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Obesity Surgery | The Health Care Surgery

Obesity Surgery | The Health Care Surgery

BURSA BARIATRIC (OBESITY) SURGERY

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Perşembe, 29 Ağustos 2019 / Published in Blog, Genel

Bursa Obesity Surgery Center

BARIATRIC (OBESITY) SURGERY

Obesity Surgery Center Bursa

Obesity Surgery is a low-risk surgery when it is performed to the right patient by qualified hospitals and experienced surgeons. Information was shared with Bursa Obesity Surgeons, and surgical techniques with live surgery were demonstrated by Doctors performing Bursa Obesity Surgery.

Obesity is one of the biggest health problems in the world, especially in western societies. In many scientific studies, obesity has been shown as the most important cause of many diseases that increase mortality and morbidity. The most commonly used measurement method for obesity is BMI (Body Mass Index). It is the value obtained by dividing the weight by the square of the neck.

18.5-24.9 kg / m2 Normal individuals

25-29.9 kg / m2 Overweight

30-40 kg / m2 <Obese

40 kg / m2 <Morbid obese

However, increasing BMI may not always mean obesity. In people with excess muscle tissue, the body mass index may be high. Expert evaluation is important to understand the source of increases in body weight. Obesity should be considered if waist circumference is 102 cm in men and 88 cm in women.

The main purpose of performing obesity surgery is to prevent the development of obesity-induced diseases (DM, cardiovascular diseases, sleep apnea syndrome, etc.) as well as weight loss. To treat diseases if they occur.

It can cause obesity alone or in combination with many factors. These include genetic predisposition, endocrine and metabolic diseases, social and cultural differences. Basically, the amount of energy entering the body exceeds the amount burned causes obesity.

It is estimated that around 1.7 billion people are overweight individuals worldwide. In the United States, the situation is more serious. About 2/3 of the population is overweight and about half of them are classified as obese.

OBESITY SURGERY

Morbid obesity is a fatal disease and a “vital rahatsızlık condition that must be remedied. It is thought that the average life expectancy of those who underwent morbid obesity surgery is 15 years.

Who is Obesity Surgery Applied?

Diet: Patients who are planned to undergo surgical treatment are those who do not have any hormonal disturbances and who fail to lose weight with diet, exercise and medication, or regain weight. These patients should have obesity problems for at least 3 years and have failed twice in at least 6 months despite dietary exercise and psychological support. Although these patients have a 2-4% chance of losing weight with diet and exercise, they should be tried before recommending surgery.

Age: The patient should be between 18-65 years old. This age limitation may include exceptions depending on the patient’s performance and comorbidities.

Body Mass Index: The body mass index should be over 40 or between 35-40 and there should be co-morbidities (high blood pressure, diabetes, sleep apnea, joint disorders, reflux disease, etc.).
The World Health Organization recommends that surgical treatment is the most effective treatment for obesity and comorbidities in patients with BMI> 35 kg / m2 in the presence of one or more comorbidities and in patients with BMI> 40 kg / m2 in the absence of any coexisting findings.
The American Diabetes Association and the International Diabetes Federation (type 2) have shown that obesity surgery is superior to any treatment in patients receiving treatment for type 2 diabetes and whose blood sugar levels are uncontrolled despite the treatment and whose body mass index is greater than 35 kg / m2. they are telling.

Addiction and Psychiatric Disorder: The patient who is going to undergo an obesity operation should not be addicted to alcohol or drugs, but at the same time must be at a psychological level to accept the risks and follow-up and nutritional conditions of the surgery.

Pregnancy and Childbirth: It is recommended not to become pregnant for 24 months after obesity surgery.

OBESITY SURGERY TYPES

Obesity surgery methods can be roughly divided into three

Restrictive surgeries; They are surgeries that restrict food intake by reducing stomach volume. Gastric band and tube stomach surgeries are among this group operations.

Surgery that reduces food absorption or both restricts and reduces absorption; These operations are generally called bypass surgeries. In these surgeries, parts of the small intestine of varying length are separated from the passage of food. This prevents the body from taking up a significant portion of the calories taken. Mini Gastric Bypass, R-Y Gastric Bypass, Biliopancreatic Diversion / Duodenal Switch, Duodenojejunal Bypass / Sleeve Gastrectomy are among these operations.

