Get closer to life with obesity surgery

Obesity surgeriess carried out in Turkey with newly developed methods have a high success rate.

Obesity rates are increasing every year around the world. Obesity, defined as an abnormal and excessive accumulation of fat in the body, has been treated with surgical methods in recent years. Obesity surgeriess carried out in Turkey with state-of-the-art technological equipment and the newly developed method have a high success rate.

As the evolution of our lifestyles and eating habits is affecting our health, obesity appears as a common and import ant health problem around the world. Obesity is defined as an abnormal and excessive accumulation of fat in the body. In adult men 15-18 percent of body weight is constituted of fat tissue, while in women 20-25 percen of bidy weight is made up of it. When the percentage of body fat reaches 25% and 30% in women, we talk about obesity. The Body Mass Index (BMI) is used to determine the level of obesity. The weight of the person in kilograms is divided by the square of the length of the value of the Body Mass Index. (BMI (kg / m2): body weight (kg) / height (m))

In the diagnosis of obesity, not only the increase in adipose tissue is important but also the place where this adipose tissue is accumulated. Because the fat tissue (pear-type obesity, female obesity), which is accumulated under the skin and especially in the hip region, does not show a very close relationship with obesity-related diseases, apple-shaped obesity, which is an accumulation of adipose tissue in the umbilicus, is also a more risky disease. A waist circumference of 102 for males and over 88 centimeters for females is associated with a risk of cardiovascular disease. Fat accumulation in the abdominal and internal organs leads to insulin resistance. Insulin resistance is the most important factor that provides the relationship between obesity and Type 2 Diabetes, hypertension, dyslipidemia and coronary artery diseases.

 

Who can be candidate for Obesity Surgery?

In the treatment of obesity, various types of treatment modalities such as diet, physical activity, behavioral therapy (feeding model), drug therapy, combined therapy and surgical treatment are applied. In the treatment of obesity, patients are given psychological support in all processes. Surgical methods are frequently preferred in the treatment of obesity in our country for the last 10-15 years. The operations in the scope of obesity surgery are performed by expert teams in the technologically advanced operating rooms.

Obesity surgery is suitable for patients with a Body Mass Index over 40 and who can’t lose weight despite regular diet and exercise, for patients with a Body Mass Index between 35 and 40 suffering from diseases linked to obesity such as hypertension, diabetes or sleep apnea. However, when a patient decides to undergo such an operation and is admitted to the hospital, all examinations are carried out in detail. Although surgical methods are effective in analyzing obesity, surgery is not enough to get rid of weight and to be healthy. After the operation, a serious follow-up period is experienced and the patient needs to restructure all his / her nutritional habits in a way to protect his health and avoid the things that are harmful to his health. It should be kept in mind that reaching the desired weight after the operation is a process that can take months to complete.

 

Obesity Surgery Methods

  • Intraoral balloon insertion

Due to the area covered by the balloon placed in the stomach, the patients has an early feeling of satiety. Patients begin to lose weight by eating less. After the patient has lost enough weight, the balloon inside the stomach is deflated with the help of an endoscope. This process takes approximately 6 months. According to their structure, Patients lose over 10-20% of their weight in the meantime.

  • Gastric banding surgery

In the adjustable silicone gastric band method, also known as the Gastric banding surgery, a band is placed around the stomach just below the junction of the esophagus and the stomach. Thus, the stomach volume is reduced. The band is gradually inflated with serum injections from the port under the skin about 1 month after the surgery. By this means, the size of the gastric passage after surgery can be changed with a simple intervention. This method aims at making the patient feel satiated by consuming very little food.

  • Tube Gastrectomy (Sleeve Gastrectomy)

Vertical sleeve gastrectomy or longitudinal “vertical gastrectomy” is the removal of 75% of the stomach vertically and transformation of the stomach into a banana or a tube. The procedure is performed laparoscopically with stapler called stapler. Stomach takes the shape of the tube as the continuation of the esophagus. As the volume of the stomach decreases to 25%, it lessens patient’s desire to eat. Patients feel satiated with 1/4 of the quantity of food they used to eat. With this method as bypass is not done in the bowel, absorption deficiency does not occur and less eating causes weight loss. Sleeve gastrectomy came out as a restrictive method of eating.

  • Gastric Bypass

In Gastric Bypass surgeries, a large portion of the stomach is bypassed and a small volume (about 30-50 cc) of stomach is prepared and sutured to the small intestine. In this operation, as in other operations of obesity surgery, the goal is to reduce the volume of the stomach, eliminate a part of the intestines and eliminate some of the food consumed without absorption.Thus, patients feel satiated with less food and a part of the food is absorbed.

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