OBESITY SURGERY
Obesity Surgery: It is surgery to lose weight. There are many types of surgery. This operation should never be considered as the first choice. In cases where successful results cannot be obtained after diet, exercise and drug therapy, bariatric surgery can be applied.
Who Is Obesity Surgery Suitable For?
The obesity surgery method is suitable for people who have applied all treatment methods before surgery but have not been successful. The patient should be controlled by all units without surgical operation and should be suitable for surgery. The surgery is performed according to the body mass index. If the body mass
index is above 40, the patient can be operated. If it is between 35 and 40, if there is an additional disease (hypertension Type 2 diabetes, sleep apnea syndrome, high triglyceride syndrome, heart disease, syndrome, fatty liver, etc.), if the body mass index is between 30 and 35, Type 2 blood sugar cannot be controlled by medical treatments. Surgery may be recommended for diabetic patients.
Types of Surgery for Obesity Treatment
Gastric Balloon
The most comfortable method to support weight loss is 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 operation continues for 30 minutes. Thus, the stomach's capacity to take food decreases. Patients lose 10 kilos in a month. The balloon stays in the body for 6 months, at most 1 year, and is removed within 5-6 minutes. Simple application and no permanent change in the body are the positive aspects of the method, but if the patient does not change his lifestyle and does not continue sports after the balloon is removed, the weight is regained. However, within the period of use of 6 months-1 year, people will be trained because they will get used to the exercise.
TUBE STOMACH
Tube Stomach is one of the most applied surgeries to lose weight. In this application, 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 a closed method and lasts for one or two hours. The hospital stay is 2-3 days. After the surgery, the patients go to normal food after consuming liquids for 15 days and light foods for the next 15 days. Vitamin supplements may be required. In this surgery, the fundus region of the stomach is completely removed, preventing the release of the hormone Ghrelin, and it also helps to reduce the appetite of the person. Immediately after the surgery, people lose an average of 80% of their excess weight for approximately 360 days. After the surgery, care should be taken to chew the food thoroughly and consume it in small portions. In addition to this, sports should also be done. In order not to gain the lost weight again, especially high-calorie liquid foods with refined sugar should be avoided.
Gastric By-Pass
In this method, the stomach is divided into two. One big and the other tiny. With the newly formed small stomach, a part of the small intestine from the beginning and the duodenum are bypassed and reunited. Two situations are targeted. First, the individual's calorie intake is restricted, secondly, the absorption of edible nutrients is reduced. These methods are also 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 most metabolic efficiency in solving obesity and overweight human body problems. Weight loss can continue for up to 1.5 years. Post-operative follow-up is important. Patients may need long-term vitamin intake. It is important that they are in contact with their dieticians and physicians about their nutrition.
before obesity surgery
First, the PATIENT is well examined by the surgeons. After the doctor decides whether he is suitable for surgery, he informs the patient about the surgery for overweight. After the decision of the patient is taken, it is evaluated by cardiologist, chest diseases, psychologist and anesthesiologist, endocrinology and metabolic diseases. In addition, gastric endoscopy, abdominal ultrasonography and many laboratory tests are performed on the patient before the operation.
OBESITY AFTER SURGERY
After a successful surgery, patients should be careful in order to get rid of the discomfort of being overweight and to have a healthy and quality life. After the necessary controls are made in the hospital and the patient is discharged, the treatment process continues. The diet program approved by the dietitian and the surgeon performing the surgery should be carefully applied by the patient. The patient should not exercise during the processes specified by the doctor and should not disrupt his regular controls.
weight loss after surgery
Nutrition should be considered after bariatric surgery. It takes up to 1 year to lose weight in general. We should establish a new eating habit after the surgery. We should not continue our old habits. We need to eat more protein-rich diet. In addition to regular and healthy nutrition, we should not forget the exercises between permanent weight loss. Do not cut off contact with your dietitian and doctor.
The application of Botulinum toxin (Botox) to the stomach is the injection of toxin to certain parts of the stomach with the endoscopy method. In this method, the contraction of the stomach muscles is reduced, the gastric emptying time is delayed, and the patient loses appetite.
Who is Stomach Botox suitable for?
Stomach Botox is applied to everyone who wants to lose weight, it is not a surgery. However, patient selection is important. Stomach Botox is not very beneficial in patients with a body mass index above 40 and who can achieve success with surgery. In patients with stomach ulcers or gastritis, stomach Botox can be applied after the appropriate treatment of these diseases.
Does stomach Botox have side effects?
Botox is used to reduce wrinkles on the skin during pregnancy. It has no dangerous side effects. Since stomach Botox application is a standard endoscopy procedure, there are no known significant side effects. The procedure is not suitable for people who have muscle disease and who are allergic to Botox.
Does stomach Botox have a weight loss guarantee?
No surgery, including stomach Botox, has a 100% result guarantee. Stomach Botox has an appetite-reducing effect and helps diet. There is also the possibility of failure in patients fed with high carbohydrate after Botox application.
How long is the stomach Botox procedure, is it necessary to stay in the hospital?
Stomach Botox operation is not a surgery. It is an operation performed by entering the mouth endoscopically. There are no scars etc. İn the procedure The procedure takes approximately 20 minutes. During the procedure, patients are put to sleep accompanied by an anesthesiologist. The patient is discharged 2 hours after the hospital.
Does stomach Botox cause permanent damage to the stomach?
It is known that the entire effect of the drug used in stomach Botox is completely erased from the body within 4-6 months. Therefore, there is no possibility of permanent damage.
My intestines are already lazy, will I experience more bloating with Botox?
Stomach Botox is applied only to the smooth muscles of the stomach. Accordingly, it has no effect on increasing intestinal laziness. In the diet that will be specially prepared for you after stomach Botox, (indicate this situation to your dietitian), an improvement in intestinal laziness can be seen by adding foods for the operation of the intestines to the diet.
What is the expectation from stomach Botox application?
Patients are expected to lose 10-15% of their total weight within 3-6 months. The amount of weight lost; It may differ from person to person according to age, metabolic rate and frequency of exercise.
What should be considered after stomach Botox?
Consuming fast foods such as fast food and acidic beverages are harmful. Botox applied patients get hungry later, feel full of less portions, and feel full earlier
