Gastric bypass surgery

Laparoscopic Gastric Bypass Surgery

Bronze

Bronze

Package
$ 3170
  • +9 Nights at 3⭐ Hotel : 3377 $
  • +9 Nights at 4⭐ Hotel : 3602 $
  • +9 Nights at 5⭐ Hotel : 3908 $
Popular

Including free:

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Silver

Silver

Package
$ 3530
  • +9 Nights at 3⭐ Hotel : 3737 $
  • +9 Nights at 4⭐ Hotel : 3962 $
  • +9 Nights at 5⭐ Hotel : 4268 $
Popular

Including free:

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Gold

Gold

Package
$ 4150
  • +9 Nights at 3⭐ Hotel : 4357 $
  • +9 Nights at 4⭐ Hotel : 4582 $
  • +9 Nights at 5⭐ Hotel : 4888 $
Popular

Including free:

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What do the different levels of surgeons mean?

Treatment packages are mainly leveled based on the ranking of surgeons (according to the number of annual surgeries, years of experience, educational and experimental records, the rate of successful surgeries and the percentage of patients’ satisfaction) and the hospital/clinic where the surgery is performed.

 As an example, level 1 surgeons are Iranian brand doctors who are famous inside and outside the country and are mainly observed by international patients on social networks. It should be noted that all the doctors and surgeons that cooperate with Nora Health Tour are board certified and work in prominent hospitals that are licensed to accept international patients and comply with the standards of Nora Health Tour medical team.

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First Day

  • Arriving in Tehran from Imam Khomeini International Airport.
  • The guide of Nora company will welcome you and you will be transferred to your hotel/location.
  • Transfer from the hotel and visit the clinic/doctor along with the Nora company guide for the visit, a conversation between the doctor and the patient, and check the expectations.
  • Transfer from the clinic to the place of establishment

 

Noteworthy: The time of the initial meeting with the doctor may be changed to the second day according to the date and time of the patient’s arrival in the country.

 

Second Day

  • Transfer from the hotel to the hospital
  • Accepting and performing the necessary tests and photographs before surgery
  • Preparation for hospitalization/clinic
  • Perform surgery
  • A visit by a doctor and performing necessary examinations and tests and activities after surgery and providing instructions after surgery
  • Spending the first night in the hospital/surgical clinic

 

Third Day

  • The surgeon performs the necessary tests and activities after the operation and checks the quality of the surgery.
  • Discharge of the patient at the doctor’s discretion, otherwise you will stay in the hospital for the second night, according to the doctor’s order.
  • Transfer from the hospital to the hotel for rest
  • Use of postoperative medications
  • Follow the recommended diet

Important note: 24-hour support of the Nora Health Tour team will be responsive to the patient.

 

Fourth Day

  • Full rest at the hotel
  • Use of postoperative medications
  • Follow the recommended diet
  • Daily walking and doing appropriate activities after the operation prescribed by the doctor
  • Follow-up of the treatment process through the physician’s assistant

Important note: 24-hour support of the Nora Health Tour team will be responsive to the patient.

 

Fifth Day

  • Rest at the hotel
  • Follow the recommended diet
  • Walking and light activities
  • Follow up through a physician assistant

Important note: 24-hour support of the Nora Health Tour team will be responsive to the patient.

 

Sixth Day

  • Rest at the hotel
  • Follow the recommended diet
  • Walking and light activities
  • Follow up through a physician assistant

Important note: 24-hour support of the Nora Health Tour team will be responsive to the patient.

 

Seventh Day

  • Showering at the hotel and getting ready for the surgeon’s visit
  • Transfer from the hotel to the clinic
  • Examination by a doctor or a doctor’s assistant to remove the dressing and examine the stitches
  • Find out about the final instructions after the surgery for at least the next 6 weeks
  • Medical photography and receiving a written certificate from the doctor that the patient’s condition is suitable for flight
  • Transfer from the clinic to the hotel
  • Walking and light activities

 

Eighth Day

  • Delivery to the hotel room and transfer of the patient to the office of Nora Health Tour for the farewell ceremony
  • The patient transfers to Imam Khomeini Airport (RA) to return home
  • Transmitting the final postoperative instructions to the patient
  • Initiate constant follow-up through communication channels.

