WHAT IS OBESITY?
If the amount of calories taken daily is more than spent or if this calorie is not spent, abnormal and excess fat accumulation in the body is considered as obesity.
Additional diseases occur due to chemical and hormonal factors secreted from the accumulated fat tissue, and consequently the quality of life and life expectancy of a person is adversely affected.
In particular, irregular and incorrect dietary habits, hormonal causes, inadequate physical activity, genetic factors, some drugs used and psychosocial conditions can be considered among the causes of obesity.
Disruption of metabolic balance due to obesity brings with it many additional diseases such as diabetes, hypertension, high cholesterol, heart disease and sleep apnea.
Not every obese person is considered obese. Rather than the value seen in the scale, this value (considering the age and gender of the person) is important in proportion to the height of the person. Body mass index is used for this purpose and the obesity status is evaluated according to the reference intervals of the World Health Organization.
Body Mass Index (BMI); kg. The body weight is calculated by dividing the body weight by the square of the neck in meters.
Obesity over 30 kg / m2, morbid obese over 40 kg / m2 and over 50 kg / m2 are considered as super obese. In addition to body mass index, the age, gender, daily activity level, waist and hip circumference, subcutaneous fat tissue thickness and muscle mass are also important.
WHO ARE SUITABLE FOR OBESITY SURGERY?
Between 18 and 60 years of age, surgery is not an obstacle, exercise and diet programs have not benefited from, the criteria appropriate to people who can be considered surgical treatment.
The group in which surgical treatment is generally considered;
- Morbid obese with a body mass index of 40 kg / m2 or more
- Body mass index of 35 kg / m2 and over with additional disease (diabetes, hypertension, sleep apnea, high cholesterol, joint problems)
It is also important to be stable in terms of psychiatric stability, long-term follow-up and lifestyle changes.
WHAT ARE THE SURGICAL METHODS IN THE TREATMENT OF OBESITY?
Two types of surgical techniques are applied;
- Methods to reduce the amount of nutrients taken (Tube Stomach, Gastric Tape, Stomach Balloon)
- Methods to reduce the absorption of nutrients (Duodenal Switch, Gastric Bypass, Biliopancreatic Diversion)
WHAT IS THE SLEEVE GASTRECTOMY SURGERY?
With removal of approximately 80% of the stomach, 150-200 cc of gastric tissue is left behind. The stomach, the esophagus and the duodenum are cut to the point where the intestine is cut.
Since the tedir fundus g part of the dome-shaped ından fundus ı ı, where the gastric volume is diminished and the Ghrelin, which is also known as the de fasting hormone ’, is removed, patients lose weight without feeling hunger in the post-operative period.
The operation is performed with laparoscopic (closed) method and the duration is approximately 1 - 1.5 hours. In the postoperative period, patients do not feel a lot of pain and therefore enter into a rapid recovery and weight loss process.
Weight loss is very fast in the first month especially in the first month, and then the process is slower and continues for a year.
WHAT ARE THE RISKS OF THE TUBE OPERATING?
The two most important complications; remaining leakage line in the remaining gastric section due to the opening of the leakage and bleeding from the same line is the line. In cases of hemorrhage, medical treatment and sometimes supplementation of blood products are improved spontaneously.
In some cases, it may be necessary to intervene with endoscopic methods. In case of leakage, it is important to notice it in the early period. For this purpose, the leak test is performed before the end of the operation and the test is renewed on the first day after the operation.
Endoscopic sutures and stenting are usually performed in cases where leakage is detected.