Because it is easier, it can be applied in a shorter time, and the risk is partially less, the most commonly used mobite obesity surgery is tube gastric surgery.

To be applied to the operation of the patient;

Additional diseases,

Body mass index

It should be determined according to feeding habits.

OBESITY SURGERY TREATMENT

In the treatment of obesity surgery, cause oriented treatment should be applied. If there is a metabolic cause that causes obesity, it should be treated first. Appropriate diet, exercise, medication, psychological support and other treatment methods should be planned for the patient. The patient should undergo detailed analysis and determine whether obesity is due to any organic cause (genetics, endocrine, neurological) or drug use.

First, a personalized diet and exercise program should be planned by a professional team. If necessary, drug treatment should be initiated. However, in spite of all efforts, only 2-4% of long-term morbidly obese patients can lose weight permanently. In other obese groups, gastric balloon placement or morbid obesity surgery is a life-saving procedure.

The misperception in our society is that these initiatives are purely aesthetic. However, if they do not have surgery, they are actually in the grip of a fatal disease, and most of them (if not treated) are lost at a young age.

Morbid obesity is a very serious disease that shortens life and the most effective treatment scientifically proven is possible with bariatric surgery, that is, obesity surgery. Thanks to bariatric surgery, these people can live longer and healthier up to 10-15 years.

Obesity surgery has been widely performed in the world in recent years. The first effective obesity surgery was performed in 1954 by Kremen and Linner (jejunaileal bypass) in the United States.

The operations are divided into 3 according to the mechanism of action;

Restrictive Surgery (adjustable gastric banding, sleeve gastrectomy)
Absorptive Surgery
Restrictive and Absorbing Combined Operations (duodenal switch, SADI-S)

Who Should Treat Obesity Surgery?
We select the patients who are suitable for obesity surgery surgery according to the following criteria.

Body mass index is above 40 or between 35-40 and there is concomitant disease (hypertension, diabetes mellitus, sleep apnea, arthritis)
Obesity has been present for at least 3 years
Absence of hormonal diseases (Hypothyroidism, adrenal gland diseases)
Inability to lose weight for at least 1 year despite drug and diet therapy
Not being addicted to alcohol or drugs
The patient should understand the method to be applied and be able to adapt after surgery
Non-Surgical Procedures
Intragastric Balloon Application (Stomach Balloon Application)
In the treatment of obesity, endoscopic procedures are available as well as surgical procedures. Among them, the most commonly used Intragastric Balloon (Stomach Balloon) is the application.

Who can do Stomach Balloon Application?
It can be applied to anyone who can tolerate endoscopy.
It can be applied to patients who cannot tolerate surgery, patients with hiatal hernia (gastric hernia) and stomach ulcers larger than 3 cm, patients with previous gastric surgery, psychiatric disease and alcohol and drug addiction.

indications

-When major surgery is performed in patients with BMI (BMI) 40 and above and BMI (BMI) 35 and additional disease, in order to weaken the preoperative patients and reduce the risk of complications and death,

– BMI (BMI) is applied to patients who cannot lose weight despite diet and exercise programs over 30 kg / m2.

Stomach Balloon Method is not operated.
Stomach Balloon Procedure is performed in the endoscopy unit under sedoanalgesia in 15-20 minutes.
In the gastric balloon procedure, patients stay in the hospital for 1 day and are provided with food in the early postoperative period.
Thanks to the newly developed balloons (Adjustable Stomach Balloon System), the patient has the possibility of staying in the stomach balloon for 1 year.
It is possible to lose 30-50 kg of controlled weight in 1 year thanks to proper diet and exercise programs.
The balloon can be inflated by means of the Adjustable Stomach Balloon System in patients who are deemed to have lost weight or stopped during a one-year period.
After the old balloon is removed, if the patient wishes, the new balloon can be put back into the stomach.
It is more economical than bariatric surgery.

