There is a very large number of people who are overweight and suffering from obesity. No matter how they change their diet and/or exercising habits, they are unable to lose weight. That is where obesity surgery (often called bariatric surgery) holds a very substantial role. The reason why bariatric surgery works over the traditional “diet and exercise” culture is that it focuses on this case as a matter of medicine. It works by making surgical changes to your stomach and digestive system that limit how much food you can eat and how many calories you absorb, leading to weight loss.
Our patients benefit from obesity surgery, especially if their BMI is 35 or over, though you might like to consider consulting our specialists for a better sense. Therefore, it is important to note that with our vision and professional team, we provide you with the most effective ways for you to have a healthier life with higher quality.
What is Obesity Surgery?
Obesity Surgery is a medical condition where a person has accumulated an excessive amount of body fat that may impair health. A person is considered obese when their body weight is 20% higher than it should be. If a person’s body mass index (BMI) – a statistical measurement derived from their height and weight- is 30 or over, they are considered obese.
Obesity Surgery can affect every organ of your body, resulting in complications in your metabolism, in your mental health, and usually leading to some mechanical issues. If we would make a list of possible diseases caused mainly by obesity surgery, you can check this list we prepared for you;
- High blood pressure (Hypertension)
- High LDL cholesterol, low HDL cholesterol, or high levels of triglycerides (Dyslipidemia)
- Type 2 diabetes
- Coronary heart disease, Stroke
- Gallbladder disease
- Sleep apnea and breathing problems, Asthma
- Cancer types: Gastric cardia cancer, Ovarian cancer, Liver cancer, Kidney cancer, Gallbladder cancer Pancreatic cancer Colorectal cancer, Multiple myeloma Thyroid cancer Breast cancer Meningioma Endometrial and Esophageal adenocarcinoma
- Low quality of life, and most usually body and joint pain and difficulty with physical functioning or even Osteoarthritis (a breakdown of cartilage and bone within a joint)
- Mental illness such as clinical depression, anxiety, and other mental disorder.
Considering all of these problems, obesity surgery may have a severe effect on your life.
What Are The Options Available for Weight Loss?
The main cause of obesity surgery is an energy imbalance between the consumed calories through food and liquids and the burned calories through daily activities and workout. Therefore, it is suggested to reduce the number of calories taken daily by going on a calorie-restricted diet and increasing the physical activity to burn calories. However, this may not be effective for most people due to lifestyle and medical conditions that interfere with the weight loss plans.
Obesity surgery, on the other hand, is one of the best resulting methods for obese people to get rid of their problem. If you are concerned about your health and want to take a step forward to feel healthier; you are on the right page!
Gastric Bypass is an operation that’s been around for over 30 years. Yet, it is still the gold standard weight-loss operation. It involves cutting the stomach into two parts; one very small part, which is called the pouch, and the residual or remnant stomach which is the rest 90-95% that is not going to be used for food and digestion after the operation.
The operation starts with the surgeon dividing the stomach into a large and a small pouch. This way, the small stomach will allow the food to come in, and it will be filled a lot quicker. As a result, people tend to eat less and feel full faster.
The small pouch is disconnected from the rest of the stomach, and the first part of the small intestine is also disconnected. Then the small intestine is reconnected further down to the small intestine and to the small pouch on the other end. Thus, the food is rerouted from the small pouch directly to the intestine without going to the bottom of the stomach. Then, the small intestine is rerouted so that the food meets up the stomach and digestive enzymes further down the stream, so digestion begins lower in the intestine, causing even less absorption of calories.
What is the operation process?
During gastric bypass, the surgeon makes a couple of small incisions and operates the process of dividing the stomach into two-parts. Then, intestines are also divided and hooked up to the small stomach pouch before the intestine is rehooked to itself. This creates a wide configuration where food enters one side, digestive enzymes enter on the other side, and eventually, they join together to begin digestion. Moreover, it causes lessen the absorption of calories and nutrients. This way of losing weight is called malabsorption.
Right after the surgery, due to the possibility of malabsorption of important vitamins and minerals, it is recommended to check with your doctor for supplements. Fortunately, after the surgery, we will be monitoring your needs including malabsorption and other complications that might occur during your healing period and our doctors will give you the best solution and advice regarding your health condition in this period of time.
