Description

Obesity
treatment
Obesity is over 30% as a result of calculating the body mass index (BMI) as%.
In order to recommend an operation to a patient, simply Body Mass Index (BMI)
must be 40% and above. However, according to the recommendations of the
Ministry of Health, the BMI is 35% and above, and obesity operation can be
performed on the patient in case of accompanying diseases such as high blood
pressure, diabetes, high cholesterol and heart disease.

The purpose of the operation performed in surgery is to accelerate satiety by
reducing the depot function of the stomach, to limit food intake and to remove
the area that stimulates the hungry center of the stomach. In this way,
the patient will be less hungry and will be able to eat less; so he will
start losing weight.

Important warning:


Obesity surgery (bariatric surgery) should be applied to people who have a
sufficient level of consciousness, can cooperate and have good mental health.
It should be explained to the patient that this procedure is a chance for the
patient to return to his / her ideal weight and when he / she cannot use this
chance well, he / she can start gaining weight again.
In order for obesity surgery to have a definite and permanent effect on weight
loss, it should continue to eat and exercise after surgery.
The weight loss rate of patients treated with bariatric surgery is very high,
but it is also very important for the period after the surgery to change the
lifestyle of the person permanently in order to maintain weight.
The patient should prepare himself for a long-lasting communication with his
doctor and dietician after surgery.
After closed (laparoscopic method) obesity surgeries, the patient will recover
in a short time and can quickly return to his daily life.
Obesity surgery, which was previously performed openly and not so common, has
increased the preference of laparoscopic surgery with the ease of the operation
process and the reduction of postoperative risks. Moreover, after a
successful bariatric surgery, the patient also gets rid of problems related to
excess weight such as high blood pressure, diabetes, heart disease, joint
problems, sleep apnea.

Who can have surgery?
Before bariatric surgery, the patient’s eating
and drinking characteristics, diabetes and lifestyle, and the condition of
other diseases are taken into consideration. Surgery can usually be
performed between the ages of 18-60. Some conditions are required for
surgical procedure to be applied to the patient.



These;

• Patients between the ages of 35 and 40 with a
body mass index over 40 or obesity-related diseases.

• The presence of obesity disease that has not
been successful in treatment for at least 5 years.

• No change in the course of the disease after
one year of medication and diet.

• Lack of diseases related to endocrinology
among the causes of obesity.

• Not being excessive alcohol or drug addiction.

• The patient’s ability to understand and adapt
fully and to be in harmony with the post-operative obesity team.

• There is no obstacle to surgery.



Tube Stomach Surgery
Gastric sleeve surgery is performed by
surgically removing approximately 80% of the stomach. The newly formed
stomach causes less food and thus fewer calories intake due to its
significantly reduced volume compared to the normal stomach. However, its
main effect is not only restricting food intake, but also due to the change it
causes in the gastrointestinal system, especially on hormones that control
hunger, satiety and blood sugar.



What are the
benefits?
• It is a restrictive surgery,

• It enables 50-60% of excess weight
to be lost easily in a short time,

• A foreign body does not have to be adapted to
the body (such as applying a tape to the stomach),

• It does not require a change in the food
passage route in the gastrointestinal system (gastric by like -pass),

• Shorter hospital stay,

• Positive effects on hunger, satiety and blood
sugar regulating hormones in the gastrointestinal system

• Rapid return to normal life.



Post-Surgery Life
The
most important point that patients should know
is that a completely different life awaits them after surgery.

• Implementing a low carbohydrate-high protein
diet under the guidance of nutrition and dietitian,

• Arranging more meals in small portions,

• Acquiring good chewing habits,

• Supplementing daily multivitamin, calcium and
vitamin D,

• Adding physical exercises to this is of great
importance.