Bariatric Surgery in Iran

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 Iran?

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 Iran 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 Iran

Introduction

Iran is a country situated in Western Asia, as well as the second-largest in the Middle East. It is home to one of the oldest civilizations in the world, starting from the fourth millennium BC when the Elamite Kingdoms were formed. Iran is widely known as the jewel in Islam’s crown, filled with awe-inspiring architecture and friendly people. The country is also a popular medical tourism destination due to its efficient healthcare system and experienced specialists. The medical centers in the country keep pace with the latest medical developments and provide top-class services. International medical tourists usually come to Iran for cosmetic procedures, which are currently witnessing a vast growth. Cosmetic procedures in the country, such as rhinoplasty and hair transplant, are performed with advanced scientific techniques and are highly successful. Furthermore, the healthcare cost in the country is a lot more affordable than in many other Western countries.

Popular Cities and Regions in Iran

The capital of Iran, Tehran, is the most populous city in the country. Situated at the foot of the snow-capped Alborz mountain range, the city is filled with museums, restaurants, parks, and friendly people. The most popular landmark in this city is the Azadi Tower, which is the symbol of the city. Besides this tower, visitors can also go to the Tehran City Theater to see its amazing architecture, explore the Treasury of the National Jewels to admire the largest collection of jewels found in the world and visit the Golestan Palace, which is the oldest historic monument in Tehran. Besides Tehran, Tabriz is another popular city and it is a modern industrialized city with a very rich history and historical monuments, such as the Blue Mosque and El Goli.

Transport in Iran

The main international airport is the new Imam Khomeini International Airport in Tehran. It serves international flights to and from numerous cities around the world, including Dubai, Ankara, London, Bangkok, and Beijing. Budget airlines are operating from this airport, such as Pegasus Airlines and Air Asia. To get around Iran, domestic flights are affordable and fast. Buses and trains are also widely available with extensive networks. Taxis are best for inter-city travel.

Visas in Iran

Iran allows citizens of 16 countries to visit without a visa for up to 90 days, including Armenia, China, and Malaysia. Most citizens of other countries can obtain a visa on arrival. However, visa on arrival does not apply to citizens of 14 other countries, such as the US and the UK.

Weather in Iran

Iran experiences four seasons. Spring (March-May) and autumn (September –October) are pleasant with mild temperatures. Summer (June to August) can be scorching hot, with the temperatures soaring to 37°C. The winter can get bitterly cold as the temperatures drop to 0°C.

Additional Info

1. Local Currency: The official currency is the Iranian rial (IR). 1 USD is approx. 41,921 IR.
2. Money & Payments: You cannot use ATMs, credit or debit cards, or traveler's cheques in Iran. Therefore, bring all you’ll need in cash.
3. Local Language: Persian is the official language in Iran. However, the country has several main languages, including Azerbaijani and Kurdish. Not many people speak English in the country. 
4. Local Culture and Religion: About 99% of Iran’s population is Muslims, with the Shia branch of Islam as the biggest. The two largest non-Muslim religious minorities are Christianity and Bahá'í Faith. 
5. Public holidays:  Islamic Revolution Day, Nature Day, Eid e-Fitr, and Eid-e-Qorban are some of the most important public holidays in Iran.