 

Attention:

   The schedule of this travel plan may change due to the possible change in the patient’s arrival time in Iran, the determination of the operation time by the doctor, hospital, or surgery clinic, or the patient’s condition.

Depending on the conditions, the doctor’s visit may be on the sixth or seventh day.

This treatment package is designed for the minimum stay necessary to ensure the patient’s recovery to tolerate the return flight in a seated position and can be extended between 8 and 10 days if necessary or requested.

In some cases where your departure is on the weekend, the time to visit the Nora Health Tour office fo

Being overweight and increasing the risk of dangerous diseases are closely related. At present, these diseases cause about two and a half million deaths annually worldwide. To overcome this problem, the National Institutes of Health (NIH) in the 1990s provided guidelines for slimming surgery. The term “slimming surgery” has become widespread as a cover for a group of invasive surgeries to reduce the rate of obesity. Bariatric surgery is a surgery that involves making changes to a person’s digestive system in order to lose weight. This surgery is usually performed on people who are obese and have a body mass index of at least 40.

Diet and regular exercise is the best way to lose weight. However, if a person with obesity can not use these two methods for various reasons, such as illness, an expert bariatric surgeonwill recommend weight loss surgery. To do this, there are various surgical methods that the patient, with the help of a surgeon, after careful examination and performing the necessary tests, selects the best and most effective method to perform. One type of surgery is called gastric bypass surgery. This surgery is very popular compared to other weight loss procedures because it poses fewer complications and risks than surgery.

Gastric-Bypass surgery is one of the most popular weight loss surgeries in obese people. In this surgery, an expert bariatric surgeon divides the stomach. Due to its smaller volume, the stomach can not accommodate a certain amount of food. Therefore, the patient is only able to eat a certain amount of food. Although the oven has to do a lot of observations during its life if it is performed, and in some cases it is even forced to change its lifestyle, but doing it due to reaching a normal weight and eliminating some diseases that follow being overweight is very important.

Having an ideal and normal weight is not only psychologically beneficial for a person and increases his self-confidence, but it is also very important physically. People with obesity are more prone to all kinds of diseases. Weight loss surgery is often performed for people who have not been able to lose weight with the help of diet or exercise. Therefore, by performing these surgeries, the doctor prevents some diseases from occurring in the person. These diseases include the following:

  • Gastroesophageal reflux into the esophagus
  • Types of heart disease
  • blood pressure
  • Sleep apnea
  • Diabetes
  • stroke
  • back ache
  • Knee Pain

In gastric bypass surgery, the following three main goals are pursued:

  • Reduce stomach bag size
  • Reduce the path that food takes to the excretory stage
  • Changes in intestinal metabolism and changes in hormones

It is good to know that with this surgery, the size of the stomach is reduced and the path that food travels to the stage of excretion is shortened. Therefore, food takes less time in the digestive tract. The result will be a reduction in food absorption and a reduction in calories entering the body. On the other hand, with changes in intestinal metabolism and changes in hunger hormones and gastric acid levels, caloric absorption does not occur completely. The end result of this operation will be irreversible weight loss, which occurs in about two years. The patient will lose more than 60% of his weight in two years after this operation and will reach a normal weight.

According to the statistics obtained about gastric bypass surgical method, it has the highest rate of weight loss and the lowest rate of recurrence of overweight, so gastric bypass surgery has been able to set the gold standard for the treatment of obesity.

Candidate for Gastric-Bypass Surgery

Gastric-Bypass Surgery is not applicable to all people with obesity and the patient must have the necessary conditions to perform it. Before starting the surgery, the surgeon performs detailed tests and examinations on the patient to make sure that he is qualified to perform this surgery. Among the necessary conditions that a person must have to perform gastric bypass surgery, the following can be mentioned:

  • Body mass index (BMI) is 35 and suffer from obesity-related problems like sleep apnea, diabetes, and high blood pressure
  • Body mass index (BMI) is 40 or higher (very obese)
  • Age is between 18 to 65 years
  • Lack of weak immune system
  • Failed to lose weight by exercise and food diet, ready to change lifestyle, and are prepared mentally and physically for weight loss surgery

But gastric bypass surgery is not suitable for all overweight people. You may want to see a gastroenterologist for proper guidance on this surgery. An extensive screening process will then be performed to confirm your eligibility for this surgery. You also need to make permanent and fundamental changes in your lifestyle. You may be involved in a long-term plan. These programs include examining your body nutrients, lifestyle, behaviors and medical condition.

