Obesity and Obesity Surgery

  • Obesity can be defined as the accumulation of fatty tissue above normal or excessive in the body. Body fat ratio values above 25% in men and 32% in women are included in the definition of obesity. Body Mass Index is used to determine the body fat ratio value.Degrees of Obesity According to Body Mass Index;
  • ⦁ 18.5 – 24.9: Normal
  • ⦁ 25 – 29.9: Overweight
  • ⦁ 30 – 40: Obese
  • ⦁ 40 – 50: Morbid (Fatal) Obese
  • ⦁ 50 and over: Super Morbid Obese

In patients with a body mass index of 40 and above, this condition is accepted as a disease that negatively affects the quality and duration of life. Due to the excessive increase of adipose tissue in the body, excessive amounts of fatty acids secreted during blood circulation create an inflammation state, which can create insulin resistance and lead to Type II Diabetes.

Obesity surgery is the name given to all surgical interventions performed to eliminate morbid obesity and it is also called “bariatric surgery” in medicine.

Who is Obesity Surgery Applied?

In general, in cases of excess weight that threatens physical or mental health, non-surgical weight loss methods such as diet, exercise, etc. are tried to lower excess fat. Patients who are unsuccessful despite getting expert assistance for programs may be suitable candidates for surgery. Before the decision of bariatric surgery, the patient’s body mass index and the presence of concomitant chronic diseases are also the criteria considered in the evaluation.

Obesity Surgeries Applied in Our Contracted Hospitals as Medixcope

It is important that you share your health problems, concerns and expectations with our doctor in order to determine the appropriate surgical method for you. All current obesity surgery methods are applied successfully in our hospital. These methods;

⦁ Tube Stomach Surgery (Sleeve Gastrectomy)

⦁ Roux’s Y Gastric Bypass

⦁ Stomach Balloon

⦁ Child Obesity Treatment

⦁ Diet and Nutrition Therapy

Tube Stomach Surgery (Sleeve Gastrectomy)

Sleeve Gastrectomy (Tube Stomach Surgery) is one of the most common operations that restrict food intake (restrictive) in obesity surgery. There is no absorption problem in patients who have Gastric Sleeve Surgery with Sleeve Gastrectomy method and therefore routine vitamin and mineral supplements are not required.

For Morbid Obese Individuals

While there is an adequate surgical intervention in many patients, it is also applied as a first-line surgery before malabsorptive (malabsorptive) operations in SUPER OBESE patients to reduce the complications of the surgery.

Patients with a Body Mass Index above 40 are an important treatment option.

Surgical Operation

In Tube Stomach Surgery; In summary, with the laparoscopic method, a new stomach is formed in the form of a tube with a volume of 150-200 cc by vertically cutting off the large side of the stomach.

The reduction of the stomach volume contributes to the restriction of food intake and the feeling of satiety caused by the removal of the fundus part of the stomach where the hunger hormone Ghrelin is secreted, leading to a decrease in appetite and weight loss.

Complication Risk

Possible complications of Gastric Sleeve Surgery are bleeding, organ injury, embolism and complications related to anesthesia, which are also valid for all surgical procedures.

The complication specific to the surgery is the leakage from the cut and stitched line of the stomach. During the operation, the stomach is inflated with a special blue-dyed serum, the suture line is checked and a tightness test is performed. Thus, the risk is minimized.

Sometimes a second surgery or non-surgical interventions may be required.

The risk of death due to surgery is very low, at 0.2%.

Weight Protection

60-70% of excess weight is lost in the first 1-2 years after Gastric Sleeve Surgery. Results were found close to Gastric Bypass in many studies.

Since it is a method that only restricts food intake, its effect may be reduced in fluid and high-calorie diets.

The rate of regaining weight in the long term is 10-20%, and the rate of recurrent MORBID OBESITY is around 2%. In such cases, conversion to procedures such as Gastric Bypass or Duodenal Swich can be made.

What is Lifelong Obesity Management?

Many researches have been conducted on obesity management over the years. Instead of focusing on weight loss, more work is being done on preserving the lost weight.

The important thing is to protect the lost weight.

It has been realized that physical activity is important not only in achieving weight loss, but also in maintaining the lost weight.

The aim of obesity treatment and management should not only be weight loss. Along with weight loss, health promotion and reducing health risks are also very important. It is necessary to focus on weight management. Depending on the degree and type of obesity, achieving different levels of weight loss according to the age and lifestyle of the individual is much better than reaching the almost impossible weight target under unhealthy conditions.

Moderate weight loss and maintenance is more successful than losing excess weight quickly and then getting it back.

Gastric Sleeve Surgery Stages

A pre-interview is made with the Obesity Surgeon. The method to be applied is planned with the examination here.

Comprehensive blood tests are performed before the operation. They are examined by dietician, cardiology, chest diseases, internal diseases, anesthesia and general surgery specialists.

The imaging process with gastroscopy is applied by the General Surgeon.

The procedure to be applied according to the evaluation result by the Obesity Surgeon is determined and taken into operation.

