Obesity, which is the result of a sedentary lifestyle and unhealthy diet, has become a health problem that threatens the whole world today. Obesity can be caused not only by lifestyle, but also by psychological, hormonal and genetic factors. For this reason, the incidence of obesity is increasing day by day. Obesity can cause health problems such as diabetes, cardiovascular diseases, psychological diseases, sexual problems and sleep apnea. In order to avoid serious health problems, it is necessary to intervene in excess weight in a timely manner. Bariatric surgery is one of the most effective interventions that can be done.
What is Bariatric Surgery?
Obesity surgery comes to mind when it is said, “What is bariatric surgery?” Because it usually refers to the operations performed when it comes to obesity. However, in some cases, bariatric surgery is also applied when health problems associated with excess weight are observed. With surgical operations, changes are made in the structure of digestive system organs such as stomach and small intestine. With the changes made, it is aimed to increase the feeling of satiety, to take less food and to reduce the nutrient absorption.
To Whom Is Bariatric Surgery Applied?
bariatric surgery; It can be applied to people who have overweight problems, over the age of 18 and under the age of 65, and who do not have a health problem that prevents surgery. The criterion for bariatric surgery is basically the body mass index, that is, the ratio of weight to height squared. Surgery is performed when the body mass index is above 40, and the presence of at least one risk factor is sought when it is between 35 and 40. The risk factors sought for the application of bariatric surgery can be listed as follows:
What are the Types of Bariatric Surgery?
In bariatric surgery operations, nutrient capacity and absorption are reduced by intervening in the stomach and small intestines. In addition, changes are made that will create a feeling of satiety or reduce the release of the hunger hormone. The main types of operations used in bariatric surgery can be listed as follows:
- Gastric Balloon (Intragastric Balloon Application): In gastric balloon application, a liquid-filled silicone balloon is placed inside the stomach and the volume of the stomach is reduced by half. Thus, the patient reaches the feeling of fullness in a shorter time and does not consume much food. While placing the balloon, the endoscopic method can be used, or the balloon can be placed by swallowing. After seeing that the swallowable gastric balloon has reached the right place under the control of the doctor, it is inflated and filled with liquid.
- Tube Stomach Surgery (Gastric Sleeve): In the Gastric Sleeve operation, approximately 80 percent of the stomach is removed and the stomach is turned into a tube. For this reason, the name of the operation is not related to a tube applied from the outside, but a sleeve gastrectomy operation has been made by removing a part of the stomach irreversibly and turning it into a tube . Thus, early satiety occurs as the volume of the stomach decreases, and the feeling of hunger decreases as the part that produces the hunger hormone decreases.
- Gastric Bypass: In the gastric bypass method, both the stomach and the small intestine are treated and its structure is changed. About 30 ml of the stomach and the part of the small intestine that connects to the large intestine are separated. By connecting these parts to each other, both the function of the stomach and the absorption from the small intestine are reduced.
- Biliopancreatic Diversion (BPD): Biliopancreatic Diversion operation is actually quite similar to gastric bypass. The most important difference is that the first and second parts of the small intestine are separated, so the nutrient absorption is reduced more. In biliopancreatic diversion, both a large part of the stomach and the small intestine are separated, reducing nutrient capacity and absorption.
What Should Nutrition Be Like After Bariatric Surgery?
Many methods may be available in bariatric surgery to help you achieve healthy, long-term weight loss and improve obesity-related medical conditions. Successful bariatric surgery requires a holistic approach to bariatric surgery and a team that will focus on guiding you through every step of the journey, including your surgeon, dietitian, psychologist, nurse case manager and obesity medicine specialist. After bariatric surgery, patients can get the most effective results from bariatric surgery in a short time if they continue to eat healthy, participate in physical activity and take vitamin and mineral supplements in accordance with the recommendations of their physicians.
Bariatric Surgery Prices
While the method applied can provide variation in the price of bariatric surgery, factors such as the surgeon’s level of expertise, the duration of the operation, the material to be used, and the preferred surgical method play a role in pricing. At the same time, the technological competence of the hospital where the procedure will be performed and the quality of the equipment used are also factors for regional bariatric surgery prices.
If you are experiencing health problems due to obesity or overweight, you can also get detailed information about the bariatric surgery method suitable for you by filling out the form.
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