The obesity is a disease occurring with the excessive increase of the amount of lipid available in the body. The adipose tissues form up with an average percentage of 15 % of the body weight of an adult woman and 20 % of the body weight of an adult man. The rise of the rate of fat available in the body over 25 – 30 % comes forth as an indication of an obesity (health) problem. In the event that the obesity disease is not treated, it may then be possible that various discomforts (illnesses) such as cholesterol, metabolism disorders, high blood pressure, gout, liver fattening (steatorrhoeic hepatosis), type 2 diabetics, sleep apnea, joint pains and so on.
All of our patients coming to our obesity clinic go through a detailed medical examination before all else. Correct surgical method is determined after the checks of body mass index, psychological state, habits, and all necessary values and consultations of our physicians. The aim of the detailed preliminary examination of us is to bring all risks, which may occur in the pre-operation stage, into minimum level.
Sleeve Gastrectomy
The Sleeve Gastrectomy is one of the operations that is applied prevalently in the obesity surgery and restricting the eating. At this method, no mineral and vitamin supplements are required in the patients undergoing an operation since the fact that no problem for the absorption of foods exists. The objective, aimed to be achieve by this operation, is to shrink the volume of stomach and by doing so, to make the patient have the feeling of fullness with very little amount of foods.
For this purpose, a certain section of the stomach is taken out and a stomach in the form of a tube is left behind. No open surgery technique is applied in this operation and the operation is carried out by a laparoscopic or robotic surgery method, and therefore, the recovery process is shortened in an actual manner.
Gastric Bypass
This is a type of operation where the food absorption and food intake is reduced. A great proportion of the stomach is bypassed in the gastric bypass operations and a stomach part with small volume is prepared and it is attached to the intestines.
Notwithstanding that the volume of the stomach is made smaller by this operation, some parts of the intestines are deactivated and by doing so, it is aimed to discharge some of the food, consumed there under, without being absorbed. In conclusion, it becomes possible for the person to have the feeling of fullness and only a part of the foods so taken is absorbed.
Gastric (stomach) Balloon
At the gastric balloon method, an empty balloon is placed within the stomach through the endoscopy method. Subsequently, the food intake capacity of the stomach is reduced by the balloon being swelled by gas or liquid and thereby, the person concerned starts to lose weight healthily in a short period of time.
The gastric balloon application is applied in the treatments of our patients, who have their body mass index of 25 and over, and desire to lose weight without any surgical operation, and fail to lose the weight, which have to be lost, in advance of a surgical operation or through a diet.
Since the fact that the gastric balloon is not a surgical operation, our patients are discharged after this process and can return to your daily life. The most important difference of the gastric balloon application in comparison with other methods is the removal of the balloon, placed within the stomach, after a certain period of time (6 months to 12 months). You will be able to protect your weight since the fact that desired weight will be reached and eating habit be acquired.
Diabetes Operation
What is Diabetes Surgery?
Diabetes is a disease caused by sedentary life, unbalanced diet or genetic reasons. While there is no insulin production in Type1 diabetes, there is insulin production in patients with Type 2 diabetes, but the patient is unable to use it. That’s why blood sugar level is always high. This causes organ damage. Classical treatment in diabetes is about lowering blood sugar. Diabetes surgery is also a curative method. This operation, which is called metabolic surgery, is an operation applied to Type 2 diabetes patients. Therefore, existing insulin starts being used without any problem. As a result, the blood sugar level problems end.
Aim of the Diabetes Surgery
The aim of diabetes surgery is to eliminate insulin resistance in the body. Thus, the amount of hormones is increased. In case of Type 1 the treatment is insulin. In case of Type2 is the change in lifestyle, diet, medication and if organ damage started, it is necessary to do surgery.
Diabetes surgery is performed for those with Type 2 diabetes, with obesity, those who has high blood sugar level, whose blood glucose levels are not achieved despite the medication and insulin used. Diabetes surgery is performed as closed surgery. 50% of the stomach is removed and the location of the small intestine changes. With this change, the insulin secretion warning comes from the pancreas and the efficiency increases. Thus, Type 2 diabetes completely disappears. And people also get rid of obesity after this surgery. The advantage of this surgery is that it is not as painful as open surgeries; it doesn’t cause problems in a lung and returning to normal life is short and without scars.
Can Type 1 Diabetes Have a Diabetes Surgery?
There is no insulin in the body of Type 1 diabetics. For this reason, this surgery cannot be performed in them. It is important to activate the pancreas in patients with Type 2 diabetes, since the aim is to use the insulin correctly and adequately. This is also possible by operation.
The progression of the disease and damage to organs in Type 2 diabetes opens decision-making process after a good evaluation. Before that all analyzes and examinations of the patient should be done. Although every operation is a risk, sometimes if the success of the classical methods is not achieved, the only remedy can be surgical operation. Type 2 diabetes patients start passing through troubled periods if they do not pay attention to their diet and lifestyle in their lives. Even if they are in the medication treatment, the disease does not go through a recovery process. Surgical applications become inevitable.
