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All About Bariatric Surgery
It is a stomach reduction surgery called "Bariatric Surgery", which is done to eliminate this problem of people with obesity, which allows the person to stay at the required weight and lose weight. It is the most effective method for the permanent treatment of obesity. The procedure allows the patient to lose 35-90 pounds and prevents gaining weight again. Many diseases, such as cardiovascular disease, diabetes and joint problems, which are mostly seen in overweight people, are prevented and the patient loses weight with this surgery.
Contents
- What is Bariatric (Gastric Sleeve - Gastric Bypass) Surgery?
- Bariatric Surgery (Gastric Sleeve - Gastric Bypass) To Whom, What is the Age Range?
- Risks of Bariatric Surgery (Gastric Sleeve - Gastric Bypass)
- What are the types of Bariatric Surgery?
- Nutrition After Bariatric Surgery (Gastric Sleeve - Gastric Bypass)
- Bariatric Surgery Prevents Cancer and Diabetes
Bariatric surgery is the best surgical method applied to patients who have obesity problems when they do not get enough results despite medication treatment, diet and exercise. With Bariatric surgery, the stomach is reduced by 80% (taken by surgical method), a change is created on hormones that regulate hunger-satiety and blood sugar between the stomach and intestine, and the patient who receives less nutrients to the shrinking stomach begins to weaken naturally. It should not be forgotten that there are some rules and conditions such as ameliorations.
Gastric Sleeve surgery has many advantages over gastric bypass surgery.
These can be listed as follows;
- Allows 50-60% of the excess weight to be given easily in a short time
- There is no need to put a foreign substance into the body by surgical method.
- Metabolic disorders recover more quickly after stomach reduction surgery.
- The hospitalization is less.
- It does not require a change in the food passage route in the gastrointestinal tract.
Bariatric Surgery (Gastric Sleeve - Gastric Bypass) To Whom, What is the Age Range?
For bariatric surgery, first of all, you should consult a doctor and the condition of Mebolic values and hormonal balance should be suitable for surgery. If these two are not suitable, the first priority should not be surgery. Medication, diet and lifestyle correction should be considered first. If these do not benefit, bariatric surgery may be considered.
If the patient is on a diet (under the control of a specialist), has taken medication and has not benefited;
Body mass index (BMI) is higher than 40;
It can be applied to people whose body mass index is higher than 35 and has a concomitant disease and whose health is in danger.
What is BMI (Body Mass Index)?
It is the division of body weight in kilograms to height in m2.
Example of BMI calculation: 80 kilograms / 1.75 height * 1.75 height =
3.06 = 26.14 (overweight - too overweight)
- Weak <18.5
- Normal 18.5-24.9
- Bulk (overweight) 25-29.9 (slightly increased risk of diabetes and heart disease)
- Obese 1 30-34.9 (risks of diabetes and other diseases increase gradually)
- Obese 2 35-39.9
- Obese 3> 40 (risk for fatal diseases)
Bariatric surgery is applied between the ages of 18-65. For those over the age of 18, the health condition of the patient and the troubles caused by his weight are evaluated. Since the patient means that he will be able to get rid of his weight and also be able to get rid of other health problems with the gastric surgery, it must be done by a specialist doctor and operated in a fully equipped hospital.
Risks of Bariatric Surgery (Gastric Sleeve - Gastric Bypass)
In gastric reduction operations, the so-called "gastric bypass" and "sleeve gastrectomy" are performed and successful results are obtained. However, the most preferred surgery is gastric sleeve surgery. By removing 80-85 percent of the stomach, the volume of the stomach can be reduced to a certain extent. With gastric sleeve surgery, the amount of food eaten by the patient decreases and reaches a feeling of satiety for a short time. Thus, he quickly loses weight. In the old method Gastric bypass, a connection is made between the small intestine and the shrunken stomach. In this way, the patient eats little food and the foods he eats are excreted as they are not absorbed. This causes weight loss because even high-calorie foods are not stored as fat and are thrown out and there is no weight.
Nutrition After Bariatric Surgery (Gastric Sleeve - Gastric Bypass)
The patient should follow a nutrition program under the guidance of a dietitian after the stomach reduction surgery. It is recommended to consume foods with high vitamin and mineral additives and nutritional value.
Consumption of solid food is reduced. For 1 year, a diet is applied to the patient, accompanied by a dietitian. The volume of food consumed by patients is also restricted. Nutrition that starts with liquid foods is gradually transitioned to solid foods. If these are not observed, the patient may be at risk of weight gain.
After Bariatric Surgery;
- More meals should be eaten and small portions should be preferred.
- Food should be eaten well by chewing.
- Regular exercise and sports should be continued.
- Water and other liquid drinks should not be consumed 10-15 minutes before meals and 20-30 minutes after meals.
- Solid and liquid foods and drinks should not be consumed together in meals.
- It is important to pay attention to the amount of water drinking. Sip sip in a day, if necessary, drink 1 liter of water using a straw, the amount of water should be increased to 1.5-2 liters over time.
- Routine checks should not be skipped.
- In the process after the operation, a protein-rich diet should be followed.
- Vitamin and mineral supplements recommended by Nutritionists, endocrinology, diabetes & metabolic diseases specialists, should be taken.
