World Health Organization (WHO) defines obesity based on Body Mass Index (BMI). It’s described as a condition in which body max index is 30 and above and excess body fat has accumulated to an extent that it may have a negative effect on health.
Body Mass Index (BMI) is the number calculated by dividing the body weight in “kilogram” by the square of the body height in “meter”.
Weight category: BMI
Normal: 18.5 -24.9
Obese: > 30
1st grade: 30-34.9
2nd grade: 34-39.9
3rd grade: (morbid obese) >40
The number of obesity patients progressively increases worldwide and in Turkey. Considering the health problems associated with obesity, including sleep apnea, cardiovascular diseases, joint disorders, etc., the number of patients who consider bariatric surgery is increasing day by day.
Based on the criteria set by World Health Organization, people with a BMI of 40 and above or those with a BMI of 35 – 40 who have obesity-induced diabetes, hypertension, COPD, etc. are considered candidates for bariatric surgery.
What is Obesity Surgery (Bariatric Surgery)?
Obesity surgery, i.e. bariatric surgery, as referred to in the literature, is a surgical intervention of the digestion system performed to help obesity patients lose weight. After having bariatric surgery, the patients rapidly lose weight and resume their daily activities in a short time. A significant improvement is observed in quality of life of obesity patients and their accompanying conditions when they make changes in their diet and exercise habits after having bariatric surgery.
The Most Common Bariatric Surgery and Non-surgical Obesity Treatment Methods
There are various methods that are employed to treat obesity. The type of surgery is determined according the current health status and desire of the patient as well as the specialist’s evaluation and direction. One of the most important factors for a successful operation is to find and apply the correct operation method for the patient. Failure to do so may result in failure to achieve the desired results, which (contrary to common belief) in turn may lead to a second bariatric surgery. If a patient fails to reach the target body weight index because of his/her failure to follow his/her diet and exercise plan, a second operation may be planned, the same operation may be performed again or the procedure applied may be turned into a different operation.
Some of the most commonly applied methods are as follows:
It involves decreasing stomach volume by 75% by a surgical procedure. After sleeve gastrectomy, the stomach acquires the shape of a banana. During the surgery, the section with Ghrelin hormone, which provides hunger signal sent by the stomach to the brain, is also removed. So the patients feel themselves mechanically full and also the feeling of fullness is provided with lesser food intake due to the smaller stomach volume.
The word bypass means bypassing something or taking the shortcut in Turkish. Gastric bypass surgery is a serious operation decreasing absorption of food in intestines. In Gastric Bypass surgery, in which a large portion of the stomach is bypassed, the food enters the intestines without seeing a major part of the stomach.
Gastric Balloon Procedure
Gastric balloon procedure, one of the non-surgical treatment methods, is a procedure performed in 10 minutes under sedation (sleep) anesthesia based on placing an endoscopic balloon in the stomach. The balloon placed during the procedure is inflated with water or air inside. The inflated balloon occupies a certain part of the stomach volume and leads to a feeling of fullness. The patient should definitely undergo a 2nd endoscopy for removal of the balloon 6 months to 1 year after the procedure.
In stomach botox procedure, performed by endoscopy, botox is applied to the patient’s stomach under sedation for 10-15 minutes. The procedure increases the period of fullness in the stomach and delays the passage into duodenum of food that has entered the stomach.
Who can have bariatric surgery?
First of all, please bear in mind that bariatric surgery operations are operations performed if they’re necessary, rather than being discretionary cosmetic procedures. Certain factors should be considered to determine if a patient can have bariatric surgery. Bariatric surgery can be applied in patients who have been obese for about five years although they have no hormonal condition and who have tried other treatment options and been unable to achieve satisfactory weight loss. For a patient to undergo surgical methods, s/he should first undergo workups and examinations. After the doctor examines the results of workups, it’s decided whether the patient can have the surgical procedure or not and which surgical procedure s/he can have. For a patient to undergo bariatric surgery, s/he should have already passed adolescence and be under advanced ages and have no alcohol or drug addiction. Female patients should not consider conceiving for a period of one year after the operation.
After Bariatric Surgery
Bariatric surgery has become a method that an increasing number of people turn to for treatment. Recent new techniques progressively decrease operation-related complications as well as the time for the patient to resume daily activities after the operation. Obesity patients can lose 40% of their excess body weight in an average of 6 months and 75-90% in 2 years if they follow the diet and exercise program recommended by the specialists after the operation.
Please note that bariatric surgery has to be supported with exercise and a well-planned diet plan. If a patient goes back to his/her former lifestyle after the operation, it’s possible that s/he gains weight again or that she fails to achieve the target body weight. Therefore, the patient sand the doctor should conduct a good team work before and after the operation. After some operations, the patient should permanently or occasionally take vitamin supplements so it’s very important that you follow the follow up schedule recommended by your doctor.
Please remember that the risk associated with obesity-induced conditions is higher than bariatric surgery and do not delay your fight with obesity. We invite you to a preliminary meeting for you to take action against obesity.
In Private Ege Şehir Hospital, dieticians who have previously provided consultancy to many patients on bariatric surgery and obesity treatment serve in our hospital. Bariatric Surgery Prices 2020
As per the relevant legal statutes, no information can be given about Bariatric Surgery Prices for the year 2020 in the website. Please contact us by calling us at 0 232 390 0 390 or through our Whatsapp line to make an appointment for a free preliminary interview. In the case of obesity treatments, our patients can perform their transactions under SSI.