Metabolik Cerrahi is a unique Turkish clinic that provides effective surgical treatment of type 2 diabetes with metabolic surgeries: ileal interposition and transit bipartition.
The Metabolik Cerrahi Clinic in Istanbul is headed by renowned Turkish surgeon Professor Alper Çelik. He has already helped more than 1,400 patients from all over the world to forget about type 2 diabetes with successful surgical treatment. Some of the achievements of Metabolik Cerrahi hospital are:
During the interposition of the ileum, the surgeon replaces the location of the last section of the small intestine with its initial section. The procedure helps to normalize blood glucose levels and rid the patient of excess weight.
This metabolic surgery is also aimed at reducing the secretion of the hormone Ghrelin, which is responsible for feelings of hunger and preventing the expansion of the stomach.
To prevent pathological enlargement of the stomach, its volume is left wide during interposition of the ileum. The reduction of hunger and satisfaction with small portions of food is achieved by normalizing the hormone levels.
Bilateral transit is a surgery combined with sleeve gastric resection. Its main feature is that the distal part of the small intestine is lowered to the bottom, forming a second outlet. This means that after surgery, food passes through all sections of the small intestine. The results of a 5-year follow-up of Metabolik Cerrahi patients after bilobar transit showed that:
The conservative way of treating diabetes involves high hospital costs, long-term, combined medications, and no guarantees of recovery.
Metabolic surgeries help type 2 diabetes patients by:
Surgical treatment of diabetes is performed laparoscopically. This type of surgery is considered the safest because it excludes incisions and involves only 3 punctures with a Veress needle or a thin tube, 5-10 mm in diameter. Thus, laparoscopy provides low trauma, minimal blood loss, minimizing the likelihood of postoperative complications and a quick rehabilitation period.
Metabolic surgeries at Metabolik Cerrahi are performed by Professor Alper Çelik, who is constantly improving his technique and has achieved a 98% success rate to date.
On the first day after surgery, the patient is in the intensive care unit. The next day he is transferred to a normal ward. From then on, the patient may sit and walk. Nutrition in the first 3-4 days is liquid. Then gradually coarse dietary food is introduced. A dietitian at Cerrahi Hospital will draw up a nutrition program for each patient.
The patient is discharged on the 4th or 5th day. Depending on the blood sugar level, the person may need diabetes medications. They must be taken until the blood sugar level reaches normal levels. Check-ups and diagnostics of the person’s condition after surgery are performed after 3, 5, and 12 months. Additional surgeries may be prescribed if necessary.
| Metabolic Surgery |
| Specialist Consultation |
| Complex Diagnostics |
| Minimally Invasive Surgery |
| Fast Rehabilitation |
Cerrahi Hospital uses 2 main metabolic surgery techniques to treat diabetes: DS (Duodenal Switch) and BPD (Biliopancreatic Diversion) surgeries. The former is a transposition of the ileum, and the latter is a transient biliopancreatic division surgery.
Transposition of the ileum is a surgical technique that has proven to be safe and produces good results even in patients with type 2 diabetes with low body mass index (BMI) values.
Both techniques use a gastric tube, which allows:
| Gastric bypass surgery |
| Consultation with Surgeon and Anesthesiologist |
| Diagnostics and preparation |
| Bypass surgery |
| Fast recovery |
| Doctor's recommendations for recovery |
Diabetes surgeries are performed under general anaesthesia. They last about 2 to 3 hours. The intestine is accessed through 5 small openings in the abdominal cavity. During the intervention, part of the stomach and intestines are removed. The small intestine is brought close to the exit hole of the stomach. 2/3 of the food entering the stomach takes this new route.
Other variations of bariatric interventions are also used to control diabetes: gastric bypass or gastric banding. Bypass surgery aims to regulate sugar using a special shunt that divides the stomach into two parts. A small intestine is attached to the smaller part of the stomach. This makes it possible to achieve satiety with minimal amounts of food.
Gastric banding involves placing a bandage on the stomach with adjustable stenosis. This method helps reduce sugar levels by allowing patients to eat less food because the bandage prevents them from eating too much.
The cost of medical services depends on the methods used to diagnose and treat the patient. The therapy program is developed for each patient individually. The cost of diabetes surgery at the Cerrahi Clinic is 30-40% lower than in similar medical institutions in Europe.
The initial cost of treatment for metabolic surgery in diabetes is $4,500.
