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Vertical Sleeve Gastrectomy

All Inclusive Package - Price 5490

Why you should choose us for your surgery

Deciding on Weight Loss Surgery as the way to deal with your obesity problem is something you only come to when you have tried all the conventional ways to lose weight and they have not been successful for you. You may have been able to lose weight through diet, but haven’t been able to sustain the weight loss. Opting to have surgery is a major decision, and one which requires a lot of thought. You need to be sure surgery is the right choice for you, and that you are ready for the changes it will bring. We believe it is essential that before you make your decision you understand as much as possible about the surgery, how it works and what we do to enable you to have safe surgery and successful weight loss afterwards. No surgery is a magic wand – it doesn’t do all the work for you, but it is a marvellous tool to enable you to lose weight and sustain the weight loss easily -you will have to work with it to get the best results. We will help you to do this.

If you arrange your surgery through us with Dr Cierny in Brno you will have more detailed pre-operative tests and a longer stay in the clinic than you are likely to have in the UK or elsewhere. We believe this is essential to ensure your surgery is safe and your recovery is properly monitored. Don’t worry! You are not left to fend for yourself in unfamiliar surroundings. We will be in Brno with you during your stay and we will be there for you to look after you and help you through all the various steps you have to take, before and after your surgery, and we will give you all the support you need when you return home.

  • We make sure you are FULLY  INFORMED to enable you to make the right decision and choose the surgery that is right for you.
  • We make sure you are FULLY PREPARED for your visit for surgery
  • We ACCOMPANY YOU on your trip to Brno for your surgery, and we are there in the clinic with you to help you
  • You have FULL MEDICAL TESTS  the day before your surgery (not just blood tests and an ECG) to make sure your surgery will be as safe as possible
  • You stay in the clinic THREE DAYS AFTER SURGERY so the team can monitor you and make sure you are safe and fully recovered to go home
  • We SUPPORT AND MONITOR YOU for a whole year to make sure your weight loss after surgery goes according to plan – and you can contact us at ANY TIME for help and advice.
  • The standard of medical care and support you will receive from Dr Cierny’s clinic and from us is on a par with the VERY BEST – ANYWHERE IN EUROPE AND THE U.S.

What’s included in the package?

  • FREE DIRECT RETURN FLIGHTS LONDON STANSTEAD – BRNO BY RYANAIR
  • ALL TRANSFERS AIRPORT- HOTEL – CLINIC
  • ONE NIGHT’S STAY IN A LUXURY HOTEL ON YOUR ARRIVAL
  • OUR PERSONAL ATTENTION - We will be there in Brno with you at the hotel and we accompany you to the clinic for your procedure. We will visit you regularly afterwards too – making sure everything goes well for you
  • All pre-operative tests and investigations (*1 see below )
  • Pre-operative consultations with Dr Cierny and his team
  • The Vertical Sleeve Gastrectomy procedure
  • All medicines and dressing whilst at the hospital and during your stay.
  • All post-operative check-ups and examinations during your stay
  • Four nights’ stay at the clinic in your semi private (sharing with one other patient from the UK)  room
  • Full Cosmetic Bliss after care support throughout the first year after the procedure, dietary and nutrition advice and weight monitoring

What extra costs are there?

We can offer an initial consultation where our surgeon can look at your medical history and photos and let you know if surgery is suitable and which procedure would give the best results. Please click the button below and complete the online form for your initial consultation.

What is a Sleeve Gastrectomy, and how does it work? PLEASE READ - IMPORTANT!

The sleeve is a more complicated and longer surgical procedure than the adjustable gastric band. We recommend it as a solution in the following cases:

  • For patients who may be considering the gastric bypass, it is a shorter and less drastic form of surgery - less complex with fewer chances of complications, without the need for regular post-op blood tests and the frequent checks for malnutrition/vitamin & mineral deficiencies which often result from the malabsorption element of bypass. The weight loss achieved is comparable.
  • For patients considering a gastric band, but who are willing to accept the non-adjustable nature of the sleeve it has the added benefit of greatly reducing Ghrelin production (the hormone which signals hunger to the brain). Patients with a “higher” BMI may be more suited to a sleeve than a band - weight loss from the sleeve is usually greater and faster than from the band. There are some medical conditions which would prevent a patient having the sleeve, but not prevent a band being fitted.

The Vertical Sleeve Gastrectomy procedure is performed regularly by less than 50 specialist surgeons worldwide. The earliest forms of this procedure were conceived of by Dr. Jamieson in Australia (Long Vertical Gastroplasty, 1993) - and by Dr. Johnston in England in 1996 (Magenstrasse and Mill Operation).  Dr Gagner in New York refined the operation to include gastrectomy (removal of stomach) and offered it to high risk patients in 2001. 

Several surgeons worldwide have adopted the procedure, including Dr.Cierny in Brno, and have offered it to low BMI and low risk patients as an alternative to laparoscopic banding of the stomach.

At first it was offered to very high BMI patients as the first stage in a two stage procedure, the second stage being Gastric Bypass. The Sleeve Gastrectomy was seen as a much less risky procedure, enabling these patients to lose sufficient weight to enable them to have a safe Bypass at a later date.

