TREATMENTS
Obesity and Metabolic Surgery
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.
