Berbescu Alexandru

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Metabolic surgery is the most efficient, effective and permanent method for the treatment of obesity.  The scope of these interventions is not only weight loss but also the remission of serious metabolic problems until remission, including type 2 diabetes. Metabolic surgery is the major contributing factor in improving quality of life and extending life expectancy of obese patients.

Following are five types of surgical interventions, that can help you achieve the desired weight loss and significantly reduce metabolic diseases:

  • Gastric banding –  inflatable silicone device placed around the top portion of the stomach;
  • Gastric sleeve – removal of a large portion of the stomach along the greater curvature;
  • Gastric plication – reducing the volume of the stomach by folding and suturing walls of the stomach;
  • Gastric by-pass– changes the digestive system, forcing food to bypass a portion of the small intestines;
  • Bilio-pancreatic diversion – changes the digestive system, forcing the food to bypass the stomach and small intestine.

The surgical intervention is part of a complete program dedicated to the metabolic patient. The scope of the program is to assess the current health status of the patient, select the best surgical solution, reduce weight, maintain the attained optimal weight, and supervise the patient’s evolution through the metabolic program journey.


Medical conditions

Obesity is a metabolic disease. Obesity and overwheight are a major health problem in the modern world and the main factor in increasing overall morbidity, decreased life expectancy and quality of life. The risks related to obesity and overwheight are multiple, affecting all body systems. A body mass index BMI >30 increases exponentially the risk of complications and associated diseases, of which the most serious are the diabetes and cardiovascular diseases. Patients with metabolic syndrome have at least 3 out of the following 5 conditions:

  • Type 2 diabetes mellitus
  • Hypertension
  • Hepatic steatosis (fatty liver)
  • Central type obesity
  • Dyslipidemia (cholesterol values modifications)

The presence of these diseases affect the quality of life and significantly decreases the life expectancy of the metabolic patient. The severe risks associated with this syndrome can be drastically reduced through metabolic surgery. Metabolic surgery addresses the overweight and obese patient and aims to weight loss and improvement, until healing, of all metabolic risk factors.


It is the most efficient, effective and permanent treatment of obesity and metabolic diseases. Following the surgical procedure, you will:

  • lose up to 90 % of the excess weight
  • regain your self confidence
  • significantly improve the quality of your life and your health
  • enjoy of the immediate improvement of the obesity associated diseases such as type 2 diabetes mellitus, hypertension, dyslipidemia (cholesterol alteration), steatosis (fatty liver), dispnea (shortness of breath), sleep apnea (pauses in breathing while sleeping), osteo-articular diseases, chronic venous insufficiency, ovarian insufficiency, until full recovery.

You will also benefit the following advantages of laparoscopic surgical technique:

  • limited postoperative pain;
  • hastened healing;
  • reduced period of recovery;
  • nearly scarless healing;
  • quick return to daily activities.

Calculate your BMI

Pacientul obez cu BMI >40 prezinta comorbiditati deja instalate si risc iminent de a dezvolta diabet si afectiuni cardiovasculare.
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Dr. Cătălin Copăescu

Dr. Cătălin Copăescu

Medic Primar Chirurgie Generala--EN--

Sef Departament Chirurgie Generala EN
Director al Centrului de Excelenta in Chirurgie Bariatrica EN
Doctor in Medicina EN
Competente in:
- Chirurgie Laparoscopica
- Chirurgie Bariatrica

Laparoscopic approach: Prices (in EUR)
Laparoscopic sleeve gastrectomy (professor) 6.500
Laparoscopic sleeve gastrectomy (specialist) 5.700
Laparoscopic sleeve gastrectomy - redo after gastric band 8.500
Laparoscopic sleeve gastrectomy - high dificulty patient 10.000
Gastric bypass 8.500
Gastric bypass redo after gastric band 10.500
Gastric bypass redo after gastric sleeve 10.500
Mini gastric bypass 7.800
Mini gastric bypass after gastric sleeve 6.000
Bilio-pancreatic diversion 10.500
Bilio-pancreatic diversion after gastric sleeve (SADI) 6.000
Gastric plication 4.200
Intragastric baloon 2.000
Intragastric baloon - extraction 600
Gastric band 4.600
Migrated gastric band extraction 2.100
Gastric band repositioning 2.100
Gastric bypass with gastric band revision 8.500
Gastric bypass with gastric sleeve revision 8.500

* The prices are orientative  and may vary depending on the surgical team. For more information, please contact our Call  Center at 004 021 9886.

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