Bariatric Surgery ( Weight Loss Surgery )

Bariatric Surgery ( Weight Loss Surgery )

For obese patients, weight loss surgery or bariatric surgery may be an option when non-surgical treatments fail. With dietary changes and an active lifestyle, bariatric surgery helps patients lose pounds and maintain a healthy weight. Depending on the patient’s unique condition and health, one of three types of weight loss surgery can be performed and laparoscopic surgical options may be available.

Types of Bariatric surgery

  • Gastric Band
  • Gastric Bypass
  • Sleeve Gastrectomy
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Our Bariatric surgeons and medical support team are here to help patients defeat obesity with simple but effective procedures, while our nursing and rehab team works closely with patients to provide a seamless and attentive surgical and follow-up experience. Our team will help in determining surgical options and if surgery is right for you, as well as which procedure best suits your needs. Our nutritional and exercise therapy programmes are all vital components of your post-operative recovery.

GASTRIC BAND

People can gain excess weight due to genetic factors or irregular eating habits. People who are overweight according to their height are called obese. No matter how much these people eat less, they may not lose weight. In addition, they have to lose so much weight that diet alone cannot be enough. Important diseases such as diabetes, cardiovascular diseases, joint problems, which are frequently seen in overweight people, can only be eliminated with the patient’s weight loss and therefore they are obliged to undergo surgical intervention.

To eliminate the obesity problem, the general name of gastric reduction surgeries that enables the patient to weaken and stay at the required weight is “Bariatric Surgery”. Thanks to the surgical procedure, it is possible to get rid of 40-100 kilos.

The stomach band, which is usually inserted just below the entrance of the esophagus to the stomach by laparoscopic method, is one of the methods applied for the weight loss of advanced fat people. A reservoir is formed up to the tangerine on the band. When eating, this area becomes full and a feeling of satiety occurs. Food gradually passes from the narrowing part to the large reservoir below, thanks to the stomach band. Thus, it is aimed to weaken the person who feels full by eating less. People tend to prefer more, but not very well in terms of effectiveness, since there is no such thing as cutting out and completely removing part of the stomach, as in gastric reduction operations. Since it does not cut people’s appetite, the person tries to trick the stomach band. By choosing high-calorie beverages, they also increase the calorie entering the stomach. Since the storage feature of the stomach is also active, it is possible to continue to gain weight.

 

WEIGHT LOSS WITHOUT SURGERY

STOMACH BOTOX

Botilinum toxin (Botox) injection is applied to some parts of the stomach, the contraction of the stomach muscles is reduced and the stomach is emptied longer. The patient experiences loss of appetite. So they are weak.

In stomach reduction operations, the body mass index should be above 35-40. It is an ideal method for patients who are below these values, who want to get rid of their excess weight but are not sufficiently advanced obese. Patients with ulcers or gastritis in their stomach must first receive treatment for these diseases.

The effect of the drug used in stomach botox is completely erased within 4-6 months. So there is no possibility of permanent damage. Stomach botox should not be confused with obesity surgeries. After applying stomach botox, the feeling of hunger begins to decrease within 3 days and after about 2 weeks, a decrease in weight is observed. Without deleting the effect of the drug, the targeted weight is lost.

What is the difference from the stomach balloon?

Like the stomach botox, the stomach balloon is one of the endoscopic interventions for weight loss. However, while the application is performed in a stomach botox, it is necessary to adjust the volume from time to time in the gastric balloon. This means having endoscopy every time. After the stomach balloon is taken back, the patient may experience an increase in appetite, while the effect of botox application gradually passes, the appetite gradually returns to normal.

 

GASTRIC SLEEVE (sleeve gastrectomy)

Today, the most preferred stomach reduction surgery with proven effectiveness and low-risk rates is “tube stomach surgery”. The medical name of tube stomach surgery, which has a history of 15 years, is “sleeve gastrectomy”. Approximately 80-85 percent of the stomach is removed by cutting the stomach longitudinally with the surgery performed by laparoscopy method. The rest is like a banana. It is called “tube stomach” because it looks like a thin long tube. In this surgery, which is performed to reduce the volume of the stomach, the part of the stomach remains connected with the esophagus and intestines.

After tube stomach surgery, the person will feel fullness in a much shorter time. Thus, the amount of food he eats decreases, he can lose weight quickly and healthily. You do not feel hungry easily because the stomach parts that produce “hunger hormone” called “gherlin” are removed during this surgery. After your surgery, your stomach’s storage feature is lost.

