Bariatric Clinic Surgery Throughout life, people see several changes in their bodies. Major changes include gaining and losing weight. Obesity has become a common issue today. Obesity is a disease that occurs due to the excessive accumulation of body fat in the human body, which can lead to negativities in terms of health. We calculate your body mass index by dividing your weight by the square of your height. In general, you are considered obese if your index is between 25 kg/m2 and 30 kg/m2.
Obesity disease usually reveals. Also, it causes some cancer diseases such as type 2 diabetes, heart disease, obstructive sleep apnea.
Indirect Measurement Methods
Another disease caused by obesity is hypertension. To treat hypertension, the diagnosis must first be made correctly. For this purpose, it is necessary to provide the necessary equipment. It is also environmental conditions to determine blood pressure and to measure it with an accurate technique. In addition, repeating the measurements due to the serious variability in blood pressure will enable us to learn whether the high values detected at the beginning continue or if they return to normal and only require periodic controls.
In the measurements made in the evaluation of obesity, the waist. Hip ratio should be less than 1 in men. This ratio should be below 0.85 for women. Waist circumference measurements are a very simple and easy method for the diagnosis of obesity. A giraffe waist circumference of more than 102 cm for men. Greater than 88 cm for women is determined as an indicator of obesity.
Bariatric Clinics: Types of Obesity
Obesity is a kind of disease that negatively affects the functioning and functioning of all internal organs and systems. The organs are covered with adipose tissue. Organs are covered with adipose tissue, even the simplest processes take place at the cellular level. The heart and other organs wear out faster due to excess weight. Due to obesity, the liver undergoes fatty degeneration and increases in size. The musculoskeletal system cannot cope with excess weight and deforms over time.
What Are the Symptoms of Obesity?
The first sign of obesity is an increase in body fat. Body Mass Index (BMI) helps patients to understand whether there is obesity or not. The Body Mass Index calculation, also known as the obesity calculation method. It can be done by dividing the body weight in kilograms by the height in m2.
What Causes Obesity?
There are many causes of obesity. However, the biggest factor in the formation of this disease is due to a sedentary lifestyle. People do not exercise, and an unhealthy diet. To list all the causes of obesity simply, these are; extreme wrong eating habits, age, gender, education level, sociocultural factors, income status. Lack of physical activity, hormonal and metabolic factors, genetic and psychological factors are among the other causes that affect obesity.
Applying very low-energy and unhealthy diets at frequent intervals may also lead to obesity instead of weakening. Smoking and alcohol use are also among the most common causes. Some drugs (antidepressants, etc.) used to cause weight gain as a side effect and then obesity if not taken care of. The number of births and frequent birth intervals can lead to obesity in women. Insufficient intake of breast milk causes obesity and overweight for babies at an early age.
How Is Obesity Diagnosed?
We most commonly determine the diagnosis of obesity based on the result after calculating the Body Mass Index. Your lifestyle, diseases, mental and psychological problems are taken into account by our doctor. Then, besides the body mass index, the measurement of waste. It hips circumference is also important for the diagnosis of obesity. Because measurement of waist and hip circumference can also lead to obesity-related diseases. These are important factors to consider.
Diseases That May Occur Due to Obesity
Obesity is a kind of weight gain disease that is common in the world recently. In addition, obesity can lead to many diseases. These diseases; type 2 diabetes, high blood pressure, high blood fats, and cholesterol, fatty liver
Diseases such as cardiovascular diseases such as atherosclerosis, joint disorders, sleep apnea, ovarian cysts in women. It is related to menstrual irregularities, excessive hair growth problems occur. Hormonal disorders in boys are also common and may occur. Depression is a negative disease that comes with obesity and also affects psychologically. Finally, some cancers are diseases brought about and caused by obesity.
How Is Obesity Treated?
Obesity is based on a simple equation and a mathematical operation. If more energy is take in than the energy needs of the body, it is store in the body. Unless there is an underlying genetic/metabolic or psychological disease, obesity occurs. When there is either excessive food intake, low energy consumption, or both. Here, we come across medical and healthy nutrition as the first treatment option.
