Bariatric and metabolic surgery, which is applied when diet, exercise and drug treatment methods are insufficient in the fight against obesity, is one of the recommended methods for permanent weight loss. The method, also known as "obesity surgery", helps reset the body for effective weight management by changing the complex relationship between food and metabolism. Noting that 50-70% of excess weight can be lost in a year after stomach reduction operations, experts say that the patient is expected to reach the ideal weight after 1.5 years.
To raise awareness in the fight against obesity, which threatens the world, and In order to explain the harms of obesity, May 22 is commemorated as European Obesity Day by the World Health Organization.
Üsküdar University NPİSTANBUL Brain Hospital General Surgery Specialist Op. Dr. Şerafettin Özer explained the treatment methods in the fight against obesity, which causes many diseases.
Obesity causes high blood pressure, diabetes (Type 2 Diabetes), heart diseases, gallbladder stones, fatty liver, joint diseases, reflux, gout. Stating that it invites many health problems such as increase in uric acid and the frequency of cancer, menstrual disorders, and increase in the frequency of paralysis and stroke, Op. Dr. Şerafettin Özer said, "In obesity treatment, each patient's condition should be evaluated separately and one or more of the diet, physical exercise, drug therapy and surgical treatment methods should be applied together."
It provides significant improvement in diseases
According to the consensus document published by the American Medical Association in 2005 in the treatment of obesity, Özer stated that surgical treatment is the only method recommended for permanent weight loss and said, “Bariatric and Metabolic Surgery shows significant improvements in obesity-related diseases. 45% to 68% improvement in Type 2 Diabetes, 42% to 62% improvement in hypertension, 41% improvement in osteoporosis and joint diseases, 45% to 76% improvement in sleep apnea ” he said.
For an obese person to lose weight significantly and permanently, the body's weight balance system or metabolic health system must be re-established and divided. Op.Dr. states that the body must therefore stop storing excess fat. Şerafettin Özer said, “To date, the most effective method to achieve this has been surgical intervention. "At the same time, it has been observed that obesity-related health problems are solved in 80% of the patients," he said.
Op.Dr. stated that Bariatric Surgery provides a large amount of weight loss. Şerafettin Özer said, “Compared to lifestyle changes or drug therapy, it provides more than 45% weight loss in the 3-year period after surgery. Looking at the 10-year average weight loss data; "While an average weight loss of 1 kg is achieved with other options, the same situation is 20 kg in patients who have undergone bariatric surgery," he said.
The ideal weight can be reached within 1.5 years
Ozer stated that after stomach reduction operations, 50% of the excess weight was lost in the first 6 months, 50% in the second 6 months, and 75% of the excess weight was lost in one year, and that the patient is expected to reach the ideal weight after 1.5 years.
"Bariatric and Metabolic Surgery helps reset the body so that it can effectively manage weight by changing the complex relationship between food and metabolism," said Op.Dr. Şerafettin Özer said, “With Bariatric and Metabolic Surgery, changing the anatomy of the stomach and/or small intestine acts with hormonal signals, resulting in a decrease in appetite, an increase in the feeling of fullness, an acceleration of metabolism and the formation of healthy eating habits. "As a result of these positive changes, the body becomes ready for weight loss and does not enter into a new struggle to reach a high reference level again," he said.
It is not applied to every patient
Şerafettin Özer stated that these surgeries are not performed on every patient and that they are performed in line with the patient's personal characteristics and needs and added: “The operation is performed after the patient is examined in all aspects and it is determined whether he will benefit from the surgeries. It is determined whether the patient will adapt after the surgery. First of all, the patient is given education about his post-operative lifestyle and the differences he will experience in the 1.5-2 years after the surgery are explained. After all these are reviewed and the patient is convinced, surgery is decided. In order for the surgery to be successful, detailed consultation is required before the operation. With the surgical infrastructure facilities and multidisciplinary expert staff at NPİSTANBUL Brain Hospital, a comprehensive diagnostic process is initiated based on the complaints of our clients. If our experts find it appropriate, the necessary surgical intervention will be performed,” he said.
Noting that these surgical interventions for the treatment of obesity and diabetes are applied to patients between the ages of 18 and 60, Şerafettin Özer said, “Before the surgery, the patient; A detailed examination is carried out by a team consisting of an internal medicine specialist, psychologist and nutritionist. The basis for evaluation is a Body Mass Index (BMI) over 40, or if it is lower, there are signs of metabolic diseases. "These surgeries, which are not generally performed on people under the age of 18, can be performed on patients over the age of 60, depending on the general physical condition of the person," he said.
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