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What Is Obesity Surgery?

Obesity surgery is a special surgery to remove a certain part of the stomach by surgical intervention or to lose weight by establishing new connections between the stomach and the intestines. In short, it is a surgical application that helps to lose weight.
There are two different techniques that are most commonly used today. It is a “sleeve gastrectomy” and “gastric bypass” operation. In recent years, the most preferred surgical technique with very successful results is the sleeve gastrectomy. Especially when applied by experienced and specialized surgeons, excellent results are obtained.

How Is Obesity Surgery Performed?

The surgery is performed under general anesthesia. 3 or 4 small incisions are made in the abdominal region. A camera is entered through the incision area and a large part of the stomach is removed. The new shape of the stomach is given. Finally, sutures are placed and the bariatric surgery is completed by dressing. The duration of the operation varies according to the technique applied and the surgeon’s experience.

In Which Situations Is Bariatric Surgery Applied?

Surgery is required in cases such as the deterioration of hormone metabolism due to excessive weight, the onset of life-threatening diseases such as diabetes and blood pressure problems due to excess weight, the inability to lose weight despite diet and sports, and a body mass index of 30 and above.

The problem of overweight results in the deterioration of physiological health as well as psychological health. For this reason any person struggles with obesity can have this surgery after having the necessary medical checks.

Who Is Suitable For Obesity Surgery?

People having adequate health condition and between the ages of 18-65 are suitable for bariatric surgery. People who apply for surgery are first subjected to some health screenings.

Those having some addictions such as alcohol and drugs, uncontrolled diabetic values ​​and being at risk of infectious diseases cannot be operated without the prior necessary treatment. The physician can decide who is suitable for the operation as a result of the necessary examinations.

Types Of Surgery For Obesity Treatment

The domainof medicine develops and improves every year with several different surgical techniques. The most important developments in recent years have been in the field of bariatric surgery. There are three different surgical techniques developed for treatment. The patient’s age, body mass index, existing chronic diseases and stomach problems are taken into account. Since there will be an increase in reflux after sleeve gastrectomy and mini bypass, only normal bypass surgery can be performed on people suffering from reflux problems.

After Obesity Surgery

There are preparatory stages before surgical interventions. Before the stomach surgery, the patient’s blood tests are performed, the drugs he uses are carefully examined, those who use blood thinners should take a break from these drugs under the supervision of the doctor, if the patient needs to lose weight, he is expected to reach the ideal weight until the day of surgery and the surgery is performed on the day the doctor approves. If the preparations recommended by the doctor are completed entirely, it increases the success of the surgery.

Nutrition and exercise are quite vital after the operation. After being discharged from the hospital, the diet program recommended by the doctor must be followed carefully. For weight measurement values and dressing should be checked at regular intervals by the doctor without any interruption.

Antibiotics prescribed by the doctor must be used to prevent infection. In case of complaints such as high fever and abdominal pain, the doctor who performed the surgery should be consulted without wasting time.

How Effective Is Bariatric Surgery?

People with higher appetite problems and enlarged stomach capacity cannot reach the ideal weight even if they want to. According to the obesity surgery technique, either a part of the stomach is removed or the absorption of nutrients is prevented. In this way, the body starts to get the nutrition from the accumulated fat stores as well. Due to not getting more nutrients than normal values and also digesting the fats stored in the body in parallel, then the patient can reach normal body weight easily.

Does Bariatric Surgery Take a Long Time?

The duration of the procedure varies according to the technique used, stomach capacity and the experience of the surgeon. On average, the processing time varies between 1-2 hours. In normal bypass surgery, this period may be slightly longer.

How Long and How Much Weight Loss After Obesity Surgery?

After the surgical operation, the weight loss process is not started immediately. After a period of about one month, there is a loss of 15 kilograms. This weight loss increases to approximately 40 kilograms at the end of 3 months and to approximately 50 kilograms at the end of 6 months. It is essential to follow the advice and directions of your doctor who performed the operation.

When Is It Possible To Return To Work After Obesity Surgery?

You should wait for your doctor to give permission to return to your normal business life after surgical intervention. While it takes a short time like 1 week to return to work after sleeve gastrectomy surgery, it may take up to 1 month after normal bypass. Therefore, when determining the surgical technique, you should consult your doctor to calculate when you will return to work. The type of your work is also an effective factor in determining this duration.

Is There a Risk of Weight Gain Again After Bariatric Surgery?

Patients who do not follow the diet program properly recommended by the doctor, irregular lifestyle and lack of exercise after the surgery may return back to their original weight. For this reason, it is important to comply with balanced nutrition programs in order to control weight and lead a healthy life.

After the operation, doctor checks continue for a long time. In these controls, weight measurements are checked closely. People who do not follow up their check-ups, drink alcohol and do not pay attention to their diet cannot preserve the results of bariatric surgery for a long time.

What Are The Risks of Obesity Surgery?

The risks of gastric sleeve surgery are infection, poor wound healing, risk of leakage, and embolism. Using Antibiotics and operating room conditions after the operation can minimize the risk of infection. Poor wound healing is prevented by measures such as regular dressing and not interrupting the control Schedule of the sutures.

In the first weeks after the operation, the risk of embolism is eliminated with the blood thinners prescribed by the doctor. The biggest risk of bariatric surgery is leakage. It should be intervened in the early period as it will cause the patient’s life risk. These complications can be prevented with surgeon’s experience and proper patient care.

Is Obesity Surgery Dangerous?

One of the most common mistakes among the public about stomach reduction surgery is that it is dangerous. Especially in earlier years, there was a lot of wrong or misleading information about the fatality or failures in operations.

There is a minimum level of risk in all surgical interventions. If bariatric surgery is applied to suitable patients by experienced physicians with the right technique, there is no dangerous situation. On the contrary, people with health problems due to excess weight can get rid of these problems in a short time.

Are There Any Side Effects of Obesity Surgery?

The most common side effects of the operation are scarring and bleeding. There is no scarring after the operation performed with the laparoscopic technique. In order to prevent the risk of bleeding, hospitalization is recommended for the first two days after bariatric surgery. In some cases, a drain is inserted during surgery and bleeding is kept under control.

How Is Obesity Follow-up After Surgery?

The patient is observed in the hospital for the first two days after the operation. Patients who have a successful operation and do not carry any risk are usually discharged on the third day and followed up at home. However, the hospital follow-up period can be extended for people at risk of complications and in case of any leak detection.

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