At this point, our expert dietitian will determine from which sources, foods and how often you will get calories. The goal in diets is not to follow one-to-one lists. It should ensure that the person has a routine that he can stretch, feel more comfortable, make changes, maintain. It should, most importantly, make it a lifestyle. In addition to nutrition, proper exercise and walking should also be done.
As the second treatment option, medical methods come to the fore according to the person determined by the doctors.
Healthy Secretion of Hormones in Obesity
It is of great importance in terms of the healthy secretion of hormones in obesity. Disruption of the balance in hormones can lead to obesity. However, it can be dangerous for the body. These operations should not be tried without consulting an endocrinologist.
Examples for that Help to Gain and Lose Weight
For example, hormones such as ghrelin, insulin, thyroid and growth are important. Hormones affects for the individual in terms of weight gain and loss. In addition to these, there is the hormone GLP-1, which creates a feeling of satiety in the last part of the small intestine. GLP-1 regulates the release of insulin in the body and activates the hunger-satiety center in the brain. With medical treatments related to the GLP-1 hormone, the situation of fast saturation and late hunger becomes controllable. Medical treatment involves the patient injecting themselves once a day at a daily dose as approved by the endocrinologist.
Although its use is similar to the insulin made by diabetics. The content of the injection is not insulin, but a different drug. It can also be used in the treatment of obesity in individuals without diabetes. While GLP-1 analogs help the individual with diet, they also regulate the mechanisms that make it difficult to lose weight. However, while doing this, it is necessary to know that no drug has a direct fat-burning effect. Losing weight is achieved by the patient’s regular adherence to the treatment. As much as losing weight, maintaining it is an issue that requires care for the patient.
Recently Popular Bariatric Clinic Surgery
Another obesity treatment is bariatric clinic surgery. In the treatment of obesity, a lower rate of success is usually achieved with diet and exercise. While this rate is quite high in surgical treatment. Bariatric clinic surgery not only improves the aesthetic appearance of the person. It also changes and positively affects the quality of life. In obesity surgery, the method is determined by the specialist doctor. After a comfortable surgery process, patients can return to their work and social life in a short time. People can easily adapt and reach their ideal weight with appropriate planning.
The Obesity Treatment Should be Personalized
Obesity; is a disease caused by excess weight that occurs due to the storage of excess energy as fat in the body and the imbalance between energy intake and use. Obesity, which seriously reduces the quality of life and affects psychologically, is a chronic disease that can be treated. The obesity treatment should be personalized. In the treatment of obesity; Various methods such as medical nutrition (diet) therapy, exercise therapy, behavior change therapy, drug therapy, and surgical therapy are applied. The obesity treatment should be applied together with a physician, dietitian, psychologist, physiotherapist.
What Should be Done to Get Rid of Obesity?
To get rid of excess weight and control weight, expert help should be sought, and an appropriate treatment plan should be determined. The level of physical activity should be increase, daily walking and exercises should make a habit. Avoid high-calorie, ready-to-eat foods with a long shelf life. Unnatural sugar should not consume. Healthy cooking techniques should prefer. Water should have drunk as much as the patient’s body needs during the day. Eating style should change. Be careful about fat consumption, saturate fats should be taken as little as possible. Attention should pay to the variety of food, and a balanced diet should give to each food group. Vegetables and fruits should be eaten in season. Alcohol use should be avoided.
Why Do People Gain Weight?
Weight gain occurs as a result of the deterioration of our physiological balance. Human metabolism; It works by providing the physiological balance between calories taken with food and vital activities-daily activities and calories spent. Disrupting this balance is very easy in some cases.
At the beginning of the reasons that cause us to gain weight and can be prevented by lifestyle changes; irregular and unbalanced diet, lack of portion control, mistakes in food preferences, consumption of unhealthy foods, low and insufficient frequency of physical activity. Another reason that causes us to gain weight but is due to genetic or environmental factors is endocrine or metabolic diseases. Although there is more than one reason for weight gain, the factors that cause weight gain can be eliminated with lifestyle changes and medical treatment under the supervision of a doctor.
What is the Weight Loss Surgery that has been on the Agenda Lately?
