Clinic Nobel

Bariatric Surgery

Gastric Sleeve

Sleeve gastrectomy, or longitudinal gastrectomy, is a bariatric surgery procedure that involves removing approximately 80% of the stomach to create a reduced-volume gastric tube. This restrictive technique significantly decreases the amount of food that can be ingested and alters hunger hormones, resulting in significant and lasting weight loss.

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Duration
1 to 1.5 hours
Anesthesia
General anesthesia
Hospitalization
2 to 3 nights
Safety
Certified protocols

The procedure in video

Computer-generated illustration: still image from the narrative video. Decorative image, neither a patient nor a result.

Computer-generated illustrative footage. It is neither the recording of a real procedure nor a patient result.

Price

3 200 €

3 500 €

Current offer
Duration of stay
4 days / 3 nights
Hotel
Hotel included in the package
Package details

Included

  • consultation with our surgeon
  • pre-operative blood tests
  • general anaesthesia
  • 2 nights in the clinic
  • 1 nuit d'hôtel 5★
  • transfers within Istanbul
  • specialised medical interpreter
  • 1 compression garment / girdle / cushion depending on the procedure
  • compression stockings
  • post-operative follow-up

Not included

  • flights
  • medication
  • lymphatic drainage massages

Indicative price, subject to a personalized medical assessment.

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Goals and Benefits

  • Significant and lasting weight loss (50-70% of excess weight)
  • Drastic reduction in stomach volume (reduced to 100-150 ml)
  • Decrease in hunger hormones (ghrelin)
  • Improvement or remission of type 2 diabetes
  • Correction of high blood pressure and sleep apnea syndrome
  • Improved quality of life and mobility

Indications

  • BMI ≥ 40 kg/m² (morbid obesity)
  • BMI ≥ 35 kg/m² with comorbidities (diabetes, hypertension, sleep apnea)
  • Failure of weight loss attempts through diet and exercise
  • Age between 18 and 65 years (case-by-case assessment outside these limits)
  • Understanding of the necessary dietary changes
  • Commitment to long-term medical follow-up

Why choose our clinic for this procedure?

  • Proven and standardized technique
  • Complete multidisciplinary bariatric team
  • Personalized lifelong nutritional follow-up
  • Complication prevention protocol
  • Vitamin deficiency monitoring

Preoperative Preparation

  • Complete medical assessment: blood tests, cardiac, pulmonary, endocrine
  • Mandatory psychological evaluation
  • Dietary consultation with pre-operative diet plan
  • Gastroscopy to rule out gastric pathologies
  • High-protein diet 2-4 weeks prior (liver volume reduction)
  • Complete smoking cessation 2 months prior to surgery
  • Full information on post-surgical dietary changes

How the Procedure Is Performed

  1. Laparoscopy

    The procedure is performed laparoscopically (4-5 small incisions of 5-12 mm).

  2. Removal of about 80% of the stomach

    The surgeon removes approximately 80% of the stomach, primarily the fundus where ghrelin (the hunger hormone) is produced.

  3. A small-volume gastric tube

    The remaining stomach tissue takes the form of a tube or sleeve of approximately 100-150 ml.

  4. Permanent, irreversible removal

    The removal is permanent and irreversible.

  5. Sealed staple line

    A watertight staple line secures the incision.

Safety & Protocols

  1. Before the procedure

    See the preoperative preparation
  2. During the procedure

    Proven and standardized technique

    Complete multidisciplinary bariatric team

  3. After the procedure

    Complication prevention protocol

  4. Remote follow-up

    Personalized lifelong nutritional follow-up

    Vitamin deficiency monitoring

Postoperative Follow-up and Recovery

  1. Day 0

    2 to 3 nights

  2. From the next day

    Resumption of a liquid diet from day 1, followed by soft textures for 3-4 weeks before gradual reintroduction of solid foods.

  3. Weeks 2 to 4

    2-4 weeks of sick leave.

  4. For life

    Lifelong vitamin supplementation is mandatory.

  5. Regular follow-up

    Regular dietary monitoring is required.

  6. Months 6 to 18

    Rapid weight loss is expected during the first 6 months, stabilizing at 12-18 months.

Indicative timelines: every recovery is specific to the patient and follows the surgeon's instructions.

Expected Results

The sleeve gastrectomy allows for a 50 to 70% loss of excess weight within 12 to 18 months. The feeling of hunger is significantly reduced thanks to the decrease in ghrelin. There is a dramatic improvement in comorbidities: remission of diabetes in 60-80% of cases, normalization of blood pressure, and resolution of sleep apnea.

Frequently asked questions

Which anesthesia is used?

General anesthesia

How long does the procedure take?

1 to 1.5 hours

Does the procedure require a hospital stay?

2 to 3 nights

When can I resume my activities?

Resumption of a liquid diet from day 1, followed by soft textures for 3-4 weeks before gradual reintroduction of solid foods. 2-4 weeks of sick leave. Lifelong vitamin supplementation is mandatory. Regular dietary monitoring is required. Rapid weight loss is expected during the first 6 months, stabilizing at 12-18 months.

Is the result long-lasting?

The sleeve gastrectomy allows for a 50 to 70% loss of excess weight within 12 to 18 months. The feeling of hunger is significantly reduced thanks to the decrease in ghrelin. There is a dramatic improvement in comorbidities: remission of diabetes in 60-80% of cases, normalization of blood pressure, and resolution of sleep apnea.

How much does the procedure cost?

From 3 200 €. Indicative price, subject to a personalized medical assessment.

Medical Evaluation

Receive a personalized analysis of your case by our surgical team.