Bariatric Surgery in Lebanon

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 Lebanon?

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 Lebanon 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 Lebanon

Lebanon, a country on the eastern shore of the Mediterranean Sea, is one of the smallest sovereign states. The country boasts a fascinating mixture of the Middle East and the West, Christianity, and Islam, and tradition and modernity. It has everything from golden beaches and World Heritage Sites to energetic nightlife and delicious cuisine. Among other countries in the Middle East, Lebanon appears to be one of the most popular medical tourism destinations. Over 10% of the tourists visiting the country, particularly from neighboring countries, come to receive medical care. Many hospitals and clinics in the country are accredited to the ISO:9000 standard and offer world-class specialist services in spine treatment, orthopedics, organ transplant, and other complex surgeries, as well as advanced cancer treatments. Cosmetic and reconstructive surgery are also popular.

Popular Parts of Lebanon

Beirut, the capital and largest city of Lebanon, is filled with historic landmarks and natural wonders. The most famous attractions in the city are the National Museum of Beirut, the Corniche and Pigeon Rocks, Sursock Museum, and Mohammed Al Amin Mosque. Many people also come to Lebanon to visit the port town of Sidon. Once a rich and thriving Phoenician city, it is dotted with historical monuments and ancient remnants, particularly in its Old City. Other popular cities include Tripoly, Baalbek, Byblos, and Tyre.

Weather and Climate in Lebanon

Lebanon has four seasons: winter (December to March), spring (April to May), summer (June to September), and autumn (October to November). Winter is the rainy season with high precipitation levels and cool temperatures. It is snowy in the mountains, but in some places, such as Beirut, it just rains during this season. Summer is hot, sunny, and dry, and can get very humid in cities located close to the sea. In the summer, the average temperatures are around 28°C to 30°C. Spring and autumn are both warm and pleasant. 

Getting around in Lebanon

The main international airport where visitors fly into and out of Lebanon is Beirut–Rafic Hariri International Airport, which is the only operational commercial airport in the country. It serves international flights to numerous major cities across Europe and the Middle East, including Moscow, Paris, London, and Dubai. Given the small size of the country, there are no internal flights. Intercity buses and minibus are available and have an extensive network, especially in coastal areas. The best way to get around the country is by hiring a car (with a driver) or by using intercity taxis. 

Tourist Visas in Lebanon

All visitors need to obtain a visa to enter and stay in Lebanon unless they come from one of the seven visa-exempt countries (including Kuwait, Bahrain, Qatar, Saudi Arabia, Oman, the United Arab Emirates, and Jordan). Citizens of 81 countries, including all EU countries, Australia, China, Canada, and the United States, are eligible for a visa on arrival for a maximum stay of 30 days. A conditional visa on arrival is available for citizens of 15 countries, including Algeria, Libya, Iraq, and Yemen. 

Additional Information

1. Local Currency: Lebanese Pound (LBP) is the official currency in Lebanon. 1 USD is equivalent to around 1,507 LBP. US dollars and the euro is widely accepted as well.
2. Money & Payments: ATMs are widely available in many places around Beirut and other large cities. Many ATMs dispense both US dollars and Lebanese pounds. Credit cards, particularly Visa and MasterCard, are accepted at most major establishments. Tipping can be expected, usually around 10% to 15% of the bill. 
3. Local Language: Arabic is the official language in Lebanon. English and French are widely spoken as well, and many Lebanese can speak at least two to three languages.
4. Local Culture and Religion: Islam (around 60% of the population) and Christianity (around 34%) are the primary religions in Lebanon. About 5% of Lebanese practice the Druze faith, while other religions are practiced by the remaining 1% of the population.
5. Public holidays: New Year’s Day, Christmas Day, Eid al-Fitr, Eid al-Adha, All Saints’ Day, Resistance and Liberation Day, as well as Independence Day are some of the more important holidays in Lebanon.