We select patients according to the patient’s body mass index. We can operate on a patient with a body mass index over 40. If you are between 35 and 40, it can be recommended if you have an additional disease (such as hypertension, Type 2 diabetes, sleep apnea syndrome, heart disease, fatty liver). However, if your body mass index is between 30 and 35, if you have Type 2 Diabetes, if we cannot control your blood sugar with medical treatments, we recommend surgery to the patient.
Types of Surgery For Obesity
With the developing technology of healthy, there are a lot of surgical techniques used in obesity. The choice of surgery is decided by the physician and the patient together according to the patient’s condition.
Before Obesity Surgery
First, the patient is examined in detail by the surgeons. After the doctor decides whether the patient is suitable for surgery by considering all the results, he informs the patient about obesity surgery. After the acceptance of the patient, the results of the patient are evaluated by a cardiologist, chest diseases, psychologist and anesthesiologist, endocrinology, and metabolic diseases. All preoperative procedures should perform step by step. In addition, abdominal ultrasonography, gastric endoscopy, and a lot of laboratory tests should perform on the patient before the operation.
How Is Obesity Surgery Performed?
We perform our operations under general anesthesia by our experienced surgical team in a sterile environment. Then, after the operation, with the advice of the patient and our anesthesiologist, we take the patient to the intensive care unit for overnight observation and control.
After a successful surgery, people should careful to get rid of obesity, that is, to get rid of excess weight, and to have a healthy and quality life. Then, after the necessary controls are made in the hospital and the patient is discharged, the treatment process does not end. After the patient is discharge, the obesity operation process continues. The diet program starts with the dietitian and the surgeon performing the surgery should apply regularly by the patient. The patient should not exercise during the processes specified by the doctor and should make regular checks.
The type of surgery to be perform is determine by the General Surgery Specialist experience in bariatric clinic surgery in hospitals and by other doctors according to the needs of the patient. In this decision, the patient’s history, habits, lifestyle, psychology, and other diseases, if any, are take into consideration. Specialist doctors determine the obesity surgery that is suitable for the person. That’s why it is beneficial to consult a professional doctor.
Weight Loss After Obesity Surgery
A healthy diet after bariatric clinic surgery is an issue that needs attention. General weight loss continues for up to 1 year. A new eating habit and lifestyle can create by your doctor after the surgery. You should not continue your old habits to live an unhealthy life. It is recommend that you eat a more protein-based diet after the surgery. In addition to a regular and healthy diet, you need to do daily exercises for your body for permanent weight loss. The treatment process continues after the surgery. For this reason, you should not cut off communication with your doctor and dietitian.
Bariatric Clinic Surgery
Weight loss surgery is also know as bariatric clinic surgery or metabolic surgery. These terms are treatment modalities use to reflect the impact of these operations on the health of patients’ weight and metabolism.
These treatment methods and operations also have the feature of preventing future health problems for the patient. Its benefits allow obese patients who choose the surgical treatment method to have a better quality of life and a longer lifespan.
Which Treatment Method is Preferred Today?
Today’s metabolic and bariatric clinic operations have developed over the years. Bariatric clinic operations are among the best-studied treatments in modern medicine. It is performed using minimal surgical techniques, with small incisions and not too obvious treatment methods.
These developments help patients experience less pain, fewer complications, less intensive care stays, shorter hospital stays, and faster recovery.
Bariatric Clinic: What is the Purpose of These Operations?
The purpose of these operations is to shrink the stomach and intestines to treat obesity and related diseases. Operations can shrink the stomach. This results in less food intake and changes the way the body absorbs food for energy. This leads to a decrease in hunger and an increase in satiety in the patient. When these procedures are performed correctly, they enable the body to reach a healthy weight.
Not only in this type of surgery, but each surgery also has its advantages and potential disadvantages. Your bariatric clinic surgeon will review your health history, psychology, lifestyle and will contact you to determine which surgery is best for you. You cannot decide on this surgery alone. You will need to see a specialist doctor.
Laparoscopic Sleeve Gastrectomy
Laparoscopic Sleeve Gastrectomy, which is often call “sleeve”, is perform by removing an average of 80% of the patient’s stomach. The remaining stomach is the size and shape of a banana.
First, it gets rid of the organs around the stomach. Surgical staples are use to remove 80% of the patient’s stomach, making it much smaller.
