Bariatric Surgery in Ankara

Bariatric surgery is a group of weight-loss surgeries that involves making changes to the digestive system, some of which are non-reversible. The idea behind these types of surgeries is to help patients lose weight by either limiting the amount of food they can consume/digest at any one time or reducing their body’s ability to absorb nutrients. Some procedures do both. 

Bariatric surgeries should only ever be the final option when diet and exercise have proved inadequate and there are now serious health concerns caused by a person's weight. In general, these surgeries can only be an option for patients whose body mass index (BMI) is 40 or higher (extreme obesity). In certain cases, patients whose BMI is 30 to 39.9 may qualify for certain types of bariatric surgery if they have serious weight-related problems, such as type 2 diabetes.

The three most common types of Bariatric Surgeries are as follows:

1. Gastric Sleeve – The most common surgery, in which about 80% of the stomach is irreversibly removed, resulting in a sleeve or tube-like structure. This smaller stomach will not be able to hold as much food and produces less of the hormone that regulates appetite (ghrelin), which can lessen the patient’s desire to eat. 
2. Gastric Bypass – A more complicated procedure in which the stomach is divided into two parts; a small upper pouch and a large lower ‘remnant’ pouch. The small intestine is rearranged to bypass the large pouch. As a result, the volume of the stomach is significantly reduced. This causes food to go into the small upper pouch of the stomach and then directly into the small intestine. The small upper pouch can only hold around an ounce of food. Gastric Bypass is typically not reversible. 
3. Gastric Band – Involves an inflatable silicone device that is fitted around the top portion of the stomach to create a smaller stomach pouch. This procedure causes the patient to feel fuller with less food but still allows the body to digest food as usual, without malabsorption. The device can be removed when the patient reaches their desired weight.

The bariatric surgeries mentioned above are typically performed laparoscopically, in which the surgeon creates around one to five small incisions in the abdomen to insert a laparoscope (a long narrow tube with a camera) and surgical tools. The patients are usually given a general anesthetic, so they will not feel anything throughout the surgery.

How Long Should I Stay in Ankara?

After bariatric surgery, an overnight stay in the hospital is usually required. In some cases, you may need to stay longer (around 3 to 5 days). However, it is not advisable to leave Ankara as soon as you are discharged from the hospital. Stay at least 10 to 14 days following your surgery for initial recovery and follow-up checkups. During the follow-up checkups, your surgeon will remove your stitches and check your overall condition.

What's the Expected Recovery Time?

The recovery time may take around 3 to 6 weeks until you are allowed to go back to your normal activities, including work, with some restrictions. You must avoid heavy work and strenuous activities, such as lifting, pushing, or carrying heavy loads for at least the first three months after surgery. You should also avoid sitting and standing without moving for long periods to avoid blood clots forming in your legs.

What Aftercare is Required?

You will be given a special diet plan immediately after your surgery, as well as detailed post-operative instructions. Make sure to follow the diet plan and instructions to avoid complications and speed up your recovery. In order to maximize and maintain weight loss, it is important that you commit to healthy eating and regular exercise. There may be restrictions on how much food you can consume. You may also need to change your eating habits, such as eating 6 small meals instead of 3 large meals each day. You should take vitamins and mineral supplements to ensure proper nutrition. 

What's the Success Rate?

The success rates vary for each of the different types of bariatric surgery. In general, within the first six months following the surgery, most patients lose around 30% to 55% of their excess weight. Then, as early as 12 months after surgery, most patients lose over 70% of their excess weight. Patients could also maintain a 50% to 60% loss of excess weight for 10 to 14 years after their bariatric surgery. Although the success rates are high, there are risks associated with bariatric surgery, such as bleeding, deep vein thrombosis, infections, spleen injury, stenosis, and infections.

Are there Alternatives?

There is a non-surgical Bariatric procedure, known as the Gastric Balloon. This involves an inflatable device that is temporarily inserted into the stomach via endoscopic placement. A sizable area of the stomach is obstructed by the balloon or balloons, thus reducing the amount of food it can contain at any one time, leading to eventual weight loss. The balloons are usually removed after 6 or 12 months. 

If you cannot or do not want to undergo any surgery or medical procedure, you may be able to work with a doctor who is experienced in treating extreme obesity and a dietician as the alternative. They may recommend you to change your diet, adding physical activity, and prescribe medications.

Bariatric Surgery in and around Ankara

About Ankara

Turkey’s capital Ankara is the second-largest city in the country and has a rich cultural heritage and serves a prominent place in history.

Ankara is a prominent industrial hub of Turkey with many manufacturing plants catering to food, beverage, and the construction of raw materials, etc. Medical tourism is also a major source of revenue for Turkey as it tops the list among the seven countries famous for thermal springs. The Medical Tourist industry in Turkey is growing 10%-15% each year and 2018 saw close to 1 million tourists who visited the country for medical treatments.

