Metabolic Surgery Clinic

Clinic Overview

Type 2 diabetes is a chronic metabolic disease that progresses due to insulin resistance and reduced pancreatic β-cell reserve. In patients who cannot be controlled by diet-exercise, medication and insulin therapies”metabolic surgery” approach provides permanent blood sugar regulation and long-term cardiovascular risk reduction.

Our clinic, laparoscopic and robotic technologies, 3‑D imaging, anesthesia-intensive care infrastructure and multidisciplinary team (bariatric surgeon, endocrinologist, dietitian, psychiatrist, cardiologist, physiotherapist). Each case is discussed at the weekly meeting of the “metabolic council”, a patient-specific treatment plan is created.

Surgical Options

Remission: Studies after TB and II show complete or partial remission of diabetes in 60-80% of patients in the first 3 years; HbA1c decreases to < 6.5%. *

*Remission persistence is directly related to the patient's β-cell reserve, dietary adherence, and physical activity level.

Indication Criteria

• BMI ≥ 30 kg/m² and uncontrolled HbA1c with diabetes medication/insulin > 7.5%
  
  
• BMI 25—30 kg/m² + complication due to diabetes (nephropathy, retinopathy, hypertension, etc.)
  
  
• 18—65 years, showing pancreatic reserve C-peptide > 1 ng/mL
  
  
• Pancreatitis, active ulcer, severe psychiatric disorder, advanced cardiopulmonary insufficiency are excluded.
  
  

Pre-Operative Assessment

1. Endocrinology Consultation — HbA1c, insulin/C-peptide, OGTT, lipid profile.
   
   
2. Cardiology & Anesthesia — ECO, exertion test, respiratory function test.
   
   
3. Dietitian Interview — Pre‑op low carbohydrate VLCD (very low calorie diet).
   
   
4. Psychological Assessment — Eating disorder, depression, motivation analysis.
   
   
5. Medication Optimization — SGLT‑2/GLP‑1 withdrawal, anticoagulant planning.
   
   

Postoperative Process

Drug Cessation Schedule: On average, the need for insulin/multiple OAD (oral antidiabetic) may disappear within 1—3 months.
Complication Monitoring: DVT prophylaxis, early leakage test (methylene blue/CT), dumping syndrome training.

Treatment Packages (Sample Without Price)

Metabolic Surgery Standard Package

• Transit Bipartition or Sleeve + Bypass
  
  
• 3 nights hospital stay, 12 months dietitian + endocrine monitoring
  
  
• 24-hour WhatsApp patient line, nutrition app membership
  
  

Advanced Metabolic Package (Ileal Interposition)

• II surgery + 1 night intensive care monitoring
  
  
• 6 months of psychological support, 1 year of exercise sessions accompanied by a physiotherapist
  
  
• Annual OGTT, DEXA and vitamin panel scans
  
  

Revision & Follow-up Package

• The first operation is performed in another center and the second surgery for patients who are incapacitated
  
  
• Diagnosis of endoscopic leakage/stenosis, medical optimization, laparoscopic revision
  
  
• 18-month multidisciplinary control program
  
  

Patient Reviews

“HbA1c dropped from 9.2 to 5.8 at month 3 after ileal interposition, I stopped insulin.” ---- M.

“I had transit bipartition surgery; I lost 28 kg in the first year, my blood pressure medication was discontinued.” ---- R.

“I was in constant contact with the surgical team; the dietitian practice increased my motivation.” ---- AND.

“My father, who did not drop sugar despite medication, reached the goal at 6 months with surgery II.” ---- PP.

“Thanks to the revision operation, my old bypass complications were resolved.” ---- E.

Media & Virtual Tour

• Video Series: What is metabolic surgery? , preparation for the day of surgery, patient experiences.
  
  
• Photo Gallery: Laparoscopic operating rooms, post‑op suites, diet kitchen.
  
  

360° Tour: Endocrinology outpatient clinic, metabolic testing laboratory, exercise studio.