How Does it Work
The new stomach allows less food and fluids to be consume, which helps reduce the amount of food (and calories) consume. Surgery affects metabolism by removing the part of the stomach that produces most of the “hunger hormone
It is technically simple and provides a shorter operation time. It may done in certain patients with high-risk medical conditions. That operation is a treatment method apply as the first step in patients with severe obesity. It can use as an intermediary bridge to gastric bypass or SADI-S procedures.
It is an irreversible treatment and procedure. Operation may worsen in the patient or cause new-onset reflux and heartburn. It has less effect on metabolism compare to bypass procedures.
Roux-en-Y Gastric Bypass (RYGB)
Roux-en-Y Gastric Bypass, often refer to as “gastric bypass”, has been practiced for patients for over 50 years. It is one of the most common operations. This operation is very effective in treatment. It is known as a treatment method for obesity and obesity-relate diseases.
First, the stomach is divide into a smaller upper part (sac) that is about the size of an egg. The larger part of the stomach is skip and no longer stores or digests food.
The small intestine is also divide and attack to the new gastric sac to allow food to pass through. The bypass or larger stomach-emptying segment of the small intestine connects to the small intestine approximately 3-4 feet downstream, resulting in an intestinal junction that resembles the shape of the letter Y.
Eventually, stomach acids and digestive enzymes will mix with food that is skipped from the stomach and the first part of the small intestine.
Bariatric Clinic: How Does it Work
Gastric bypass works in a few different ways. Like many bariatric clinic surgery procedures, they newly form gastric sac is smaller and can hold less food, meaning fewer calories are consumed. In addition, food does not come into contact with the first part of the small intestine, which leads to reduced absorption.
Most importantly, altering the flow of food through the gastrointestinal tract has a profound effect on reducing hunger, increasing satiety, and enabling the body to reach and maintain a healthy weight. Its effect on hormones and metabolic health results in the resolution of adult-onset diabetes even before any weight loss occurs. Surgery also helps patients with reflux (heartburn) and often symptoms improve quickly. In addition to making appropriate food choices, patients should avoid tobacco products and non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen.
Reliable and long-term weight loss occurs. It is effective for the remission of obesity-related conditions. It is a refined and standardized technique.
It is technically more complex compare to sleeve gastrectomy or gastric banding. Furthermore, it causes more vitamin and mineral deficiency than sleeve gastrectomy or gastric banding. There is a risk of small bowel complications and obstruction.
Adjustable Gastric Band (AGB)
An obesity treatment know as the Adjustable Stomach Band is a device make of silicone that is place on the upper part of the patient’s stomach has limited the amount of food a patient can eat. It is a treatment modality that available in the United States since 2001. Its effect on obesity-relate diseases and long-term weight loss in the patient is less than with other procedures. For this reason, its use decrease more in the last ten years.
This device is place in the upper part of the patient’s stomach and fix to form a small pouch over the band.
How Does it Work?
The feeling of fullness depends on the size of the opening between the pouch and the rest of the stomach. The size of the opening can be adjust with injections of fluid from a port under the skin. Food normally passes through the stomach.
The lowest complication rate after surgery, division of the stomach or intestines occurs. Patients can go home after surgery. The tape can be remove if need and has the lowest risk for vitamin and mineral deficiencies.
A monthly doctor’s check-up may be need. Slower and less weight loss occurs compare to other surgical procedures. Over time, band movement damage or slippage may occur in the stomach. A foreign implant is requir to remain in the body. It may cause swallowing problems and enlargement of the esophagus in the patient after surgery.
Biliopancreatic Diversion / Duodenal Switch (BPD/DS)
Duodenal Switched Biliopancreatic Diversion, the more small intestine, is in use in its treatment.
Following the creation of the arm-shape stomach, the first part of the patient’s small intestine is separate from the stomach.
A portion of the small intestine is then remove and connect to the outlet of the new form stomach. After this procedure, while the patient is eating, the food passes through the arm sac and goes to the second part of the small intestine.
How Does It Work?