Advantages of Gastric-Bypass Surgery

Gastric bypass surgery, which is a type of weight loss surgery, is very popular among people with obesity due to its many benefits and small side effects. The very important benefits of this surgery include the following:

  • 70% weight loss in the short term
  • increasing the self confidence
  • Achieve ideal weight and body
  • Treatment of some diseases caused by obesity such as diabetes
  • Regulation of body hormones
  • High success rate of this surgery compared to other weight loss surgeries.

One of the great benefits of losing weight is that the body’s hormones will be rearranged. Therefore, the secretion of hormones such as testosterone, which increase the body’s metabolism, increases. Some people also suffer from anemia and are forced to use anti-inflammatory drugs, which surgery can cure these diseases and also be effective.

Different Methods of Gastric bypass surgery

Gastric bypass surgery can be performed in the following two ways:

Laparoscopy

In this method, after making several incisions in the desired position, the doctor inserts a very thin tube called a laparoscope into the patient’s body. This tube, which carries a special camera, allows the doctor to carefully examine the components inside the body. The surgeon can make the necessary repairs through several other incisions using other surgical instruments. The accuracy of this procedure is very high because the doctor can instantly view the images of internal organs on a special monitor. The recovery time of this technique is much shorter than the other method due to small incisions.

Open surgery

For open gastric bypass surgery, the surgeon makes a large incision in the patient’s abdomen so that he can directly observe the patient’s internal body parts and perform the surgery. After the surgery, the incision is closed with absorption or normal sutures. If the stitches are absorbable, there is no need to pull them because they are absorbed by the body. This method requires more recovery time. Gastric bypass surgery is performed under general anesthesia in a hospital. For anesthesia, the doctor injects the desired month through a vein. The importance of this surgery is that the doctor determines a new route for the passage of food so that the food is not affected by the desired hormones and as a result is not broken down and absorbed by the body. In gastric bypass surgery, the surgeon divides the stomach into two parts. The new stomach will be so small that only one serving of food can fit in it. This limits the patient’s food intake and as a result reduces his weight. The stomach created in this surgery is connected to the lower part of the intestine to change the passage of food.

Different Techniques of Gastric Bypass Surgery

  • Classic stomach bypass: Many people think that classic gastric bypass surgery should be one of the old methods. But this is not the case, and in fact it can be said that it is a surgical procedure that is performed with completely principled and standard methods. For a classic stomach bypass, several different transplants are made inside the abdomen. In fact, first a very small bag is separated from the stomach and placed on top. They then use several connections between the intestines, and eventually the main shortcut will be connected to the small stomach reservoir.
  • Mini bypass: To perform mini-bypass obesity surgery, a small tank is first removed from the stomach. The intestines are then connected using a stomach graft. This surgery is usually called a single anastomosis bypass because only one link is made in it.
  • Sasy bypass: Sassi bypass surgery, also known as sassie surgery. It is a slimming surgery and is a combination of two mini-bypass surgeries as well as gastric sleeve. Surgery has many benefits here, including the fact that it cures a variety of diseases related to obesity. It is also used for people who want to regain their health by having obesity surgery.
  • Bypass surgery: In this surgery, the doctor first performs gastric sleeve surgery for the patient and then gastric bypass surgery is performed. That is, they connect the intestines to the rest of the stomach. This not only reduces the amount of food consumed by the person, but also shortens the food transfer path. Therefore, sap bypass greatly reduces the absorption of excess nutrients.

