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OBESITY

What is Obesity?


Obesity is the accumulation of excess fat in the body in a manner disrupting health. 15-18% of body weight in males and 20-25% in females are composed of fat tissue. Obesity is the case when these rates are more than 25% in males and 30% in females. Fat tissue accumulates first in the abdominal region in android type (male type) obesity, and in the basin and hip regions in gynoid type (female type) obesity.


How Dangerous is Obesity?


Obesity is the second most prevalent cause of death after smoking cigarettes and chemical substances released from fat tissue cause both increase in appetite and in saturation limit, causing you to over-eat.


Am I Obese?


If the waist circumference is larger than 94 cm for males and 80 cm for females, the risk of obesity increases.


Body Mass Index (BMI) is an indicator obtained by dividing body mass into squares of length in meters.


BMI = weight (kg) / height2 (m2) = weight (ib) / height2 (in2) x 703


If BMI ≥ 30, OBESITY


BMI is interpreted as below;


  • Between 9 -18thin,

  • Between 19-24normal,

  • Between 25-29overweight,

  • Between 30-39 obese,

  • Between 40-65morbid obese.

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BARIATRIC SURGERY

What is Bariatric Surgery?


Obesity is a chronic disease affecting quality of life negatively and increases the risk of death. Bariatric surgery provides long-lasting weight loss. The ideal weight is achieved by losing 60% of the excess weight in the first 8 months. Bariatric surgery also treats comorbid metabolic diseases as well as obesity, and increases survival. 

Bariatric surgery is effective as it decreases absorption and gastric volume, and also the hormonal and neural signals reducing the feeling of hunger.


Who should consider getting Bariatric Surgery?

The first option in obesity treatment is diet and exercise. Bariatric surgery is recommended in cases when diet and exercise are not beneficial. Bariatric surgery is applied to patients who have a BMI over 35 and cannot lose weight despite professional medical treatment (diet, exercise, etc.). It is also recommended for people with a BMI over 30 and suffering from life-threatening diseases such as Diabetes Mellitus and Hypertension.


What kind of Bariatric Surgeries are there?

  • Laparoscopic adjustable gastric band (LAGB)

  • Sleeve gastrectomy

  • Vertical band gastroplasty

  • Biliopancreatic diversion

  • Jejunoileal bypass

  • Roux-en-Y gastric bypass

  • Duodenal switch with biliopancreatic diversion


The most effective and most commonly used method in bariatric surgery (obesity surgeon) is sleeve gastrectomy. In the sleeve gastrectomy, approximately 80% of stomach is removed by robotic surgery.


How is Sleeve Gastrectomy done?

A large part of stomach is cut and removed in the sleeve gastrectomy; no foreign object is placed in the body. There occurs no absorption problem after sleeve gastrectomy. Patients can return to their daily lives in a short time.


Sleeve gastrectomy creates a feeling of fullness by decreasing food intake as a result of reduction in stomach size, and reducing the release of the appetite stimulating ghrelin hormonereleased from the stomach’s fundus. In addition, the stomach is quickly drained and the food arrives in the small intestines in a shorter time. The foods that reach the small intestines reduce the feeling of hunger by releasing hormones such as GLP-1, PYY, which cause a feeling of fullness.


Indications for sleeve gastrectomy;


  • BMI> 35 kg / m2 or BMI> 30 kg / m2 combined with diseases such as Diabetes Mellitus, Hypertension, Hyperlipidemia

  • Failure of non-surgical treatments

  • High possibilities of surgery risk

  • The patient being well motivated and knowing the operation and sequel.

  • The absence of medical problems that would hinder the life.

  • Absence of alcohol and drug addiction

  • Uncontrolled psychotic and depressive disorder

  • Complete family and social support

Get healthy again with Bariatric Surgery in Turkey, with Turkey Medical Travel.