Regular weight loss is achieved with diagnosis and treatment methods applied with a multidisciplinary
Obesity: It is defined as abnormal or excessive fat accumulation in the shape and amount that will cause
diseases in the body. Obesity is a chronic disease that needs to be treated, affecting millions of people worldwide, shortening the average life by 10 to 15 years and causing many accompanying diseases.
Our main goal in the diagnosis and treatment methods applied with a multidisciplinary approach in our Obesity Center is to enable patients to lose weight regularly and to ensure that the weight they lose is permanent.
Behavior Change Therapy
Stomach Balloon Application
With Malabsorbtive (Absorption Disruptive) Surgery Mix
Patients who apply to the obesity center, under the supervision of nutrition
and diet specialists experienced in obesity, are prepared personalized diet
programs for each patient before and after surgery according to their
nutritional habits and special health conditions. Patients are followed by
a nutritionist throughout the diet program.
Obese patients often experience health problems while exercising due to their
excessive weight. These problems may cause the patient to stop exercising
altogether. After bariatric surgery, our exercise programs are gradually
organized by the Obesity Surgery Coordinator.
patient has any metabolic problems that cause weight gain, drug
treatment is applied by specialist doctors to eliminate these
problems. There is no medical treatment with proven efficacy for the
treatment of morbid obesity.
One of the main causes of obesity is wrong eating habits. Problems such as depression are common among patients living with obesity and recovery from this behavioral pattern. In addition, group
therapy is applied by experts in the field so that patients who have undergone
bariatric surgery can continue the next process in a healthier manner.
Patients who have been living morbidly obese (BMI> 40) for more than 5 years have a 1-3% chance of experiencing permanent weight loss with any of the medical treatment methods.
this method, a balloon is placed and inflated by mouth into the stomach with an
endoscopy device. Thus, the functional stomach capacity of the patient is
filled and the eating habits are tried to be gained less frequently. An
important difference from other methods is that the balloon should be removed
after 1 year. This method is applied to patients who do not meet the
criteria for obesity surgery, who meet the surgical criteria but do not want to
undergo surgery, or to patients who are required to lose weight before surgery
to reduce the risk in patients who are at high risk of surgery.
Obesity surgery Obesity surgery is basically based on two bases. The first is to reduce
the amount of food the patient eats at a time (Restrictive), the second is to
prevent the digestion of food eaten (Malabsorbtive). The most appropriate
of these surgeries is life-saving when done to the right patient at the right
time. Therefore, your Obesity Surgeon must have experience in applying
Two main mechanisms are used in the surgical treatment of obesity: volume restriction and absorption
disruption. Sleeve Gastrectomy-Tube Stomach surgery is the most common volume restrictive surgery, as in the whole world.
In sleeve gastrectomy, also known as “Sleeve Gastrectomy”, it is aimed to reduce the volume of
the stomach (approximately 100-150 cc) so that the patient feels satiety with
very little food. Our patient, who does not get hungry, eats a small amount at
meal times and loses weight comfortably.
In the treatment of obesity, by-pass surgeries, which provide weight loss by disrupting absorption as well
as volume restriction, are preferred in obese patients with metabolic disorders
such as type 2 diabetes. The reason for this is that small intestine
hormones that correct insulin resistance increase thanks to by-pass. Since
the appetite hormone part is also removed with the volume restriction
component, it acts by reducing absorption and secreting diabetes correcting
hormone at the same time without being hungry.
In patients with type 2 diabetes, both pre-cellular and intracellular components are formed against
insulin. These resistance hormones originating from the digestive system
surround the cells just like an armor and prevent the entry of insulin into the
cell. Thanks to metabolic surgery, resistance hormones originating from
the digestive system are extinguished. Here, the most important effective
small intestine hormone is glucagon-like peptide-1 (GLP-1). After this
armor around the cell is opened, insulin can easily enter the cell and function
to lower blood sugar. Similarly, fat, protein metabolism, fatty liver and
damage improve 2-3 months after surgery, and intracellular signaling and
transmission mechanisms are reversed. For this purpose, the most common
operation we apply is transit bipartition surgery.
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