Bariatric Surgery in Vietnam

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 Vietnam?

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 Vietnam 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 Vietnam

About Vietnam

Situated at the extreme east of the Indochina Peninsula, Vietnam is a country that exhibits profound cultural richness and captivating landscapes. It holds the distinction of being the world's 15th most populous country, housing over 94 million residents scattered across its diverse geographical expanse. Despite grappling with issues like poverty and corruption, Vietnam's impressive economic performance cannot be overlooked. Notably, the country boasts a commendable GDP growth rate and is celebrated as one of the fastest-growing economies globally.

This country is well-known around the globe for its breathtaking natural beauty. It's also recognized for its energetic, larger-than-life cities that are always buzzing with activity. Furthermore, its culture is intricate and assorted, attracting millions who appreciate rich customs and traditions. In 2018, this place was a magnet for tourists, drawing in over 15 million visitors who were eager to immerse themselves in its unique way of life.

Broadly celebrated for its splendid scenic landscapes, there's an undeniable charm this country possesses. The vivacious megacities are a thrilling fusion of noise, colors, and life that leaves an impression on all who stroll through them. The cultural mosaic of this land is complex, and varied, presenting evidence of a fascinating history shared through countless generations. The year 2018 saw floods of tourists - well in excess of 15 million - come to explore, each leaving with their own tale of discovery within its borders.

The rapid development of Vietnam has made it into the next medical tourism hub in Southeast Asia. Now, medical tourists consider the country as their potential medical destination. Many new medical centers have sprung up and welcomed thousands of patients to relax and enjoy their treatment. The country offers a wide range of cost-effective medical treatment, well-trained doctors, and professional equipment. The country focuses on promoting medical tourism to neighboring markets such as Laos and Cambodia. 

Popular Parts of Vietnam

• Ho Chi Minh, formerly Saigon, is the most populous city in Vietnam. It is the financial center and home to the largest stock exchange in the country. Tourists coming to the city can enjoy its many tourist spots such as shopping in the Ben Thanh Market, viewing the city from Saigon Skydeck, discovering the city’s history from The War Remnants Museum, or learning the culture of Jade Emperor Pagoda. Other than the attractions, the city is also famous for its traditional food, including pho and pork rolls.
• Hanoi is the capital of Vietnam and the country’s major metropolitan and political center. Tourists will find many well-preserved colonial buildings, museums, and pagodas. As one of the most ancient capitals in the world, most tourists will be delighted to explore the city’s historic Old Quarter, spend a beautiful day in Hoan Kiem Lake, or visit the Temple of Literature.
• Hoi An invites tourists to experience a slow-paced, relaxing lifestyle. The city’s Old Town has successfully preserved Japanese merchant houses and Chinese temples. To get a glimpse of the city, many tourists will opt for a bicycle tour. The city also offers a unique farming and fishing experience for its visitors. Off the coast of the city, tourists will be overjoyed to find a diving paradise with hundreds of different coral and fish.
• Nha Trang is a coastal city on the South Central Coast of the country. Tourists usually come to this city for its stunning white sandy beaches and scuba diving. In addition to the beautiful beaches, Nha Trang Bay is considered to be one of the world’s most beautiful bays. The city is also home to the remnants of the Champa Kingdom, gothic-style Catholic churches, and many Buddhist temples.
• Da Nang is located on the coast of the South China Sea, making it the most important port city of Vietnam. The city continues to evolve each year, with modern hotels and restaurants being developed all around it. It is the tourist capital of South Central Vietnam. Tourists visit the city to enjoy its tranquil beaches with crystal clear waters, beautiful ancient pagodas, interesting French colonial buildings, and green national parks.

Weather and Climate in Vietnam

Vietnam, situated uniquely on the map, experiences differing climates in its varied regions. If you travel south, you'll find a tropical monsoon climate. This climate type typically comes with two main seasons - the wet season and the dry season.

Straying north, however, you'll encounter a different story altogether. Here, the climate is categorized as monsoonal but it's accompanied by four clear-cut seasons - spring, summer, autumn, and winter. So, regardless of the time of year, there's a high chance you'll experience a unique slice of Vietnamese weather, depending entirely on which part of the country you've set foot in.

