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Obesity should not only be seen as an aesthetic problem today. It can lead to many serious health issues such as heart diseases, type 2 diabetes, hypertension, and sleep apnea, which not only decrease the quality of life but can also adversely affect life expectancy. In cases where the desired weight loss cannot be achieved despite diet, exercise, and lifestyle changes, bariatric surgery comes into play. However, this surgery may not be suitable for every patient. So, who is suitable for bariatric surgery?

General Criteria for Bariatric Surgery

Patients considering bariatric surgery must first meet certain health criteria. The general criteria determined by the World Health Organization and international surgical associations are as follows:

• Those with a Body Mass Index (BMI) of 40 and above:
  Individuals with a BMI of 40 and above are considered to fall into the category of severe obesity and may be candidates for surgery, even if they do not have any additional diseases.
  

• Those with a BMI between 35-39.9 who are experiencing obesity-related health problems:
  If your BMI is in this range and you have health issues such as type 2 diabetes, hypertension, sleep apnea, joint problems, or heart disease, surgery may be recommended.
  

• Those who cannot lose sufficient weight through methods such as diet and exercise:
  Surgery is not the primary solution; it is a treatment option that comes into play when other methods fail.
  

• Those who can comply with lifestyle changes after surgery:
  For the results obtained from surgery to be permanent, the patient must be willing to change their dietary and exercise habits.

Pre-Surgery Evaluation Process

Eligibility for bariatric surgery is not determined solely by the BMI value. Each patient goes through the following detailed evaluation process:

• Review of medical history and existing diseases
  

• Evaluation of health status through laboratory tests and imaging methods
  

• Psychological counseling and nutrition education
  

• Assessment of capacity to comply with the post-surgery process

In this process, the aim is for the patient to be physically and psychologically prepared for surgery.

Who Is Not Suitable for Bariatric Surgery?

Although bariatric surgery offers a solution to many people, in some cases, surgery may not be a suitable option:

• Those with uncontrolled psychiatric disorders
  
  

• Those with alcohol or substance dependence
  
  

• Those with serious health problems that may pose a barrier to surgery
  
  

• Patients who cannot comply with lifestyle changes after surgery

How Will Your Life Change After Surgery?

It should be noted that bariatric surgery is a beginning. Success is closely related to the effort shown by the patient in the post-surgery process. Regular doctor check-ups, dietitian support, and adherence to exercise programs enhance the effectiveness of the surgery. Without adopting healthy eating and lifestyle habits, the expected long-term benefits of the surgery cannot be achieved.

Conclusion:

"Am I suitable for this surgery?" If you are wondering, we can provide the most accurate answer after a detailed evaluation. Each patient's situation is unique, and this individuality must be prioritized in treatment planning.

With our Gastroenterology Surgery team, you are in reliable and experienced hands in bariatric surgery. We are here to help you take a step towards a healthy life.

Colon cancer is a malignant tumor that develops from the mucosal tissue lining the inner surface of the colon, typically arising from polyps. The colon is located at the end of our digestive system and acts as a system that begins on the right side and extends to the spleen. This structure undertakes many important functions such as the absorption of water and the conversion of waste materials into feces.

What is Right-sided Colon Cancer?

Right-sided colon cancer is a type of cancer that develops on the right side of the colon. The treatment options for this type of cancer vary depending on the location and stage of the tumor. In every case of colon cancer, performing direct surgery may not be the correct approach. Therefore, staging is initially conducted to create a treatment plan appropriate for the patient's condition. Staging is usually performed using imaging methods such as tomography. Based on these evaluations, a decision is made about whether the patient is suitable for surgery.

Treatment Options and Surgical Methods

In our hospital, colon cancer surgery is performed using both open and closed (laparoscopic) methods. In recent years, laparoscopic surgery has been increasingly preferred because it provides faster recovery and better results in suitable patients. The advantages of laparoscopic surgery are as follows:

• Faster recovery process

• Shorter hospital stay

• Less pain and better cosmetic results

• Faster return to daily life

Although the complication rates of both methods are similar, the closed surgery method offers a more comfortable recovery process for many patients.

Surgery Applied in Right-sided Colon Cancers: Right Hemicolectomy

The most frequently performed surgical procedure in right colon cancers is right hemicolectomy. During this procedure, the right part of the colon and a 5-10 centimeter section of the small intestine are removed. However, cancer surgery is not solely about the removal of the tumor. During surgery, it is necessary to clear the relevant lymph nodes against the possibility of cancer spreading to the lymph nodes. This is an important step that directly affects the patient's cancer-related survival time.

During the surgical procedure, the blood vessel that nourishes the cancer is tied at its root, making the tumor and surrounding tissues a bloodless area. Thus, both the cancerous tissue and the related lymph nodes are effectively removed.

Post-Operative Process

After the surgery, the ends of the removed colon and small intestine are joined together. This procedure is called "anastomosis" and ensures the continuity of the digestive system. Patients usually stay in the hospital for about 3 to 5 days after the operation. The discharge time may vary depending on the patient's overall health status and potential complications that may arise during and after surgery.

To ensure our patients can recover quickly, regular follow-ups and appropriate nutrition plans are recommended during the post-operative period. Each patient's recovery process is different; therefore, it is important to adopt a personalized approach.

Conclusion

Colon cancer is a treatable disease when diagnosed at an early stage. Regular check-ups and screenings increase the chances of success in treatment by allowing the disease to be detected early. If you notice symptoms such as abdominal pain, changes in bowel habits, weight loss, or blood in stool, it is crucial to consult a specialist without delay for your health.

Remember, cancer surgery is not limited to the removal of an organ; the correct surgical technique and a comprehensive approach directly affect treatment success and quality of life. With the difference of Gastroenterological Surgery in colon cancer treatment, you are in safe hands. Take care of your health and do not neglect your check-ups.