Procedure of Gastric Bypass surgery

Gastric bypass surgery is performed under general anesthesia in a hospital. For anesthesia, the surgeon injects the desired month through a vein. The importance of this surgery is that the surgeon determines a new route for the passage of food so that the food is not affected by the desired hormones and as a result is not broken down and absorbed by the body. Unlike gastric sleeve surgery, no part of the stomach is removed from the body. In this method, the stomach sac is divided into two parts. The larger part is responsible for secreting enzymes and the smaller part is where food enters. Also, part of the intestine is removed from the passage of food.

The combination of these changes reduces the length of time food stays in the digestive tract and leads to a reduction in the amount of calories consumed in the body. In gastric bypass surgery, the surgeon divides the stomach into two parts. The new stomach will be so small that only one serving of food can fit in it. This limits the patient’s food intake and as a result reduces his weight. The stomach created in this surgery is connected to the lower part of the intestine to change the passage of food.

Pre-Operative Care of Gastric Bypass surgery

After the surgeon’s diagnosis, to confirm the patient’s eligibility for gastric bypass surgery, the patient is asked to observe some necessary pre-operative points. Observing these points is very important in the treatment process and increasing the patient’s recovery after surgery. These may vary depending on the patient’s condition and the physician’s diagnosis. But in general, some of the essential points are:

  • Adherence to a proper diet has a great impact on the surgical process.
  • Some medications, such as preoperative blood thinners, should be monitored by a doctor to be discontinued if necessary because these drugs can cause many risks to the patient for examples, blood thinners prevent the blood from clotting properly. This increases the chance of bleeding during or after surgery.
  • Alcohol and tobacco use are very influential in the recovery process. Therefore, the patient is asked to avoid using them for about a week before the start of surgery.
  • One month before surgery, it is important for the patient to avoid taking any type of hormone, such as contraceptives.
  • Do not eat or drink anything for 12 hours before surgery.
  • Take shower night before surgery and shave your belly.

Post-Operative Care of Gastric Bypass surgery

Gastric bypass surgery, like any other surgery, requires postoperative care. These cares greatly affect the final outcome of the surgery. In the pre-surgery sessions, the treating physician provides the necessary tips and items that the person needs to follow after the surgery. Among these cases, the following points can be mentioned.

  • The patient’s diet after surgery is very important. This diet is such that the patient is only allowed to drink fluids for two days after the operation and should avoid eating. This is important for the complete healing of a person’s digestive system. After that, he can taste chopped and soft foods. And return to normal foods over time. This diet lasts about 12 weeks.
  • In the first months after surgery, it is necessary to visit the treating physician regularly and at intervals for a certain period of time so that the patient’s condition is fully monitored.
  • After this surgery, the patient will no longer be able to receive important vitamins and minerals, so it is necessary to use some supplements.
  • Walking even a few steps helps a lot to prevent blood clots in the patient’s feet. Of course, note that until the end of the patient’s recovery period, he should refrain from doing heavy activities.
  • Abdominal pain and heartburn are problems that are very unlikely to occur transiently after gastric bypass surgery.
  • It should be known that gastric bypass is a treatment for heartburn. If this problem occurs after the operation, it will be resolved soon and there is no need to worry. To prevent this problem, put a few pillows under your head and shoulders while sleeping. Of course, be sure to take pills like pantoprazole that have been prescribed for you to reduce acid.
  • Note that wounds and stitches should be kept clean and dry to prevent infection. Therefore, do not take a bath for a few days after surgery.
  • After surgery, the patient’s skin may become loose and sagging due to weight loss. The patient can solve this problem after some time by performing other cosmetic surgeries.

Gastric bypass surgery does not mean that the results will be permanent. And this survival rate is completely influenced by the patient’s lifestyle. After this surgery, an expert bariatric surgeon asks the patient to follow some essential points. This observation should be permanent and for the rest of the person’s life, although the patient can no longer eat as before because it may cause some problems for him. If you follow the essential points after the surgery correctly, you can expect permanent results from this surgery, otherwise you may have problems. Performing some sports activities can complement this surgery and improve the results of gastric bypass surgery. But in general, it is important to know that this surgery is less likely to recur in obesity than other weight loss procedures.

Complications of Gastric Bypass Surgery

Short term complications

  • Bleeding
  • Infection
  • Anesthesia complications
  • Blood clot

Long term complications

Dumping syndrome. When the solid parts of a meal get dumped directly from the stomach into the small intestine without being digested, it called dumping syndrome. It includes two types, early dumping, and late dumping.

