from £1,450 to £8,000 at private clinics. The NHS may cover the surgery for patients who meet specific health criteria, such as a BMI over 40 or a BMI over 35 with obesity-related health conditions.
Gastric bypass surgery typically costs between £10,000 and £15,000 in private clinics in the UK. This surgery is a popular option for long-term weight loss and involves creating a small stomach pouch and rerouting the intestines to limit food intake and absorption.
The prognosis for gastrointestinal (GI) cancer depends on the type and stage of cancer at diagnosis. Early-stage GI cancers, including stomach, colon, and esophageal cancers, have better survival rates when treated with surgery, chemotherapy, or radiation. Advanced-stage cancers are more difficult to treat and often require palliative care.
Stomach stapling is an older term for bariatric surgery procedures that reduce stomach size. It involves surgically creating a smaller stomach pouch using staples, which limits food intake. Modern techniques like gastric sleeve surgery have replaced traditional stomach stapling, but the principle remains the same—restricting food capacity.
Patients typically need a Body Mass Index (BMI) of 35 or higher, with obesity-related health conditions, or a BMI of 40 or more to qualify for gastric sleeve surgery. This surgery, known as Vertical Sleeve Gastrectomy (VSG), involves removing about 80% of the stomach to reduce food intake and is one of the most popular bariatric procedures.
The bariatric diet is essential for patients who have undergone weight-loss surgery. It’s designed to provide adequate nutrition while supporting weight loss. The diet includes small, protein-rich meals, limited carbohydrates, and restricted fats and sugars. Lifelong adherence to this diet, along with vitamin supplements, is necessary for maintaining health after bariatric surgery.
Bariatric surgery refers to procedures that help with weight loss by altering the digestive system. This includes operations like gastric bypass, sleeve gastrectomy, and adjustable gastric banding. Bariatric surgery is often recommended for individuals with a BMI over 40 or a BMI over 35 with obesity-related health conditions.
Weight loss help encompasses a wide range of tools, including bariatric surgery, medication (such as appetite suppressants), diet plans, and exercise regimens. For individuals struggling with obesity, working with healthcare professionals like dietitians, bariatric surgeons, and therapists can provide tailored support to achieve long-term weight loss.

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