The patient has a smaller stomach than a banana. This allows patients to eat less food. The food stream bypasses roughly 75% of the small intestine. This results in a significant reduction in the absorption of calories and nutrients. Patients should take the vitamin. Patients also have mineral supplements after an operation. Even more than gastric bypass and sleeve gastrectomy. BPD-DS affects gut hormones in a way that reduces hunger, increases satiety, and improves blood sugar control.
It is among the best results for improving obesity. The operation affects gut hormones to cause less hunger and more fullness after a meal.
It is an operation that is effective in the treatment of type 2 diabetes.
It appears to have a slightly higher complication rate than other procedures. Further vitamin and micronutrient deficiencies may occur in the patient. The patient may have reflux and heartburn. The patient may be at risk of looser and more frequent bowel movements. It is seen as a more complex surgery that requires more operative time.
Single Anastomosis Duodenal-Ileal Bypass with Sleeve Gastrectomy
Single Anastomosis Duodenal-Ileal Bypass with Sleeve Gastrectomy, called SADI-S, is the newest know treatment method approve by the American Society of Metabolic and Bariatric clinic Surgery. SADI-S is a simpler operation. Only because this operation is a surgical bowel connection, it takes less time to perform.
The operation is done in the same way as sleeve gastrectomy surgery by reducing the sleeve gastrectomy. The first part of the patient’s small intestine is divide immediately after the stomach.
An intestinal loop is measure a few feet from its tip. It is then an attack to the stomach. This is the only intestinal connection perform in this operation.
How Does It Work?
When the patient eats, the food passes through the pouch. It then passes directly into the second part of the small intestine. The food is then mix with digestive juices from the first part of the small intestine. This ensures adequate absorption of vitamins. Also, minerals to maintain healthy nutritional levels. This surgery creates less hunger. It gives a greater feeling of satiety. This operation provides good weight loss with blood sugar control.
It creates long-term weight loss. This operation is extremely effective for the remission of type 2 diabetes. It is a simpler and faster operation than gastric bypass or other surgeries.
It is among the best options for a patient who has already had sleeve gastrectomy surgery and wants to lose more weight.
After this operation, vitamins and minerals are not absorbed as well as in sleeve gastrectomy or gastric banding. This operation is a newly develop operation with only short-term outcome data.
It has the potential to worsen or develop new-onset reflux in the patient after surgery. It poses a risk of looser and more frequent bowel movements.
What is a Bariatric Clinic in General?
Bariatric clinic surgery is a surgical treatment method that helps to lose weight.
When it comes to bariatric clinic surgery, more than one method comes from not a single surgical method. These methods reduce the stomach capacity. It helps to reduce the amount of food consumed by the patient. The operation affects the shortening of the intestinal surface where food is absorb. It is perform by a specialist doctor in what is know as a bariatric clinic.
There is more than one treatment method. These are respectively; Restrictive surgeries: Typical examples are also know as gastric band and sleeve gastrectomy surgeries, which were frequently use in the past. The main goal in these surgeries is to restrict the daily food volume of the patient, thus reducing the calorie intake. The patient performs this operation in bariatric clinics by specialist doctors.
Types of Bariatric Clinic Surgery
Absorption-impairing surgeries: typical examples are biliopancreatic divergence (BPD) and duodenal switch (DS). For this reason, the patient may not gain weight even if he continues to eat a high-calorie diet. After these surgeries, the patient may encounter some problems. Therefore, this method is risky.
In addition to weight loss, surgeries aimed at curing diseases such as high blood sugar, high cholesterol, or high blood pressure: Some methods are not very popular but have good short-term effects such as ileal interposition, transit bipartition, or jejunoileal bypass.
Types of Bypass Surgery Perform with Different Techniques
There are many types of bypass surgery perform with different techniques. These surgeries reduce stomach volume. In addition, this type of surgery changes the connection place of the small intestine to the stomach and reduces the absorption surface of nutrients.
These surgeries are among the more complex surgeries that require more experience and time to perform. This type of surgery should be perform in bariatric clinics and a sterile environment.
In addition, since the intestinal absorption surface is reduce, it causes more vitamin-mineral deficiencies. Therefore, these treatment methods are not prefer in every patient.
Generally, people who can not remove sugary liquids or sweets from their daily lives are prefer. In addition, due to the bypass performed during these operations, it has several effects on lowering blood sugar, as foods pass into the small intestine without passing through the duodenum. Because of these effects, they are especially prefer in patients with insulin-dependent type-2 diabetes.