  1. Symptoms of early dumping include:
    • Nausea
    • Bloating and abdominal cramps
    • Dizziness or fainting
    • Heart palpitations, rapid heartbeat, and sweating
  2. Late dumping symptoms are:
    • Fatigue
    • Confusion
    • Sweating and heart palpitations
    • Hunger
    • Tremors and fainting

Gastric bypass surgery procedure in Iran

Gastric bypass is a very popular bariatric procedure in Iran. There are well-skilled and professional bariatric surgeons in Iran who have remarkable experience in gastric bypass and other weight loss surgeries. These surgeons are not only highly experienced but also aware of the most recent scientific findings. In addition, some Iranian surgeons have developed surgical techniques that have proved to be far more effective than classic operation.

It’s not just the high quality of doctors and hospitals and affordable costs that do count, Iran is a wonderful country to visit; just ask someone who’s been there. Most of the people who have visited Iran report that their attitude toward the country was completely changed after their trip.

Gastric bypass surgery cost in Iran

Gastric bypass is a very popular bariatric surgery in Iran beside Gastric-Bypass surgery in Iran is more affordable than anywhere in the world. In terms of costs of Gastric bypass, there is a dramatic difference between Iran and other countries. While the Gastric bypass surgery costs in the US is almost 23,000 $, in Canada is about 18,000 $, and in Turkey about $ 5,900, the average of Gastric bypass cost ranges from 3,200 $ to  5000$ based on the surgeon’s reputation and level of expertise, the complexity of the procedure, hospital and anesthesia, pre op tests, consultation, medication during hospitalization, checkup, and follow up. Iran provides the lowest fee for Gastric bypass and this is mainly because of the low value of the Iranian currency (IRR) and due to its very affordable price, many people from all over the world travel to Iran every year to undergo Gastric bypass surgery.

Why Choosing Iran for Health Tours and Medical Services ?

Why Choosing Nora Health Tour ?

Why Choosing Iran for Health Tours and Medical Services ?

Why Choosing Nora Health Tour ?

It should be noted that individual brochures based on the patient / client plan, including pre- and post-operative instructions, as well as the necessary information and processes for further follow-up are provided to you. During your stay in Iran, the translators of Nora Health Tour fully support you 24/7 and will happily help you to resolve any concerns or ambiguities that may arise for you.

Before & After Surgery

Before / After

Gastric Bypass Surgery Cost From(USD)

Frequently asked questions

FAQ

Does the skin inevitably sag after gastric bypass surgery?

No, it depends on your body type, and in general, with regular and regular exercise, you can reduce the chance of sagging skin.

Will this not be a problem for future pregnancies?

No, in fact, it is recommended that you and your baby lose weight for a healthy and low-risk pregnancy. Also, by performing gastric bypass surgery, infertility due to obesity will improve in both men and women.

When can I start exercising after gastric bypass surgery?

Right away! To start, you will take easy, short walks while you are in the hospital. The key is to start slow. Listen to your body and your surgeon. If you lift weights or do sports, stay “low impact” for the first month.

Will I have to go on a diet before I have gastric bypass surgery?

Yes. Many insurance companies require patients to be on a weight loss program before qualifying for surgery. Many bariatric surgeons put their patients on a special pre-operative diet, usually 2 or 3 weeks just before surgery. The reason for the pre-operative diet is to shrink the liver and reduce fat in the abdomen. This helps during the procedure and makes it safer. Some insurance companies require a physician-monitored diet three to six months prior to surgery as part of their coverage requirement. These diets are very different from the short-term diets and usually are more about food education and showing a willingness to complete appointments and to learn.

How long after gastric bypass surgery will I have to be from work?

After gastric bypass surgery, most patients return to work in one or two weeks.

Will I lose my hair after gastric bypass surgery?

Some hair loss is common between 3 and 6 months following gastric bypass surgery but almost always temporary. The reasons for hair loss are not totally understood. Even if you take all recommended supplements and meet protein requirements, hair loss will be noticed until the follicles come back. Adequate intake of protein, vitamins, and minerals will help to ensure hair re-growth, and avoid longer term thinning.

