Obezite surgery

​Gastric Sleeve

​Gastric Sleeve

Gastric Sleeve surgery is also performed with closed surgery. With this surgery, 80% of the patients' stomachs are removed. This amount intake prepares the environment for patients to eat less and lose weight. These surgeries, also called stomach reduction surgery, are performed on average between 1 hour and 1.5 hours. Patients do not feel pain during and after the operation. Patients who work in non-tiring jobs can return to work after 1 day. Patients working in heavy jobs are recommended to go back to work after 1 week. There is no scar in patients after the operation. One month after the operation, patients should exercise regularly. Muscle strengthening exercises can be done after the third month of the surgery. After this surgery, protein-based nutrition programs under doctor's control are applied to prevent sagging.

Who is gastric sleeve surgery performed?
Gastric sleeve surgery is performed on patients with a body mass index above 40, such as diabetes, hypertension, hyperlipidemia, high cholesterol, and patients with a body mass index above 35.

How is Weight Loss Achieved in Sleeve Gastrectomy?
In sleeve gastrectomy, the volume of the stomach is reduced by making it into a tube like the continuation of the esophagus. In addition to the reduction in the volume of the stomach, Ghrelin secretion, known as the hunger hormone, also decreases significantly. Both the shrinking of the stomach and the less secretion of the hunger hormone affect the appetite. Patients with reduced appetite, very quick filling and less nutritional need should be informed about proper nutrition before and after surgery. Since patients are saturated with very little food, these foods should be of high quality, that is, foods rich in protein, mineral and vitamin content.

What are the Risks of Gastric Sleeve Surgery?
The most feared situation in stomach reduction surgery is the risk of leakage of stomach contents into the abdomen from the reduced stomach. This situation is called leakage. If there is a leak in the stomach, if the correct treatment is not applied, this can lead to vital consequences. A second risk is embolism. In other words, it is the case when a blood clot causes obstruction in the vessels of vital organs such as the lungs. Measures should be taken during and after the surgery to prevent this situation. Apart from these risks, bleeding, wound infection may occur, but these are not vital. Performing the surgery by a doctor who is experienced in this field and is successful in his profession reduces all risks to a minimum.

What Should Be Considered Before Gastric Sleeve Surgery and On the Day of Surgery?
Before the sleeve gastrectomy, patients undergo extensive examinations. It is evaluated whether there are problems such as stomach ulcer and heart disease that may prevent tube stomach surgery. First of all, the problems preventing the operation are eliminated and the patient is made suitable for surgery. Sometimes these treatments applied before surgery can take months. In addition, dietitians, psychology and psychiatry specialists check the patient and evaluate whether he is suitable for surgery. The important thing is that the patient undergoes obesity surgery without any problem. The patient is usually hospitalized on the day of surgery. After the operation, the hospital stay is 2-3 days. A special diet program of 10-15 days can be applied before surgery in patients with severe weight problems and especially in patients with fatty liver syndrome. With this special diet program, it is aimed to make the surgery less risky by reducing the liver.

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Gastric Botox

Gastric Botox

What is Gastric Botox?
Gastric Botox application last two years, especially a method used frequently in Turkey. Botox application to the stomach is a new weight loss method based on injecting Botulinum
toxin to certain parts of the stomach with the endoscopic method and the procedure takes approximately 10-15 minutes. In this method, the contraction of the stomach muscles is limited, the duration of gastric emptying is delayed and the patient's appetite is lost. Gastric Botox is also an effective method in preventing other health problems seen in overweight people.

Who is Stomach Botox suitable for?
Stomach botox is not an operation and can be applied to anyone who wants to lose weight. However, patient selection is important. Gastric botox should not be preferred in patients with a body mass index over 40 and who can be successful with surgery. In this case, patients who are overweight but do not have enough weight to require surgery and want to lose weight constitute the ideal patient group for this method. In patients with stomach ulcers or gasritis, stomach botox can be applied after appropriate treatment of these diseases.

Are there any side effects of Gastric Botox?
Although no dangerous side effects of Botox are known, it is mainly used to reduce wrinkles on the skin. Since stomach botox application is a standard endoscopic procedure, it does not have any significant side effects reported in the literature, but it is not suitable for people with muscle disease and allergies to botox.

Does Gastric Botox cause permanent damage to the stomach?
It is known that the full effect of the drug used in stomach botox disappears from the body within 4-6 months. Therefore, it is not likely to cause permanent damage.

What is the expectation from Gastric Botox application?
Patients are expected to lose 10-15% of their total weight within 3-6 months. The amount of weight lost; It may differ from person to person according to age, metabolic rate and frequency of exercise.
How long is the stomach botox procedure, is it necessary to stay in the hospital?
Stomach botox is not an operation, but an endoscopic procedure performed through the mouth. There is no incision. The process takes an average of 20 minutes. Patients are put to sleep in the company of an anesthesiologist during the procedure. It is not necessary to stay in the hospital. It is sufficient to keep the patient under control for an average of 1-2 hours after the procedure.

