The problem of obesity is the problem of this age, and some may reach a stage of obesity in which it is difficult to lose weight with sports and diet only, so obesity surgery has appeared and developed in Turkey significantly.
Types of obesity surgery in Turkey
Bariatric surgery operations in Turkey are mainly divided into three types:
restrictive surgery,
absorptive surgery,
Electrode implant surgery.
Restrictive surgeries work by shrinking the stomach and slowing digestion.
A normal stomach can hold about one and a half liters of food.
After surgery, the stomach may initially hold less than 100ml, although this may later extend to 200 or 300ml.
The smaller the stomach, the less food is eaten.
The less food is eaten, the more weight the patient will lose.
Absorption surgeries.
It bypasses part of the digestive system, making it difficult for the body to absorb calories. It is often associated with restrictive surgery.
Absorption surgery is rarely performed by doctors as it is considered the last option for a patient who is very obese or obese due to side effects.
Implanting an electrical device, the newest of the three, leads to weight loss by cutting nerve signals between the stomach and the brain.
Bariatric surgery operations in Turkey are divided in detail into the following:
- Laparoscopic gastric banding.
- Gastric sleeve.
- Roux-en-Y . anastomosis.
- Duodenal bypass with gastric bypass.
- pancreatic bile diversion surgery.
- Single Anastomosis with Sleeve Gastrectomy (SADI-S).
- gastric botox needle.
- Gastric balloon operation.
- gastric balloon capsule
- AspireAssist™ gastric emptying tube.
- corrective surgery.
The first bariatric surgery in Turkey is laparoscopic gastric banding
Gastric banding is a type of restrictive weight loss surgery.
How it works:
The surgeon uses an inflatable band to put pressure on the stomach, splitting it into two parts:
Small top pocket and large bottom compartment.
The two sections remain connected by a very small channel, which slows down the emptying of the upper sinus in the lower.
Most people will only be able to eat half to one cup of food before feeling full.
Positives:
This operation is easier and safer than gastric bypass surgery and other operations.
The patient only gets a small scar on the abdominal wall, and healing is usually faster, and the patient can also have surgery to remove the tape.
The ligament can also be adjusted in the doctor's office.
The doctor injects more saline into the ligament to tighten it and further restrict the size of the stomach.
It is also possible to reduce pressure through a needle that removes fluid from the belt.
Negatives:
People who undergo . often suffer gastric banding operation significantly less weight loss than those who underwent other surgeries.
They may be more likely to regain some weight over the years.
Risks:
One of the most common side effects for gastric banding Is vomiting after eating a lot too quickly.
Complications can occur with the ligament.
It may slip out of place, become too loose, or leak. Some people may also need more surgeries.
As with any operation, infection, although rare, is still a risk.
gastric sleeve surgery
gastric sleeve Considered one of the most important types of obesity surgery in Turkey, about 80% of the stomach is removed, so that the stomach remains in the form of a tube.
This smaller stomach cannot hold much food.
It also produces less of the appetite-regulating hormone ghrelin, which may reduce the desire to eat.
The most important features of gastric bypass surgery in Turkey:
The advantages (benefits of gastric sleeve) this procedure include significant weight loss and no alteration of the bowel path.
Gastric sleeve surgery required A hospital stay is shorter than most other procedures.
It is the simplest process to not change the normal shape of the intestine.
As for the negatives of the sleeve gastrectomy process, it sometimes does not give the patient the results he dreams about.
Gastrectomy bypassing the duodenum with sleeve gastrectomy
The stomach is slit and connected to the small intestine to bypass the duodenum.
This operation is performed if the body mass index is 40 kg / m 2 without comorbidities or 35 kg / m 2 with chronic diseases associated with obesity. This is also offered as a surgical treatment for type 2 diabetes that is not well controlled
The mechanism of weight loss in LDJB-SG is due to the eradication of ghrelin-secreting cells located in the fundus of the stomach.
A significant decrease in the level of this hormone after the operation leads to a decrease in the feeling of hunger and early satiety.
Moreover, apart from its effect in weight loss, caloric restriction also helps in improving insulin resistance and increasing glucose tolerance.
However, effective glycemic control in this procedure is mostly due to bypass of the duodenum (foregut theory), rapid transit of undigested food to the end of the intestine and more concentrated bile reaching the distal small intestine (Hindgott's theory) which ensures secretion of incretin that In turn, it increases insulin secretion.
In this process, the results of sugar control are better than gastric sleeve surgery alone.