For this reason, there is more than one method in the treatment of many diseases, and the selection of these methods is make individually according to the characteristics of the patient. Patients who are candidates for bariatric clinic surgery should also meet with physicians who are interest in bariatric clinic surgery and determine the most appropriate treatment for them.
After Bariatric Clinic Surgery
After weight loss surgery, the doctor is generally not allow eating for 1-2 days for the patient’s stomach and digestive system to heal. Then, a certain diet must be followed for several weeks. The diet starts with only liquids. Patients also will eat mashed food starts to eaten day by day. Then the patient switches to very soft foods. Finally, to normal foods. This is determined by the doctor.
After the surgery, a few tests and controls should be done by your doctor constantly. The treatment of the patient continues after the operation.
Results After Bariatric Clinic Surgery
Gastric bypass and other obesity surgeries may cause long-term and permanent weight loss for the patient. The amount of weight that the patient will lose is related to the type of surgery and the patient’s lifestyle. The rapid loss of excess weight of the patient can occur within 1 year.
After weight loss surgery, the patient should keep all follow-up reports and tests. If the patient notices that he is not losing weight, he should go to the bariatric clinic. The patient should in constant communication with the doctor. Your weight loss can be monitored by your doctor. In it also, factors potentially contributing to your weight loss can identify.
It is also possible not to lose or gain enough weight after any weight loss surgery, even if all the procedures are performed correctly. This weight gain can happen if you don’t adhere to recommended lifestyle changes, such as doing regular physical activity and eating healthy foods. Weight loss is not just due to surgery. There are procedures to followed after the surgery. As long as the patient follows these procedures, eats properly and healthily. The patient will notice the change.
What is the Price of Obesity Surgery?
Our bariatric clinic surgeries are surgeries that we have expertise in and that we perform in our bariatrics clinic. Our hospitals, where we perform these surgeries, have advanced technology and infrastructure, superior equipment in terms of technology and equipment.
In addition, auxiliary personnel such as operating nurses, nurses, and staff experience in bariatric clinic surgery can also be needed. Apart from these procedures, quality health equipment should also be use. Postoperative body cleaning of the patient is also important.
For this reason, bariatric clinic surgery prices vary according to the type of hospital that shows the level of development of the hospital, the materials used, and the doctor. In addition, the length of hospital stay after surgery varies from person to person. Additional fees may be charge for services such as examinations perform on the patient, the duration of long-term follow-up of the physician and dietician, and psychological support.
Will The Patient Continue to Gain Weight After Bariatric Clinic Surgery?
Your surgery will only help you lose weight permanently. Bariatric clinic surgery has only a minor role in overall obesity management.
Bariatric clinic surgery will affect many aspects of your life. I want to say and emphasize again: Surgery is only the first step in improving your daily life after weight loss surgery. Your diet and lifestyle must change for you to get the maximum benefit from the procedure. To maintain and maintain your weight loss after surgery, you need to follow the recommendations of your surgeon.
For example, choose protein and carbohydrates at every meal and always give priority to proteins. Take 30 minutes to eat your food and chew it a lot. Do not eat high-calorie and non-nutritive foods such as chips, cookies, crackers, ice cream, fried foods, candies, sausages, sausages. Tea and coffee do not replace water. Do not drink fluids 30 minutes before, with, or after meals for 30 minutes. Patients shouldn’t use smoke after the surgery.
Where Is the Best Bariatric Clinic?
People should consult with multiple doctors to find the best bariatric clinic. We recommend that you do not see a single doctor for the operation you will perform. It would be beneficial to get the opinion of several doctors and follow a course accordingly.
For this reason, when having bariatric surgery, you will need to go to more than one hospital. Get general information. Then, you can perform your surgery by the bariatric clinic. You can also find specialist doctors in some hospitals that are suitable for you. Preliminary research for surgery is the most important and necessary first step. In order to get efficient results from the surgery and to be happy after the surgery. It should be applied to the pre- and post-procedures. In addition, the success of the doctor you choose will help to eliminate the problems that will occur after the surgery.