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Nutritionist Hande Güngör

Perşembe, 25 Şubat 2021 by bursabariatric

AD SOYAD

HANDE GÜNGÖR

UNVAN

DIETITIAN/NUTRITIONIST

ŞUBE

MEDICANA BURSA

TELEFON

0224 970 01 01

E-POSTA

İNFO@MEDİCANA.COM.TR

MEZUN OLDUĞU TIP FAKÜLTESİ VE YILI ULUDAĞ ÜNİV,

BASKENT UNIVERSITY FACULTY OF HEALTH SCIENCE DEPARTMENT OF NUTRITION AND DIETETICS(FULL SCHOLARSHIP) 2017

ANADOLU UNIVERSITY OPEN EDUCATION DEPARTMENT OF SOCIOLOGY 2017

UZMANLIK EĞİTİMİ ALDIĞI YER VE YILI ULUDAĞ ÜNİV.

 

MESLEKİ DENEYİM

CEYLAN INTERNATIONAL HOSPITAL (2017-2019)

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VITALIS BRANDENBURG GmbH BERLİN/ALMANYA(2016)

 

TIBBİ İLGİ ALANLARI

   PERSONEL DIET PROGRAMS (OBESITY)

   INDIVIDUAL / INSTITIONAL NUTRITION CONSULTANCY

   HEALTHY WEIGHT LOSS PROGRAMS

   NUTRITION AND WEIGHT MANAGEMENT IN                                                DIABETES AND GESTATIONAL DIABETES

  NUTRITION AND WEIGHT MANAGEMENT IN PREGNANCY

  MILK ENHANCER AND WEIGHT MANAGEMENT IN LACTATION

   NUTRITION IN CHILDHOOD AND ADOLESCENCE

   WEIGHT MANAGEMENT IN CHILDREN AND ADOLESCENTS

·         NUTRITIONAL TREATMENT IN DISEASES

·         NUTRITION IN ONCOLOGY

·         NUTRITION IN HEART AND VASCULAR DISEASES

·         NUTRITION IN KIDNEY DISEASES

·         NUTRITION IN GASTROINTESTINAL SYSTEM DISEASES

·         NUTRITION IN BARIATRIC SURGERY

·         NUTRITION IN EATING DISORDERS (ANOREXIA, BULIMIA, MALNUTRITION)

·         ENTERAL PARENTERAL NUTRITION

·         GERIATRICS NUTRITION (OVER MEDIUM AGE)

BİLİMSEL YAYINLAR

“NON ALCOHOLIC HEPATOSTEATOZ AND NUTRITION TREATMENT” SEMTEMBER2016;20(3):296-305. GUNGOR H.,TURKER PF.  HTTP://WWW.GUNCEL.TGV.ORG.TR/JOURNAL/67/PDF/100483.PDF

 

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METABOLIC SURGERY

Pazartesi, 23 Aralık 2019 by bursabariatric
Metabolic Surgery | What is Metabolic Surgery?

What is metabolic surgery and how is it applied?

Metabolic surgery is the surgical treatment of metabolic syndrome, ie excess weight or fat in the umbilical region, and accompanying disorders.

Metabolic surgery literally means that any metabolic disease can be treated by surgery, but in daily practice, when we say metabolic surgery, it is important to understand that in adults, diabetes is treated by surgery.

After successful obesity surgery results not only limited to weight loss, but also concomitant diseases (diabetes, hypertension, liver fattening, etc.) has improved the concept of Metabolic Surgery came to the agenda. It is popularly known as şeker disease surgery and diabetes surgery.

The concept of metabolic surgery has emerged with the concept of obesity surgery. Because obesity surgery itself is a metabolic surgery, diabetes surgery at the same time.

Because, whether we do sleeve gastrectomy or gastric bypass surgery in our patients, high rate of diabetes in these patients, regression in blood pressure, regression in liver fat is seen.

The concept of metabolic surgery also includes the concept of obesity surgery.

However, in recent years, scientific studies especially in the first group of obesity with a body mass index of 30 – 35 kg / square meters, especially in patients with severe diabetes, especially in the concept of metabolic surgery, so the concept of diabetes surgery has brought to the agenda.

In this patient group, if there is diabetes and in the first group of obesity, metabolic surgery can be performed very easily and this patient group can get rid of concomitant diseases.

What is Metabolic Surgery? Who can it be applied to?