Roux-en-Y anastomosis (gastric anastomosis).
This procedure is the most common gastric anastomosis method.
This surgery is usually not reversible.
It reduces the amount of food you can eat in one sitting and reduces the absorption of nutrients.
Next, the surgeon cuts out the small intestine and sews part of it directly into this formed pouch.
Food from this small gastric pouch goes directly to the small intestine, which is stitched into it.
Food bypasses most of your stomach and the first part of the small intestine, and instead enters directly into the middle part of the small intestine.
The surgeon cuts the upper part of your stomach and separates it from the rest of the stomach. The resulting portion is about the size of a walnut, while normally your stomach can hold about a liter and a half of food.
The basis of this operation is for the surgeon to create a shortcut to the food, bypassing part of the stomach and small intestine.
By skipping these parts of the digestive system, the body absorbs fewer calories.
Advantages of gastric bypass surgery:
Weight loss tends to be very rapid.
About 50% of the weight loss occurs in the first 6 months. It may persist for up to two years after the operation.
Because of rapid weight loss, conditions affected by obesity often improve – such as diabetes with a cure rate of 90%, high blood pressure, high cholesterol, arthritis, sleep apnea, and heartburn.
Gastric bypass also has good long-term results.
Studies have found that many people maintain a normal weight for up to 10 years or more. without the need for another operation.
Disadvantages of gastric anastomosis:
You won't absorb food the way you used to, and this puts you at risk of not getting enough nutrients. Loss of calcium and iron may lead to osteoporosis and anemia.
You should be very careful with your diet, and take supplements for the rest of your life.
pancreatic bile diversion surgery
This is a more serious version of the gastric bypass. It also gives better results than the rest of the operations and is used only in cases of severe obesity. The doctor removes about 70% of your stomach and the small intestine is bypassed further.
A somewhat less extreme version is the biliary-pancreatic diversion with the duodenal switch.
It's still more complicated than a gastrostomy, but this procedure removes less of the stomach and bypasses less of the small intestine than a biliary-pancreatic diversion without the switch.
It also makes dumping syndrome, malnutrition, and ulcers less common than pancreatic biliary diversion alone.
Advantages of pancreatic biliary bypass surgery:
can lead Biliary pancreatic diversion To lose weight faster than gastric bypass surgery.
Although a large portion of the stomach is removed, the remaining stomach is larger than the pockets left in gastric bypass or gastric banding.
For this reason, it is possible to take in a larger amount than the quantities that you take in other operations.
As this process reduces absorption and is not a restrictive process
Disadvantages of pancreatic biliary bypass surgery:
NSBypass the pancreas Biliary tract is less common than gastric bypass.
Because this process greatly reduces absorption, the possibility of malabsorption disease is much greater.
It also contains many of the risks involved in gastric bypass surgery, such as dumping syndrome. But it is lower in duodenal switch operation than in gastric bypass.
Risks of pancreatic biliary bypass surgery:
This process is considered the most complex and most dangerous weight loss procedure.
It looks a bit like a gastric bypass, and hernias may form in the abdominal wall, which may need other operations to correct them. Of course, this risk decreases when the operation is performed by endoscopy.
don't hesitate tocontact us For any inquiries about the risks and price of the operation in Istanbul and Turkey.
Gastric Balloon Operation / Gastric Balloon System
Bstomach color It is a restrictive weight loss surgery in which a deflated balloon is placed in the stomach (by mouth).
Once in place, it is filled with water that provides a feeling of satiety, and the sensation of hunger is reduced.
The gastric balloon is not intended for people who have previously undergone bariatric surgery or who suffer from diseases of the intestine or liver.
Advantages of the gastric balloon:
There is no surgical incision and no hospital stay is required. The balloon remains in the stomach for 6 months. Where patients can lose about ten percent of their excess weight.
Cons of the gastric balloon:
Possible stomach pain, nausea and vomiting may occur after the balloon is placed.
Risks of the stomach balloon:
The U.S. Food and Drug Administration has reported five deaths that may have been caused by a gastric balloon.
The agency also received some reports of spontaneous balloon inflation, either with air or fluid, and as a result pancreatitis as a result of the balloon's pressure on surrounding organs.
The price of a gastric balloon in Turkey ranges between 700 and 2000 dollars, which includes hospitalization, if necessary.
AspireAssist™ gastric emptying tube procedure
What it is: AspireAssist is a very restrictive type of weight loss device.
A tube is placed inside the stomach through an incision in the abdomen.
