Bariatric Surgery in Seoul

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 Seoul?

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 Seoul 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 Seoul

About Seoul

Seoul is the capital city of South Korea and is one of the most affluent cities in Asia with high per capita income. Seoul is a city of differences as you can find anything from ancient monuments and palaces to modern skyscrapers. Every year the city attracts over 10 million tourists from different parts of the world. While some visit Seoul to enjoy its rich culture, others come to experience the fascinating metropolitan vibe, large numbers of medical tourists visit this busy city to undergo various medical procedures for cheaper prices and to enjoy the Korean hospitality. As per reports from the South Korean Ministry of Health & Welfare, the number of medical tourists in 2016 increased to 364,000, which is 23% more than in 2015. Some of the more popular procedures sought-after in Seoul are gynecology related treatments, stem cell therapy, treatments in neurology & endocrinology, laser treatments, transplants, and cardiology.

According to the Ministry of Health and Welfare, most medical tourists are from China, Uzbekistan, UAE, Japan, and Canada. Seoul is dynamically emerging as one of the most preferred destinations for medical tourism. The city proudly houses one JCI accredited hospital. The other top-rated medical hospitals include the Severance Hospital, Asan Medical Center, Seoul National University Hospital, MizMedi Women's Hospital. The world-class hospitals comprise of VIP rooms, exceptional medical facilities, and highly-reputed physicians. Doctors are fluent in English, Korean, Japanese, and French.

Popular Areas in Seoul

The beautiful River Han flows through the heart of the city. It divides Seoul into North and South and you will find most of the ancient palaces and historical sites in the North. The Southside is quite modern and trendy with neighborhoods like Gangnam which is also the business hub of the city. It is also the residential part of the city with many apartments, and shopping malls.

• River Han: Is the favorite location for both locals and tourists. Here, you can enjoy indulging in exciting water activities such as windsurfing, water skiing, fishing, sailing, and swimming. The banks of the river are the perfect place to lounge and see the lights of the city at night.
• Banpo Bridge: Connects the districts Seocho and Yongsan and It was the first double-deck bridge built in South Korea and is covered with 10000 lights and the  Rainbow Fountain's colored water rains down the side of the bridge.
• Gangnam: It is the most trendy neighborhood and is home to Asia's largest shopping mall, COEX, and several high-end restaurants.
• Hongdae: Four Korean Universities lie close to the neighborhood. Hongdae houses a number of theme-based restaurants and an array of boutiques that cater to the needs of college-goers. Several music venues and glitzy nightclubs make it a perfect place to enjoy the vibrant nightlife.
• Myeongdong: Is the best and the largest shopping destination in Korea. It is a shopping mega where you can find clothes, cosmetics, stylish handbags, shoes and accessories, and Jewelry at affordable prices.

Weather and Climate in Seoul

As Seoul lies close to the coast of the Yellow Sea, the climate is continental. Summer and Winter are the two distinct seasons in Seoul. Summer is sultry, hot, and rainy, whereas winter is cold and sunny. The transitional periods are the spring and autumn, which are mild and pleasant.

1. Winter: November to February. The average temperature is around 0°C during winter. The cold air blows in from Asia and during the night time, the temperature can drop to -20°C but it rarely snows during winter.
2. Spring: March to May. Spring is mild and it rains occasionally.
3. Summer: June to August. Seoul receives about 80 mm of rainfall during the summer season. July is the wettest month of the year. The temperature can rise to 35°C during the hot summer days.
4. Autumn: September-October. Autumn is pleasant and rainfall gradually decreases during these months.

Getting around in Seoul

Incheon International Airport lies 48 km west of Seoul. It is the largest in the country and one of the busiest airports in the world. The airport is luxurious with an ice-skating rink, casinos, and spas. The airport operates several domestic and international flights to varied parts of the world.

Seoul has one of the finest public transportation systems in the world.

• Seoul Metropolitan subway: It is the fastest and cheapest mode of transportation. There is a total of 22 lines in operation and it costs 0.44$ for a single journey. You can buy tickets at the vending machines found in all subway stations.
• Seoul public buses: There are four different types of buses running in Seoul, each one covering different routes. The cost varies from 0.92$ to $1.63, depending on the bus type and the distance traveled.
• Taxis: Are expensive and are ideal for a large group of people. Regular, deluxe, jumbo, and International taxis are available. The major differences being the size and fare.

Tourist visa in Seoul

South Korea exempts the citizens of 117 countries from obtaining a valid tourist visa to enter the country. Australia, Chile, Greece, Germany, Hungary, Italy, Mexico, Russia, Switzerland, UK, US are some of the visa-exempted countries. They can stay visa-free for a maximum of 90 days.

Citizens of countries like India, China needs to apply for a tourist visa with all the required documents. The visa fee comes to around $30.

Additional Information

1. The official currency of South Korea is the Korean Republican Won (KRW). One US dollar is approximately equivalent to 1149 KRW.
2. You can find ATMs across the City. Some accept foreign cards and dispense cash. You can exchange your currencies to KRW in banks and money exchange booths.
3. Hangul is the national and official language of South Korea. Koreans who are under the age of 40 years understand and speak English better than the rest of the locals.
4. Most people in Korea are not affiliated with any religion. The same holds true in Seoul. Though, a small number of people practice Confucianism and Buddhism.
5. Some of the public holidays in Seoul include New Year's Eve, Korean New Year, Buddha's birthday, Constitution day, Harvest festival, Hangeul day and Christmas.