OBESITY AND TREATMENT
The first step in treatment of obesity is applying diet and doing sport. In other words, eating habits must be changed and the amount of movement should be increased. Although diet and sports should be tried first in all patients, studies have shown that morbidly obese individuals have a very low weight loss rate with diet and sports. If the person cannot achieve to lose weight with help of diet and sports, some medical and interventional treatments can be tried.
SCARLESS SLEEVE GASTRECTOMY
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In this operation method, all procedures are performed with the help of special tools that are entered through an incision made inside the belly button. In fact, it is not a completely scarless method. Since the incision is made through the belly button, there is a scar in the navel, but when the healing period is completed due to the pit structure of the belly button, the surgical scar remains in this pit and there is no visible scar from the outside. For this reason, these operations are called scarless surgeries. With this method, gallbladder surgery, appendicitis surgery, some intestinal surgeries can also be performed.
The difference of scarless obesity surgeries from other obesity surgeries is that they give a much better result in terms of aesthetics. The quality of the surgery performed and the postoperative recovery period are similar.
Scarless obesity surgery method may not be suitable for all patients. One of the criteria that determines this is the size of the patient's belly button. This surgery may not be suitable for patients with a very large belly button, located below the belly button. This can be decided by an examination. Another criterion that determines the feasibility of this surgery is liver size. It may be difficult to perform this surgery if you have a very fatty and very large liver.
SLEEVE GASTRECTOMY
Major part of stomach is removed at this surgery. That's why stomach volume is significantly reduced. So person can't eat much after the operation. With removal of part of stomach, some gastrointestinal hormone secretion amounts change, as a result, appetite decreases significantly, gastric movements change, improvements in diseases suches diabetes mellitus, hypertension.
ROUX N Y GASTRÄ°C BYPASS
Through this surgery, while reducing the stomach volume, it is aimed to discharge some of the nutrients without being absorbed from the intestines by forming a new passage between stomach and intestines. It is an important option especially in patients with gastroesophageal reflux or diabetes mellitus.
-MINI GASTRÄ°C BYPASS
This operation is similar to Roux en Y gastric bypass surgery, but surgical techniques are different. This surgery is technically easier and has less surgical risk for the patient. Although its effectiveness is similar to roux en Y gastric bypass surgery, it contains some unique complications.
TRANSIT BIPARTITION
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Among all other types of surgery, this can be considered as a new operation. This surgery, which is preferred especially in diabetic patients, is not accepted as a standard operation in the world yet, but its popularity is gradually increasing. Technically, it can be said that it consists of a combination of tube stomach and gastric bypass surgeries.
DUODENAL SWITCH
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Although this surgery is similar to gastric bypass procedures, serious side effects due to excess deficiency in absorption of nutrients can ve seen. For this reason, this operation is preferred widely. It accounts for less than 1% of all obesity surgeries among the world.
OBESITY SURGERY
Various surgical methods have been proposed for treatment of obesity. Today the most frequently performed surgeries all over the world are sleeve gastrectomy and gastric bypass surgeries. Surgeries have advantages and disadvantages when compared to each other. Not all surgeries are suitable for every patient. Many factors such as eating habits, lifestyle, presence of obesity related diabetes, presence of reflux are important in the selection of surgery type. Your doctor will decide which surgery is appropriate for you. As in many areas on the social media, there is information pollution in this area and your doctor will give you the most accurate information.
All obesity surgeries can be done by laparoscopic method. The effectiveness of these surgeries is over 95% in the short term and around 70-80% in the long term. Obesity surgeries carrys some risks. You should discuss these risks with your doctor face-to-face and have information about possible risks. In the postoperative period, a proper diet therapy is required especially in the first month and some changes in eating habits should be made in the following times. For this reason, follow-up of patients by doctor is important in terms of effective weight loss in the long term.