While patients from all over the world visit Ankara for medical procedures, most of them are from Libya, Germany, UK, and UAE. The big reason behind this was due to the fact that the treatments and surgical procedures in Turkey are nearly 40% cheaper than in most other European nations. There are world-class hospitals catering to a wide range of medical procedures. The city being a hot tourist destination, many patients enjoy exploring the city while getting treated. Some of the popular hospitals and Clinics frequented by tourists in Ankara include:

• Sanatoryum Hastahanesi
• Ankara University Cebeci Hospital
• SALUSS Medical Center

In addition to the aforementioned services, the recently inaugurated Ankara Bilkent City Hospital that began operations in March 2019, holds the distinction of being the biggest hospital in the country. It boasts a stupendous capacity, housing a total of 3,704 hospital beds.

Popular Areas in Ankara

The Central Anatolia Region is known to host some of the most prolific wine production establishments in the city.

Notably, the well-known Turkish Aerospace Industries, Türk Havacılık ve Uzay Sanayii A.Ş., is based in Ankara's Sincan district. This area is predominately inhabited by Turkish residents.

Ankara is an important city where most of the significant Government related activities are carried out and has become a prominent place for bureaucrats and officials. Çankaya District houses most of the Government buildings and is also one of the most popular residential neighborhoods in Turkey.

Another key urban area in Ankara is Yenimahalle. This district is renowned for the recently popularized Wonderland Eurasia theme park. In merely the first week following its grand opening, the park was thronged by nearly one million eager visitors.

Weather and Climate in Ankara

Ankara is known for its Mediterranean climate with hot, dry summers making up the city's weather pattern. Contrastingly, winter seasons can be quite chilly, with the lowest yearly temperature recorded around a frigid -24.9°C. If your timing is lucky, you might even get to revel in a bit of gentle snowfall during the winter months. Namely, back in 2018, the city appreciated snowfall commencing in mid-December, signaling a winter season that was relatively warmer than those of preceding years.

June to August is an ideal time to visit Ankara. After the heat of the summer settles down, these months stay warm and dry. March to May is the next most preferred time for tourists. It is best to avoid the months of December and January, as the city can get unpredictably cold. It receives a good amount of rainfall after the winter between January and March. Hence, if you are visiting Ankara for skiing, then it is wise to reschedule your travel to early January.

Getting around in Ankara

Tourists from all over the world can reach Ankara through its Esenboğa International Airport. The primary airlines serving most of the popular global destinations are:

• Anadolu Jet
• Pegasus Airlines
• SunExpress
• Turkish Airlines

Besides this international airport, it also has the Etimesgut Air Base, the Akıncı Air Base, and the Güvercinlik Army Air Bases.

Visitors can easily navigate through the city courtesy of the efficiently networked metro rail and local bus services. The management and regulation of the railway and bus facilities are efficiently handled by Ankara Electricity and Gas Operations Business.

Ankara Central Railways Station provides connectivity to all primary points within the city. Opting for a taxi from the airport to the city center is also a reasonable choice, with fares approximated around $15. Plus, the overall taxi charges within the city are perceived to be quite fair.

Tourist Visas in Ankara

Electronic Visa Application System of the Republic of Turkey: The Electronic Visa Application System of the Republic of Turkey (e-Visa) is a system that allows citizens of certain countries to obtain a visa to Turkey online. To apply for an e-Visa, you must visit the government website of the e-Visa system. You can check the list of eligible countries on the website.

Visa on arrival: Citizens of certain countries, including Bhutan, Afghanistan, and Kenya, can choose to obtain a visa on arrival in Turkey. However, it is important to note that visa on arrival is not guaranteed, and you may be denied entry if you do not meet all of the requirements.

Visa requirements for citizens of India, China, Russia, and other countries: Citizens of India, China, Russia, and a few other countries must apply for a visa in advance before traveling to Turkey. Visas can be obtained online or at a Turkish embassy or consulate.

Additional Information

• The local currency of Ankara is Turkish Lira. The value of 1 Turkish Lira is equivalent to 0.17 USD.
• Most of the tourist spots in the city accept payments made with credit and debit cards. You can also make use of international money transfer systems. On Municipal buses and metros, you can pay with magnetic cards available at kiosks. However, it is advisable to carry cash to pay at the local buses. Most taxi drivers accept payment in local currencies only.
• ​​​​​​​The tourism police division in Ankara Police Department consists of staff who can speak multiple languages including English, French, Arabic, and Russian. Most of the younger generation and some taxi drivers also understand English. Yet not many might be able to communicate in English though.
• ​​​​​​​If you would like to enjoy the rich culture of the city, then check out the Ankara Opera House. It is popular for ballet performances and theatres. The city has a strong emphasis on arts and music.
• ​​​​​​​Kocatepe Camii is a popular destination for tourists. It is the largest Mosque in Ankara. The Mosque was built in an Ottoman architecture style, for this reason, it resembles the Mosques built in the Ottoman era, such as the famous Sultan Ahmet Mosque (also called the Blue Mosque) in Istanbul.
• ​​​​​​​The major public holidays of Ankara are the New Year’s on January 1, Labor Day on May 1, and Republic Day on October 29. So, plan your visit keeping these National holidays in mind.