General Introduction

Bariatric Surgery


Bariatric surgical; cause weight loss by restricting the amount of food the stomach can hold, causing malabsorption of nutrients, or by a combination of both gastric restriction and malabsorption. Bariatric procedures also often cause hormonal changes. Most weight loss surgeries today are performed using minimally invasive techniques (laparoscopic surgery).


The most common bariatric surgery procedures are gastric bypass, sleeve gastrectomy, adjustable gastric band, and biliopancreatic diversion with duodenal switch. Each surgery has its own advantages and disadvantages.


Life After Bariatric Surgery


Obesity is a disease that can be difficult to treat and is related to many other medical problems. Treatment for obesity goes beyond a quick diet or surgery. Patients should expect to have a new lifestyle that combines healthy eating, exercise, and regular visits to healthcare providers. This approach will offer the best chance for success to prevent weight regain and return of medical problems.


Diet



  • Stay hydrated! Drink 64 ounces of fluid or more each day

  • Be sure to take 60-100 grams of protein per day

  • Immediately after surgery, patients start with a liquid diet and will advance eventually to solid foods

  • Avoid foods with high amounts of sugar and starch


Vitamins and Minerals



  • After weight loss surgery, patients will need to be on vitamin and mineral supplements for life


Exercise



  • Exercise is encouraged and can help maintain weight loss long-term


Medications



  • After weight loss surgery, many patients have their medications decreased or stopped by their doctor

  • After surgery, some medications may be changed to liquid or chewable forms for a period of time


Smoking and Alcohol



  • Most surgeons will require patients to quit smoking prior to weight loss surgery

  • Alcohol use after weight loss surgery can cause serious problems


Pregnancy



  • Female patient should avoid pregnancy for 12 to 18 months after weight loss surgery

  • Weight loss surgery often can help patients become pregnant


Struggles with Weight Loss and Long-Term Follow Up top



  • Obesity is a long-term disease and even after surgery, patients need regular follow-up


 


Sleeve Gastrectomi


Stomach reduction surgery, in the simplest terms, is the removal of a large part of the stomach so that it remains in the form of a tube. What is desired here is that the volume of the stomach is reduced and it is a continuation of the esophagus. The stomach, which is like a continuation of the esophagus, has shrunk by about 80% and food intake is restricted. Since the part related to appetite is removed during the surgery, the patient starts to lose weight very quickly with decreased food intake and lost appetite. Gastric reduction surgery is performed with laparoscopy, which is a closed surgery method. In this surgery, which is one of the most effective methods in the fight against obesity, the intestines are not operated.


 


Advantages


Restricts the amount of food the stomach can hold


Induces rapid and significant weight loss that comparative studies find similar to that of the Roux-en-Y gastric bypass. Weight loss of >50% for 3-5+ year data, and weight loss comparable to that of the bypass with maintenance of >50%


Requires no foreign objects (AGB), and no bypass or re-routing of the food stream (RYGB)


Involves a relatively short hospital stay of approximately 2 days


Causes favorable changes in gut hormones that suppress hunger, reduce appetite and improve satiety


Disadvantages


Is a non-reversible procedure


Has the potential for long-term vitamin deficiencies


Has a higher early complication rate than the AGB


 


Gastric Balloon (Medenpro™ Intragastric Balloon®)


is a frequently used treatment method in the fight against obesity. Gastric Balloon is a treatment based on rapid weight loss thanks to a silicone balloon placed in the stomach without surgery. Gastric Balloon; It is a treatment method that reduces the food intake capacity of the stomach by placing a silicone balloon inside the stomach, thus helping the patient to lose weight much more easily. During the application, the patient is not under general anesthesia. Since there is no surgical procedure, the patient can return to his daily routine much more comfortably before and after the operation.


 


 


Diabetes (Transit Bipartition)


In recent years, many treatment methods, both surgical and medical, have been tried for the treatment of type 2 diabetes. With the gastric reduction surgery performed within the Diabetes (Transit Bipartition) Surgery, the problems of obesity and type 2 diabetes are solved with a single operation. Today, many surgical and non-surgical methods are tried for the treatment of diabetes. Among the surgical methods; There are operations such as ileal interposition, gastric bypass, transit bipartition. Gastric sleeve surgery can be applied in diseases related to type 2 diabetes such as obesity. Thanks to the treatment of type 2 diabetes, together with sleeve gastrectomy; The stomach volume is reduced and with the regulated intestinal passage, the patient loses weight and the Type 2 diabetes is cured.


 


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