• The south experiences wet and dry season and the wet season lasts from September to December. There is more rainfall between September and November. The dry season starts in January and ends in August and the average annual temperature is around 26 °C. Some cities such as Da Nang are prone to typhoons during the wet season.
• In the north, spring starts in February characterized by some rain and cold temperature. The end of April is the start of summer, with intense sunshine and sometimes even a heatwave. The average temperature during Summer is 27.5 °C but it can feel a lot hotter. Autumn starts in September and ends in November. Autumn has the best weather, with a lot of sunshine and calm wind. From December to January is Winter and it is generally cold with an average temperature of 17 °C which can drop as low as 7 °C.

Getting Around in Vietnam

There are numerous airports in Vietnam that connect the major cities. However, there are three major international airports where international visitors usually arrive at, Ho Chi Minh, Hanoi, and Da Nang. Most international flights will arrive at Tan Son Nhat International Airport which serves domestic and international flights to and from major cities in Asia, Europe, and Australia. In terms of capacity, the biggest airport in the country is the Noi Bai International Airport in Hanoi.

The airport is a hub for both local and global travel. It houses two terminals within its boundaries. Terminal 1 is tasked with the management of domestic flights, servicing those traveling within the country's borders. On the other hand, Terminal 2 oversees international flight operations, connecting this airport to numerous cities across Asia and Europe. Affordable airlines, including the likes of Jetstar Pacific and VietJet Air, schedule flights departing from and arriving at both Tan Son Nhat and Noi Bai airports - a testament to the airport's reach and convenience to travelers with varying budget needs.

Tourists do have a few travel options to get around Vietnam. The country is served by trains running from Ho Chi Minh City to Hanoi and it stops in many of the popular areas such as Da Nang and Nha Trang. Buses are a great option for tourists to get around the country and the buses are privately operated buses called “open tour” buses. There is also a national bus system, but they are generally not as comfortable as the private buses.

Taxis are available in most cities and can be hailed directly from the streets or via a phone call. The fare usually starts at VND 10,000 to VND 12,000. If you need to be quick, try the motorcycle taxis known as Xe Om. You will need to negotiate the price but they can be found in most parts of the cities. Cyclo (similar to trishaw) is also available for short-distance travel within a city. For easier travel, opt for Grab Motorbike, an online hailing app similar to Uber.

Tourist Visas in Vietnam

• Citizens of 24 countries, including Singapore, Thailand, Russia, and Japan, can enter and stay in Vietnam for up to 90 days without a visa.
• Citizens of 81 countries, including the United States, the European Union, and Canada, can apply for an e-visa. An e-visa is a single-entry visa that allows the holder to stay in Vietnam for up to 30 days.
• Citizens of all other countries need to apply for a visa at a Vietnamese embassy or consulate.

How to apply for an e-visa:

• To apply for an e-visa, you will need to create an account on the Vietnam e-Visa website and complete an online application form. You will also need to upload a digital photo of yourself and a scan of your passport.
• The e-visa fee is USD 25.
• Once your application is approved, you will receive an e-visa by email. The e-visa must be printed out and presented to immigration officials upon arrival in Vietnam.

Additional information:

• All visitors to Vietnam must have a passport valid for at least six months beyond their intended date of departure from Vietnam.
• Visitors who obtain an e-visa must have a valid passport and a digital photo.
• Visitors who apply for a visa at a Vietnamese embassy or consulate may also need to provide additional documentation, such as a proof of onward travel or a letter of invitation.

Additional Information

1. Local Currency: The official currency is the Vietnamese Dong and 1 USD converts to VND 24,455.
2. Money & Payments: ATMs are widely available throughout the country. Credit and debit cards are accepted in many hotels but most restaurants and shops still only accept cash. Tipping is generally not expected but will be appreciated.
3. Local Language: Vietnamese is the local language. English is not widely spoken, but if you are staying in popular tourist areas, there will be people who can speak some English.
4. Local Culture and Religion: Most of the population follows the Vietnamese folk religion. Buddhism, Christianity, Hoahaoism, Islam, and Hinduism are also freely practiced.
5. Public Holidays: The country celebrates major religious and national holidays such as New Year’s Day, Saigon Liberation Day, and Vietnam Traditional Lunar New Year.