Bariatric Surgery in Russian Federation

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 Russian Federation?

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 Russian Federation 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 Russian Federation

The Russian Federation, or Russia, is a transcontinental country that stretches over a vast expanse of Eastern Europe and northern Asia. Once a mighty tsarist empire and a communist superpower, this massive country is enigmatic, intimidating, and fascinating all at the same time. It has everything, from the idyllic countryside and historic cities to scenic beauty and artistic riches. Today, Russia is a famous medical tourism destination. The number of medical tourists seeking high-quality healthcare continues to double each year. These medical tourists mainly come from Asian countries, such as China, South Korea, India, Japan, and Vietnam. They come to receive a wide range of medical care, with IVF treatment, dental services, cosmetic surgery, and cardiovascular surgery being the most sought-after.

Popular Parts of the Russian Federation

Most visitors are drawn to the western part of the country, particularly to Moscow and St. Petersburg. Moscow, the capital of Russia, is popular for its show-stopping architecture, rich history, amazing culture, and great food. Some of the most famous landmarks are the St. Basil’s Cathedral, the Red Square and the Lenin Mausoleum, the Moscow Kremlin, The Tretiakov Gallery, and the Wooden Palace of Tsar Alexei Mikhailovich. St. Petersburg, Russia’s second city and imperial capital, is one of the most gracious cities in Europe. People come to this city to visit the State Hermitage Museum, the Grand Palace, and Catherine Park.

Weather and Climate in the Russian Federation

There are four seasons in Russia. December to February are the winter months, which is cold and snowy, with short days and long nights. The average temperature during this season is around -10°C to 3°C. Spring comes in March, bringing warmer, but rainy weather. Summer, from June to August, is hot and humid, with an average temperature of around 12°C to 26°C. The weather can be quite unpredictable in the summer, and downpours can come unexpectedly. Autumn is from September to October and is warm and pleasant.

Getting around in the Russian Federation

The largest airport in Russia that receive the most international flights is Sheremetyevo Alexander S. Pushkin International Airport in Moscow. It serves both domestic and international flights to many cities around the globe. Since Russia is the world’s largest territory, internal flights are the fastest and most convenient way to get around. Trains have an extensive network, and, with many comfortable overnight services, is considered as the best way to get around. Buses are a great option to travel to the areas not covered by the train. Some really remote destinations may only be reached by private cars or taxis. Taxis are relatively inexpensive and widely available.

Tourist Visas in the Russian Federation

Nationals of 62 nations, including Brazil, South Africa, South Korea, North Macedonia, and Hong Kong, can visit and stay in Russia without a visa for a period of 14 to 90 days. Citizens of other countries not listed in the visa exemption agreement need a visa to enter. Electronic visas are available for citizens of several countries, including all EU countries, China, and India.

Additional Information

1. Local Currency: Russian uses the Russian ruble (RUB) as its official currency. 1 USD is equivalent to 77.16 RUB. 
2. Money & Payments: The easiest way to get rubles is by using ATMs, which is available throughout the country. Major credit and debit cards, including MasterCard and Visa, are accepted in larger hotels and restaurants, but cash is more reliable. Some places may offer to accept euros and dollars, but this is illegal. Tipping is expected, around 10% to 15% of the bill. Always tip in cash and give it directly to the waiter.
3. Local Language: There are over 100 minority languages spoken in Russia, but the official and most widely spoken language is Russian. English is spoken to some degree, especially in major cities.
4. Local Culture and Religion: Most of Russia’s population adheres to Christianity, with the Russian Orthodox Church being the biggest Christian denomination. There are also small groups of Muslims, Buddhists, and Jewish.
5. Public holidays: New Year’s Day, Orthodox Christmas Day, Defender of the Fatherland Day, Victory Day, Russia Day, and Unity Day are some of the most important public holidays in Russia.