Bariatric Surgery & Metabolic Solutions in Istanbul

Bariatric surgery and non-surgical weight-management options are not interchangeable treatments. Meva Clinic coordinates the assessment of international patients for Gastric Sleeve (sleeve gastrectomy), Gastric Bypass, Gastric Balloon and Gastric Botox in Istanbul through specialised partner medical facilities.

Gastric Sleeve or Gastric Bypass?
• Gastric Sleeve: A bariatric procedure that reduces the volume of the stomach without rerouting the intestine. It may be considered depending on BMI, clinical profile, anatomy, reflux history and treatment goals.
• Gastric Bypass: A bariatric and metabolic procedure that creates a small gastric pouch and reroutes part of the small intestine. It may be considered when clinically significant gastroesophageal reflux or certain metabolic conditions influence the choice of procedure.
Assessment framework: No procedure is universally superior. The choice between Gastric Sleeve and Gastric Bypass depends on BMI, obesity-related conditions, gastroesophageal reflux, type 2 diabetes and metabolic health, individual anatomy, medical and surgical history, and multidisciplinary assessment.

Non-Surgical Options:
• Gastric Balloon: A temporary, non-surgical option that does not permanently change the anatomy of the stomach. The pathway differs by device type, and eligibility and monitoring are decided individually.
• Gastric Botox: A non-surgical endoscopic procedure that does not change the anatomy of the stomach. Response varies between patients, and the clinical evidence and durability are more limited than for established bariatric procedures.

Gastroesophageal Reflux and Pre-Operative Tests:
A history of gastroesophageal reflux can influence the choice of procedure. Depending on symptoms, medical history and clinical findings, the treating team may recommend an upper GI endoscopy (EGD) or other pre-operative tests before the treatment plan is confirmed.

Coordination Pathway from Home to Istanbul (5 Steps):
1. Sharing initial information: The patient shares relevant medical history, height, weight, current treatments, previous procedures and any available medical documents.
2. Medical review: The information is passed to the medical team that evaluates the case. Depending on the procedure under consideration and the data available, additional tests or documents may be requested.
3. Written plan and cost quotation: After assessment, the written plan sets out the proposed procedure, the medical provider, the facility where treatment will take place, the confirmed services, any exclusions and the cost set for the assessed case.
4. The Istanbul stage: Appointments and confirmed logistics are organised according to the written plan. Hospital stay and private transfers are included in the confirmed package; hotel accommodation is optional, on request (separate cost).
5. Follow-up once you are back home: Discharge or departure from the medical facility, fitness to fly and follow-up after your return are determined by the procedure, clinical progress and the confirmed plan.

Transparency of the Plan and Medical Quotation:
An initial enquiry is not medical approval and does not automatically set the final price. Once the available information has been reviewed, the patient receives a written plan stating the proposed procedure, the medical provider, the included services, any exclusions and the confirmed cost for the assessed case.