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Cost of Foregut Surgery in Major cities of Turkey
| City | Minimum Cost (USD) | Minimum Cost (TRY) | Maximum Cost (USD) | Maximum Cost (TRY) |
|---|---|---|---|---|
| Ankara | USD 5500 | 244750 | USD 11000 | 489500 |
| Antalya | USD 5500 | 244750 | USD 11000 | 489500 |
| Bursa | USD 5500 | 244750 | USD 11000 | 489500 |
| Canakkale | USD 4950 | 220275 | USD 9900 | 440550 |
| Elazig | USD 4950 | 220275 | USD 9900 | 440550 |
| Fethiye | USD 4950 | 220275 | USD 9900 | 440550 |
| Istanbul | USD 5500 | 244750 | USD 11000 | 489500 |
| Kocaeli | USD 5500 | 244750 | USD 11000 | 489500 |
| Konya | USD 5500 | 244750 | USD 11000 | 489500 |
| Samsun | USD 5500 | 244750 | USD 11000 | 489500 |
| Sivas | USD 4950 | 220275 | USD 9900 | 440550 |
| Tokat | USD 4950 | 220275 | USD 9900 | 440550 |
| Trabzon | USD 4950 | 220275 | USD 9900 | 440550 |
| Zonguldak | USD 4950 | 220275 | USD 9900 | 440550 |
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Foregut surgery is frequently performed to cure persistent ulcers, lessen symptoms, prevent major health issues, and improve quality of life. It is also performed to treat underlying upper digestive system anatomical or functional problems that do not respond to medicines. The primary goals of surgery are to restore normal swallowing and digesting while reducing recurrence of symptoms. It also helps prevent long-term consequences such bleeding, scarring, narrowing (stricture), and reflux-related damage.
Consult a doctor- if you experience persistent or worsening symptoms related to the digestive system, especially if they relate with your daily life routine. For example- frequent heartburn, difficulty or pain while swallowing and nausea or vomiting etc. Additionally, if you feel like food is caught in your throat, lose your appetite, or experience unexplained weight loss, you should get medical help. If you experience severe chest discomfort, blood in your vomit, black stools, or frequent vomiting, you should see a doctor very far away.Early assessment facilitates accurate diagnosis and prompt treatment to prevent problems.
Proper preparation prior to foregut surgery is critical for a successful procedure and recovery. Patients typically go through a medical evaluation, have their medications reviewed, and given dietary recommendations, including fasting rules, as well as advise to stop drinking and smoking, before surgery. On the day of the procedure, patients should wear comfortable clothing, take only the medications given by the physician with a little sip of water, and take off their contact lenses, jewellery, and nail polish.
The procedure is performed under anaesthesia, after which the surgeon chooses the best surgical technique and corrects the underlying problem; if necessary, reconstruction is performed, and the surgical site is closed.
Foregut surgery typically takes two to four hours for laparoscopic/robotic procedures and three to five hours for open procedures, depending on the type of surgical technique and the intricacy of the case. While the average hospital stay is between two and four days for minimally invasive surgery and five to seven days for open surgery, basic recuperation normally takes one to two weeks. The majority of individuals who have minimally invasive foregut surgery recover more quickly and experience less discomfort and problems.
Some common risk:-
- Pain
- Bloating,nausea and vomiting
- Weakness or fatigue
- Difficulty in swallowing
- Blood clots in the lungs and leg
- Severe infection or sepsis
- Reaction of anaesthesia
It includes long-term relief from acid reflux and heartburn, improved swallowing with reduced chest pain, improved quality of life, better nutrient absorption, and prevention of serious complications.
Recovery after surgery is determined by the type of procedure and surgical method, and in many cases, patients recover well with good care and continuous follow-up. You will be monitored in a recovery area following surgery until the anaesthesia wears off. Medication is used to treat mild pain and discomfort in the throat. It is advised to start with fluids before gradually reintroducing meals as tolerated.
