Obesity surgery is also known as metabolic surgery. Numerous diseases, especially fatty liver and diabetes, may develop in obese people.
These people are at higher risk than people with ideal body weight, this is called metabolic syndrome. Metabolic surgery is not based on weight loss, besides losing weight, it also aims to eliminate metabolic diseases.
Moreover, the person gets rid of these diseases without losing weight yet. This is because surgeries cause various hormonal changes in the body.
Tube stomach and gastric bypass are the main types of obesity surgery the patient is examined and the most appropriate treatment method is selected for the patient.
Contrary to what is known, obesity surgery is not performed to make the patient look better in terms of aesthetics. It is aimed to protect the person from diseases caused by excess weight. For a person to have a stomach reduction surgery, they must meet the definition of morbidly obese.
How obese the person is determined by calculating the body mass index. This index has been determined by the World Health Organization.
In other words, for stomach reduction surgery, the calculation is made depending on the height and kg value, rather than how many kg the person is.
People who are suitable for bariatric surgery can be listed as follows:
For the person to be a candidate for bariatric surgery, the patient must fail at least 2 times with diet therapy. It should be tried and failed to lose weight for 6 months.
Even if it is 2 percent of people in the morbidly obese class, the possibility of permanent weight loss increases with diet and exercise methods.
If there are psychological reasons behind the patient’s excess weight, then exercise and diet will fail by 98 percent.
People who want to have bariatric surgery must have completed adolescence. Obesity surgeries can be performed safely from the age of 14 to 15 years. Today, the upper age limit set for this procedure is higher than in the past.
If there is no obstacle in the general health of the patient, there is no lung and heart disease, there is no problem in performing these interventions until the age of 70.
If bariatric surgery is performed for morbidly obese people, they are at greater risk than patients who are extremely obese. These people must be treated. Otherwise, they will die 10 to 15 years earlier.
Morbid obesity itself is a deadly disease. Obesity surgery gives life to people because of this situation, death risk in these procedures is even lower than one in a thousand.
This risk is medically acceptable, especially when we consider the risks faced by morbidly obese patients.
Unfortunately, there are some misperceptions among people about bariatric surgery. Handcuff surgeries, which were used for obesity treatment in the past, have been replaced by more successful techniques because they do not show sufficient success today.
Each of these surgeries is applied safely, without danger, and with successful results. While 2 out of 100 patients die within the first 7 days after bypass surgery because of heart reasons, not for bariatric surgery, this rate is only one in a thousand for gastric bypass surgery. Therefore, they are not considered dangerous operations.
Knee prosthesis can be applied to patients for bariatric surgery. It is an important application that people suffering from overweight usually need. The procedure must be done by an expert doctor.
When performed by experienced hands, the risk of developing complications in surgeries is much lower. The place and the specialist should be chosen very carefully.
Obesity surgery extends the life span by at least 10 years and enables the elimination of many co-morbid diseases. Due to these features, the process is seen as a savior.
Two different types of surgery are performed for obesity surgery, bypass surgery that disrupts food absorption or tube stomach surgery that restricts food intake is performed.
The risks that may occur after bypass surgeries vary depending on which type of surgery is preferred. Chronic diarrhea, ulcers, and intestinal engorgement problems are observed in only 5 percent of patients after the procedure.
Restrictive surgeries may cause nausea and vomiting caused by strictures. Very rarely, there may be leakage and bleeding from the staple lines that allow the stomach to be separated.
All of these are observed within the first week, if such problems occur, an endoscopy may be required.
If the sleeve gastrectomy or gastric bypass method is preferred as an obesity surgery, the patient should not only rely on these procedures and must follow the diet and exercise program.
The success of the surgery performed is largely due to the patient’s compliance with this order. However, it is possible for patients who follow their diet and do sports to achieve permanent results.
This process is passed under the supervision of experts. It is ensured that patients reach their ideal weight within an average of 1.5 years.
Co-morbidities that can improve with bariatric surgery can be listed as follows:
Patients who benefit from bariatric surgery techniques may experience 10 to 20 percent regain weight after 2 years. This situation, which is called postoperative rehabilitation, is due to the inability to change the environment after the surgery and the inability of the person to change the habits that they previously had.
When the person does not learn to eat healthy, weight gain occurs. It should be kept in mind that it is very important to lead an active life and diet for the results of bariatric surgery. As long as the person is away from sports and eats a lot, they will gain weight.
For these reasons, the patient is taken for control after surgery. People generally think that they completely control their bodies with the procedure they have done. While this is partially true, it is not entirely true.
If a person eats 5 6 meatballs despite being full by eating 2 3 meatballs, the stomach will expand after a while since it is a flexible organ. Patients should control their eating portions well.
Thanks to a multi-disciplinary approach, weight gain can be prevented by the person. If the psychologist, dietician, doctor, nurse, and active life counselor work together and the person cooperates, then there will be no weight gain.
With bariatric surgery, you can improve your quality of life and get rid of your excess weight and weight-related diseases.
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