Because of the successful results obtained from the Sleeve Gastrectomy alone on these patients, it was decided to offer the procedure as a “stand alone” operation, and to recommend it as a very effective alternative to laparoscopic banding of the stomach to patients who qualify for Bariatric Surgery.

Please check your B.M.I. on our calculator.

The sleeve gastrectomy is an operation to limit how much food you can eat by significantly reducing the size of your stomach (by 75% or more). The left side of your stomach is surgically removed, resulting in a new stomach which is roughly the size and shape of a banana. It is carried out laparoscopically, under a general anaesthetic, like the band, with 5 or 6 very small incisions, and is therefore much less traumatic than open surgery, with a shorter healing time and less risk. Since this operation does not involve any "rerouting" or reconnecting of the intestines, it is a simpler operation than the Gastric Bypass or the Duodenal Switch, and you’ll suffer none of the side effects experienced by bypass patients because your digestion is unaltered.

Although your stomach will be much smaller, its function remains the same and you will still be able to absorb all the vital nutrients you need without having to take supplements by injection. You will note that there is no intestinal bypass with this procedure, only stomach reduction.  The lack of an intestinal bypass avoids potentially costly long term complications such as marginal ulcers, vitamin deficiencies and intestinal obstructions. 

The portion of your stomach which is removed is responsible for secreting Ghrelin, which is a hormone that is responsible for appetite and hunger. By removing this portion of your stomach rather than leaving it in place, the level of Ghrelin is reduced to almost zero, resulting in a significant reduction or loss of appetite.  An excellent study by Dr. Himpens in Belgium demonstrated that the food cravings in Vertical Sleeve Gastrectomy patients 3 years after surgery are much less than in Lap Band patients and this probably accounts for the comparatively greater weight loss.

The removed section of the stomach is actually the portion that “stretches” the most.  The long vertical tube shaped stomach that remains is the portion least likely to expand over time and it creates significant resistance to volumes of food.  Not only is your appetite reduced, but very small amounts of food will give you early and lasting feelings of fullness!

Most patients lose more than 50% of their excess weight within the first 12 months after a sleeve gastrectomy.

The sleeve gastrectomy has a number of advantages over other bariatric procedures, and it may be a better solution for you than the Adjustable Gastric Band. Unlike the band, a sleeve gastrectomy does not require the implantation of an artificial device inside your abdomen, or frequent adjustment (filling and emptying saline solution by injection through a port under your skin)  Dr Himpens and his colleagues in Brussels have published 3 year results comparing 40 Lap-Band patients to 40 Laparoscopic Vertical Sleeve Gastrectomy patients.  The Vertical Sleeve Gastrectomy patients had a superior excess weight loss of 57% compared to 41% for the Lap Band group.

Am I a suitable candidate for the Sleeve?

We believe you would be most likely to benefit from the sleeve if:

  • You have a BMI of 40 and above (or 35 with co morbidities i.e. other serious health problems associated with your weight* -see explanation below)
  • You are at least 18 years old, and under 60.
  • You have been overweight for more than 5 years.
  • Your serious weight-loss attempts have had only short-term success.
  • You are not suffering from any other diseases that may have caused your obesity.
  • You do not suffer from Hiatus Hernia, or other gastric problems which may prevent a Sleeve Gastrectomy from being offered (in which case a Band may possibly be the solution instead)
  • You are prepared to make substantial changes in your eating habits and lifestyle.
  • You are reluctant to have a device implanted in your abdomen, and are prepared to consider a “once and for all” solution to your weight problem.
  • You are prepared to stay in touch with us and with Dr Cierny in the months after your procedure to provide feedback and report on your state of health and general well being, and to give us regular weight loss records. This is a very important part of your post-operative care.

Illustration of  Vertical Sleeve Gastrectomy

How should I prepare for surgery?

Deciding to have surgery is not a spur of the moment decision, you do not take it lightly, and you should prepare carefully for surgery. We take the preparation for surgery very seriously, too. When we send you a quotation we will explain everything you need to do to prepare for your procedure and to play your part in trying to ensure you have safe and successful surgery.

No surgery performed under a General Anaesthetic is without risk, and it is vitally important that you do your best to ensure you come for your surgery in as good a medical condition as possible, to help reduce those risks. These preparations will help in making sure the pre-operative tests at the clinic all go smoothly for you. Generally, we expect you to:

  • Strictly follow the pre-operative diet we send you, and follow any individual instructions we send
  • Make sure your weight is recorded accurately
  • Make sure you follow our instructions on taking “Milk Thistle” when preparing for your operation
  • Avoid alcohol and quit smoking in the run up to your surgery – alcohol affects some liver enzyme levels which can prevent surgery and smoking can cause respiratory problems during and after surgery.
  • Get your GP to give you a health check before surgery. We will suggest which tests should be carried out.

What pre operative tests will I have?

