Bariatric surgery

Bariatric surgery is a method used for treating obesity by surgical methods. This is the fastest growing surgical field, not only at our hospital but worldwide.

  • Bariatric surgeries are performed by experienced general surgeons: dr Andre Trudnikov, dr Rein Adamson, dr Martin Adamson, dr Airi Tark and dr Mihkel Mettis.
  • For better treatment results, we have implemented pre- and post- surgery supervision methods.
  • First patients received treatment in 2005 and nearly 1000 patients have been operated since.

Bariatric surgery is the most effective treatment for obesity

Bariatric Surgery has great influence on patients nutrition preferences and habits. After the surgery, the patients don’t need to eat as much as they used to, because they feel full sooner. As a result, the body weight starts going down constantly and more obesity-related co-morbidities such as type II diabetes (T2DM), sleep apnea, increased cholesterol in the blood, hypertension, arthralgia will recede. The life expectancy will be prolonged. Nowadays, the bariatric surgery is the most effective treatment for obesity.

Who is a candidate for bariatric surgery?

Genreally the family doctor will refer the patient to the surgeon, who then together with the patient will decide on the expediency of the surgery, the method of the surgery and will involve other specialists into decision making if necessary.

Bariatric operations are indicated for patients with body mass index, BMI ≥ 40 and in case of obesity-related co-morbidities with BMI ≥ 35. Generally the operations will be performed for patients aged between 18-65, but there are no strict restrictions other than the general health of the patient.

Experience of bariatric treatment in the Surgery Clinic

At East-Tallinn Central Hospital bariatric patients are supported by  a multidisciplinary team of surgeons, nurses, endocrinologists, internists and nutritionists before and after the bariatric surgery.

Everything starts with the surgical appointment.

  • Surgical reception

The surgeon will consult you about the surgery, the methods used, and whether the bariatric surgery is appropriate for you. You will be set up for blood tests and will be referred to a bariatric nurse, an internist or an endocrinologist.

  • Bariatric nurse reception

The bariatric nurse will review your blood tests, map your current eating habits and level of your physical acitivity. You will start a nutrition journal and after two weeks you will see an nutritionist at the Centre of Endocrinology.

Before the surgery, you will need to see the bariatric nurce once again, who will inform you about staying at the hospital give instructions about post-operation periode. You will be explained how to take care of your wounds, about dietary requirements and the substitution treatment.

  • Tests before the operation

Before surgery you will need to do ultrasound, gastroscopy, ECG and x-ray from your lungs. You are welcomed to the hospital the night before or in the morning of the operation day.The bariatric nurse will once again provide you with information about your diet after the operation and the substitution treatment. You will be running some tests and will see the anesthetist and the surgeon.

  • Recovery after the operation

 In the first month after surgery, you must avoid physical activity and you should not lift heavy items. In the second month you can start with a light excercising  such as swimming or water gymnastics. You are on a special diet, and you can go on to eating regulary food only the ninth week after surgery.

Paid Bariatric Operations

When you don’t have Estonian health insurance you are welcome to have a paid consultancy with a bariatric surgeon.

A day before the surgery you will need to come to the hospital to run tests. After the operation the bariatric nurse will councel you about the post-operation treatment and your diet that you need to follow.

  • The price of the operation

The price of the operation is 4500 eur  and will have to be paid before the operation. It includes all tests needed to determine if you are ready for the operation.  When it is decided that the operation cannot be done, you will only be paying for the tests that were ran before the operation.

On the photo: Dr Andre Trudnikov
The head of the Centre of General and Ocological Surgery

Additional information and booking for appointments

  • For more information please contact +372 620 7987, e-mail health[A]itk.ee.