Obesity can be described as excess fat tissue accumulation or being extremely overweight. 25% of men and 32% of women fit into the category of obesity. Body Mass Index is used in determining the body fat ratios.
According to BMI, these ratios are;
- 18.5 – 24.9: Normal
- 25 – 29.9: Overweight
- 30 – 40: Obese
- 40 – 50: Morbid (Fatally) Obesity
- 50 and above: Severe Morbid Obesity
Patients with a BMI over 40 are considered to be sick and this might decrease the quality and duration of life considerably. The amount of fat acid in the blood circulation due to excessive fat tissue in the body might cause inflammation and this could lead to insulin resistance and Type II diabetes.
Obesity surgery is the umbrella term for all surgeries performed in order to treat morbid or “illness” obesity and it is generally called “Bariatric surgery” in the medical literature.
Who can Have Obesity Surgery?
Patients who have excessive weight gain which threatens their physical or mental health, or in cases of the inability to lose weight despite getting help from experts and dieting, exercising etc. are suitable for surgery. Body mass index and accompanying chronic diseases are considered when evaluating the patient for obesity surgery.
Obesity Surgeries Performed in our Hospital
It is important for you to share your health problems, concerns and expectations with your physician in order for them to decide the best method for you. All modern obesity surgeries are successfully performed in our hospital. These surgeries are:
- Sleeve Gastrectomy
- SADI-S (Single anastomosis duodeno – ileal bypass with sleeve gastrectomy)
- Gastric By-Pass
Type 2 Diabetes Surgery
Ileal Interposition Surgery
This method is used on Type 2 Diabetes patients who still have insulin reserves in the pancreas and is performed by switching the places of the end and beginning sections of the small intestine and shaping the stomach into a tube shape.
This surgery is different than obesity surgeries. The aim is to deactivate hormones that cause insulin resistance and increase hormonal levels which increase insulin sensitivity. Another important point of this surgery is that no vitamin or mineral deficiency occurs in the patient since no small intestine by-pass is made. In by-pass surgeries, vitamin and mineral pills must be taken by the patient for the rest of their lives.
In Ileal interposition surgeries, you can consume liquids on the 3rd day and return to a normal diet after 6 to 12 months. Diabetes can be managed within a couple of weeks to a few months with this surgery, and the patient may be advised to use low dose medicine treatments in the meantime.
What is Gastroesophageal Reflux (GOR) Disease?
Reflux is a problem that is caused by the valve between the oesophagus and stomach malfunctioning and allowing the consumed food to back up from the stomach into the mouth. Complaints of burning in the stomach or mouth, sourness in the stomach, feeling bloated, heartburn, sour taste in mouth, feeling congested, dry cough, waking up choking, gagging, and belching might occur due to reflux and the severity may vary.
The cause of reflux can be genetic as well as due to being overweight or underweight, accompanying chronic illnesses, heart medication, extreme consumption of sweet-fatty, yeasty food along with cigarettes, alcohol, tea and coffee, and it is diagnosed endoscopically.
Treating reflux is essential since it can affect the patient’s social, business and private life negatively. Medical or nutritional treatment not working, the patient not wanting to consume more medication, medication having adverse effects on patient, severe scarring on the oesophagus that may cause cancer, narrowness and sliding hiatal hernias, are considered reasons to have surgery.
There are many methods for surgical treatment. Considered as a gold standard anti-reflux procedure around the world with success rates up to 99%, laparoscopically performed “Floppy” Nissen Fundoplication is used in our hospital, which lasts 30-45 minutes. The next day, all complaints fade away and the patient is discharged.
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