If the body mass index is over 40, this is called "morbid obesity" (morbid obesity). At this point, the chance of permanent weight loss with diet and exercise treatments is very low, because it is very difficult to lose weight with an impaired metabolism and diseases accompanying obesity. Therefore, surgery is a valid and effective treatment option for people with morbid obesity. If a person with a BMI over 35 has dieted a lot before and is psychologically tired of gaining and losing weight, and if he or she has diseases such as diabetes, hypertension, sleep apnea, surgery may be considered.
How Many Hours Does the Surgery Take?
Sleeve gastrectomy, or reduction surgery, is an operation that takes approximately 1 hour. Bypass, duodenal switch, and transit bipartition surgeries last between 1.5 and 2 hours. The duration of the operation depends on the anesthesia. An important point is that you gain skin and waking up after the obesity surgery has an effect on accelerating your recovery process. Although it is not widely used at the moment, the folding operation is a process that takes approximately 1 hour. Contrary to popular belief, it would be wrong to talk about obesity surgeries as surgery being performed above a certain weight. What is important for reduction surgeries is the skin (body mass/BMI/BMI) value. What is important for the operation is that your body mass (BMI) must be 40 kg/m2 (overweight) or 35 kg/m2 (3rd degree skin obesity). Therefore, contrary to popular belief, we recommend that candidates for surgery get information from physicians and dietitians and be aware of all the information. Individuals with respiratory disorders such as asthma may receive intensive care after the operation to return to normal life more quickly and relieve the skin effects of anesthesia.
How Many Weight Can You Lose With Surgery?
With stomach reduction surgery, the stomach becomes smaller and smaller. Since the appetite center is removed, people lose weight very quickly after the operation, especially in the first month. Our patients who completed their first months with the liquid eating program applied for the first 15 days after the surgical procedure and the eating program started on the 16th day, lost excess weight. They give around 10-15% of their total. With the diets given by dietitians, the process of eating healthier and losing weight will continue healthily and quickly. After the operation, our patients lose 80% of their excess weight at the end of the first year and reach their ideal skin weight at the end of the first year. As of the first month after the weight loss surgery, 10% of the excess weight will continue to disappear during this period. People may experience occasional pauses in this process, but it should not be forgotten that people without surgery will reach their ideal weight by the end of the first year. During the post-operative eating period, people should pay attention to their protein-rich eating schedule, increase their protein supplement intake if necessary, avoid skipping meals, do regular exercise, and pay attention to the amount of food they consume daily. They can get rid of being overweight for life. The advantages of this application are countless for individuals. It is very suitable for preventing co-morbidities other than weight loss and for people who have tried many interventions throughout their lives but cannot achieve this.
What is the Surgery Age Limit?
Stomach reduction surgeries are performed on people between the ages of 18 and 65. The operation decision is taken according to the results of all the checks and examinations of these people. During adolescence, extreme fluctuations in hormone levels can cause excessive weight gain. In this regard, in individuals over the age of 18, clearer results are obtained with the relevant examinations, as the resulting weight gain stops. In this context, it should be noted that there are different types of excess weight gained before and after adolescence. It is also known that excessive weight gain, especially before, may require a special application, different from the treatments applied for the period afterwards. Weight gained after puberty, on the other hand, includes situations that develop regardless of the health status of the person compared to before puberty. Again, after the relevant examinations, it has been proven that different application methods can be applied for the weight gained after puberty, taking into account the factor of puberty.
Why Does It Difference From Person to Person After Surgery?
First of all, everyone has a different experience. metabolism, a different body structure You will see that it has na, pain threshold, health status, BMI (body mass index) value. Taking these values of the patient into consideration, different obesity treatments or metabolic operations and different techniques are applied. Some individuals have a balloon inserted into their stomach. The effects of the balloon are much different. Metabolic (by-pass, transit bipartition, duodenal switch) is applied to some people, and obesity surgery, that is, a narrowing operation, is recommended for some individuals. Since the operations are very different from each other in terms of recovery process, the process after the operation cannot be predicted clearly in advance, considering many factors of the individual as we mentioned. That's why we recommend that you entrust yourself to experienced expert hands. The most important information you need to investigate is whether the doctor encountered a leak problem in his operations or whether he left the patient helpless in such a situation. It should be ensured that their treatment is very good. They should use the highest quality devices in their surgeries.