Metabolic surgery is gaining attention in recent days as a frequently heard method. Weight increase, diabetes, cholesterol and high blood pressure with the name of the table is called Metabolic Syndrome. Metabolic surgery is to treat patients with type 2 diabetes using surgical methods.

Metabolic surgery, obesity and obesity surgery treatment, diabetes and surgical treatment of diabetes Metabolic Surgery Specialist Doctor Op.Dr.Ersoy Taşpınar performs metabolic surgery operations for Type 2 diabetes patients.

Metabolic Surgery Bursa Specialist at Metabolic Surgery, in Bursa Metabolic Surgery Center Op.Dr. Ersoy Taspinar is in service for the procedures of obesity surgery and treatment of obesity, diabetes, and also he gives information about the surgical treatment of obesity and diabetes Bursa Turkey serves Diabetes Surgery Center.

If Drug Treatment Is Not Enough … Metabolic Surgery.

Metabolic surgery is applied to patients who have tried medication but failed to improve.

Many disorders such as neuropathy problems, retinopathy, hypertension, gout, liver fattening, high triglycerides enter the life of the person with diabetes.

At this stage, appropriate patients can undergo metabolic surgery, who are approved by the doctor.

 

Metabolic surgeryMetabolic surgery istanbulMetabolic surgery medicana hospitalMetabolic surgery turkeyMetabolic surgeryTURKEY
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DUODENAL SWITCH

Pazar, 22 Aralık 2019 by bursabariatric
Duedonal Switch - What is Duedonal Switch?

The surgical method known as switch or duodenal switch is a surgical operation that combines both sleeve gastrectomy and gastric bypass characteristics.

The process is performed in two steps. First, a sleeve gastrectomy is performed in which approximately 80% of the stomach is removed and the rest is formed into a thin tube.

As a result, the stomach with a volume of 1.5-2 L takes the form of a thin and long tube with a volume of about 120 ml. This part of the surgery is an irreversible surgical procedure.

The small intestine (duodenum), which is normally attached to the stomach, is then separated to form a bypass and two separate pathways and a common canal are formed.

The consumed food is normally directed from the tube-shaped stomach after sleeve gastrectomy to the beginning of the small intestine, but is directed to the lower part of the small intestine and from there to the colon.

This sleeve is the short portion of the small intestine that is separated after gastrectomy.

The other path of the longer part of the small intestine is the part where bile and other digestive enzymes mix with food and lead to absorption, the length of which is reduced to 250 cm. As a result, because the stomach volume is too small, the patient gets a sense of satiety by eating less and because the nutrients are absorbed less as the pathways of the small intestine are reduced, the amount of calories left in the body becomes less.

This method, which is generally used in diabetic patients with a high body mass index, can be performed in a single operation, but it can be applied gradually. In the first stage, a different operation can be performed for bypass 6-18 months after sleeve gastrectomy.

With this method, patients can lose 70-100% of their excess weight.

What is Duedonal Switch?

At the exit of the stomach is a muscle system called pylorus. The pylor has the function of a valve which allows the food contained in the stomach to be controlled to pass into the duodenum, ie the duodenum.

The pyloric muscle also prevents ingestion of the digestive fluids from the bile duct and pancreatic duct opening into the duodenum.

In biliopancreatic diversion (BPD) surgery, pyloric muscle is taken along with the last part of the stomach.

Due to the absence of pyloric muscle, dumping syndrome is frequently seen and severe.

In addition, ulcer development in anastomosis is more common in the absence of pyloric muscle.

Duodenal Switch is another type of Biliopancreatic Diversion (BPD) operation where the stomach is reduced to protect the pyloric muscle and the small intestine is connected to the duodenum two cm. after the stomach and pylorus.

These two are called Biliopancreatic Diversion-Duodenal Switch (BPD / DS).

Why choose Duodenal Switch?

Statistically it is the most comprehensive weight loss method in surgical interventions.

Optimal method for diabetes, high blood pressure, high cholesterol and high triglyceride. The most effective solution for high-calorie-fed patients.

Does not cause indigestion because the “pyrolic valve in of the stomach is preserved This method reduces appetite and the feeling of hunger because of the removal of the stomach that produces GHRELIN (starvation hormone).

