What is Obesity Surgery?
Obesity Surgeries are performed to help patients lose weight. There are many types of obesity surgery to this aim. In cases where successful results cannot be obtained after diet and exercise, obesity surgeries can be applied.
Who is Suitable for Obesity Surgery?
The obesity surgery method is suitable for people who have applied all other treatment methods before the surgery but have not been successful. Before the patient undergoes a surgical procedure, detailed analyzes should be performed and the patient should be suitable for surgery in terms of anesthesia.
Obesity surgery is performed according to the patient’s body mass index. If the body mass index is over 40, the patient can have obesity surgery. However, in patients with a body mass index between 35 and 40, obesity surgery can be decided if there are follow-up disorders such as hypertension, Type 2 diabetes, sleep apnea syndrome, high triglyceride levels, heart disease, hypoventilation syndrome, fatty liver.
Obesity Surgery Types
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. In this decision, the patient’s history, habits and other diseases, if any, are taken into consideration.
1. Gastric Balloon
The simplest method to help lose weight is the gastric balloon application. In this method, a balloon filled with liquid or air is placed in the stomach with the help of an endoscope under mild anesthesia. This process 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.
2. Gastric Sleeve Surgey
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.
3. Gastric By-Pass
In these methods, the stomach is basically divided into two parts, one large and the other small. With the newly formed small stomach, a part of the small intestine from the beginning and the duodenum are bypassed and reunited. Thus, two situations are targeted; first, the person’s calorie intake is restricted, and secondly, the absorption of eaten 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 take vitamins for a long time. It is important that they are in contact with their dieticians and physicians about their nutrition.
Before Obesity Surgery
First of all, the person is examined in detail by surgeons. You will be informed in detail about your treatment process before and after the surgery. After the acceptance of the patient, it is evaluated by cardiologist, chest diseases, psychologist and anesthesiologist, endocrinology and metabolic diseases. In addition, preoperative gastric endoscopy, abdominal ultrasonography and many laboratory tests are performed on the patient.
After Obesity Surgery
After the necessary controls are made in the hospital and the patient is discharged, the treatment process continues. The diet program deemed appropriate by the dietitian and the surgeon performing the surgery should be carefully applied by the patient.