Will I need to have plastic surgery after gastric bypass surgery?

Some patients may choose to have plastic surgery, but this depends on many factors.

Do most people who have gastric bypass surgery regain their weight?

No. A small number of patients can regain their weight but the vast majority loses significant weight and keeps this weight off. More than 95% of patients will successfully lose half of their extra body weight or more after surgery for weight loss. Gastric bypass patients on average lose approximately 70% of their extra body weight initially, and 2 years or more after surgery will regain approximately 5% of their extra body weight. Compared to these results, patients who attempt weight loss without surgery, on average, are able to lose little weight and may gain weight in the long-term.

What happens during the gastric bypass surgery?

Bariatric gastric bypass surgery is an advanced surgical procedure designed to promote weight loss and reduce the complications associated with morbid obesity. This procedure will transect (cut) your stomach, dividing the stomach into two parts. The surgically created small stomach pouch will receive the food you eat. The remaining segment of your stomach continues to produce stomach acid and digestive juices, but does not receive any food. The surgeon creates a new connection from your stomach pouch to your small intestine, and bypasses a segment that is equivalent to about one-third of your small bowel.

How is the gastric bypass surgery done?

The surgery is performed through six, small, half-inch incisions (laparoscopic surgery). Laparoscopic surgical instruments, including a small camera, are placed through tubes inside these incisions, called ports. In rare occasions, an “open” gastric bypass or laparatomy may be necessary.

Why gastric bypass surgery is called a Roux-en-Y?

It refers to the ‘Y’ shape of the small bowel connection. During the operation, the small bowel is cut and then reconnected at one end to the newly created pouch (the new stomach) where it will now receive food that has been chewed and swallowed. None of the bowel is removed during the surgery. The new connection between the stomach pouch and the small bowel is called an anastomosis. This narrow opening helps restrict the passage of food moving from the pouch into this piece of small bowel, called the Roux limb (after a French surgeon, Roux). The Roux limb is the right arm of the “Y.” The left arm of the “Y” is the part of the bowel still connected to the excluded stomach. It carries the acids produced in the remnant stomach, the digestive juices produced by the liver and pancreas, including insulin, and some juices produced by the small bowel itself. The two arms of the “Y” are connected again.

Can my gastric bypass surgery be done laparoscopically even if I have had a previous open abdominal surgery?

Your surgeon will evaluate you on an individual basis. It is possible to have a laparoscopic gastric bypass after having open abdominal surgery or other laparoscopic abdominal procedures. Our surgeons believe that every patient has the right to be given the opportunity to choose minimally invasive surgery as an option.

Have a high Body Mass Index (BMI). Can I still have laparoscopic gastric bypass?

Our surgeons have successfully performed laparoscopic gastric bypass surgery on a patient with a BMI of 88. High BMI and extreme physical parameters might prove too great a challenge to another, less experienced team of surgeons. We exclude no one as a laparoscopic surgical candidate based on BMI alone. Your surgeon will evaluate you on an individual basis.

How long will I stay in the hospital?

Most patients stay two after laparoscopic gastric bypass and up to four days after open gastric bypass.

What should I take to the Hospital?
  • Slippers which are easy to put on and take off and have a good non-slip tread on the bottom for walking.
  • A robe to slip over your shoulders or pajama bottoms or sweat shorts.  We will provide you with gowns that will fit.  A second gown can be placed over your shoulders to cover you modestly while you are walking.
  • You might want to bring a few personal toiletries, like toothpaste, your own hair items, moisturizing creams.  We have these items in the hospital, but sometimes having your own things is comforting.
  • Your Sleep Apnea machine (CPAP/BiPAP) if you use one at home
Will I need to take vitamin supplementation after this procedure?

 Certain vitamins and minerals will not be absorbed well enough for you to meet the recommended US daily requirements.  This is especially true of Vitamins B6, B12, Folate, calcium and the mineral iron.  For this reason, we strongly recommend that you take two multivitamins with minerals and calcium citrate daily, and a dose of Vitamin B12 under your tongue weekly for the rest of your life.

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