20-30 minutes after a meal, the patient connects this device to another machine that flushes the food directly into the toilet without digesting it.
This device, which became approved by the Food and Drug Administration for weight loss in 2016, cuts about thirty percent of calories.
Advantages of a vacuum stomach tube:
I found one numerous studies Patients lost about half of their excess weight in the year following placement of the device. The other advantage is that the tube can be installed under both local and shallow anaesthesia
Disadvantages of gastric emptying tube:
After the patient loses weight, the tube and disc providing access to the stomach must be adjusted so that the disc remains in contact with the skin. It is also necessary to visit the doctor frequently to follow up the device and take a consultation. The patient also needs to change the drainage tube after several times of use. Side effects include: problems with digestion, nausea, constipation or diarrhea.
Device risks:
Sometimes surgical placement of the tube can cause sore throat, bleeding, septic infection, nausea, pneumonia, and can lead to a perforation of the stomach.
Patients may also feel pain, irritation, or inflammation of the skin around where the device is placed. After the tube is removed, a fistula (a path between the stomach and the skin) may form between the stomach and the abdominal wall.
Note: This is an investigational procedure not approved by the American Society for Metabolic and Bariatric Surgery (ASMBS).
Weight loss surgery revision process (corrective surgery).
It is a surgical procedure performed on patients who have already undergone some form of bariatric surgery, and who either experienced complications from this surgery or did not achieve significant weight loss results from the initial surgery. This surgery definitely needs the best surgeons because after opening the abdomen for the first time, there are many adhesions in the abdomen and it is difficult for an inexperienced doctor to manage them.
| Operation type | type of surgery | Operation feature | Positives | Negatives |
| gastric banding | restrictive | The stomach is narrowed and the feeling of fullness increases | Reversible weight loss | Less weight loss than gastric sleeve |
| gastric sleeve | restrictive | The stomach is cut and the feeling of satiety increases | Weight loss with very few complications | Less weight loss than gastric bypass |
| Gastric bypass | restrictive and inhibit absorption | Prevents food from passing through the stomach | Significant weight loss | Vomiting, diarrhea, gallstones forming in the gallbladder |
| Grade pancreatic bypass | restrictive and inhibit absorption | Removing a large part of the stomach and preventing the passage of food from the small intestine | Significant weight loss | Inadequate absorption of essential nutrients such as vitamins and minerals |
Top tips from Bimaristan center About obesity surgery in Turkey for patients
Tip No. 1 about obesity surgery in Turkey
If you have not tried sports before or have not cooperated with a nutritionist previously. That is, if you did not try to reduce weight in a natural and balanced way in cooperation with centers specialized in weight loss, we do not advise you at all to perform any operation before these procedures, because you will return to this weight after the operation, at the latest, after six or seven years. The reason for this is that after cutting the stomach, even if the stomach remains in a tubular shape, it will inevitably re-expand and return to its previous size after a while, especially when eating a lot. If the operation is to prevent absorption, the body adapts to the new situation, and therefore after a period of time the operation will absorb food better than the situation immediately after the operation.
Tip No. 2 about obesity surgery in Turkey
If you decide to undergo a bariatric surgery, do not choose the operation and go to Turkey for a specific operation. That is, do not intend to perform a gastric bypass operation after reading the articles on the Internet.
In the event that you want to lose weight through surgery, you should take the decision to perform the operation only and leave the choice to the doctor because the doctor will be better than you in deciding the appropriate operation by taking the full clinical history and knowing the food you eat and its quantity and knowing the chronic diseases and in the event that the doctor does not take these matters into consideration And take the decision based on your desire, knowing that he is a doctor who does not deserve the trust given to him.
Tip No. 3 about obesity surgery in Turkey
In the event that the distribution of fat in your body is centered around the abdomen, as in the figures 2 and 6 in the accompanying figure, we advise you to exercise and adhere to a strict diet before the operation for a month, because the distribution of fat around the abdomen makes the operation more difficult for the doctor.
In the end, we must say for sure that the surgeons who perform bariatric surgery do not work in a slimming laboratory. But they work in a hospital that deals with human beings, so the issue of obesity and thinness depends on very many factors such as the psychological state, physical activity, the rate of eating, and the doctor in the end affects only the third factor only in a relative manner, and thus we advise you not to perform the operation until after thinking hard about this matter and exhausting all methods of slimming followed. Since many people think that the operation is the best procedure in treating obesity in male children or treating obesity in girls, this is wrong of course.