* 1 On the day of your admission to the hospital the following preoperative exams are on the schedule:

  • laboratory test of your blood and urine
  • abdominal ultrasound examination (sonography),
  • lung and heart X-ray (RTG),
  • electrocardiography (ECG) possibly with ergometry
  • spirometry possibly with complete pulmonary examination
  • endoscopic examination of the stomach (gastroscopy)
  • evaluation of your general health status by the internal medicine specialist and by the anaesthesiologist.
  • final preoperative consultation by the psychologist and the bariatric surgeon

What risks are involved in Bariatric Surgery?

All forms of surgery performed under a general anaesthetic carry a degree of risk, but in evaluating you for suitability for Bariatric surgery it is part of the job of Dr Cierny and his team to assess the risk and take all steps necessary to ensure your surgery can be safely performed. When looking at candidates for obesity surgery Dr Cierny, the anaesthetist and other physicians will assess the risks and perform surgery if they consider the risks to a patient's health in remaining obese are far greater than the risks involved in the surgery. Because the Sleeve Gastrectomy is a longer and more complicated surgical procedure than the Gastric Band, and because there are medical reasons why sometimes a Sleeve Gastrectomy cannot be preformed, whereas a Band can be fitted, you will be asked before surgery if you are willing to accept a band if it is not possible to perform the sleeve operation. Should this happen, and a band surgery is performed, we will return to you any difference in price between the two forms of surgery.

Even though surgery is performed with great skill and care there is a small possibility of a complication during the operation or postoperatively. These complications are rare, and part of the reason Dr Cierny insists on your staying in the clinic for three days after your surgery is to be able to monitor you closely and ensure your complete recovery.

The risks involved in surgery for some patients are greater than for others. Statistically "higher risk" patients fall into one or more of the following categories:

  • Age over 50 - As with most operative procedures, people older than 50 are known to be at higher risk during surgery
  • BMI over 50 - those patients whose Body Mass Index is over 50 tend to be more at risk of peri-operative and post-operative complications
  • Male Patients - Men are more likely than women to suffer from certain conditions that can increase surgical risk. These include diabetes, hypertension and metabolic syndrome (also known as syndrome X or insulin resistance syndrome), a condition characterized by a group of risk factors including hypertension, high triglyceride levels, low HDL levels and high blood sugar levels after fasting.
  • High Blood Pressure (Hypertension) People with high blood pressure (hypertension) often suffer from heart disease and/or chronic blood vessel inflammation, both of which increase the odds of serious surgery-related complications.
  • History of Pulmonary embolism (blood clots in the lungs) People who have previously had a blood clot in their lungs (pulmonary embolism) or legs, or who are genetically at risk for developing blood clots are at elevated surgical risk. All patients, regardless of their risk for clotting, are prescribed blood-thinning medications during the course of their stay in the clinic.

If you fall into one of the higher risk groups Dr Cierny may well ask for additional medical reports/tests to be made available to him prior to making his decision on your approval for surgery.

Whilst we recommend all patients to take up the Surgery Protection Insurance scheme - Click here - we strongly recommend this for all higher risk patients, and for patients opting for Sleeve Gastrectomy as their first choice.

Further information on any complications and risks associated with Bariatric surgery can be found in the FAQ’s section of the website.

 

* Co-morbidities are medical conditions that exist in addition to obesity and are often a result of being overweight.  Co-morbidities are a factor in determining a patient's eligibility for bariatric surgery. 
Co-morbidities include:-  Type II diabetes mellitus;  Obstructive sleep apnoea;  Hypertension;  Venous stasis disease;  Significant impairment in activities of daily living;  Stress urinary incontinence;  Gastroesophageal reflux disease;  Fertility problems;  Obesity-related psychosocial stress; Sexual dysfunction;  Degenerative joint disease;  Chronic back pain Osteoarthritis; Gallbladder disease;  Asthma; Congestive heart failure;  Anaemia;  Menstrual irregularity;  Carcinoma (breast, colon, uterine cancer).

Will the surgery be successful?

Weight loss Surgery is the only statistically proven effective treatment for Morbid Obesity. We believe that the less invasive, more straightforward surgical treatments such as Sleeve Gastrectomy and Gastric Banding can achieve results that can transform and prolong the lives of our patients. As we state above, NO surgery in itself will work as a magic wand – you still have to put the effort in and work with it, accept the limitations it makes to your eating habits, and maintain a healthy diet, exercise and eating regime after your operation: having said that, surgery gives you a wonderful tool to allow you to lose weight quickly, effectively and permanently with only a little self discipline and effort. It will transform your life.

You can click here to read what some of our patients think, but as a picture is worth a thousand words, here are some photographs of two of our patients. The first was taken before her surgery, and the second around 6 months post (sleeve) op. The third (set) charts the weight loss of one patient over 12 months

Photo 1 Mrs C pre-op : Photo 2 Mrs C 6 months post-op

Photo 1 Mrs C pre-op : Photo 2 Mrs C 6 months post-op Photo 3 Mr M charting weight loss over 12 months.

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Customer Comments

After the operation I cannot stress how high class the treatment was. It can only be described as PERFECT.

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