The most important part of the preparations that need to be made before the operation is the completion of the examinations. ECG (heart x-ray), PFT, lung x-ray, blood test and endoscopy (for diseases such as reflux, ulcers, etc.) must be performed and approval must be obtained from the anesthesiologist (the doctor refers you to internal medicine, cardiology and endocrinology when necessary). Before the examination, 8 hours of fasting and thirst are required. If there is a problem with the patient with diabetes, the diabetic patient should be administered blood and the next day blood should be taken intravenously and the diabetic cortisol level should be checked. If the individual has a reflux complaint, it should be checked whether it can be treated with surgery or a treatment product should be used before diabetes. Our patients who have reflux complaints have their stomachs examined by gastroenterology and endoscopy. Meanwhile, patients are given intravenous sedation and put to sleep for a short time.
Blood Test
To investigate the presence of concomitant diseases before the surgery and to determine the values of their cells, kidney and liver functions, bleeding and clotting times, anemia. Detailed blood analysis is performed to evaluate the risks of infection, infection and bleeding.
Lung X-ray
Lung x-ray; It is performed to determine whether the lungs are healthy and whether there are bone disorders, soft tissue disorders, heart problems and bronchiectasis.
Entire Abdominal USG
Another examination performed before sleeve gastrectomy surgery is to determine whether there are any bone disorders, soft tissue disorders, heart problems and bronchiectasis. is an abdominal ultrasonography. In this way, the presence of concomitant intra-abdominal problems is detected. Gallbladder stones can often be seen in obese individuals. If stones are detected in the gallbladder, gallbladder surgery can be performed along with the entire stomach surgery.
ECG (Electro Cardiography)
Electrocardiography is an important method used in evaluating the function of the heart. It is a device that measures the electrical activity of the heart (heart rhythm, frequency, rhythm of heartbeats, spread and disappearance of the reaction). It is applied to patients to make a detailed evaluation of the heart before surgery.
PFT (Pulmonary Function Test)
Respiratory function test, respiratory complications due to general anesthesia and surgery. It is performed to determine the risks in advance and to ensure that the necessary precautions are taken before surgery in risky patients.
Homa-IR B index
One of the examinations that must be performed before surgery is Homa-IR. Homa-IR is performed to determine whether there is insulin resistance in the body. In obesity, insulin resistance, latent diabetes and overt diabetes are often observed. Some patients may have undiagnosed diabetes. Knowing this situation is extremely important in deciding on the surgery method to be performed.
Anesthesiologist Examination
Patients are evaluated in terms of suitability for the anesthesia they will receive during the surgery. Precautions are taken during the surgery to prevent complications that may occur due to anesthesia. If any problem is observed, you may consult a cardiologist or pulmonologist and preoperative treatment may be recommended.
Psychologist Examination and Psychological Evaluation
Before sleeve gastrectomy, the psychological and behavioral causes of obesity are examined through a psychologist examination. They need to confidently answer questions such as "Are they really ready for this surgery?", "How much research have they done?", "Is it really them or their relatives who are forcing them to lose weight?" They also need to be informed about the surgery to be performed, anesthesia, procedures to be performed, length of hospital stay, how the post-operative period will be, whether they will feel pain, and to consciously prepare themselves for the events they will encounter.
Endocrinology Examination
The hormonal and metabolic conditions of our patients are examined in detail by looking at their blood tests. Diseases that cause obesity are detected. If there is a condition that prevents surgery, appropriate treatment is first started to eliminate the problem. If there is no obstacle to surgery after treatment follow-up, surgery is approved.
Chest Diseases Examination
Our patients' blood tests are examined and their chest radiography is examined. If there is a situation that prevents surgery or anesthesia, appropriate treatment is first started to eliminate the problem. If there is no obstacle to surgery after treatment follow-up, surgery is approval is given.
Ear Nose and Throat Examination
The patient is examined for any infection in the body that may prevent the surgery. If there is a flu condition, the necessary treatment is started. Once the infectious condition is eliminated, surgery is approved.
Cardiology Examination
Our patients' blood tests and electrocardiography are examined. If there is a situation that prevents surgery or anesthesia, appropriate treatment is first started to eliminate the problem. If there is no obstacle to surgery after treatment follow-up, surgery is approved.
Read: 0
