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Obesity Surgery

The Future Will Be Different From The Past!

Who is Obesity Surgery suitable for?
The obesity surgery method is suitable for people who have applied all other treatment methods before the surgical procedure but have not been successful. The patient should be evaluated with all relevant units before undergoing a surgical procedure and should be suitable for surgery in terms of anesthesia. Patient selection is made according to body mass index. If the body mass index is over 40, the patient can be operated. Between 35 and 40, in people with an additional disease (such as hypertension, Type 2 diabetes, sleep apnea syndrome, high triglyceride heart disease, hypoventilation syndrome, fatty liver), If the body mass index is between 30-35, surgery may be recommended for Type 2 Diabetes patients whose blood sugar cannot be controlled by medical treatments.

Types of Surgery for Obesity Treatment
With the developing technology, there are various surgical techniques used in obesity. The choice of surgery is decided by the physician and the patient together according to the patient’s condition.

Stomach Balloon
The simplest method to help lose weight is the stomach balloon application. In this method, a balloon filled with liquid or air in the stomach is placed under mild anesthesia with the help of an endoscope.  This operation takes 15-20 minutes. Thus, the food intake capacity of the stomach is reduced and quick saturation is provided. With this method, patients can lose 7-8 kilos in a few months. However, this balloon can remain in the body for 6 months, a maximum of 1 year, and is removed within 5-6 minutes by endoscopic method.  Although it is the advantage of the method that it is simple to apply and there is no permanent change in the body, if the patient does not change his lifestyle and does not continue his diet after the balloon is removed, the lost weight can be regained. However, within the period of use of 6 months-1 year, people get training on how to eat by trying them out. Today, the stomach balloon method is used as a preparation for basic morbid obesity surgery either in patients who are too risky for surgery or in super obese people. It can also be used by those who are not overweight.

Sleeve Gastrectomy
It is one of the most applied methods to lose weight in the world. In this method, 80-90% of the stomach is removed and the stomach is turned into a tube. The person’s calorie intake is reduced. Gastric sleeve surgery is also performed with the closed method, in a period of one to two hours. The hospital stay is two to three days. After the surgery, patients can switch to normal food after consuming liquids for two weeks and soft foods for the next two weeks. Vitamin supplements may be required. In this surgical method, the fundus region of the stomach is completely removed and the release of the Ghrelin hormone is prevented, thus reducing the appetite of the person.
After this surgery, people can lose an average of 80% of their excess weight within 1 year. After this surgery, care should be taken to chew the food thoroughly and consume it in small portions. In addition, exercise should not be forgotten. In order not to regain the lost weight, especially high-calorie liquid foods with refined sugar should be avoided.

Gastric By-Pass
In these methods, the stomach is basically divided into two parts. One is big and the other is small piece. With the newly formed small stomach, a part of the small intestine from the beginning and the duodenum are bypassed and reunited. Two situations are targeted. First, the person’s calorie intake is restricted, and secondly, the absorption of edible nutrients is reduced. These methods are also successfully applied laparoscopically today.  Gastric Bypass surgeries are one of the most common bariatric surgical procedures in the world. It is one of the methods with the highest metabolic efficiency in solving obesity and obesity-related health problems.  Weight loss can continue for up to 1.5 years. Post-operative follow-up is important. Patients may need to use vitamins for a long time. It is important that they are in contact with their dieticians and physicians about their nutrition.

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