The success rate of surgery depends on the type of the surgery being done andMost elective foregut surgeries (like fundoplication or hernia repair) have a high success rate approximately 85-95% symptom relief.
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Medicana Sivas Hospital
Sivas, Turkey
Medicana Sivas Hospital located in Sivas, Turkey is accredited by ISO, JCI. Also listed below are some of the most prominent infrastructural details:
- 24/7 Emergency Department
- 28.000 m2 Closed Area
- Capacity of 219 beds
- 7 Operating rooms
- 49 intensive care beds
- 15 newborn intensive care beds
- 5 Cardiovascular intensive care beds
- 4 coronary intensive care beds
- 28 observation beds
- It has started to serve with a capacity of 15 beds in the newborn intensive care unit with the investment of physicians and devices it has made, recently
- Hospitality services include- Standard and Suite rooms, fully-equipped with TV, Air conditioning system at room level, hairdresser, dialysis services, cafeteria, Place of worship, etc.
- Car Parking with a capacity of 75 vehicles
- The hospital cafeteria provides both cafe and food service in the hospital
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+99Process Involved for Foregut Surgery in Sivas
Initial evaluation (stage 1)
● Detailed medical history
● Physical examination
● Review of previous medical condition and treatment
Diagnostic work up ( stage 2)
● Upper Gi endoscopy
● Barium swallow study
Medical and lifestyle management (stage 3)
Surgical intervention (stage 4)
- Gastroesophageal Reflux disease
- Hiatal Hernia
- Achalasia Cardia
- Esophageal Motility Disorders
- Peptic Ulcer Disease
- Gastric Outlet Obstruction
- Esophageal strictures
- Foregut Tumors
- Esophageal Injuries
- Gastroparesis
- Fundoplication
- Hiatal hernia repair
- Esophageal surgery
- Gastric surgery
- Bariatric related foregut procedures
- Minimally invasive approaches
- Informed consent
- Pre-surgical documentation
- Licensing requirements
- Legal consideration during surgery
- Post operative legal requirements
- Minors (<18 years): Consent must be given by parents/guardians.
- Emergency surgery: If the patient is unconscious or unstable, surgery can be done in life-threatening situations under the principle of implied consent.
- Confirmed diagnosis of a foregut condition (GERD, hiatal hernia, esophageal cancer, ulcers, etc.) through tests like endoscopy, pH monitoring, or imaging.
- Symptoms not relieved by medications (e.g., proton pump inhibitors for GERD) or lifestyle measures.
- Good overall health to withstand surgery and anesthesia.
- No severe uncontrolled medical conditions like advanced heart disease, kidney failure, or severe lung disease.
- Patient commitment to post-operative care and lifestyle changes.
Mesh implants
● Synthetic mash
● Biological mesh
Esophageal stents
● Self expanding metal stents
● Self expanding plastic stents
● Biodegradable stents
Gastric and intestinal anastomotic devices
Reconstructive and support implant
- Surgical (wrap based)valve : Nissen fundoplication, Toupet fundoplication, Dor fundoplication
- Magnetic valve system : LINX device
- Ring magnetic titanium beads: it opens while swallowing and closes during acid reflux
- Endoscopic valve techniques
- Natural valve
Procedures commonly associated with anti reflux surgery
● Hiatal hernia repair
● Fundoplication
● Mesh reinforcement
● Gastropexy
Procedure associated with esophageal surgery
● Lymph node dissection
● Gastric pull up
● Chest drain placement
- Long term relief from acid reflux and heartburn
- Improvement in swallowing difficulty
- Reduction in chest pain
- Better sleep
- Prevent esophagitis and ulcers
- Relief from vomiting
- Improved ability to eat normally
- Long term relief from symptoms such as acid reflux, heartburn, chest pain, and regurgitation.
- Improved swallowing and easier digestion
- Healing or prevention of complications like ulcers and bleeding
- Better sleep,appetite and daily comfort
- Successful removal of tumors and lowering the risk of recurrence
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