Бариатрична хирургия

Obesity and Metabolic Surgery in Tekirdağ

Obesity is not merely a cosmetic concern. It is a chronic disease that prepares the ground for type 2 diabetes, hypertension, sleep apnoea, fatty liver disease, joint disorders and several types of cancer. In patients for whom diet, exercise and medication have not produced lasting results, surgery is the most effective method of long-term weight control.

Who May Be a Candidate?

• Patients with a body mass index of 40 or above
• Patients with a body mass index between 35 and 40 who also have a condition such as type 2 diabetes, hypertension or sleep apnoea
• Selected patients with type 2 diabetes that cannot be brought under control (metabolic surgery)
• Patients willing to follow the nutritional and follow-up programme after surgery

Candidates are assessed jointly by the surgeon, endocrinologist, dietitian and psychiatrist. Surgery is effective as part of a change in lifestyle, not on its own.

The Operations Performed

Sleeve Gastrectomy

Approximately 80% of the stomach is removed, leaving a narrow, banana-shaped tube. This both reduces the amount of food that can be taken and markedly reduces appetite, since the region producing the hunger hormone (ghrelin) is removed. It is the most commonly performed obesity operation today.

Gastric Bypass

A small gastric pouch is created and connected to the small intestine. Both intake and absorption are reduced. It may be preferred particularly in patients with advanced type 2 diabetes or severe reflux.

Metabolic Surgery

Here the aim is not only weight loss but control of metabolic disease, above all type 2 diabetes. In suitable patients, marked improvement in blood glucose regulation can be achieved.

After Surgery

Feeding progresses in stages from liquids through purées and soft foods to solids. Protein targets are set with a dietitian, and vitamin and mineral supplements are taken regularly. Durable weight loss depends on regular exercise and on lifelong periodic check-ups.

Често задавани въпроси

Tüp mide mi gastrik bypass mı daha uygun?

Tek bir doğru yanıt yoktur. Vücut kitle indeksi, tip 2 diyabetin süresi ve şiddeti, reflü varlığı, beslenme alışkanlıkları ve geçirilmiş ameliyatlar birlikte değerlendirilir. Ağır reflüsü veya uzun süredir kontrolsüz diyabeti olan hastalarda bypass öne çıkabilirken, birçok hastada tüp mide yeterli ve daha basit bir seçenektir.

Obezite ameliyatından sonra kilo geri alınır mı?

Ameliyat kalıcı kilo kaybı için güçlü bir araçtır ancak tek başına yeterli değildir. Beslenme düzeninin korunmaması, öğün atlama ve yüksek kalorili sıvı tüketimi zamanla kilo geri alımına yol açabilir. Düzenli takip, diyetisyen desteği ve egzersiz alışkanlığı sonucun kalıcılığını belirler.

Ameliyattan sonra vitamin kullanmam gerekir mi?

Evet. Mide hacminin azalması ve bazı ameliyatlarda emilimin değişmesi nedeniyle B12, demir, kalsiyum ve D vitamini gibi takviyeler düzenli olarak kullanılır. Kan değerleri periyodik olarak kontrol edilerek dozlar ayarlanır.