Bariatric Surgery in Tel Aviv

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 Tel Aviv?

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 Tel Aviv 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 Tel Aviv

About Tel Aviv

Tel Aviv-Yafo commonly referred to as just Tel Aviv, is the economic and technological center of Israel. Located on the Israeli Mediterranean coastline, the city is popular for its glimmering beaches, creative culture, non-stop nightlife, and architectural heritage. As Israel is becoming a popular medical tourism hub, thousands of medical tourists who seek medical treatments in this country choose Tel Aviv as their destination. The city’s medical system, as well as its doctors and medical professionals, are world-renowned. It boasts some of the finest medical centers, staffed with highly trained doctors and nurses. International tourists looking for world-class, innovative medical treatments can get any procedure they need for a fraction of the cost they would have to pay in their home countries.

Popular Parts of Tel Aviv

There’s no shortage of activities in Tel Aviv. With at least 300 days of sun per year, this hip and bustling city offer shimmering beaches for any sun-chaser. Gordon Beach is one of the most popular in the city. It boasts clear blue waters, volleyball courts, and a boardwalk full of restaurants serving fresh fish and Israeli cuisine. Besides the beaches, visitors usually go to the Tel Aviv Museum of Art. This impressive gallery is set inside the modern ‘envelope’ building by American architect Preston Scott Cohen. The museum provides a lot of activities and collections to see, but the highlight is the collection of Impressionist and post-Impressionist art, which features works by Pissarro, Renoir, Monet, Picasso, Van Gogh, and many more. Visitors who want to relax can visit Park HaYarkon, which is the city’s largest green space.

Transport in Tel Aviv

International tourists will arrive at Ben Gurion Airport, which is located 20 kilometers southeast of Tel Aviv. It serves flights to and from many cities around the world, including Seoul, Amsterdam, New York, and Beijing. The city’s relatively new overground railway system is the most affordable and easiest way to get around. Buses are available, but the routes can be a bit confusing. Taxis are widely available around the city and they are easy, albeit expensive, way to get around. 

Visas in Tel Aviv

Holders of passports issued by 99 countries, including all EU countries, Canada, Russia, and the US can enter and stay in the country for up to 3 months without a visa. Most other nationals are required to obtain a visa prior to arrival and are recommended to contact their nearest embassy of Israel as some countries need a confirmation from the Israeli government before a tourist visa is issued.

Weather in Tel Aviv

Tel Aviv experience a typical Mediterranean climate. The winters are rainy and the summers are hot. The temperatures in the summer (June to August) can rise to 31°C - 34°C and the humidity can reach over 80%. Spring and fall have pleasant weather since the temperatures are not too high or low. 

Additional Info

1. Local Currency: New Israeli Shekel (ILS) is the official currency. 1 USD will get you approx. 3.5 ILS.
2. Money & Payments: It’s easy to find ATMs around the city. Credit cards are widely accepted. Tipping is common, but typically not expected.
3. Local Language: Hebrew is the official language, while Arabic has a special status as a semi-official language. Most people can speak English fairly well.
4. Local Culture and Religion: Most of the population adheres to Judaism. Islam is the largest minority religion in the city, followed by Christianity.
5. Public Holidays: The city celebrates several public holidays, such as Independence Day, Hanukkah, and Jerusalem Day.