To Whom Is The Obesity Surgery Applied?

To Whom Is The Obesity Surgery Applied?

11 March 2019 10:39

Here the body mass index comes into play. In fact, body mass index alone is not a sufficient criterion, but for the time being, it is the most important criterion in the world to make surgery decision due to obesity. According to this index, surgery is applied within the fight against obesity to;

morbidly obese people whose BMI is greater than 40 kg/m2.

To obese people whose BMI is over 35 kg/m2 together with co-morbid diseases such as Type-2 diabetes mellitus, hypertension and cardiovascular diseases.

The surgeon does not ignore some additional criteria when making this decision. Additional criteria to be searched for patients whose BMI values are within the above limits and who are in the group requiring surgery are below;

- The patient should be over 18 years old

- There should be no additional endocrinological disease causing obesity

-The patient should not have a serious psychological disorder that prevents him from fulfilling his/her responsibilities before and after the operation.

-He has been obese for more than 3 years and he has not been able to lose weight effectively even though he has applied diet programs at least 3 times for more than 6 months.

-There should be no serious risks to prevent the patient from surgery

For all patients who are suitable for all these criteria are now decided which method will be applied to which patient.

What Are The Types of Obesity Surgery (Slimming Surgery)?

The surgeries performed for this purpose can be briefly divided into three main headings.

Volume reduction surgery

Absorption-reducing surgeries

Combined surgeries

The patients are evaluated in detail to decide which of these types of surgery will be applied to which patient and the decision is made according to the data obtained.  

What Does The Surgeon Primarily Look For In The Patients Who Are Planned To Have Obesity Surgery (Slimming Surgery)?

First of all, our patients should definitely decide to fight obesity. Because people who are not ready to exhibit this determination will have difficulty in achieving success in these treatment processes. We, surgeons who are interested in the treatment of obesity, try to catch the clues of this determination in our interviews with our patients and this plays a very important role in making the decision of surgery. Because if the patient's request is such “ let me have an obesity surgery and eat and drink whatever I want and never get weight again”, then the benefit of surgery in this case will be unfortunately partial to the patient.

How Are Patients Planned To Undergo Obesity Surgery Prepared For The Surgery?

During the physician patient interview, the physician first evaluates the sincerity of the patient's desire to fight obesity. He then undertakes the medical evaluation of the patient. For this purpose;

Blood count

Comprehensive wide biochemistry tests

Abdomen USG

Gastroscopic Evaluation (Gastric endoscopy) are performed.

As a result of these evaluations, if there is a pre-operative measure to be taken, additional medical treatments may be considered. For example, iron deficiency anemia or uncontrolled diabetes, a gastrostopically diagnosed serious ulcer, excessive gastritis, etc.

After all, the patient is hospitalized on the day of the operation and the operation is performed.

Am I eligible for tube gastric surgery?

If your Body Mass Index is 40 or over, or if your body mass index is over 35 and you have additional metabolic diseases such as diabetes, you are eligible for tube gastric surgery.

If we are to clarify the situation with an example;

For example, let's determine whether a patient with a body weight of 115 kg and a height of 1.68 m is suitable for tube gastric surgery.

Body Mass Index of this patient is:

1.68 x 1.68 =  2,82

115 / 2,82 = 40,7

In this case the tube stomach operation can be performed.

Another example; the age of patient is 35, body weight is 100 kg, height is 1.65 m. He is also a Type-2 diabetes and hypertension patient.

Body Mass Index of this patient is:

1,65 x 1,65 = 2,77

100 / 2,77 = 37,03

In this case you can have the tube stomach operation.

Is It Correct To Lose Weight Fastly?

Generally, those who are dieting think that they are on the right track with an excess weight loss in a week. But is that really right? How successful are the shock diets? I think it's better to lose weight slowly than to lose weight fast.

Because studies have shown that as a  result of shock diets with very low-calorie diet lists, the release of the appetite hormone called Ghrellin which is released from P/D1 cells at the beginning of stomach increases and stimulates the appetite center. As a result of this situation, the appetite boom and the uncontrolled eating and drinking period, which we often witness around us, begin. As a result, the given weight is quickly and very much recovered.

General Surgery Op. Dr. Hakan Bozkurtoğlu
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