Obesity has become a chronic disease worldwide and is now considered the second most common cause of death. According to World Health Organization data, the prevalence of obesity is increasing not only in developed countries but also in developing countries. In Turkey, the prevalence of obesity increased from 16.4% in 1994 to 32% in 2000. General Surgery Specialist Assoc. Dr. Cengiz Eriş noted that they recommend obesity surgery to our patients who have dieted and exercised many times, but have not been able to lose weight as desired or have decreased to the desired weight and have not been able to maintain this weight.
Noting that obesity should not be seen only as a cosmetic problem. Assoc. Dr. Cengiz Eriş said, “Overweight and obesity are associated with an increased risk of type 2 diabetes, hypertension, cardiovascular disease, joint inflammation and disorders, hepatitis and cirrhosis due to fatty liver, cholecystolithiasis, sleep-apnea syndrome and many cancers. With weight gain, quality of life deteriorates and life expectancy decreases. “The increase in weight-related deaths is a serious public health problem in Europe, with 7.7% of deaths being related to excess weight.” he said.
Who falls into the obesity group
Assoc. Dr. Eriş gave the following information about obesity and obesity surgery:
“Many parameters are used to measure and standardize obesity. BMI (Body Mass Index) is the most important of these. It is the most commonly used measurement in the classification of obesity. If the person's BMI is 30 and above, he is considered obese; if his BMI is 40 and above, he is considered morbidly obese (obesity that causes disease).
Who undergoes obesity surgery?
Obesity We recommend surgical methods in the treatment of our patients, especially those who have dieted and exercised many times but have not been able to lose weight as desired or have decreased to the desired weight and have not been able to maintain this weight.
In addition, those with a body mass index between 35-40 have Type 2 diabetes, Hypertension, Hyperlipidemia and advanced disease. We recommend it to patients with metabolic problems such as high-level fatty liver and all patients with a body mass index over 40.
What are the features of obesity surgery?
The purpose of obesity surgery. satisfaction To provide satisfactory and permanent weight loss. In fact, weight loss is just one of the results of bariatric surgery. Other beneficial effects are improvement of hyperglycemia, hyperlipidemia, blood pressure and sleep-apnea syndrome and increase in quality of life.
Due to all these beneficial effects, the term "obesity and metabolic surgery" has begun to be used more and more widely. Obesity surgery primarily aims to reduce weight and maintain weight loss by changing the energy balance by reducing weight gain and regulating physiological changes that cause weight regain.
In addition, after some surgical interventions, weight loss is associated with some hormonal and neurological changes. Independent metabolic benefits can also be achieved.
For example, in diabetic patients, a rapid and continuous improvement in blood sugar levels can be achieved within days when no significant weight loss has yet been achieved after gastric bypass surgery.
Nowadays, many obesity patients can achieve surgical technique is applied. “These procedures cause weight loss through a combination of restrictive stomach capacity, malabsorption, and hormonal changes.”
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