Since all of these are done through those 5-6 small incisions, patients recover in the hospital 2-3 days, sometimes even a day after the surgery. After that, patients generally recover from home in 2-3 weeks and are able to go back to their normal life. Nevertheless, you might have to reconsider going back to your daily life if you have been doing physically heavy work, it may result in pain and some complications. We suggest you refrain from this type of physical activity for at least 2 or 3 weeks more until your scars are healed. During this period, you will have to implement some dietary restrictions until this process is over.
Who Should Choose the Gastric Bypass?
Gastric Bypass is used especially for the patients who have diabetes, particularly if you have insulin-dependent diabetes or being told or talked to by your physician about adding insulin or adding other injectable medications into your diabetes regimen. Diabetes is such a terrible disease that you will have to make the most significant amount of treatment and medication. Therefore, gastric bypass could be your solution for a better life.
In addition, another group of patients we recommend for gastric bypass surgery are those who suffer from severe gastroesophageal reflux disease or heartburn. The reason behind it is because some people, about 5% in general, suffer from very severe heartburn that interferes with their quality of life, gastric bypass basically because another type of bariatric surgery might worsen up the heartburn.
As we want to improve your quality of life and because the gastric bypass is an anti-reflux operation, it prevents the acid from going up into the oesophagus by the new construction; it is significantly the best choice for you if you have reflux.
Lastly, the patients who have a very slow, stubborn metabolism which makes it very difficult to lose any weight and also prevents them from maintaining any weight loss or the patients struggling with mobility due to reasons beyond their control should also consider gastric bypass.
Gastric Sleeve or -sleeve gastrectomy-, is a new method of bariatric surgery that is similar to gastric bypass and adjustable banding. Moreover, it causes better and more predictable weight loss than adjustable banding.
The weight loss is usually around 60% excess weight when it is supported with a healthy diet, and it may also help with the absorption of the nutrients better than gastric bypass. The sleeve gastrectomy is a restrictive procedure that limits the amount of food you could eat by reducing the size of your stomach.
In sleeve gastrectomy, the stomach is converted into a sleeve-like structure, and the rest of the stomach is cut away. So, the food will enter the oesophagus entering the tube of the stomach then going directly to the intestine, restricting a lot of entrance of food at the same time.
One of the positive things about the gastric sleeve operation is it is not just a weight-loss operation that works by restriction by limiting volume, but it appears that the part that is cut away during the surgery actually creates a hormone that stimulates hunger. By removing that part of the stomach, the hunger is controlled or dramatically lessened. Thus, this operation works in two ways; adjusting the amount of food, you can take, and also your response to the food or hunger level that you might feel.
What is the operation process?
The surgery starts with 5-6 small incisions on the belly, and a large part of the stomach gets removed by the surgeon. Approximately two-thirds of the total volume of the stomach is removed. Since the removed part can not be put back, this makes this operation irreversible.
By the end of the operation, it will create a thin vertical sleeve via a long staple line and this sleeve will typically hold 50-150 millilitres. Then the doctors remove the excised portion of the stomach. The newly created gastric sleeve is able to hold approximately 1/10 of the stomach was able to hold before. This smaller stomach sleeve restricts the amount of food before feeling full. The bile and the pancreatic fluids from the liver and pancreas mix with the food and allow it to be completely digested and absorbed in the bowel.
There is no rerouting of the small bowel or post-operative adjustments necessary for the sleeve gastrectomy. As with all weight loss procedures, behaviour modification and dietary complaints play a critical part in determining the long term success of the procedure.
All surgery presents with weight, age and medical history determine your specific risks. Thus, we are always offering you to consult our doctors for any of your questions.
Who Should Choose a Gastric Sleeve?
First of all, any patients who have had previous abdominal surgery (not including gallbladder and/or appendix removal) typically will not be able to undergo a laparoscopic gastric bypass but still can have the benefits of laparoscopy using the small incisions when the sleeve gastrectomy is used.
The reason behind this is that through these kinds of surgeries, a large incision may result in either a temporary colostomy or large sheets of mesh that have been placed through the abdominal wall. Therefore, it will be safer to choose gastric sleeve surgery for the less scar tissue it will affect during the operation.