This method causes more loss of weight compared to clap or Gastric Bypass methods.

The Duodenal Switch procedure (also known as vertical gastrectomy, biliopancreatic deception, DS and BPS-DS) limits the amount of food consumed (vertical gastrectomy reduces the size of the stomach) and reduces the amount of calories entering the body. (duodenal valve) Duodenal Switch surgery causes more weight loss than it directly affects metabolism and is a more effective method for the treatment of diabetes, hypertension and high cholesterol diseases.

Since it is an application that reduces fat absorption, it is a specially developed method for patients who eat fatty foods.

How is Duodenal Switch Surgery performed?

The first stage of the surgery is to remove 85% of the stomach, such as sleeve gastrectomy or tube stomach surgery, and turn the stomach into a thin tube.

This section has the effect of restricting food intake. In the second stage, the intestine is separated by a few cm ahead of the annular muscle layer called the pylor, and a little behind the spill of the bile-pancreatic fluid.

Gastric outlet from the small intestine-large intestine junction with the small intestine at a distance of 250 cm backward mouth.

That is, the length of the bowel, where bile and other digestive enzymes are mixed with food and leads to absorption, is reduced to 250 cm.

This procedure reduces the absorption of calories and fats in foods by a rate that is higher than that of gastric bypass.

Surgical Methods Used in Duodenal Switch Surgery:

1) Robotic Surgery (Robot Assisted Minimally Invasive Surgery):

2) Open Surgery:

Open duodenal switch surgery is performed through a large incision in the abdomen of the patient.

The size of the incision prolongs postoperative recovery time.

The biggest advantage of open surgery is that the surgeon performs the operation by feeling the tissues.

3) Laparoscopic Surgery (Minimally Invasive Surgery):

As in the robotic duodenal switch surgery, the operation is performed through small incisions in the abdomen of the patient. The surgeon at the patient’s head performs the operation with long, flat laparoscopic instruments accompanied by a 2-D image provided by a camera called a laparoscope.

 

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BARIATRIC (OBESITY) SURGERY

Pazar, 22 Aralık 2019 by bursabariatric
BARIATRIC (OBESITY) SURGERY

Bariatric Surgery Team of MEDICANA comprehends how important it is for you to decide an obesity surgery.

We are so decisive in to use our knowledge and act very carefully at all stages of the surgery and to help you with an ultimate attention in all issues that will change many aspects of your life.

Some of our team members had undergone obesity surgery and therefore, we know somewhat more details about the facts of life after the obesity surgery. Obesity surgery is the first part of a long process and it is also the key of success after the treatment. Our support is a part of your journey that will create a real difference for your target.

Bariatric Surgery Team of MEDICANA considered patient feedbacks, while post-slimming care program was planned and thus, we developed a patient-guided program. Our program will facilitate the changes in your life style and eating habits that you will be need to gain maximum benefit from your operation. We get menus planned by your dietician and meet our patients in Sunday breakfasts, hiking, outdoor sportive activities under guidance of our sportive consultants; we will always with our patients in seminars that address what you should consider while living you’re your new body after the operation. Our surgeon, dietician and psychologist will be available in all meetings and you will have the opportunity to ask any question in your mind. Patients who want to attend will a chance to meet the same team and other patients, who were operated on, in a WhatsApp Group.

If you think about undergoing obesity surgery and seek more information before scheduling an appointment, you should contact our obesity contact person.

Compliance to your diet plan to lose weight may be a stressful situation for you, your spouse or your family. Please call our obesity surgery team, if you face difficulty in coping with this stress. Moreover, you may talk with your family, friends or our psychologist.

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LATEST ARTICLES

  • Nutritionist Hande Güngör

    AD SOYAD HANDE GÜNGÖR UNVAN DIETITIAN/NUTRITION...
  • Metabolic Surgery | What is Metabolic Surgery?

    METABOLIC SURGERY

    What is metabolic surgery and how is it applied...
  • Duedonal Switch - What is Duedonal Switch?

    DUODENAL SWITCH

    The surgical method known as switch or duodenal...

BARIATRIC (OBESITY) SURGERY

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