Bariatric Surgery in Warsaw

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 Warsaw?

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 Warsaw 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 Warsaw

About Warsaw

As the capital and largest city of Poland, Warsaw continues to charm its visitors with diverse architecture, cultural treasures, stunning outdoor spaces, and superb dining spots. With Poland’s recent emerging popularity in medical tourism, the city has seen an influx of foreign patients coming for its world-class healthcare. The city’s very high standard of living and universal healthcare system are seen as an attractive choice for international medical tourists, particularly those from the surrounding countries. Both the public and private medical centers in this city are equipped with the latest medical technology and are offering a wide range of medical procedures at significantly lower prices than other countries in Europe. The most sought-after procedures in the city are cosmetic surgery, orthopedic, bariatric, and dental treatments. 

Popular Parts of Warsaw

Warsaw offers a beautiful blend of old and new. Visitors are welcomed with restored Gothic buildings and modern glass structures standing side by side. One of the most popular attractions is the Palace of Culture & Science, which is a ‘gift of friendship’ from the Soviet Union and is the second tallest building in Poland. As a vast recreation and educational facility, this building is filled with theatres, cinemas, and museums. Most people also come to wander around the streets of the city’s Old Town, the oldest part of the city, to see medieval architecture and visit the Old Town Market Place. Warsaw is also known as the former home of Frédéric François Chopin and visitors are welcome to retrace his steps by strolling around Saxon Garden.

Transport in Warsaw

The main airport is Warsaw Frederic Chopin Airport and it is the largest and busiest airport in Poland that connects with many cities around the world. To get around Warsaw, local buses are available and they’re reasonably priced. Taxis are the most convenient way to get around and are relatively cheap. However, ensure to avoid unlicensed taxi drivers as they will charge more. The safest way to get a taxi is by asking your hotel staff for the number of the taxi company they use. Cycling is also a good way to explore the city.

Visas in Warsaw

Since Poland is a part of the Schengen area, citizens of several countries, including the US, Canada, Australia, and Japan, can stay in Warsaw without a visa for up to 90 days. EU citizens do not need a visa and are allowed to stay indefinitely. Citizens of other countries are required to obtain a visa in advance. A passport valid for at least 6 months is required.

Weather in Warsaw

Summer (June – August) has unpredictable weather with warm temperatures, sometimes reaching 30°C. Autumn (September – November) brings cooler temperatures and more pleasant weather. Winter (December – early March) can be freezing, with the temperatures dropping to -20°C on the coldest days. Spring (late March-May) is characterized by warmer temperatures and less rain.

Additional Info

1. Local Currency: Polish Zloty (PLN) is the official currency and 1 USD converts to approx. 3.8 PLN.
2. Money & Payments: ATMs are widely available in Warsaw. Credit cards can be used in most restaurants and hotels. Tipping is optional.
3. Local Language: Polish is the official language. Most people in tourist areas can speak decent English.
4. Local Culture and Religion: Warsaw is a multi-cultural city. Christianity is the largest religion, but other religions are also present in the city.
5. Public Holidays: Warsaw celebrates major Christian holidays, such as Christmas Day and Easter. There are also some national holidays celebrated in the city, including Constitution Day and Independence Day.