While humans were created to exist in nature, they became lazy
by living in apartments and cars. Obesity emerges as spending is reduced and intake is increased. For this reason
increasing spending, that is, doing sports, is very important both for obesity treatment and for maintaining weight
after treatment. Detailed analysis was made by Medicana Bursa Hospital General Surgery Specialist Op Dr. Ersoy Taşpınar did it.
Obesity is one of the most important health problems of the modern world. Obesity is not just
fat accumulation and weight gain. A metabolic disease that affects the entire system. For this reason, multidisciplinary work is required in its treatment. Endocrinology, Chest Diseases,
Cardiology, Internal Medicine, General Surgery specialists and dietitians specialized in this field need to
work together. The aim of obesity is not just to reduce weight and make the patient slim.
It is to correct all the co-morbidities and problems caused by obesity. For this reason, more than one physician should take care of the patient. Surgery should not be the first option in the treatment of obesity.
Surgical intervention is applied to people who are examined and treated in a center dealing with obesity but cannot lose their weight with non-surgical methods
or gain it back after losing it and or develop related diseases. It requires serious preparation before the surgery.
Many patients say, 'I have tried many diets, but they do not work', but these practices
are carried out in an unprofessional manner.
Evaluation and diet by a professional team Regulation is important. Dietitians are like coaches. Experts need to determine the program, and the dietitian needs to teach the patient how to do it. If it is not possible to lose or maintain weight with properly planned and performed non-surgical methods, then surgery comes to the fore. Although surgery is not the first option, it is the most effective option in the treatment of obesity. However, stomach reduction surgeries should not be performed on everyone. Stomach reduction surgery should be performed on 'overweight' people who have real health problems or who will have health problems in the future. The criterion accepted by the whole world today is body
mass index (BMI). Optimal values are 23-25 kg/m2. Less than 18 kg/m2 It is not healthy to have a weight above 25kg/m2. BMI is considered "overweight" between 25-30 kg/m2, and obesity after 30kg/m2. BMI is severe obesity after 35 kg/m2, and morbid obesity is morbid obesity after 40 kg/m2. When BMI exceeds 50 kg/m2, there is very serious and dangerous obesity. Sleeve gastrectomy and bypass surgeries are the only surgeries accepted by the scientific world. For other surgical methods, most of them are not accepted at the trial stage, and some of them must be performed with special permission from the Ethics Committee and the state, and by informing the patient that it is a trial-study surgery. There are also very clear criteria for who will undergo sleeve gastrectomy and bypass surgery. Clinical guidelines for obesity surgery in young people require very serious criteria in the 16-18 age range. After the age of 65, surgery does not contribute to health. It only increases the patient's comfort. Obesity surgery performed between the ages of 18-65 improves not only the appearance but also the health of the patient. Age alone is not a criterion. Many factors need to be taken into consideration. Genetic origin is definitely effective in obesity. But especially eating habits acquired in childhood and environmental factors are effective in the development of obesity. While people were created to exist in nature, they became lazy by living in apartments and cars. Today's eating habits, especially fast food type, and a lifestyle accustomed to laziness are the most important predisposing grounds for obesity. Obesity emerges as spending is reduced and intake is increased. For this reason, increasing spending, that is, doing sports, is very important for both obesity treatment and maintaining weight after treatment.
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