Obesity Surgery

Obesity surgery is recommended for patients with a body mass index of 40 and above, or with a body mass index over 35 who are unable to lose weight despite trying methods such as medical nutrition, exercise, and medical treatment under specialist supervision. 

Types Of Obesity Surgery

Sleeve Gastrectomy (Sleeve Gastrectomy)

Sleeve gastrectomy (sleeve gastrectomy) is an obesity and metabolic surgery procedure. It is performed only for this purpose. Although this procedure is performed laparoscopically and robotically, it is performed as open surgery in very few and limited patients. With small incisions made in the anterior abdominal wall, the stomach inside the abdomen is shaped into a tube with the help of a guide, and the stomach and the functional parts of the stomach are removed appropriately. The remaining shape of the stomach resembles a banana-like extension. Its total volume is not more than 100 ml.

This procedure should be performed by an experienced surgeon, and it should be ensured that there is no other condition in your stomach. Before surgery, the patient is evaluated by various specialties, and the suitability for the operation and the expected benefit from the operation are taken into consideration. After the surgery, patients lose weight, but they will also lose many elements and vitamins of vital importance.

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Therefore, it should be performed by experienced teams, and the process should be supported with follow-up meetings with the patient after surgery. It can be performed in patients with heart disease, diabetes, sleep disorders, and asthma.  As a result of the evaluations made by the surgical team, the decision for surgery is made, treatment is started before surgery, and the patient is prepared for the procedure to be performed.

After surgery, the patient needs to make lifestyle changes, pay attention to their diet, and integrate exercise into their life. In this process, the most correct method is to act by consulting with your surgical team.

Gastric By-Pass

Typically, it is a surgical method in which a small stomach is created so that food contents do not pass through the secretions of the duodenum and pancreas. Faster weight loss can be achieved with this method. Diseases such as diabetes improve in a shorter time and under more favorable conditions. This surgical procedure is not suitable for every patient; it can only be performed in patients who meet the appropriate conditions.

This surgical method is generally applied as a priority in patients in whom other methods have been tried and an adequate response could not be obtained from sleeve gastrectomy. The procedure requires suitable instruments and an experienced anesthesia and surgical team in this field. It includes establishing various connections on the gastrointestinal system using the closed method with the help of various instruments.

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It provides improvement in diabetes and many metabolic diseases and also reduces the number of medications used by patients. Although improvement is observed in patients during the process, medication use decreases down to zero. Both the surgical procedure and the management of the disease after surgery should be evaluated and followed by specialist physicians. Patients can get rid of their medications under appropriate medical treatment, and it can be applied as a treatment option in some diabetes patients. After surgery requires close monitoring and various supportive treatments during the recovery period.

Obesity Surgery FAQ

1. Who can have obesity surgery?
People who have tried every way but cannot lose weight, and who have a body mass index of 35 and above, can have obesity surgery.


2. What should I do after obesity surgery?
After obesity surgery, you need to pay attention to your doctor’s recommendations, go to regular follow-ups, and change your diet plan and transition to a lifestyle full of exercise.


3. What is body mass index?
Body mass index is a calculation based on weight and height ratio. If this calculation is 35 and above, an obesity diagnosis will be made.


4. How should one eat after obesity surgery?
After obesity surgery, a diet list will be implemented with your doctor and usually accompanied by a dietitian. After obesity surgery, by paying attention to fluid intake, a healthier diet plan should be established.


5. Is obesity surgery risky?
Obesity surgery has risks like any surgical operation. By following your doctor’s recommendations before and after surgery, you can reduce bad outcomes.


6. Who cannot have obesity surgery?
Obesity surgery is not recommended for people with severe psychological disorders. Apart from this, people such as cancer patients, high blood pressure patients, and pregnant women cannot have obesity surgery.


7. How many hours does obesity surgery take?
Obesity surgery varies depending on which type of surgery is used. On average, it will take between 1-2 hours.

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