General Surgery Specialist Op. Dr. Özgür Demirtaş gave information about gastric sleeve
surgery used in the treatment of obesity. Stating that gastric sleeve surgery shows satisfactory results for obese patients, Op. Dr. Demirtaş said, "After this surgery, the quality of life of the patients increases." Dr.
Demirtaş said, “Many serious disorders such as diabetes, blood pressure, joint disorders, and respiratory problems can be observed in morbidly obese patients. Especially morbidly obese patients cannot lose the sufficient weight they want with diet and exercise. Since insulin resistance develops in these patients, weight loss stops at a certain point. "The aim is to enable people who have not been able to lose enough weight with diet and exercise to lose weight with a surgical method under the supervision of a physician," he said. Dr. Demirtaş said, "If the patient has an additional disease such as diabetes, blood pressure, joint disorders, we can perform surgery on people with a BMI over 35." Noting that the surgery is performed by a closed method, 75 percent of the stomach is removed with special
systems. Kiss. Dr. Demirtaş said, “After the surgery, 25 percent of the stomach remains in the patient. This remaining stomach volume is around a glass of water. Patients feel full after consuming approximately one glass of food. In addition, since the parts that secrete the hunger hormone in the removed part of the stomach are removed, the patient does not feel hunger after the surgery. Op. Dr. Özgür Demirtaş said, “After the surgery, patients experience a change from the clothes they wear to the hobbies they engage in. Their social circles are changing. Psychologically
they feel more morale. Additionally, as they lose weight, they can also quit their previous sugar
and blood pressure medications. “The person's joint disorders improve.” Op.
Dr. Demirtaş, after the surgery, some of our patients have skin and skin problems due to weight loss.
Sagging may occur. "In these cases, we direct our patients to our aesthetic and plastic surgery specialists and treat them." Pay attention to these. · The development of heart diseases begins from birth and nutrition is very effective. The poorer the diet, the more likely heart disease develops. .
· Stay away from fast food lifestyle, sugary foods and drinks.
· If possible, let your children drink juice squeezed at home, make cakes and pastries
yourself.
· Do not use the elevator. Use stairs. If the distance you need to go is close, prefer to walk.
· Morning walk is very important. If possible, take a 30-minute walk before going to work. · A bicycle is a suitable vehicle. Increase the use of bicycles. · Swimming is one of the sports we highly recommend. All muscles work at the same time.
· If you do not have time to exercise and you go to work by public transportation rather than by car, choose to get off 2 stops before your home and work and walk. Thus,
you can walk or exercise every morning and evening.
· Do not hesitate to have medical check-ups to reduce risks. If you have obesity problem
don't be afraid of having surgery
Nutrition After Obesity Surgery
General Surgery Specialist Op. Dr. Dietician Melin, who works at Özgür Demirtaş Clinic
Yayıntaş, gave information about the points to be considered in nutritional treatment after obesity surgery.
After the operation, tissue healing and fat-free tissue loss are minimal
It is important to meet the individual's needs for sufficient energy and nutrients.
Foods that will provide weight loss and satiety should be selected, and a personalized nutrition program prepared with the supervision of a dietitian should be applied to prevent the regain of the lost weight
. Anthropometric measurements for nutritional monitoring (weight, body mass index, percentage of excess body weight, fat and muscle values), repeated blood tests at the 1st, 3rd, 6th and 12th months
The type, duration and frequency of activity performed by the individual should be evaluated, and patients should be made to feel good.
Liquid Food for Two Weeks
The first 2 weeks after surgery are the clear liquid period. All foods prepared during this period should
be liquids close to body temperature. Liquid foods with high protein content should be preferred sip by sip (skimmed or semi-skimmed milk, buttermilk, skimmed meat, chicken, vegetable soups prepared with bone broth, noodles and other clear soups without added flour, etc.). ).
Care should be taken to consume 1-1.5 liters of water per day. Protein and energy
deficiencies that may occur during this process can be prevented by your dietitian with medical nutrition products and protein
supplements when necessary. The 3rd and 4th weeks after surgery are the mash period. This process
may vary depending on the patient's ability to tolerate the food. In some individuals, this period may extend up to 30-
60 days. It is the period when healthy foods that will meet the needs of the individual are prepared in a semi-liquid state. It is important that all foods to be consumed are blenderized
. In addition to the liquid nutrition program, 120 ml (about 1 tea glass) in 60-90 minutes, eggs, red meat (minced meat), chicken (minced meat), vegetables that will not cause gas complaints in the gastrointestinal
tract, minced meat. vegetable dishes, juicy meatballs,
minced meat soups, etc. should be consumed. Care should be taken not to consume liquid foods and water with meals. Liquid drinks and water consumption should be 30 minutes before or 30 minutes after meals.
*Healthy foods that will meet the needs of the individual starting from the 5th week after the surgery,
It can be prepared to a consistency that can be eaten with a fork, using healthy cooking methods (all vegetable
dishes in the oven, grilled/steamed fish, well-cooked chicken, boiled red meat). Large
bites, solid pieces, swallowing food without chewing well, and eating quickly are harmful. During this
period, solid and liquid foods should not be consumed together.
Cooking Method is Important
Another point where patients who have undergone bariatric surgery should get support regarding their nutrition is the food preparation stage. Cooking methods, which foods to use to prepare healthy, delicious and satisfying meals. Patients approach with anxiety
. During this process, patients and their relatives should be offered different recipes and
alternatives by the dietitian to ensure that they eat healthy and enjoy nutrition.
Vitamin and mineral deficiencies that may occur as a result of post-operative patients not being able to meet their nutritional needs, that is, inadequate
nutrition, It is evaluated according to the results of the blood
tests to be performed during the check-ups, and if deemed necessary by your doctor, supplements are given.
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