Bariatric Surgery in Kiev

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 Kiev?

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 Kiev 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 Kiev

About Kiev

Kiev or Kyiv is the capital of Ukraine and is one of the oldest cities in Eastern Europe. It is an important educational, cultural, industrial, and scientific center. The city is overflowing with beauty, from religious history, astonishing architecture, vintage cafes, to urban art.

Kiev sees an increasing number of medical tourists each year and the city even hosts an annual medical tourism fair called The Healthcare Travel Expo. The fair gives an opportunity for medical services to present and inform health care. Visitors can get comprehensive information about medical tourism around the world, particularly in Kiev.

The city offers a wide range of medical treatments with almost no waiting list. Affordable treatments that cost significantly less than other European countries are a strong factor in Kiev’s medical tourism. The city also offers experienced doctors, caring staff, as well as world-class clinics and hospitals. One of the best medical facilities in Kiev is Dobro Clinic. Breast Augmentation procedures, dentistry, and laser eye surgery are among the most sought after medical procedures.

Popular Areas in Kiev

Kiev is a magical city. The city is plagued with its history and filled with golden dome churches. It is also known to be a good value. Tourists can dine in restaurants and drink at cocktail bars for a fraction of what they would cost in the West. Kiev is fast becoming a thriving tourist destination.

• Kyiv-Pecherska Lavra, located on a hill overlooking the Dnipro River, is a UNESCO World Heritage Site. Its underground caves, spiritual atmosphere, and mummified monks are what make the historical and sacred site famous and intriguing. The monastery’s gold-domed churches will give you a breathtaking view.
• Maidan Nezalezhnosti literally means the Independence Square. It is the most beautiful square in Kiev and the symbol of Ukraine. The square is the country’s meeting point for celebration and is also locals and tourists favorite walking place.
• Saint Sophia's Cathedral is also a UNESCO World Heritage Site, along with Kyevo-Pecherska Lavra. The cathedral was built to celebrate Prince Yaroslav’s victory in protecting Kiev. The phenomenal architecture and interior is a masterpiece. Tourists should climb the bell tower for panoramic views of Kiev.
• Andriyivsky Uzviz is filled with remnants of the past, from museums, art galleries, to theatres. Tourist will find an array of vendors selling souvenir, arts, and crafts. Local calls Andriyivsky Uzviz as “the most charming street.” A stroll in the street is a refreshing break from the city.

Weather and Climate in Kiev

Kiev has a humid continental climate.  

• Summers starts from June and lasts until September with the average temperature ranging between 18 – 25 °C with occasional rain showers. Summers are the busiest time as the tourists can experience the parks and sidewalk café to the fullest.
• Autumn has a mild temperature and characterized by significant rainfall. The season is relatively short, starting from September to October.
• Winters can be harsh and long. The average temperature is around 1.8 to -3.5 °C. Some days the temperature drops to -30 °C.
• Spring begins with the melting of snow and ice, usually around late March. The average temperature will increase to 15 - 20 °C. Spring months usually have strong and gusty winds.

Getting Around in Kiev

Located 29km east of Kiev, Boryspil International Airport is the largest airport in the city. The airport serves domestic flights connects the city with Europe and several cities in Asia. Boryspil International Airport is the hub for Ukraine International Airlines and serves budget airlines including Lauda, Ryanair, and Sky Up airlines.

Airport taxis are available for tourists who want to go to the city center. The taxis use meters and are relatively cheap. Some taxis accept payment by credit cards. Buses are a more affordable option to get to the city center; Sky Bus departs from Terminal D and Terminal B. The bus will take tourists from Boryspil International Airport and should cost around 60 UAH or 100 UAH depending on the destination.

Taxis are easily available in Kiev but metered taxis are very rare. Make sure to agree on the fare before getting in. A long journey in Kiev should cost around 70 UAH. Shortstops start from 15 to 20 UAH. Taxis can be ordered by phone, and the prices are usually fixed. Uber and Uklon are available in Kiev.

Trolleybuses, trams, and buses are a nice way to get around Kiev while providing a better view of everyday Ukrainian life. Single tickets can be purchased from the street kiosk; 30-day combo-passes are also available. The Kiev Metro is the least expensive and most reliable mode of transport. There are three metro lines that go through the city center. Maps in metro stations are written in both Ukrainian and English.

Tourist Visas in Kiev

Citizens of the European Union, Canada, the United States, and several other nations are granted visa-free entry and can stay in Kiev for up to 90 days. Other countries nationals (including China, India, and Thailand) need to apply and obtain a visa before entering the country. Visa-on-arrival arrangements are available for tourists at major airports and seaports. e-Visa is also available for only 52 specified countries. All visitors need to have a passport valid for at least 3 months after the intended date of departure from Ukraine.

Additional Information

1. Local Currency: The official currency of Ukraine is the hryvnia (UAH). 1 USD converts to 28 UAH.
2. Money & Payments: ATMs are widely available across the city. Currency exchange points are very common, but withdrawing money from ATMs is the easiest and safest option. Credit Cards (Visa and MasterCard) are accepted in most restaurants and hotels. It is wise to always carry cash since many shops and restaurants still accept cash only. Tipping in Ukraine is common but not necessary.
3. Local Language: Ukrainian is the official language. English is not widely spoken. However, hotel staff and tourist guides will speak some English. Plenty of street signs use both Cyrillic and the Latin alphabets.
4. Local Culture and Religion: Orthodox Christianity is the largest religion in Kiev. There are small groups of Jews, Buddhist, Pagan, and Hindus.
5. Public Holidays: As in the rest of Ukraine, Kiev also celebrates major Orthodox holy days. The city also celebrates its birthday every May and the celebration is called ‘Days of Kiev.’ Maslyana is also celebrated annually but the date changes each year.