After the laparoscopic procedure, which lasts about 1-1.5 hours, you are hospitalized within 3-4 days.

After the patient is discharged at the end of the 4th day, he can start his social life, but he can easily start his exercise and heavy work life after about 1-2 weeks.

Regulations are made in the diet, which is applied by making general controls at certain periods.

Roux En Y Gastric Bypass

It is one of the most common obesity surgery operations in the world. Today, Roux-en-Y is considered the safest and most effective method among the surgical methods used in gastric bypass attenuation surgery.

The shrinkage bypass method applied in patients with type 2 diabetes is very effective in bringing diabetes into remission by giving effective results. This surgery performed laparoscopically requires advanced laparoscopic surgical skill and experience. This surgery can be performed with relatively low morbidity and mortality after some experience.

Stomach is cut under the esophagus to leave 30-50 cc of stomach. Thus, the future of the meal is divided into a small stomach pouch and a large unused stomach pouch. Then, the small intestines are cut at 40-60 cm and the lower end is tied to the small stomach pouch. The upper end coming from the large blind stomach pouch with bile and pancreatic secretion is attached to a place in the middle of the small intestines connected to the new small stomach.

Stomach Balloon

The gastric balloon is a silicone balloon that is inflated to a volume of 500-700 cc with saline after being placed in the stomach endoscopically. In this way, fullness is created in the stomach and a feeling of satiety is provided.

It is a temporary weight loss method that does not require hospitalization and is applied endoscopically and daily in patients who cannot lose weight with diet and exercise, who do not want to undergo surgery and who have a high risk of surgery.

After the gastric balloon is placed, it should be removed after a period ranging from 6 months to 1 year.

It cannot be applied in cases of stomach ulcer, large gastric hernia and pregnancy. Nausea, pain, ulcer, stomach bleeding, gastric perforation, and intestinal obstruction are rare complications.

The gastric balloon should not be seen as a miracle. It can be defined as an auxiliary procedure to diet.

Childhood Obesity Treatment

There are some precautions that can be taken to keep your child with a healthy weight at the same weight, or to prevent further weight gain if the child is overweight.

These:

Take your child to a doctor’s check-up at least once a year. During this visit, the doctor will measure your child’s height and weight and calculate their body mass index. The increase in the child’s BMI over the year indicates that if the child is older than 4 years of age, he is at risk of gaining excess weight.

Set a good example for your child. Try to maintain your weight by consuming healthy foods and doing regular exercise and make your child behave like you.

Avoid using food as a reward or punishment.

Highlight the beneficial aspects of healthy foods. Encourage the child by emphasizing the benefits of healthy foods, fruits and vegetables for the body and the contribution of outdoor play and sports activities to the child. Tell them that exercise and sports make the heart, lungs and other muscles stronger.

Be patient. When many overweight children grow and grow in height, their body weight and height balance improves. Therefore, it is recommended to have a little patience until children grow a little and grow in height. Going over your child’s eating habits and weight can be counterproductive. The child may start eating more and eating disorders may develop.

Take care of your own weight too. Obesity is generally seen among a few individuals in the family. Your trying to lose weight will also encourage the child. Don’t expect your child to do something you don’t want to do.

Diet And Nutrition Treatment

In order to protect our health and increase our quality of life, the intake of food groups that the body needs is defined as nutrition. For a healthy diet, the energy intake and the energy spent must be in balance. If the energy taken is more than the energy spent, fat is stored in the person’s body and weight gain occurs.

After the necessary tests are made in the diet treatment, a nutrition program is prepared according to the age, height, weight, gender and physical activity level of the person. Programs are planned individually, taking into account the level of body weight (BMI) required for height. Also;

Childhood, adolescence, pregnancy period nutrition

Special nutrition for stomach and intestinal diseases

Nutrition suitable for weight gain for thin people

Nutrition programs suitable for diabetes, cardiovascular and blood pressure patients are organized and followed up.

Obesity

According to the World Health Organization, obesity is defined as excessive fat storage in the body that will impair health. Obesity is affected by many genetic, environmental and physiological factors. According to the data of the World Health Organization, at least 2.8 million people die each year due to being overweight or obese. Body mass index (BMI) is generally used in the classification of obesity. BMI is obtained by dividing body weight (kg) by the square of height in meters.

BMI VALUES;

Those below 18.9 kg / m² – UNDERWEIGHT

Those between 19-24.9 kg / m² – NORMAL

Those between 25-29.9 kg / m² – OVERWEIGHT

Those between 30-34.9 kg / m² – OBESE

Those over 35 kg / m² – EXTREMELY OBESE

In the treatment of obesity, body fat, muscle and fluid ratio, metabolic rate, regional distribution of excess weight, metabolic age, visceral fat accumulation are measured with special scales working with bioelectric impedance system. With the measurements made once a week, it is determined whether the weight lost is from fat or muscle tissue.

The goal of diet therapy is to maintain this weight after reaching the desired weight and to provide a lifestyle change in nutrition.

For a healthy and quality life, do not neglect to have your check-ups regularly.

“Page content is for informational purposes only. Please contact us for diagnosis and treatment.