Bariatric Surgery in Tokyo

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 Tokyo?

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 Tokyo 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 Tokyo

About Tokyo

Tokyo is Japan’s capital. It is one of the 47 prefectures of the country. There are over 13.9 million people estimated to live there. The capital is a giant metropolis that offers tourists the chance to indulge in the traditional Japanese culture, eat in one of its delicious restaurants, or learn more about modern life. One of the most popular sights in Tokyo is the cherry blossoms that fill the streets and parks with pink petals in Spring. The soft pink petals are an icon of the country.

Among the 30 million people who traveled to Japan in 2018 are medical tourists. With a vast range of high-quality medical services and facilities, Tokyo has a large contribution to the country’s growing medical tourism. it has numerous public and private hospitals that offer outstanding healthcare. These hospitals are equipped with cutting-edge medical technology and highly qualified doctors. Many doctors and medical professionals speak fluent English.

As Japan was ranked the highest in five-year survival rates of lung cancer and esophagus cancer patients from 2010 to 2014, the most sought-after medical procedure is Tokyo oncology treatments. There are many medical facilities in the area that are JCI-accredited and offers a wide range of treatments including Breast Augmentation procedures.

Popular Areas in Tokyo

Tokyo is sprawling with many extraordinary attractions and sights. It is the perfect mixture of traditional and modern. From temples, shrines, futuristic infrastructure, robot restaurants, booming nightlife, nature to anime, all coexist peacefully here.

To see a beautiful city view, climb up the Tokyo Skytree, Tokyo Metropolitan Government Building, and Tokyo Tower. Visit Tokyo’s oldest temple, Sensoji Temple in Asakusa, and learn more about the history and traditions. The temple is surrounded by numbers of Japanese restaurants that serve authentic dishes including Sushi, Tempura, and Sukiyaki. Tourists can also try a variety of traditional activities like wearing a Kimono dress.

Not far from Asakusa is Ueno, where one of the biggest parks in Tokyo is located. Ueno Park is the perfect place to spend a beautiful day. The park consists of a zoo, museums, historical monument, and green spaces. To try out Tokyo’s futuristic and modern side, come to the first digital art museum in the world, MORI Building DIGITAL ART MUSEUM — teamLab Borderless. Experience a unique interactive art with the latest technology and immerse in multiple digital art exhibitions.

Shopping is also one of the main attractions in Tokyo. Tourists most favorite places to shop are Ginza, Nakamise Shopping Street, as well as Takeshita Street and Omotesando in Harajuku. For anime or Disney fans, attractions such as Ghibli Museum, Fujiko F Fujio Museum, Pokemon Center, Tokyo One Piece Tower, Nakano Broadway, Akihabara, Tokyo Disneyland, and Tokyo Disney Sea are some of the best places to visit.

Weather and Climate in Tokyo

Tokyo is a year-round destination because it has temperate weather with four distinct seasons.

• Summer is hot and humid with an average temperature of 21 to 32 °C. Sometimes it can get as high as 40 °C. this season starts in June and ends in August. June sees a lot of rainfall while August is the start of typhoon season.
• Autumn lasts from September to November. The typhoon season peaks in November. The weather during this season is mild with less humidity. It is pleasantly warm in October, making it one of the best times to travel in Tokyo.
• Winter comes in December and lasts until February. The weather is dry and sunny with an average temperature of around 2 °C to 12 °C. The temperature rarely drops below 0 °C. There is very little snow in Tokyo.
• Spring starts in March to May. The temperature increases gradually during this season, with an average of 13 °C in the afternoon and 5 °C in the morning and evening. The sky is mostly clear during this season and it is also one of the best times to visit Japan because of the cherry blossoms.

Getting Around in Tokyo

Located around 60km east of central Tokyo, Narita International Airport is the main international gateway to Tokyo. The airport serves both domestic and international flights to almost every major city in the world. Budget airlines such as Jetstar Japan, Peach, and Eastar Jet operates flights from this airport.

Rail, bus, taxi, or car rental are available for tourists to reach the city center from Narita Airport. There are several train types to choose from. The Main Line (regular commuter train) in Keisei Line is the most affordable one, it costs around ¥1,190 to ¥1,230 ($10 to $11.3) and it connects with the Toei Asakusa Subway Line and the Yamanote Line. For faster travel, choose the Skyliner train that takes only 36 minutes to Nippori. This train costs around ¥2,470 ($22.7). There is another train known as the Sky Access Express train that offers better access to Tokyo. A trip to Asakusa takes about 58 minutes and costs around ¥1,290 ($11.9).

A taxi might not be the best option since it’s very expensive, it usually costs over ¥20,000 ($184) from Narita Airport to Tokyo. The more affordable option is the shared minibus which cost ¥6,180 ($57) per person. Buses are comfortable, the Limousine Bus costs around ¥2,880 ($26.5) and the Tokyo Shuttle costs around ¥900 ($8) to ¥1,000 ($9).

Tokyo is served by one of the best public transport systems in the world. Trains and subways are the best way to get around the city. It is the cheapest and fastest mode of transportation. Taxis are easily available and can be hailed on the street except in areas like Ginza, where taxis are only allowed to stop in taxi stands. The base fare is ¥430 ($4) for the first 1.5 km and ¥80 ($0.7) for every 237 meters.

Tourist Visas in Tokyo

Japan allows citizens of 68 countries and territories to stay in the country for up to 90 days. Citizens of Indonesia, Brunei, and Thailand are granted a 15-day visa-free trip. The country has a visa for a medical stay that grants long-term stays to medical tourists and approval for visa holders to travel back and forth between their home countries and Japan. Foreign visitors who visit Japan on tourist visas can also receive medical services, except for long-term therapies and surgeries that require more than three months.

Additional Information

1. Local Currency: The official currency is the Japanese Yen (¥). There is around ¥111 per $1.
2. Money & Payments: ATMs are widely available and can be found in post offices or convenient stores (especially 7-Eleven). Credit cards are accepted in some hotels, restaurants, and shops but it is advisable to always bring cash. Tipping is optional.
3. Local Language: Japanese is the official language. Most people speak limited English but many restaurant menus and signs are written in both Japanese and English.
4. Local Culture and Religion: The main religion is Shintoism and Buddhism. There is a small group of Christians in the city.
5. Public Holidays: There are sixteen major public holidays in Japan. The city hosts annual festivals including Fuji Matsuri, Hinode Matsuri, and Tenno Matsuri.