Metabolic Surgery
This operation is a proceeded in case of diabetes, which is known as Type 2 diabetes and caused by eating habits and impaired quality of life. The aim of this operation is to increase insulin resistance. With the surgical procedure, the amount of food intake is reduced and the hormones become much more active, and both diabetes and obesity problems will be solved. During diabetes surgery stomach is reduced, because of that the patient start losing weight faster after the operation. For metabolic surgeries, it is necessary to have insulin in the body otherwise it will not work.
What Will Happen After the Metabolic Surgery?
Frequent hunger will not possible after diabetes surgery. There will be lack of appetite after surgery, therefore much food will not be eaten either. When these health issues pass, body will get used to normal regime, the patient will feel much better. Plenty of water should be drunk after diabetes surgery. The body is hungry for water. Consumption of water is important, because if you limit both food and water, it will make the patient sluggish. As the eating habits are controlled by the doctor for 6 months after the operation, the smallest deficit will make the sugar return again. For this reason, diabetes surgery is a perfect gift for a diabetic.
Stomach Botox
Applying Botulinum toxin (botox) to the stomach is a relatively new method of weight loss based on endoscopically injecting Botulinum toxin into certain areas of the stomach. In this method, gastric emptying time is delayed by limiting of stomach muscles contraction, , and the patient experiences loss of appetite; Thus, weight loss is achieved.
Who is suitable for stomach botox?
Stomach botox can actually be applied to anyone who wants to lose weight. This procedure is not an obesity surgery. However, there are certain criterias for patients who can be applied.
It is a suitable method for those who cannot lose weight properly with diet and sports.
Gastric botox is not recommended in patients with a body mass index above 40 and who can achieve success with obesity surgery.
Body mass index of the patients to whom stomach botox will be applied should be below 40. In other words, it is applied in individuals who cannot lose weight with diet and exercise, whose body mass index is between 27-35, and who has an excess of 10-20 kilos. At this point, patients who are overweight but not obese enough to be operated and want to lose weight make up the ideal patient group.
In patients with ulcers or gastritis in their stomach, first of all, appropriate treatment of these diseases can be performed and then stomach botox can be applied.
Are there any side effects of stomach botox?
Botox has been used in medicine for years and There is no harm known if it is applied in the right dosage by a specialist. Since stomach botox application is a standard endoscopic procedure, there is no an important stomach botox damage reported in the literature. The procedure is not suitable for those who have muscle disease and are allergic to botox.
Does stomach botox enable weight loss?
No method, including stomach botox, is guaranteed to enable of weight lost. It is not right to name stomach botox as a miraculous treatment. Although stomach botox is known to reduce appetite and help diet, there is also the possibility of failure in patients who fed with high carbohydrates after botox procedure.
How long does the stomach botox process take, is it necessary to be hospitalized?
Approximately 3 days after stomach botox application, appetite is reduced and appetite control is controlled.
Stomach botox is not an obesity surgery.
It is a procedure that is done by entering the mouth completely endoscopically.
There is no incision.
The process takes an average of 20 minutes.
Patients are put into sleep with an anesthesiologist during the procedure.
Hospitalization is not required.
Generally, 1-2 hours of observation is sufficient after the procedure.
Decrease in appetite and control in appetite are provided within approximately 3 days after stomach botox procedure.
Does gastric botox cause permanent damage to the stomach?
It is known that the full effect of the drug used in stomach botox is completely erased from the body within 4-6 months. Therefore, there is no possibility of permanent damage.
When does the effect of stomach botox begin?
The feeling of hunger decreases within 2-3 days after applying stomach botox. Loss of weight begins to appear after 2 weeks. The targeted 10-20 kgs are lost.
Stomach botox is applied only to the smooth muscles of the stomach, it has no effect on nerve cells and the movement of the intestines. Therefore, it does not increase the bowel laziness. In the diet that will be prepared specially for you after stomach botox (state this to your dietician), an improvement in bowel laziness can be seen by adding the foods for the operation of the intestines to the diet.
Can it be applied to pregnant and breastfeeding women?
Adequate studies have not been conducted on the applying of stomach botox in pregnant and breastfeeding women.
What is the expectation from a stomach botox procedure?
Patients are expected to lose 10-15% of their total weight within a period of 3-6 months. The amount of weight lost; It may differ from person to person according to age, metabolic rate and frequency of exercise.
How should nutrition be after stomach botox?
First of all, a miracle should not be expected from any treatment. Nutrition should be paid attention after Botox procedure. After stomach botox, feeding should not be done by excess fat and carbohydrate contented food such as fast food style. Maximum benefit can be obtained from botox procedure by being adapted to a healthy diet program as much as possible.
What should be considered after stomach botox?
Patients ,to whom are applied Botox, get hungry later, get full with less portions, and feel satiety earlier.
