Anadolu Medical Center
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Professor Ali Fedakar has performed over 4,000 open-heart surgeries and led cardiovascular departments at several major Turkish state and private hospitals.
Professor Ertan Sagbas is a high-volume cardiovascular surgeon at Istanbul Florence Nightingale Hospital who uses minimally invasive techniques for complex vascular cases.
Dr. Cenk Indelen is a cardiovascular surgeon at Istanbul Florence Nightingale Hospital. He specializes in patient blood management and cardiothoracic optimization for heart surgery. He holds an associate professorship and is certified in robotic console surgery from Belgium.
Professor David Saba is a highly regarded specialist at Istanbul Florence Nightingale Hospital who completed fellowships at Toronto General Hospital and the University of Hannover.
Wilkie syndrome (aorto-mesenteric artery compression) occurs when the superior mesenteric artery pinches the duodenum. This compression forces the duodenum against the aorta. Turkish hospitals treat this with nutritional rehabilitation. This restores protective fat pads. Alternatively, they perform laparoscopic duodenojejunostomy. Specialists in Istanbul and Izmir use 3D CT angiography for precise diagnosis.
Bookimed Expert Insight: Most international protocols focus on general surgery. However, Turkish centres often involve cardiothoracic surgeons like Dr Kazim Besirli for these cases. This multi-specialist approach is vital. That's because the syndrome involves both digestive blockages and major vascular positioning. Data shows that JCI-accredited facilities in Istanbul frequently combine vascular and gastrointestinal teams. This is so the bypass does not interfere with mesenteric blood flow.
Patient Consensus: Patients note that medical teams in Turkey focus heavily on postural therapy and weight gain. They do this before suggesting theatre. Experience shows that specific post-meal positioning helps relieve the immediate pain and vomiting. These symptoms are linked to the blockage.
Turkish medical centres prioritise non-surgical stabilisation to restore the retroperitoneal fat pad. Specialists use nutritional rehabilitation and gastric decompression to widen the aorto-mesenteric angle. Conservative protocols typically last 4 to 6 weeks. These measures aim to relieve duodenal compression and prevent surgical intervention.
Bookimed Expert Insight: Turkish vascular centres often integrate imaging into conservative monitoring. This syndrome is treated by specialists such as Dr Kazim Besirli (Valued Med Hub Hospitals) and Prof Dr Murat Ugurlucan (Biruni University Hospital). High-volume Istanbul clinics typically combine nutritional protocols with regular Doppler ultrasound checks. These checks measure real-time changes in the arterial angle as the patient gains weight.
Patient Consensus: Patients in Turkey highlight that weight gain is the main goal. They often manage symptoms by eating small, frequent meals of soft foods like pasta and rice. They also avoid heavy meats.
Surgery is required when non-invasive measures fail to relieve compression. These include nutritional support or weight gain. It becomes necessary if patients experience persistent vomiting or severe weight loss. Specialists in Turkey perform laparoscopic duodenojejunostomy to bypass the blockage and restore normal digestion.
Bookimed Expert Insight: Turkish cardiovascular surgeons often manage this condition because it involves complex arterial positioning. Prof. Dr Murat Ugurlucan and others at Biruni University Hospital handle both adult and paediatric cases. This is vital as compression often affects younger patients with rapid growth or weight changes. Choosing a centre with JCI accreditation means these intricate vascular procedures meet global safety standards.
Patient Consensus: Patients note that surgery is a final step after trying nutritional support. They emphasise that laparoscopic bypass often dramatically improves quality of life and restores normal eating. Turkish clinics typically provide discharge within five days following successful bypass surgery.
Surgery for aorto-mesenteric artery compression syndrome in Turkey is required when conservative nutritional trials fail. Specialists intervene for severe weight loss, duodenal obstruction, or life-threatening electrolyte imbalances. Turkish surgeons primarily perform laparoscopic duodenojejunostomy to bypass the compression. This procedure has high success rates and rapid recovery.
Bookimed Expert Insight: Turkish centres demonstrate high expertise in this rare condition through sheer volume. Prof. Dr Kazim Besirli and Prof. Dr Murat Ugurlucan have authored hundreds of studies on vascular compression. This academic focus means Istanbul clinics often manage complex cases. These cases require combined vascular and general surgery expertise in a single session.
Patient Consensus: Patients in Turkey report significant relief and the ability to eat normally again after duodenojejunostomy. They note that recovery takes weeks. However, many patients describe the life quality improvement as being 100% healed.
Conservative treatment in Turkish clinics focuses on intensive weight gain. The aim is to restore the protective fat pad around the mesenteric artery. This non-surgical protocol includes high-calorie liquid nutrition and post-pyloric tube feeding. Specialist clinicians in Istanbul monitor nutritional intake to relieve duodenal pressure naturally.
Bookimed Expert Insight: Turkish hospitals like Anadolu Medical Center and Memorial Şişli use multidisciplinary teams. These include dietitians and gastroenterologists. While global packages often focus on surgery, these centres serve over 65,000 patients annually. They prioritise nutritional rehabilitation first. This structured approach often helps patients avoid surgery entirely if weight gain goals are met.
Patient Consensus: Patients in Turkey note that success depends on keeping calorie-dense food down for long enough. This helps them gain weight. Many found relief using high-calorie supplements and heat packs. This worked best when they lay on their left side after eating.
Surgical recovery in Turkey typically requires 3 to 7 days in hospital for laparoscopic procedures. Patients generally return to light activities within 2 weeks. Full internal healing and dietary adaptation usually take 4 to 6 weeks. Specialists at JCI-accredited centres manage these cases for safe recovery.
Bookimed Expert Insight: Turkish cardiovascular surgeons, such as Prof. Dr Kazim Besirli and Prof. Dr Murat Ugurlucan, often combine vast academic backgrounds with high case volumes. Our data shows that top specialists in Istanbul frequently hold dual expertise in vascular and thoracic surgery. This experience is vital for aorto-mesenteric compression. These complex procedures require precise vessel management for long-term digestive success.
Patient Consensus: Patients report that physical strength returns within a month. However, the gut often needs several months to tolerate normal meals. Many travellers find they can fly home 2 weeks after surgery. Still, lingering incision soreness and a tired stomach are common during the first 3 months.
Turkey offers access to highly specialised vascular and cardiothoracic surgeons. These experts treat rare compressions such as aorto-mesenteric artery compression. JCI-accredited centres provide diagnostics like 640-slice CT scanners. Patients avoid the long waiting lists often found in Australia for non-emergency surgeries.
Bookimed Expert Insight: Many centres focus on general surgery. Turkey’s top cardiovascular surgeons, however, specialise in rare arterial compressions. These include Dr Kazim Besirli and Dr Murat Ugurlucan. This is a critical distinction. These conditions require surgeons with extensive experience in vascular reconstruction rather than standard abdominal surgery.
Patient Consensus: Patients note that surgery in Turkey often provides the only fix when diet changes fail. They emphasise that a specialist review is vital. These rare compressions are frequently missed or underestimated by general doctors.