Obesity

WHAT IS GASTRIC BY-PASS?

Gastric by-pass is a surgical treatment method applied to overweight patients. This stomach surgery helps to reduce both food intake and food absorption, which allows the patient to enter the weight loss process quickly.

How Does the Gastric By-Pass Treatment Process Proceed?

Obesity (excessive weight), which causes many problems in people’s social life, is also among the triggering causes of many health problems. These reasons can be listed as follows:

• Heart diseases
• Diabetes
• Fatty liver disease
• Blood pressure disorders
• Breathing problems

Gastric by-pass is a treatment method applied in patients who cannot lose weight naturally, as well as in patients who need to lose weight urgently due to various health problems. With this treatment, in which a large part of the patient’s stomach is removed, the volume of the stomach is reduced. This renewed small stomach is connected with the small intestine.

Gastric by-pass application is a quick and simple procedure in the field of bariatric surgery. Related studies show that very high success rates are achieved in the gastric by-pass method.

How is the Process After Gastric By-Pass Surgery?

Postoperative diet of the patient is the most important factor that determines the recovery and weight loss processes. The patient has to take fluids for the first 24 hours after the gastric bypass operation and follow a gradual nutrition program. With this diet, it is aimed to achieve nutrition without tiring the stomach in the period after the surgery.

After gastric bypass operation, the patient may experience mild pain. In case of such pain, the patient can use painkillers within the knowledge of the doctor. After the surgery, the patient should be examined by the doctor regularly

Depending on the health status of the patient after the surgery, the time required to stay under the supervision of a doctor is 2 to 3 days. 6 hours after the operation, the patient can start walking with support. After the discharge from the hospital, patients will be able to manage their daily work. It is envisaged that it will be possible to return to work between 7 and 10 days after gastric by-pass surgery.

METABOLIC SURGERY

Metabolic surgery method, which is applied to prevent type-2 diabetes, is also called diabetes surgery among the people. There are many surgical processes in metabolic surgery, which can be described as the sum of complex operations.

Why is Metabolic Surgery Preferred?

Metabolic surgery has been proven to be the most effective treatment method for the treatment of type-2 diabetes. In addition to diabetes, other metabolic syndrome disorders can also be prevented through this process. After the surgical operation, the absorption decreases, so the blood sugar rate in the body is balanced. Thus, it is easier for the patient to lose weight.

It is not surgically possible for overweight people suffering from conditions such as blood pressure and diabetes to undergo classical bariatric surgery procedures. Due to that reason, metabolic surgery is a frequently preferred treatment for overweight individuals with type-2 diabetes.

Metabolic surgery method includes complex bariatric operation processes. It is possible to state them as follows:

• Gastric by-pass
• Mini gastric by-pass
• Sleeve gastrectomy
• Duodenal switch derivatives
• Transit bipartition
• Ileal transposition

What are the Success Rates in Metabolic Surgery Operations?

Up to 80%-90% success can be achieved in metabolic surgery operations. Achieving targeted results after surgery depends on many parameters. The most important of these is the lifestyle of the patients after the surgery and the diet they follow. These elements stand out as the variables that most affect success rates.

How is the Recovery Process After Metabolic Surgery?

Metabolic surgery is performed under general anesthesia, as in most bariatric surgeries. The operation, which is performed by opening 4-5 holes in the abdomen, takes 4-4.5 hours. It is possible to see the effects of this treatment in a short time. The healing process is similar to the process that occurs in other obesity treatments.

WHAT IS THE TREATMENT OF GASTRIC BALLOON?

Gastric balloon application is one of the methods used in the treatment of obesity. Stomach volume is reduced by placing a 600-700 cc balloon. For this reason, it stands out as a method that facilitates the adaptation of patients to the diet. It is especially preferred in patients who do not prefer to go through a surgery or in patients would like to lose weight but their body mass index is not suitable for surgery. The method is also used for patients with super morbid obesity during the preparation phase for surgery.

How is Gastric Balloon Made?

In gastric balloon operation, the balloon can be placed in the patient’s stomach by swallowing or endoscopy method. It is aimed to suppress the patient’s appetite with the help of a swallowable gastric balloon, which is referred to as an ellipse in the medical literature.

Patients with gastric balloon can get rid of approximately 20% of their excess weight. At this stage, dietitian follow-up becomes as important as motivation.

How Does the Process Proceed Before the Gastric Balloon Application?

Before the gastric balloon is placed, the doctor explains the process to the patient in detail. Before the gastric balloon placement procedure, the patient’s stomach can be relieved by administering medication.

How to Eat After Gastric Balloon Surgery?

Patients with gastric balloon can return to their ordinary lives in 1-2 days after the operation. It is necessary to use the drugs prescribed by the doctor to relieve discomforts such as nausea and cramps that may be seen for a temporary period after the procedure.

After the gastric balloon procedure, no diet program is recommended for the patient. However, in order to get successful results from the procedure, the patient should eat healthy and give importance to physical activities.

