Bariatric Surgery in Philippines

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 Philippines?

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 Philippines 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 Philippines

About the Philippines

The Philippines is an island nation in the heart of Southeast Asia. It extends from the south of China to the northern tip of Borneo. It is also known as the ‘Pearl of the Orient Seas’, the Philippines is an archipelago of 7,107 islands. It comprises three main island groups, Luzon, Visayas, and Mindanao. Manila, the capital city, lies in the southwestern part of Luzon. Quezon City is the largest and most populous city in the country.

It is a prominent English-speaking country and was once a colony of Spain and the United States. It’s the most Westernised country in Asia. However, its culture is a mix of indigenous Malay culture and Spanish and American heritage.

Besides being one of the top tourist destinations, the Philippines is also an emerging medical tourism destination. It ranks in 8th position among popular medical tourism countries and more than 10,000 medical tourists visit the Philippines every year for various treatments. The following factors all contribute to the progress of medical tourism within the Philippines.

• Expert and board-certified medical professionals with international qualifications and training.
• Internationally-accredited hospitals with state-of-the-art medical equipment and modern facilities.
• Affordable costs compared to advanced nations
• Inexpensive accommodation
• The English language is widely-spoken making communication with the Medical team and patients easy.
• Tropical climate helps in the recovery and recuperation

The most common and popular procedures and treatments in the Philippines are cosmetic surgery, weight-loss surgery, dermatology, ophthalmology, and dentistry. As of late, people come here even for liver and kidney transplant surgeries, and cardiac surgeries due to the cost advantage it provides.

For example, a Breast Augmentation surgery that costs between $7,500-$8,500 in the US costs only between $3,000-$3,500 in the Philippines which would be a saving of about 58% to 60%. Also, a coronary artery bypass surgery costing $70,000-$133,000 in the US, will only cost between $11,500-$17,500 and would result in a saving of almost 83% to 86%. Even after adding travel and living expenses, it still makes it a, very good value for the patient to get medical care in the Philippines and several of the more popular Hospital and Clinics are located in Manila, and are St. Luke's Medical Center, Makati Medical Center, The Medical City and Asian Hospital and Medical Center

Popular Parts of the Philippines

The Philippines has a total land area of 116,000 square miles, with a large population of 107,791,044 million people. It has many pristine beaches, mountains, rainforests, islands, heritage towns, and monuments, With hotels, food, and transportation very affordable, it’s also a good budget tourism destination.

The following are some of the most beautiful places to visit in the Philippines:

• El Nido –is known for its white-sand beaches, clear turquoise waters, and coral reefs and is the gateway to the Bacuit archipelago which is a group of islands. The laid-back town of El Nido is a base for island-hopping tours, and kayaking trips to mountainous Cadlao Island, El Nido is situated on the northern edge of mainland Palawan.
• Coron – Is also situated in Palawan and is known for its warm waters, ideal for snorkeling, kayaking, and deep diving. The breathtaking Kayangan Lake, surrounded by karst walls is a visual treat. It is the cleanest lake in the Philippines.
• Tubbataha Reefs Natural Park –is also part of Palawan and is situated to the southeast, in the Sulu Sea. It’s home to countless coral reefs, and expansive breeds of fish, dolphins, sharks, and whales and It is a great water destination for divers.
• Banaue Rice Terraces – They lie within the mountainous region of the Cordilleras. The rice terraces are about 2,000 years old, a result of the labor of the predecessors of the region and They provide efficient space for people to farm on.
• Intramuros – The walled historical area of Manila contains the remains of a bygone era with its cobblestone streets and preserved remnants. Walking tours and carromata rides (two-wheeled box-like vehicles drawn by a single native pony) are popular here.
• Mount Mayon –is a 2,500-meter-tall active volcano. It’s famed for its perfect symmetry and accurate conical shape. You can enjoy the view from some distance or experience it at close quarters, by hiking for a couple of days.
• Hinatuan Enchanted River – Locals believe the river has mystical qualities. They feel fairies and Engkanto (other nature spirits) guard the enchanting blue-green river. The unknown source of clear saltwater is another mystery surrounding the river.

Boracay and Siargao are other popular tourist spots with their powdery white sand and water activities.

Weather and Climate in the Philippines

The Philippines has a tropical maritime climate. The general weather is hot and very humid. It experiences only three seasons:

1. Summer Season – A very hot and dry summer season is between March and May.
2. Wet Season – Rainy Season is between June and November when the southwest monsoon is most active. In this period, typhoons are common, especially during September and October.
3. Dry Season – There is a cool and dry season between December and February, due to the cold winds brought in by the northeastern monsoon.

The average temperature of the Philippines ranges between 25°C and 32°C (78-90°F) with humidity of about 77%. High-altitude areas are much cooler, with night temperatures dropping to 20°C (68°F). The average annual temperature is around 26.6°C (79.9°F)

Getting Around in the Philippines

The Philippines is an island nation, most international travelers reach the country by air. The country has many international airports in various cities including Cebu, Davao, Manila, Kalibo, and Angeles.

Many airlines operate flights in and out of Manila to several destinations. Philippine Airlines, Cebu Pacific, and Air Asia are the national carriers of the Philippines. Singapore Airlines, Cathay Pacific, and many Middle Eastern airlines operate direct flights to Manila. The Southeast Asian cities of Bangkok and Ho Chi Minh City have wide connectivity to Manila and Cebu. You can reach Manila directly from London by flying Philippine Airlines. US travelers can fly via Japan to the Philippines.

Cebu Pacific, Tigerair Philippines, and PAL Express are some low-cost carriers that service domestic destinations in the country.

For transport within the Philippines, you have Jeepneys which are WWII- army jeeps converted into transport jeeps. They are cheap, open, and usually fully loaded with passengers which are normally cramped with 14 to 20 people sitting shoulder to shoulder depending on the length of the vehicle They operate as collective taxis, picking up and dropping passengers within cities.

Tourist Visas in the Philippines

Travelers from more than 150 countries that have diplomatic relations with the Philippines can enter the country without a tourist visa. EU, Australia, Japan, and the US are a few visa-exempt countries. In general, you can stay for up to 30 days, provided your passport is valid for at least six months after your arrival. Showing proof of onward and return journeys is compulsory.

Citizens of India, China, and Egypt are some of the countries that will need to get a visa in advance to enter the Philippines.

Additional Information

• Philippine Peso or Piso (PHP) is the official currency of the Philippines. Its subdivision is 100 centavos or centimos for a Peso. The current exchange rate for one US dollar is 51.99 PHP. You will be able to use US Dollars in Metro Manila and possibly in Cebu City. In other areas, it’s better to have pesos for exchange.
• You will find all major banks and plenty of ATMs everywhere. Master and Visa cards are accepted in most businesses.
• Tagalog or Filipino language is the main spoken language. English is also spoken and understood in the Philippines, due to the US influence during its colonization.
• Roman Catholicism is the major religion of the Philippines. 91% of the population are Christians and about 5.5% comprises of Islam religion.
• New Year’s Day, Araw ng Kagitingan, Independence Day, National Hero’s Day, Bonifacio Day, and Christmas are some of the important holidays in the Philippines.