About the treatment of obesity in Turkey, in the last few years, a lot of methods have become available by which a person can get rid of obesity. And this advance has provided a potentially revolutionary solution to the issue of obesity which is one of the most problematic health problems affecting many people of various ages and genders since it represents a risk factor for many organic diseases such as diabetes, hypertension, and infertility.
Different approaches and strategies for treating obesity, including surgical procedures in specialist hospitals, have begun to appear lately. Nonetheless, this type of procedure cannot be done on all individuals, because it has certain contraindications and possible complications that can impact morbid obesity patients.
To qualify for bariatric surgery a patient must meet certain requirements and conditions, including a body mass index of more than 40 kg/m2 or tried other solutions such as diet or exercise. In addition to a thorough review of the cardiovascular system and the lungs, the patient will receive a detailed examination by a dietitian and a psychologist to ensure that the patient is a suitable candidate for the operation.
Which surgical procedures used in obesity treatment?
The most widely used surgical procedure involves longitudinally isolating a portion of the stomach and extracting the greater part and this method is called the gastric sleeve. After gastric sleeve what remains of the stomach will only be able to hold about 50-100 ml of food. The intended effect of this treatment is to alleviate the sensation of hunger after ingestion of a meal’s first few bites, and thereby to decrease the overall consumption of calories contributing to weight loss.
In the last couple years, new modifications have been added to the original gastric sleeve technique, and these modifications involve adding a circular band to control the passage of food out of the stomach, and this ring is usually connected to a subcutaneous reservoir which makes it “adjustable” making the physician able to control how tight it is by injecting physiological saline into the reservoir, and this technique is called the “Banded gastric sleeve” technique.
Other approaches combine to minimize gastric efficiency as well as to cause malabsorption. For example, most of the stomach as well as duodenum are taken out in the gastric bypass operation, and since most of the nutrients are absorbed into duodenum, a large portion of the calories consumed are not absorbed, which promotes weight loss.
How much weight loss can we expect?
Because this form of weight loss surgery procedure was put into operation only a few years ago, statistics on very long-term results are not available. On average, the patient typically loses 50 to 60 % of their body weight after gastric sleeve within 2 years, which represents around twenty kilograms, which is considered a fantastic outcome for people with morbid obesity.
Only 30 % of people over 50 with a BMI were able to lose half their excess weight. As for the gastric bypass operation, statistics show that it will result in a loss of 70 percent of excess body weight within 2 years, with a decent rate of success in most morbid obesity patients.
What are the risks of the weight loss surgery in Turkey?
Deaths from the procedure are estimated to be somewhere from 0.1 to 0.3%. Pulmonary embolism is the most common cause, the likelihood of this complication is the same for all patients with extreme obesity who undergo the surgery. Generally, weight reduction procedures are done by laparoscopy in Turkey (small incisions are made in the abdomen to move a camera and operating equipment), thereby reducing surgical damage to the tissues. The placement of the stomach ring may rarely lead to perforation in the stomach (very rare complication)
What are the long-term risks of weight loss surgery?
In 20 to 30 % of gastric sleeve cases, vomiting that occurs as a result of solid food intake may continue, and this can cause inflammation of the esophagus. Especially if the patient does not follow the physician’s orders. While these figures are estimates only, they will promote the selection of an experienced surgeon with the required qualifications in this field to prevent complications