What is Obesity Surgery?
These are surgeries that aim to permanently lose weight in patients who cannot lose weight permanently with other weight loss methods.
Obesity surgeries performed today give very good results. . Complications that may occur in patients have decreased significantly and the post-operative recovery time of patients has also been shortened.
Who is Obesity Surgery Suitable for?
• Endocrinologist, internal medicine specialist and dietician. People who have been dieting and exercising for a long time without success
• People with a body mass index greater than 40
• Those with a body mass index greater than 35 and additional diseases such as hypertension and diabetes
p>Which Surgeries Are Performed in Obesity Surgery?
Gastric Balloon: Gastric balloon is one of the effective methods used in the treatment of obesity. The balloon is placed in the stomach deflated by gastroscopy, and then it is inflated by adding physiological saline into the stomach. The liquid in the balloon can be increased or decreased according to need. The balloon can move freely within the stomach. However, balloon treatment is not permanent. The balloon should be removed within 6-12 months depending on the patient's needs. The patient cannot eat much while the balloon is in the stomach. This is how weight loss occurs. While the balloon is in the stomach, the patient's eating habits are tried to be changed by getting support from the dietitian.
Sleeve Gastrectomy: The biggest advantage of sleeve gastrectomy is that there is no change in the natural path of the digestive system. There is no change in stomach functions, only the stomach volume decreases. Therefore, any type of food can be consumed normally, even if in small amounts. Since the area where the ghrelin hormone, known as the hunger hormone, is secreted is also removed during surgery, patients who have undergone gastric sleeve surgery feel much less hungry than before the surgery. Since absorption is not affected, postoperative vitamin and mineral deficiency is much less than other obesity surgeries.
Mini Gastric Bypass: Mini gastric bypass is a surgical procedure that has a restrictive effect by reducing the stomach volume. It is a surgery that reduces the absorption of nutrients. Obesity-related metabolic disorders such as high blood pressure and diabetes It is also very effective in the treatment of primary diseases.
R-Y Gastric Bypass:The difference from Mini Gastric Bypass is that it carries a bile diverter connection that prevents bile reflux. The amount of food taken with the shrinking stomach, and the absorption of food by bypass, is reduced.
Stomach Folding Surgery (Gastric Plication): Stomach Folding, that is, Gastric Plication, is an operation based on the principle of longitudinal narrowing of the stomach. . The main advantages are that small intestine absorption is not impaired and tissue is not removed. Unlike the gastric sleeve procedure, it does not cause any decrease in the levels of the hormone called "Ghrelin", which triggers our feeling of hunger. Its effectiveness is lower than sleeve gastrectomy surgeries. Although it is touted as a “reversible” surgery, reversal is a troublesome and difficult procedure.
What is the Preparation Before Obesity Surgery?
Everyone who will undergo obesity surgery First of all, the patient is subjected to very comprehensive blood tests, entire abdominal ultrasonography and gastroscopy. Patient; It is also examined by obesity surgery, anesthesia, endocrinology, psychiatry, cardiology and pulmonology specialists.
After the tests and examinations are completed, the obesity treatment team meets under the chairmanship of the obesity surgeon. Evaluates the patient and the results. It is decided whether the patient can have obesity surgery or not, and if so, which obesity surgery he will undergo.
Post-Operative Period
• If everything is normal in the post-operative period, your hospital stay will be longer. It will be 2-3 days.
• First, oral liquid foods will be started. Following liquid nutrition, your discharge procedures will be carried out.
• Detailed information about nutrition and daily activities will be provided verbally and in writing in the post-discharge period.
Long-Term Weight Gain >
In some patients who do not pay attention to their nutrition, the stomach left behind after surgery may expand again. In these cases, the patient may gain some weight.
The probability of gaining the same amount of weight again in the long term after obesity surgery is 3-4%.
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