Who Is Gastric Balloon Treatment Suitable For?

Gastric balloon procedure is a suitable method for overweight patients whose body mass index is between 27-35. With the treatment, the patients are able to get rid of their excess weight in about a year.

It is possible to achieve success in direct proportion to the determination and motivation of the patient from the gastric balloon application, which is mostly preferred in patients with a relatively low degree of obesity.

WHAT IS GASTRIC BOTOX?

In the gastric botox process, botulinum is injected into certain parts of the stomach. Gastric botox is a relatively new method. This method has made it possible to lose weight without the need for surgical operations.

What is Gastric Botox?

Gastric botox is suitable for anyone who wants to lose weight. However, having a body mass index of less than 40 is essential for success.

Gastric botox is an endoscopic procedure performed orally. With the procedure, whose average duration is 20 minutes, it has become possible to get results from the treatment without incision.

This procedure is performed only for the smooth muscles of the stomach. There is no interference relationship between gastric botox and the movement of nerve cells and intestines. For this reason, it does not resulted in lazy bowel syndrome.

After gastric botox application, the patient does not need to stay in the hospital. With 1 to 3 hours of rest, the patient will be able to recover.

After 3-4 days of gastric botox application, appetite control is achieved and a decrease in the eating habits of the patient is observed.

What Should Be Considered After Gastric Botox?

The patients should be extremely careful about their diet after the application. After gastric botox is applied, it is necessary to limit the consumption of fast foods and carbonated beverages.

Gastric botox loses its effect in 4 to 6 months and the traces of the procedure disappear in the stomach. This means that it does not harm the body. After the procedure, it is possible for the patients to lose 15-20 kilos if they follow their personalized diet list.

WHAT IS MINI GASTRIC BY-PASS?

With mini gastric by-pass, it is possible to reduce food absorption and lose weight by shrinking the stomach and small intestines through surgical operation.

Mini gastric by-pass, which is included in under the field of obesity surgery and metabolic surgery, is a method used for controlled weight loss. Diseases that may occur due to excess weight can also be prevented by this method.

How is Mini Gastric By-Pass Surgery Performed?

Mini gastric by-pass surgery is a shorter and easier procedure than gastric by-pass surgery. Developed as an alternative to gastric by-pass, this treatment method has become one of the popular applications in the recent years.

An average of 200 cm in length, located in the initial part of the small intestine, is reserved for the foods eaten by the patient during the surgical procedure. In this section that is separated from the small intestine, there are absorption and bile fluids that enable digestion and absorption. During mini gastric by-pass surgery, this part is replaced with the outlet part of the stomach.

Mini gastric by-pass operation is a surgical procedure performed under general anesthesia. It is a treatment method that is performed through 4-5 holes opened on the abdomen that are shorter than 1 cm.

In the mini gastric by-pass operation, a longer intestinal section is by-passed compared to the RNY gastric by-pass operation. This is an important detail that distinguishes the two surgical interventions from each other.

What is the Recovery Process After Mini Gastric By-Pass Surgery?

The recovery process after mini gastric by-pass surgery is similar to those of other weight loss surgeries. The patient, who needs to stay under the supervision of a doctor for 2 to 3 days, can return to work life an average of 1 week after discharge.

The patient’s ability to maintain a social life without forcing himself after the surgery and to participate in light physical activities are among the factors that allow the surgery to give a successful result.

After the surgical procedure, the patient’s compliance with the doctor’s recommendations and the application of the given diet program are the most important factors that increase the success rate of the treatment.

What is the Success Rate in Mini Gastric By-Pass Treatment?

Mini gastric by-pass application is one of the methods with the highest success rate among weight loss treatments. Reducing food absorption by intervening in the small intestine is also among the main reasons for this success.

Patients lose more than 75% of their excess weight within 1 year after surgery. The percentage of success achieved after surgical intervention depends on many variables. However, as long as the patients follow the doctor’s instructions and give importance to physical activities, mini gastric by-pass application is a treatment method that will provide long-term results with a very high success rate.

WHAT IS REVISIONAL SURGERY?

Revisional surgery is an alternative surgical method that comes into effect when bariatric surgeries fail due to technical problems or patient-related conditions.

Why is Revision Surgery Necessary?

The main goal of bariatric surgery applications is for patients to gain healthy eating habits in post-operative life. If this habit is not acquired, the stomach will regain its former state over time. Therefore, the patient starts to gain weight again after the operation.

Revisional surgery is a field that requires a lot of experience and expertise. The first gastric surgery performed can be transformed into many different surgeries with revisional surgical interventions.

The following can be count among the types of revisional surgical interventions:

• Sleeve gastric
• Gastric band removal revision
• Gastric bypass readjustment

After the revision surgery, the patient can be discharged in 3 to 4 days. It is possible to achieve success in weight loss processes if the revisional surgery operation is performed under the control of a specialist and experienced doctor.