Obesity is one of the most common health issues of modern times, resulting from the body's energy imbalance leading to excessive fat accumulation. It should not be seen merely as being overweight; it paves the way for many serious diseases such as heart disease, type 2 diabetes, hypertension, and sleep apnea. When diet, exercise, and lifestyle changes are not sufficient for weight loss, obesity and metabolic surgery come into play. These surgeries are performed to both accelerate weight loss and support the treatment of metabolic diseases.

Every procedure of obesity surgery can be safely performed by our experienced team.

What Are the Treatment Methods?

Treatment is planned according to the patient's health condition, the degree of excess weight, and existing metabolic diseases. Commonly applied methods include:

• Sleeve Gastrectomy: The stomach is reduced by removing approximately 80% of it.
  
  

• Bypass Surgeries: Accelerates weight loss by reducing food absorption. (Roux-en-Y and Mini Gastric Bypass)
  
  

• Transit Bipartition: Provides metabolic control, especially in patients with type 2 diabetes.
  
  

• Biliopancreatic Diversion: Preferred in severe obesity cases.
  

Sleeve Gastrectomy

Sleeve gastrectomy is one of the most preferred methods in obesity surgery. It is performed using a laparoscopic (closed) technique, whereby the stomach is vertically cut to create a thin tube. This way, the patient feels full with less food and experiences a reduced sense of hunger as the part of the stomach that produces the hunger hormone (ghrelin) is removed.

Advantages:

• The operation duration is generally 1-1.5 hours.
  
  

• Patients are typically discharged within 3 days.
  
  

• Hunger control is achieved and the desire to eat is reduced.
  
  

• Since the intestinal structure is not altered, vitamin and mineral deficiencies are less compared to other surgeries.
  
  

Things to Consider:

• Alternative methods may be preferred in patients with severe reflux.
  
  

• One of the most common complications is leakage at the stapler line (approximately 3% rate).
  
  

• Regular follow-up with doctors and dieticians after surgery is essential.
  
  

Scarless Sleeve Gastrectomy (SILS)

This method, performed with a single incision through the navel, is ideal for patients who do not want scars. With scarless sleeve gastrectomy (SILS-Single Incision Laparoscopic Surgery), very good cosmetic results can be achieved in suitable patients, and the main goal of the surgery, which is weight control, can also be attained.

Bypass Surgeries

Bypass surgeries not only reduce the stomach volume but also decrease the amount of food passing through the intestines. Thus, less food is consumed, and absorption is restricted.

Roux-en-Y Gastric Bypass:

The stomach is transformed into a small pouch and the small intestine is connected to this pouch. This method is particularly preferred in patients with type 2 diabetes and severe reflux.

• Operation Duration: 1.5-2.5 hours
  
  

• Effect on Diabetes: Blood sugar control is achieved in 85% of patients with type 2 diabetes.
  
  

• Complications: Risks such as leakage at the anastomosis line and intestinal obstruction exist, but the rate is low with experienced surgeons.

Mini Gastric Bypass:

This surgery, performed with a single anastomosis (suture line), is applied faster than Roux-en-Y. However, there is a risk of bile reflux of up to 30%. It yields effective results, especially in significant weight loss and in diabetes.

Post-Operative Monitoring and Care:

• The first check-up is usually done on the 10th day.
  
  

• Weight loss, nutritional status, and potential complications are monitored regularly at 1, 3, 6, and 12 months.
  
  

• Diet and lifestyle changes significantly enhance success rates.

  
  

I want to emphasize an important point here: Surgery is not an end, but a beginning. A door opens with surgery, but crossing that door to reach a healthy life is in your hands. The changes you will make in your diet, physical activity, and lifestyle throughout the process are just as important as the surgery itself. We have a strict follow-up program after surgery; together with our dieticians and physical activity specialists, we ensure you go through this process in the best possible way.

Cancer surgery should be performed by specialized and trained individuals in this field. Surgery aims to stop the spread of cancer and improve the patient’s quality of life. The treatment plan is shaped according to the tumor's location, size, and the patient's overall health condition. A comprehensive approach to cancer requires various specialties. These include departments such as radiology, oncology, pathology, nuclear medicine, and radiation oncology. We stand by our patients with our experienced team in colorectal, gastric, liver, and pancreatic cancer surgeries.

You are one step ahead and safe in gastroenterology surgery and cancer surgery.

Methods Applied

• Open Surgery: The tumor is removed by making a large incision. It is preferred in large tumors and complex cases.
  
  

• Closed (Laparoscopic) Surgery: The tumor is removed through small incisions with special instruments. Patients recover faster and experience less pain.

Commonly Performed Cancer Surgeries

• Gastric Cancer Surgery: Depending on the size of the tumor, a part or the whole of the stomach may be removed. Preoperative chemotherapy may enhance the success of the surgery.
  
  

• Intestinal Cancer Surgery: Can be safely performed with laparoscopic techniques. Success rates are high in the early stages.
  
  

• Rectal Cancer Surgery: Advanced laparoscopic techniques are used. It aims to improve the quality of life while preserving bowel functions of patients.

Postoperative Follow-up

Patients are usually called for the first control on the 10th day. Regular check-ups are made later at 1, 3, 6, and 12 months. Additional treatments are planned when necessary.

Laparoscopic surgery is a minimally invasive procedure performed with the help of a camera and special instruments through small incisions made in the abdomen. It offers advantages such as less pain, faster recovery, and smaller scars.

In Which Situations Is It Used?

• Gallbladder surgeries
  
  

• Hernia repairs
  
  

• Intestinal and stomach surgeries
  
  

• Obesity surgeries
  
  

Advantages

• Hospital stay duration is shorter.
  
  

• Return to daily life is quicker.
  
  

• Cosmetic results are more satisfactory.

Postoperative Process

Most patients can be discharged on the same day or the next day after surgery. The first check-up is usually done on the 10th day. Follow-ups continue at 1, 3, 6, and 12 months.

Endoscopy is a method of visualizing the internal structure of the digestive system with a flexible tube that has a camera at its end. It is used both for diagnosis and to perform certain therapeutic procedures without the need for surgery.

Advanced Endoscopic Procedures:

• Polypectomy: The removal of polyps in the digestive system.
  
  

• Bleeding Control: Bleeding in the digestive tract can be controlled endoscopically.
  
  

• Stricture Dilation: Difficulty swallowing or bowel obstructions can be treated.
  
  

• Tumor Treatments: Tumors can be removed in early-stage cancers.
  
  

• Bile Duct and Pancreatic Procedures: Gallstones or obstructions can be treated using endoscopic methods.
  
  

Advantages:

• Provides a quick solution without the need for surgical intervention.
  
  

• Patients can return to their daily lives shortly after the procedure.
  
  

• The procedure is made comfortable with sedation.
  
  

Monitoring and Follow-up

After the endoscopy, a follow-up plan is arranged for patients based on the findings of the procedure. Further treatments may be recommended if necessary.