Frequently Asked Questions
BMI between 35/40, if there is a coexisting disease due to obesity and those with BMI above 40 can have the surgery. Not having hormonal problems, alcohol and drug addiction are also among the criteri. If obesity has existed for at least 3 years even though they are included in healthy nutrition programs, it may be decided to apply a surgical method.
Follow-up after the bariatric surgery is very important, as it directly affects the success of the surgery. The period of the first 7-10 days after the operation is evaluated, it is analyzed whether the patient has any possible complications, it is determined whether the nutrition and vital functions are normal. The patient has routine controls in the postoperative 1-3-6-9-12-18-24 months, with the necessary blood tests, sugar, insulin, liver enzymes, kidney functions, vitamin and mineral levels checked.
The first 2 weeks after surgery is a clear fluid period. All foods prepared during this period should be liquids close to body temperature. Liquid foods with high protein content should be preferred (skimmed or semi-skimmed milk, buttermilk, meat, chicken, vegetable soups prepared with bone broth, other clear soups without flour, etc.). 1-1.5 liters of water per day should be consumed. Protein and energy deficiencies that may occur during this process can be prevented by your dietician with medical nutrition products and protein supplements when necessary. The 3rd and 4th week after the operation is the mashed period.
We welcome our patients at the airport and settle them in the hospital. Necessary tests are performed for the surgery on the same day. If there is no obstacle for the operation in these examination results, surgery is scheduled the next day. The operation takes an average of 1 hour. After the operation, you stay in the hospital for 3 days. The room in the hospital belongs to you and your companion. The rooms have private toilets and bathrooms. After you are discharged, we provide you a 2 day stay at a hotel with your companion. We also provide your transfer from the hotel to the airport.
You can have sleeve gastrectomy and take walks after you are discharged. After 2 months, intensity of the sport can increase gradually.
Sleeve gastrectomy is an effective and permanent method of bariatric surgery. You can lose about 75% and more of your excess weight with the sleeve gastrectomy. For example; A person of 160 cm height and 120 kg has an average body mass index of 47 kg / m2. It is aimed to lose an average of 55-60 kg with the surgery.
Vitamin use is very important after Obesity Surgery. Especially in the first 6 months, patients should use the necessary vitamins as recommended by their doctors.
You can get pregnant after sleeve gastrectomy. However, your body will go through many changes after surgery. Therefore, for a safe and healthy pregnancy, it is recommended that you wait at least 12-18 months before becoming pregnant to lose weight.
One of the most common mistakes made by patients after Obesity Surgery is not paying attention to water consumption. Patients should consume 1.5-2 liters of water daily.
Constipation is one of the common complaints after Obesity Surgery. It is caused by the patient's deficient water and fluid intake. Since the amount of food in the patients decreases, their desire to drink water decreases. Even if the patients do not feel thirsty, they should consume at least 1 liter daily for the first week and 2 liters for the following days. In addition, walking will speed up bowel movements and fix the constipation problem. If constipation continues despite all precautions, a solution can be provided with medication. You need to get help from your doctor regarding this issue.
Although the factors causing obesity are not fully explained, excessive and malnutrition and lack of physical activity are accepted as the most important causes of obesity. In addition to these factors, genetic, environmental, neurological, physiological, biochemical, socio-cultural and psychological factors cause obesity in relation to each other. The main risk factors for obesity are listed below:
- Excessive and wrong eating habits
- Insufficient physical activity
- Education level
- Socio - cultural factors
- Income status
- Hormonal and metabolic factors
- Genetic factors
- Psychological problems
- Applying very low energy diets frequently
- Smoking and alcohol use
- Using some medications (antidepressants etc.)
- Number of births and time between birth.
Health problems/risk factors caused by obesity:
- Insulin Resistance – Hyperinsulinemia
- Tip 2 Diabetes Mellitus
- Coronary artery disease
- Hyperlipidemia - Hypertriglyceridemia (Raised Blood Fat)
- Metabolic syndrome
- Gallbladder diseases
- Some types of cancer (gallbladder, endometrium, ovarian and breast cancers in women, colon and prostate cancers in men)
- Sleep apnea
- Fatty liver syndrome
- Trouble breathing
- Pregnancy complications
- Menstrual irregularities
- Excessive hairing
- Increased risks in surgery
- Anorexia nervosa
- Bulimia nervosa
- Binge eating
- Social incompatibilities
- Skin infections due to excessive subcutaneous adipose tissue, especially as a result of losing and gaining weight frequently,
- Fungal infections in the groin and feet
- Musculoskeletal problems
Gastric balloon application is a non-surgical slimming method. It is a one day procedure that does not require hospital stay. It is endoscopically placed in your stomach. It can be easily applied and repeated. It cannot make any permanent change. It does not stay in your body for life. After 6 months, it is removed again by endoscopic method.
TRANSIT BIPARTITION SURGERY (DIABETES SURGERY)
It is not a standard obesity surgery. The aim here is to activate the unusable insulin reserves that cause diabetes and to avoid another drug dependency while getting rid of the drugs in our life. In other words, it is an operation performed without vitamin absorption problem. The surgery is performed laparoscopically and the hospital stay is approximately 3-4 days.
Although there are many definitions of obesity, the World Health Organization (WHO) has made the most simple and understandable definition; Excessive fat accumulation in the body to the extent that it deranges health. The most commonly used classification to determine obesity is the classification determined by WHO. This classification is based on Body Mass Index (BMI).
Sleeve Gastrectomy or Gastric Bypass surgery is the procedure applied for people who cannot lose enough weight or gain weight again after losing. Failure to carry out regular controls after the first surgery and not following a nutrition program by a dietician, feeding with high-calorie foods reduce weight loss and even cause weight gain. If you have Obesity (Sleeve Gastrectomy) or Gastric Bypass Surgery and have not lost enough weight, you can get rid of weight loss and coexisting diseases related to excess weight with Revision Surgery.
Although the damages of diabetes are now known, we still think that it will be useful to remember from time to time. The subject we want to focus on in this article is the effect on the veins, and then the damage it causes to the organs through the veins, in our next articles.
Stating that the common symptom is burning in the chest, Op. Dr. Demirtaş said, “Some people can feel this burning in their stomach, neck, shoulders or even on the back and arms. It is sometimes indistinguishable from heart pain.”