Bariatric surgery is the name given to all surgical operations aimed at weight loss and used in the treatment of obesity. Obesity is a disease that is determined by the body height index and diagnosed when the result is above 40.
The purpose of all operations performed to prevent or regress obesity is to make the digestive system work more accurately and beneficially. Bariatric surgical procedures are also performed for this purpose. The main goal of bariatric surgery is to make the metabolism work properly and achieve weight loss in this direction.
Who is a Candidate for Bariatric Surgery?
The body mass index of patients who want to have bariatric surgery operations should generally be above 40. Bariatric surgery operations, which should be performed in cases where weight loss studies accepted by everyone are not useful and sufficient, can also be performed in case of regaining the weight lost. People with obesity and obesity-related diseases can perform bariatric surgical operations. Obesity-related diseases are the following;
- Chronic ongoing knee, leg and knee ache pain
- Loss of urine control
- High blood pressure
- Sleep apnea
- Difficulty in movement
What Should Be Done Before Bariatric Surgery Operations?
Although obesity and obesity-related illnesses were ignored in previous processes, obesity has become one of the most serious and common health problems today. Although the increase in obesity caused by irregular nutrition and sedentary life is regressed with the help of surgical interventions, it is extremely important to perform regular nutrition and exercise habits both before and after the operation. Things to do before bariatric surgery operations can be listed as follows;
- Before the operations, the patient should be tested for blood and effort.
- The patient should be examined in detail.
- Detailed research should be done on the patient’s past and chronic diseases.
- Tobacco and alcohol consumption should be suspended for six months before the operation.
- Apart from these, all recommendations given by doctors must be followed strictly.
What are the Methods in Bariatric Surgery Operations?
Basically, two types of methods are used in bariatric surgical operations. One of these is based on reducing food intake through stomach reduction. In the other method, the way of digestion of food is changed. The methods can be listed as follows;
Gastric Balloon Method: The purpose of this application is to place a balloon, the dimensions of which are determined by the doctor, through endoscopy into the stomach. Thanks to this balloon, it constantly indicates a feeling of satiety in the stomach and therefore the patient’s eating amount is significantly reduced. Since gastric balloon application is performed through endoscopy, it does not require general anesthesia. This situation is considered as one of the main advantages of gastric balloon operation.
Adjustable gastric banding: The application of this method is performed by placing a silicone band in the area where the esophagus and stomach meet. The incisions that are opened to the region by laparoscopic method and required for the placement of the tape heal quickly. The gastric banding method facilitates the feeling of fullness just like a gastric balloon. The results obtained from the gastric banding method are extremely successful. In such a way, almost all of the excess weight is lost within two years.
Gastric Sleeve Method: In the gastric sleeve method, there is an intervention in the size of the stomach. In this operation, a part of the stomach (including the part that secretes the hunger hormone) is removed and the size and volume of the stomach is reduced in this way. Thus, it becomes easier to provide a feeling of satiety. With this method, which has an extremely high success rate, all of the excess weight is lost in about two years.
Gastric By-pass Method: In this method, which is based on the application of by-pass to the stomach, the stomach is connected to the small intestine and it is aimed to make it smaller in volume. Here, digestion is intentionally slowed down and disrupted. Thus, the feeling of hunger is delayed. It is quite common to lose weight on a large scale in a short time with this method.
What Should Be Done After Bariatric Surgery Operations?
As in every surgical operation, there are basic rules and sensitive points specific to the surgical operation in bariatric operations. Serious weight loss occurs after bariatric surgical operations. However, attention should be paid to regular exercise and nutrition in order to ensure continuity and to prevent weight gain again. The main points to be considered can be listed as follows;
- Compliance with the eating and drinking order stated by the doctors after the operation
- Regular intake of recommended minerals and foods during the post-operation period
- Avoiding the consumption of foods that are difficult to digest
- Consumption of foods rich in protein
- Implementation of light sports activities
- Paying attention to liquid-heavy nutrition for the first few weeks
- Especially the first six months; not consuming beverages such as alcohol, coffee and tea
- Avoiding sugary foods that slow down and regress the healing process
- In any case, the continuation of abundant water consumption
After all these issues are carried out correctly, favorable conditions will be created for a healthy life with complete weight loss.