Sustainable weight loss in the treatment of obesity through “Bariatric Surgery.”

Surgical procedures performed on patients who cannot lose weight, regardless of the forms of treatment and diets of overweight people who have a body mass index over 40 or over 35 and suffer from chronic diseases who have serious medical conditions. problems are known in medicine as “bariatric surgery” or “obesity surgery”.

Through surgical bariatric surgery for obesity, patients can return to their normal health weight and prevent the spread of obesity-related diseases.

Bariatric surgery plays a crucial role in the treatment of obesity. Laparoscopic obesity surgery shortens the recovery period. Studies in patients with bariatric surgery have shown that patients who have undergone bariatric surgery are less likely to develop obesity-related cancers than patients who have not undergone such treatment. The reason for this is that although weight loss with diets and various medical exercises leads to 7-10% weight loss, bariatric surgery provides 80% weight loss, if supported by the necessary lifestyle changes prescribed by a specialist.

In the preoperative period, specialists take into account the patient's eating habits, health status (presence / absence of other diseases and conditions), lifestyle, and the state of other health disorders. Patients between the ages of 18 and 60 can undergo this surgery.

There are several conditions that patients must meet before undergoing surgery.
Their body mass index should be over 40 or they should have a body mass index between 35 and 40 and suffering from obesity-related diseases.

Suffer from incurable obesity for at least 5 years.

There is no change in the course of the disease as a result of drug treatment and diet.

They do not suffer from endocrine diseases.

They do not suffer from alcohol or drug addiction.

Overall perception and adaptability and be in coordination with the obesity team in the postoperative period.

They do not have a health condition that interferes with surgery.

Surgical procedures used for surgical treatment of obesity

Restrictive and malabsorption operations.

Some restrictive surgeries, such as gastric lavage, have lost their effectiveness. Although the efficiency of malabsorption operations is high; they have quite a few adverse effects. Nowadays, the most effective bariatric surgery is laparoscopic sleeve gastrectomy (surgery of the gastric sleeves). The most important point for these operations is that patients need to know that they are expecting new life in the postoperative period. Adopt a low-carbohydrate, high-protein diet under the supervision and guidance of a nutritionist (eat little and often; chew food properly; get proper multivitamins, calcium and vitamin D; exercise and other important things for the body).

Gastric sleeve surgery
Gastric sleeve surgery is a bariatric surgery during which approximately 80% of the stomach is removed. Weight loss is achieved with more than one mechanism. First of all, a significantly reduced stomach volume leads to less food intake and therefore fewer calories. However, the main effect is not the restriction of food intake, but the change it creates on the hormones that regulate hunger, fullness and blood sugar.

Looking at the short-term results, it can be said that gastric sleeve surgery, like the older method of gastric bypass, is an important surgical operation for both weight loss and overall treatment or recovery from metabolic disorders such as diabetes. In addition, like gastric bypass, the metabolic effect of gastric sleeve surgery does not depend on weight loss. Shortly after surgery, high blood sugar levels drop to normal, and diabetic medications or insulin are completely or partially stopped, even before weight loss begins. In addition, gastric sleeve surgery has fewer complications than gastric bypass surgery. Gastric sleeve surgery is beneficial because it is a restrictive surgery, it ensures the loss of 50-60% of body weight easily after surgery, does not require a change in the route of passage of food into the gastrointestinal tract, shortens the period of hospitalization and has a positive effect on hormones that regulate hunger, weight gain and blood sugar.

Gastric bypass surgery
Gastric bypass surgery is an older method of surgery than other methods of bariatric surgery. Therefore, it can be considered the most used bariatric surgery among others. In the first step of gastric bypass surgery, the stomach is reduced by up to 30 milliliters. Stomach tissue near the esophagus is used. The stomach is connected to the small intestine. There are two types of gastric bypass surgery. In the first type, the small intestine forms in a thin circle and is connected to the stomach. This is called a Mini Stomach Bypass. In the second type of gastric bypass surgery, the small intestine is bypassed and one end is connected to the stomach, while the other end is connected to the small intestine. This method is known as 'Roux en Y gastric bypass'. With the exception of small technical differences, the two methods have similar surgical results. The mechanism of gastric bypass surgery is restrictive, as in gastric sleeve surgery, ie. the patient can take a limited amount of food and bile salts and pancreatic enzymes located in the duodenum to meet the nutrients in the distal part of the small intestine. Therefore, the breakdown and absorption of nutrients becomes more difficult and the mechanism of absorption changes. In other words, the patient eats less and receives fewer nutrients. The change in gastrointestinal hormones is more significant than in gastric sleeve surgery. The patient feels less hungry, although he eats less and his blood sugar is regulated. Losing 60-80% of body weight is one of its benefits. Gastric bypass surgery is a restrictive method of food intake and has a more significant effect on gastrointestinal hormones. It is also a reversible procedure compared to gastric sleeve surgery.

Other operations – duodenal switching – are very specific surgical operations when we consider the group that has undergone surgery or the rarity of surgical operations; and therefore patients must be evaluated by the centers individually.

Postoperative life
The most important point for these operations is that patients need to know that they are expecting new life in the postoperative period. Because patients may feel full with less food, they have no problem adopting a new lifestyle in the postoperative period.

qTherapy as a hospital agent has the ability and experience to organize and make an appointment for a primary consultation, as well as to give you detailed information in the preparation and organization of everything necessary to the smallest detail, so you do not think about organizational steps, and to be calm and prepared in your upcoming bariatric surgery procedure in order to reduce your body weight.