Obesity Surgery

Those with a body mass index over 40 kg/m² (morbidly obese).  
Those who have a BMI between 35 and 40 and have problems such as type 2 diabetes, hypertension, and sleep apnea due to obesity may be considered morbidly obese and may need to undergo gastric reduction surgery. 
 
In addition, patients with obesity-related "new" type 2 diabetes and metabolism disorders and BMI between 30 and 35 can also be operated on according to the decision made by the specialist doctor. 

For the last 10-15 years, surgical methods have been used for the treatment of morbid obesity patients and successful results can be obtained. However, as in every surgical operation, there are various risks in bariatric surgery. For this reason, before deciding on the operation, the treatment method for each patient should be evaluated under the guidance of their doctor, and if possible, dietary therapy should be applied first. Surgical treatment methods are as follows: 

Intragastric balloon placement 
Gastric sleeve surgery (sleeve gastrectomy) 
Gastric bypass 

Like any surgery, gastric sleeve surgery, also known as stomach reduction, has some risks. Infection, blood clotting, embolism, leakage from the tube stomach or other anastomoses, formation of gallstones due to weight loss, malnutrition, sagging of the skin due to weight loss, depressions, dumping syndrome (foods and fluids taken after gastric bypass surgery are very quickly transferred to the intestine) are the complications of the surgery. These complications are more common in older people, those with blood clotting problems, or those who are extremely obese. If you follow the recommendations of your dietitian and doctor after the surgery, the likelihood of these complications will decrease. 

Rapid weight loss is observed in the first 3 months. For example, up to 45 kilos can be lost in the first three months, but the exact amount can vary according to the type of surgery. Additional diseases related to obesity that are present before the surgery are either completely healed or are reduced to a degree that they are practically non-existent. 

At least 1 week before the operation, the use of aspirin or aspirin-containing drugs and blood thinners should be discontinued. In addition to these, you should follow a diet as recommended by the physician starting from 24 to 48 hours before the operation. The patient remains under control in the hospital for a certain period of time after the surgery. In the meantime, the patient is given painkillers and is followed closely. During this process, attention is paid to fluid consumption and blood sugar is constantly controlled since post-operative metabolism is slow. After the surgery, we start with liquid foods and gradually pass to mashed and solid foods. For the post-surgery period, the dietitian prepares a special nutrition plan. This is planned in accordance with adequate and balanced nutrition. Portion sizes are smaller than the pre-operative diet because the stomach has shrunk. 

Weight loss continues until the 18th month after the operation. If the diet is adjusted by the dietitian after the weight loss process, there is no hindrance to getting pregnant. 

After the surgery, you should stay away from driving in the first 2 weeks and from heavy physical activities in the first 2 months. But it would not be right to completely remove physical activity from your life. After the operation, walking can be done. If your job is not a job that requires heavy physical activity, you can also start working after a week. After the 2nd month, you can do activities such as pilates, yoga and swimming.