Secondly, it is suggested that patients with 50 BMI or less should consider gastric sleeve over the other types of bariatric surgery. Moreover, if you are already suffering from recurrent kidney stones, this operation is one of the best ways to help cure this condition. Because the sleeve left after the surgery does not leave as much waste as a normal stomach. Thus, it leaves no extra waste for kidneys to collect and create stones.
Last but not least, patients with a faster metabolism are able to lose more weight. The reason behind this is gastric sleeve surgery may not offer the same metabolic advantages that the gastric bypass surgery does. However, we offer you our services for a better understanding of your metabolism and a better choice regarding your bariatric surgery. Make sure to get an appointment with one of our doctors before deciding on this topic.
The gastric balloon is a non-surgical treatment that can be helpful for patients from mild to moderate obesity surgery. It works as putting a type of balloon filled with a fluid into your stomach so that it will inflate and take up space. It is a popular treatment since it does not demand surgery and recovery time at the hospital.
The gastric balloon works by filling a portion of the stomach cavity. It serves to decrease the rate at which food empties from the stomach and stimulates the receptors that signal satiety to the brain.
Ultimately, this means the patient is able to fill quicker and consume fewer calories. In addition to the placement of the gastric balloon, it must be removed after six months. Later, the patient must be monitored for another 6 months to make sure of the changed lifestyle.
What is the operation process?
During the procedure, the thin deflated gastric balloon is placed endoscopically through the mouth into the stomach. The balloon itself is made from soft yet durable silicone about the size of a grapefruit.
The surgeon places the balloon endoscopically into the patient while they are under the sedation, and so they will go to sleep for the procedure. Then the surgeon goes in and puts the balloon into the stomach and fills it with a salt solution and It is filled until it becomes the size of a grapefruit. Consequently, the patient can go home on the same day.
Usually, it is expected that the patients lose weight dramatically, especially for the first 4-5 months.
Who Should Choose a Gastric Balloon?
Essentially, the gastric balloon is suited for any patient who is struggling to lose weight through diet and exercise and/or with medications. It is also beneficial for those who were unable to keep the weight off that they already lost.
Secondly, it might also be beneficial for patients who do not want to go through the process of bariatric surgery and/or unable to do so. Thus, usually, we offer this operation for patients who are around 30-35 BMI since they are not recommended to have bariatric surgery. However, patients over the 35 BMI range can also benefit from this operation without restrictions. Mostly, this operation is chosen because of how easy and time-saving it can be. You will have no time to spare for the healing process nor have any scars.
Though, it is important to note that you will have to come back in 6 months after the operation to take the balloon out with a similar process. We will then keep in touch with you for the next 6 months to be sure of your satisfaction.
Gastric botox, also called stomach botox, is a new procedure, rapidly getting popular because of its features regarding weight loss and obesity treatment. It is a non-surgical operation performed endoscopically.
It works by injecting a botox fluid into the stomach, using an endoscopy tool to relax the stomach muscles, and eventually, it helps the patients to eat less and feel full very quickly. Therefore, you consume fewer calories that will help you in your weight loss process. You can expect to have a reduction in your appetite and lose weight very fast after the procedure.
What is the operation process?
First of all, the surgeon starts by examining the stomach with a gastroscopy device. Then, he will be injecting the botox fluid (botulinum toxin) into three parts of the stomach where the muscles are located.
The procedure takes 15-20 minutes and does not demand a recovery time, meaning that you can be discharged from the hospital on the same day. After the operation, our team of doctors will be in touch with you to make sure of your satisfaction.
Who Should Choose Gastric Botox?
Indeed, the gastric balloon is suited for any patient who is struggling to lose weight through diet and exercise and/or with medications. It is also beneficial for those who were unable to keep the weight off that they already lost.
Secondly, it might also be beneficial for patients who do not want to go through the process of bariatric surgery and/or unable to do so. Thus, usually, we offer this operation for patients who are around 30-35 BMI since they are not recommended to have bariatric surgery. However, patients over the 35 BMI range can also benefit from this operation without restrictions.
Mostly, this operation is chosen because of how easy and time-saving it can be. You will have no time to spare for the healing process nor have any scars.
Visit Our Facilities to Have the Best Obesity Surgery in Turkey
If you want to learn more about the procedures, you can easily contact us. Furthermore, during our conversation, our team will inform you regarding the prices and process for your individual case.
As a leading health clinic in the industry, we host you in a first-class atmosphere, where you can find the best treatment with the best treat.