Obesity Surgery

Obesity, characterized by the accumulation of excess fat in the body, can cause serious health problems such as diabetes, high blood pressure, high cholesterol, stroke, heart diseases.

Obesity

Obesity, characterized by the accumulation of excess fat in the body, can cause serious health problems such as diabetes, high blood pressure, high cholesterol, stroke, heart diseases.

What is Obesity?

Obesity is when a person's body fat rate increase a certain level (25% in men and 35% in women). Since this is difficult to measure in practice, the body mass index (bmi) is used. Body mass index is calculated by dividing a person's body weight in kilograms by the square of their height in meters.

What is Obesity Surgery?

Obesity surgery is the common name for surgeries in which of procedures that restrict stomach volume or decrease the absorbation of food are applied separately or together.

Obesity Surgery in Izmir, Turkey

Obesity, one of the biggest health problems at this times, is a chronic, preventable and possible to cure disease characterized by excessive fat accumulation in the body, which can cause serious health problems such as diabetes, high blood pressure, high cholesterol, stroke, heart diseases.

Obesity, which can be caused by inactive life,eat high calorie foods, genetic factors, eating disorders and hormonal imbalance, negatively affects people physically and psychologically.

Overweight people lose their health and become isolated from society in time. wehen they start to isolate from society, they become more unhappy and depressed. Obesity patients need to lose weight to restart life again.

Bariatric Surgery

changing eat routines,diets and exercising may not always respond positively. also overweight may start to put lifes at risk. At this point, "Bariatric Surgery" performs.

Who is Obesity Surgery Performed?

as obesity increases additional diseases (such as diabetes, high blood pressure, occlusive sleep apnea syndrome, fatty liver disease, high blood cholesterol levels) depend on obesity begin to seen in people.

People with a body mass index of 40 kg/m2 and above or with a body mass index of 35 kg/m2 and above who have one or more of the additional diseases that explained up have morbid obesity.

  • Patients with morbid obesity are suitable for surgery.
  • Who with a Body Mass Index of 40 and above and classified as morbid obesity.
  • Who with a body mass index of 30 and above or who contract high blood pressure, joint problems, heart diseases because of excess weight.
  • People who are decided to lose weight and change their lifestyle and who really want to surgery can apply for obesity surgery operations.

There are different methods applied in the obesity surgery. which methods will be suitable for which patient belongs to the surgeons. If the patient health is suitable for surgery, it is examined the patient is psychologically ready to lose weight. If the patient is not psychologically ready to lose weight, surgeries or bariatric procedures are not performed.

How is obesity surgery performed?

Obesity surgeries are performed using the closed (laparoscopic) method, using special equipment passing throught tubes (trocars) placed small incisions in the abdomen, unless there is an obstacle. The operation is performed under general anesthesia (the patient is put to sleep).

Duration of Obesity Surgery

The duration of surgery changing between 1 and 3 hours depend on the technic or the patient. Depend on the surgical technic or the course of the operation, 1 dren may be left in the abdomen to collect leakage materials in spontane situations or liquids.

Obesity Surgery Methods

  • Gastric sleeve surgery
  • Gastric by-pass
  • Duodenal switch
  • Mini gastric bypass
  • Stomach balloon
  • Stomach botox

Obesity surgeries are divided into two groups. The first group is restrictive type surgeries. it is purpose to decrease calorie intake only by reducing the stomach volume. Nowadays, only sleeve gastrectomy (sleeve gastrectomy) is performed as a restrictive type of surgery.

Additionally to surgeries, there are also non-surgical methods in the treatment of obesity. Gastric balloon and gastric botox are procedures that are performed with the endoxopic method, are reversible and can be discharged on the same day and you can return to your daily life.

These procedures are generally preferred in overweight or obese patients who have not reached the morbidity limit. They can also be used as a therapy before surgery in patients with body mass index (BMI>50 kgm/m2, super obese). If patient can be adapted under the dietician, good results can be obtained with these methods.

Gastric Sleeve Gastrectomy

Gastric sleeve surgery is also the most popular obesity surgery in the world. In this surgery, the stomach is cut longitudinally with special stapling tools and turned into a tube and volume is increased. In addition, parts of the stomach that secrete hormones that increase appetite are also removed, appetite is suppressed. You can also check our sleeve gastrectomy page.

Obesity Metabolic Surgery

The second group is malabsorptive surgeries.In addition to reducing stomach volume, they also aim to reduce absorption by changing the digestive tract through which the food passes.Type 2 diabetes is better controlled in this type of surgery, it is also called sugar surgery or metabolic surgery.

Today, there are many accepted types of metabolic surgery (roux-en-y gastric bypass, mini gastric bypass, duodenal switch with biliopancreatic bypass, SADIS, transit bipartition, etc.). Which surgery is suitable depends on the patient or the surgeon's habits.

Gastric Balloon: In the gastric balloon application performed with the endoscopic method, an inflatable silicone balloon is placed in the stomach of our patients. differance is other obesity surgery operations, the special balloon placed in the stomach must be removed after 6 months.

The gastric balloon application allows the patient to lose weight quickly by filling the stomach and restricting food intake. After 6 months, patients can lose 30% of their excess weight if they follow the recommendations of their doctors, eat right and exercise according to their physical condition. The gastric balloon operation aims to regulate the patient's blood values that change due to overweight, to decrease risky diseases and provides to having right habits for a healthy life.

Gastric Botox: Gastrict botox is a non-surgical weight loss procedure that is performed with endoscopy and you can be discharged one hour after the procedure and return to your daily life. After the procedure, you can reach the ideal weight you want by losing 10-15% of your body weight in a period of 4-6 months under the control of a dietician.

It is one of the most suitable and easy treatment methods for patients with a body mass index of 35 and below. It does not leave a permanent effect on your stomach and does not cause any damage.

Gastric Botox is an application that helps you lose weight by reducing the feeling of hunger and delaying gastric emptying. Our patients lose weight quickly if they accord to the healthy nutrition program given under the control of a dietician after the procedure.

If you can make the eating habits permanent during this period and continue these habits in your later life, the results you get will be permanent.

Before Obesity Surgery

Combating obesity is a set of treatments that include dietary habits and lifestyle changes along with surgery. Patient compliance is checked by correcting the diet and physical activities of the patients before the surgery. Unfortunately, the success rates of surgeries decrease in incompatible patients.

Obese patients are more prone to surgery-related problems than normal-weight patients. Pre- existing comorbidities also increase the risk of complications in the surgery. People who will undergo obesity surgery are evaluated by different branches (cardiology, pulmonology, psychiatry, endocrinology) before the surgery and their suitability for surgery is decided.

Patients who are not suitable can be re-evaluated after the necessary treatments and taken to surgery. In patients who are not suitable for surgery, weight control can be achieved with non-surgical auxiliary methods.

Things to Consider After Obesity Surgery

The priotery goal after obesity surgery is for patients to quickly return to their normal daily lives.at this point, patients are encouraged to walk by providing pain control in this period.

in first day after bariatric surgery, the diet started with clear liquids is gradually increased. Depending on the surgeon's preference, a leakage test may be performed before switching to diet. Patients are usually discharged and sent home on the 3rd day.

The first 1 month is critical for the happening problems which depends on surgery. due to nutrition, the first month is the time when patients switch to a diet close to normal. Patients continue their examination under the dietician for 1 year after the operation.

Blood values checked every 3 month, These patients are at risk of developing gallstones in the long time. Because of this the gallbladder is examined by ultrasonography. Patients are aimed to reach the ideal body fat rate at the end of the first year.

Izmir Private Ata Sağlık Hospital
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