By 2017, we see that hospitals and doctors are forming teams for obesity surgery and do not leave the patient alone in terms of psychological and eating habits after the operation. The number of operations performed by the doctor via laparoscopy is important. It is necessary to be sure whether complications that may occur as a result of obesity can be controlled before and after the operation. Frankly, trust in your doctor is a very important element. Is insulin treatment administered after metabolic surgeries? Do people continue to use insulin? Or does he stop using treatment products and eliminate diabetes? The lifestyle of individuals before the surgery is also different from each other, and there are many patients with alcohol addiction, cigarette addiction, heart disease, vascular problems, abnormal levels of liver enzymes, and lung problems. Although many of them are caused by obesity, it is necessary to examine each patient in detail before obesity surgery. Detailed blood tests, stomach condition, heart and liver tests should be performed by endoscopic method. Is the individual's problem excessive fat? Is he/she having trouble with his/her weight, or do he/she have illnesses in addition to being obese? Previous colon cancer, kidney cancer Has he suffered from diseases such as heart failure, cancer or pancreatic cancer? All of them require detailed examination.
Unable to Lose Weight, Is It Possible to Gain Weight Again?
As long as attention is paid to the eating process after stomach surgery, weight gain will not occur. However, weight gain may occur when eating foods high in calories. By removing a large portion of the stomach and decreasing the feeling of hunger hormone, the patient's lifestyle and regrowth rate decrease. When we examine the 2016 obesity rates, we see a very low rate of individuals with revision tightening.
Can I Get a Rest Report?
A rest report can be given after obesity surgery.
After the Surgery. When Can I Return to Work?
The process of getting up after obesity surgery is very fast. The fact that the operation is performed laparoscopically, keeping tissue damage to a minimum, ensures a very rapid recovery period. Those who work desk jobs can return to work within 2 days after discharge, and those who work actively can return to work within 5 days after discharge.
When Are Doctor's Checks Done?
Doctor and dietitian checks after obesity operations; It occurs in the 1st week, 1st month, 3rd month, 6th month and 12th month. Doctors perform checks on our patients abroad and out of town, following different formulas.
How is the Huge Stomach Removed from the Small Hole?
The stomach is an organ like a balloon. Once the air inside is emptied, it is easily removed from the holes like a deflated balloon.
When Does Weight Loss Stop?
The process of reaching the ideal weight after the operation takes between 12-18 days. This varies from person to person. The person's exercise program, gender, age, presence of concomitant diseases, and metabolic rate are effective in the weight loss process. As you approach the ideal weight, weight loss slows down and stops when you reach the ideal weight.
Does the Stomach Grow Again?
80-85% of the stomach is removed with Laparoscopy Sleeve gastrectomy operation. It can be seen that the organ grows again over time. Therefore, individuals need to distinguish between solid food and liquid food correctly during their eating program. After surgery One should be careful not to consume liquid in meals.
Is Aesthetics Required After Reaching the Ideal Weight?
After obesity treatments and metabolic application, individuals can easily return to their senses. As the weight begins to disappear from the body, the concept of obesity and diseases disappear and individuals begin to attach importance to the concept of beauty. After the application, the weight loss process is rapid at first, but it stops and decreases occasionally. Obese and overweight people want to lose weight as soon as possible and thus can put serious pressure on themselves. As we begin to leave the fat (overweight) status, importance is given to the concept of aesthetics. Deformations (sagging) that may occur in people's body; They want to undergo operations such as abdominoplasty, breast aesthetics, face lift and gynecomastia operations. In the first place, the health problems caused by obesity disappear. While topics such as my blood pressure dropped, sugar levels stabilized, etc. are discussed, the issue of exercise comes up in the next stage. Exercise movements should definitely be started as of the 1st month. Individuals who fail in this regard attach importance to non-surgical aesthetics. If deformations (sagging) increase, they turn to surgical method.
When Can You Get Pregnant?
One of the most important gynecological diseases caused by excess weight is polycystic ovary, that is, the ovaries being covered with fat mass. Women with this condition need to lose weight for pregnancy and to get rid of excess weight. There are many expectant mothers who consider this application to lose weight. Pregnancy after obesity surgery should be considered starting from the 1st year. This period is characterized as the almost completion of the weight loss process and the completion of the time required for baby feeding. There should be no doubt about the health of the baby.
Can Breastfeeding Women Have Surgery?
Since the baby is fed with breast milk for the first 6 months after birth, the mother should have an adequate and balanced diet and get the necessary calories. quality of breast milk
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