Today, the most preferred stomach reduction surgery with proven effectiveness and low-risk rates is “tube stomach surgery”. The medical name of tube stomach surgery, which has a history of 15 years, is “sleeve gastrectomy”. Approximately 80-85 percent of the stomach is removed by cutting the stomach longitudinally with the surgery performed by laparoscopy method. The rest is like a banana. It is called “tube stomach” because it looks like a thin long tube. In this surgery, which is performed to reduce the volume of the stomach, the part of the stomach remains connected with the esophagus and intestines.

After tube stomach surgery, the person will feel fullness in a much shorter time. Thus, the amount of food he eats decreases, he can lose weight quickly and healthily. You do not feel hungry easily because the stomach parts that produce “hunger hormone” called “gherlin” are removed during this surgery. After your surgery, your stomach’s storage feature is lost.

For whom stomach surgery is recommended?

  • Body mass index over 40 kg / m² (highly obese)
  • Those with a body mass index of 35-40 and also problems with type 2 diabetes, hypertension and sleep apnea due to excessive obesity are considered to be highly obese and may require a stomach reduction surgery.

Who Does Not Recommend Tube Stomach Surgery?

  • For those who want to weaken for aesthetic purposes
  • For those other than 18-65 years old
  • Alcohol – substance addicts
  • Heart-lungng patients

For people under the age of 18, the degree of obesity, as well as the presence of type 2 diabetes, high blood pressure and sleep apnea are important, and parental approval is required, as well as a physician’s decision. For people over the age of 65, the state of health and the necessity of the operation (problems related to the person’s weight and problems experienced) are evaluated.

Gastric bypass method can be preferred as the second operation method in patients who have tube stomach surgery and gain weight again.

What are the Advantages of Tube Stomach Surgery?

  • The wound heals quickly thanks to its closed operation, and a shorter stay in the hospital.
  • The capacity of the stomach is reduced, but because its functions are not changed, it allows many foods to be consumed less.
  • The production of Ghrelin hormone, which gives a feeling of hunger, decreases and therefore the feeling of hunger decreases.
  • Patients with chronic bowel disease such as Crohn’s disease can easily perform tube stomach surgery.
  • It is a surgical technique with very good results in moderate and advanced obese.
  • Obesity-related diseases such as hypertension, sleep apnea, and diabetes recover 70-80% after surgery.
  • This technique does not require bowel cutting and reconnection.
  • As with processes that bypass the small intestine, no absorption disorder occurs in minerals and vitamins.
  • Dumping syndrome does not occur, sugar and sugary foods can be better tolerated.

 

GASTRIC BYPASS

Stomach reduction surgery is a surgical method applied in cases where patients with obesity problems cannot lose enough weight despite diet, exercise and medication. One form of gastric reduction surgery today is ‘gastric bypass’ surgery. Gastric bypass is preferred only in special cases: In cases where Type 2 diabetes is at the forefront and insulin use is old, and especially in people with a high body mass index, gastric bypass method may be the first surgery choice. After stomach reduction surgery, it becomes possible to normalize high blood sugar levels due to diabetes and to stop the medications and insulin used for diabetes completely or partially.

In gastric bypass surgery, which is an old surgery, the stomach is shrunk, a connection is made between the small intestine and the stomach. In this method, the patient loses weight in two ways:

1- After the operation, the person starts to weaken because he starts eating less.

2- Since the eaten foods do not fall into the duodenum, most of them are thrown out without being absorbed. Therefore, even if a person has a high-calorie food, it is thrown out without being stored as fat and weight loss occurs.

What is dumping syndrome?

Foods and fluids taken after gastric bypass surgery can pass into the intestine very quickly. For this reason, nausea, sweating, weakness and sometimes post-meal diarrhea can be observed. You may become unable to eat dessert. It is very important to follow your dietician’s recommendations to avoid these.

After stomach reduction surgery;

  • Small amounts of food should be eaten frequently.
  • Food should be chewed very well.
  • Regular exercise and sports should be continued.
  • Water and other liquid drinks should not be consumed 10-15 minutes before and 20-30 minutes after meals.
  • Solid and liquid foods and drinks should not be consumed together in meals.
  • It is important to pay attention to the amount of water drinking. Sip sip in a day, if necessary, drink no more than 1 liter of water using a straw; the amount of water should be increased to 1.5-2 liters over time.
  • A protein-rich diet should be followed during the post-operative period.
  • Endocrinology, diabetes and metabolic diseases and vitamin and mineral supplements recommended by nutritionists should be obtained.

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