Due to the changing lifestyle and eating habits, Obesity becomes a serious health problem today. Obesity is a common disease that requires new approaches for treatment and prevention. Considering the illnesses, it is seen that this is a public health problem that will shake the budget of countries.
Obesity is described as abnormal excessive fat agglomeration that presents a risk to health. The way of measuring obesity is the body mass index (BMI), a person’s weight (in Kg) divided by the square of his/ her height (in Meter). A person with a BMI of 30 or more is considered obese. A person with a BMI equal to or more than 25 is considered overweight.
One reason for a number of chronic diseases such as Diabetes, cancer and cardiovascular disease is overweight or obesity.
As a result of incorrect nutrition and changing life habits, the rate of obesity has increased rapidly in the world after the 1960s and cannot be prevented. In our country, overweight is reported to be over 50%. So 1 out of 2 people is obese or overweight. For now. With this rate, we are close to the summit, among European countries. In the United States, the situation is worst. 69% of the population is above normal weight. In other words, 2 out of 3 people face this disease.
According to American data, more than 112000 obesity-related deaths occur annually. Obesity is the basis of more than 30 chronic diseases.
These; Type 2 diabetes, high cholesterol, hypertension, gallstones, heart diseases, liver fatigue, sleep apnea, reflux disease, urinary incontinence, heart failure, joint diseases, asthma and other respiratory diseases, and even birth defects and diseases such as many types of cancer. Regrettably, fat patients often face discrimination and cynicism. The disease must be accepted and this perception needs to be socially correct.
The main and biggest reason for these statistics is unfortunately excessive nutrient-calorie intake. Our children also are facing the risk of overweight and obesity because of the wrong nutrition, fast foods, cola, syrups and all other junk foods that we put in our children’s daily diet.
What are the treatment options?
Various professional programs for weight loss, low-calorie diets and physical activity-enhancing methods along with behavior change techniques must apply. To change the Lifestyle permanently.
The drugs used for weight loss do not play an important role in long term treatment of obesity. Appetite-reducing medication may help to lose weight but most of the patients who participated in a weight loss program because of obesity were found to regain their weight within five years.
Various surgeries have been performed for about 50 years providing weight loss. In the case of unresponsive treatment and treatment of obesity, surgical intervention is required. The results of our surgical procedures with the laparoscopic (closed) method are satisfactory.
The most common types of surgery we have performed are laparoscopic gastric bypass and sleeve gastrectomy. Today, laparoscopic surgery is being used more and more successfully in the world and in our country.
What is the Surgical Operation of Stomach Gastric Surgery?
Sleeve Gastrectomy; gastric volume reduction is a surgery based method. It can also be expressed as a restriction method. It is a laparoscopic surgery performed under anesthesia by entering the abdomen through small holes without cutting it.
The stomach is secreting a hormone to make you hungry. In this method, the part of the stomach which is secreting this hormone is removed and the stomach volume is reduced. The remaining stomach volume is 100-150 ml (1 teacup) and is in the shape of a tube. This is the closest surgery to body physiology.
What is the Surgical Operation of Gastric Bypass Surgery?
Gastric Bypass surgery; is formed by reducing the amount of food that the patient can take by reducing the stomach volume and shortening the way of food from the small intestine. In other words, it is both restrictive and absorbing surgery.
With this method, the gastric volume is reduced to approximately 15-30 cc and food intake is reduced. Since the majority of the stomach, duodenum (12 finger intestines) and the small part of the small intestine (jejunum) are left inactive (bypass), the absorption of ingested foods (especially high-calorie sugary foods) is prevented.
Following food intake, nutrients come from the esophagus into the small stomach and then directly into the small intestine (do not undergo the first part of the large stomach, duodenum, and jejunum). Thus, not all of the foods are responsible for the absorption of the digestive system in these parts of the small intestine to the bowel.
METABOLIC SURGERY (DIABETIC SURGERY)
LOOP BIPARTITION SURGERY is a surgical method in the treatment of uncontrolled Type 2 Diabetes Disease associated with obesity.
DUODENAL SWITCH OPERATION
Duodenal Switch, also known as biliopancreatic diversion surgery; it is a high absorption inhibitor and a volume limiting surgery.
This surgery can be presented as a surgical option in patients who have had a mass index of more than 50 and who had previously undergone tube gastric surgery, and who have come back to their old weight. It is also recommended for patients with uncontrolled diabetes.