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Gastric Balloon

Gastric Balloon

What is Stomach Balloon?
A gastric balloon is a balloon made of silicone that is inflated with air or liquid. This method aims to give a feeling of satiety and weaken it by leaving the sedation balloon endoscopic in the stomach cavity and creating a mass effect. More broadly, it is the restriction of food intake by endoscopic placement of a water-filled balloon into the stomach of the patient and the patient losing weight by this procedure. Although it is a very easy method, it is a procedure that should be considered because it severely restricts food intake, but does not cause a change in the feeling of hunger. Although it is a preferred method for the patient group, generally called super obesity, it is not classified as surgery. It is seen as an easy and effective method for a short time, since a balloon is placed inside the stomach of the patients and this procedure is performed in sedation, that is, half asleep. Especially, if patients undergo an extra bariatric surgery in the future, gastric balloon procedure is performed with the aim of losing some weight before this procedure.

Implementation Process of Gastric Balloon Procedure
Generally, in patients who are subject to the procedure, a physical examination is performed first and it is understood whether they are physically suitable for the gastric balloon procedure. After evaluating whether the stomachs of the patients who are physically suitable for the procedure are suitable for the procedure, the patients are taken into the procedure. Although it is called surgery, gastric balloon operation is not surgery. Although there is no surgical intervention, the procedure is performed only under sedation and takes approximately 15-20 minutes, except in extreme cases. If there is no obstacle to the application in the stomach of the patient, it is entered endoscopically and the balloon determined according to the size of the stomach is placed. After the balloon is inserted, it is filled with up to 700 milliliters of liquid, also called methylene blue. The most important thing to know before the procedure is that the patient should be hungry. Eating and drinking must be stopped at least 6 hours before. Although it is known that patients should come to the procedure without drinking water, the use of blood thinners should be stopped about 1 week before the procedure. After the application process, patients usually experience symptoms such as nausea, vomiting or stomach cramps and contractions. Generally, these complaints are expected to pass within a week, but in some cases the periods can be reduced to 2-3 days, in some cases up to 10 days. This situation also varies according to the patient.

Who is Gastric Balloon Performed?
It is known as the choice of many patients who have a body mass index of around 27-35, cannot adapt to a different obesity surgery and want to lose weight in a healthy way. After calculating the total body weight and body mass index of the patients, it is decided how long the gastric balloon will be used and then the procedure is applied.

Diet Process After Gastric Balloon Operation:
The procedure is generally preferred for people who have difficulty in dieting or who cannot gain healthy eating habits despite the diet they follow. Although gastric balloon is not a surgical procedure, it is not a procedure that helps weight loss or provides weight loss alone. In addition, exercise and diet should be done. In the progress of the procedure, patients have time to make their diets healthy and get used to it, and at the same time to organize their daily lives by doing sports.

How Long Does the Gastric Balloon Stay in the Body?
Although they have 6 month and 1 year options, they are very effective in terms of the results of the diets applied by the patients. Since it covers the stomach, the gastric balloon process, which provides the stomach more quickly, also occludes the mouth part of the stomach and ensures slower digestion of food over a longer period of time. This usually helps patients feel full for longer. It is known as a very good method, especially for people who do not prefer an operation that may cause difficulties in the long recovery process. One of the best aspects of the procedure is that it is definitely not an operation, but it gives the patients healthy eating habits. Thanks to the ability to gain this habit, it is known that it is very difficult for patients to regain their weight after the effect of the balloon ends. This situation also shows how healthy the process is, especially in the long run.

What Types of Balloons Are There?
There are two types of balloons; Those that are left in the stomach for 6 months and those that can be adjusted after 12 months. The decision is made in accordance with the patient's preference and the recommendations of the practitioner. While short-term balloons are generally chosen for those with stomach complaints; 12-month and adjustable type may be preferred for more tolerant patients. In both balloon applications, patients can be given drugs that reduce stomach acid and prevent nausea. 12-month balloons can be inflated and lowered depending on the weight loss speed, thanks to their adjustable features.

Are There Any Side Effects of Gastric Balloon?
The most common side effect of gastric balloon application is nausea and vomiting. However, these symptoms subside within a week at the latest. If vomiting continues, the patient should consult his doctor. Although rare, the balloon can be removed from the stomach in patients in whom the balloon is incompatible. If the balloon adjustable silicone is used, lowering the
balloon a little more is sufficient to allow the complaints to pass. Gastric balloon side effect and risk is a very low procedure.

Post-Operation Nutrition
Soft consistency foods are consumed in the first two weeks after the intra-gastric balloon is inserted. Generally, a diet is taken away from fatty and sugary foods, small meals but often. Foods such as fish, chicken, fiber foods, meat, eggs, limited fruit, not too hot tea and linden can be consumed. However, chocolate, cake, pastry, acidic drinks and heavy fried foods should be avoided.

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