WHAT IS OBESITY? WHO ARE CANDIDATES FOR OBESITY SURGERY?
Overweight and obesity are defined as abnormal or excessive fat accumulation that may impair health.
Body mass index (BMI) is a simple index of weight-for-height that is commonly used to classify overweight and obesity in adults. It is defined as a person's weight in kilograms divided by the square of his height in meters (kg/m2). If your BMI is over 30, the frequency of insulin resistance, diabetes mellitus, hypertension, dyslipidemia, sleep apnea, arthritis, hyperuricemia, gall bladder diseases increases.
WHO CAN HAVE OBESITY SURGERY?
People with a body mass index over 40 kg/m² (morbidly obese, severely obese).
Those who have a BMI between 35 and 40 and have problems such as type 2 diabetes, hypertension, and sleep apnea due to obesity are considered morbidly obese and may need stomach reduction surgery.
In addition, patients with obesity-related "new" type 2 diabetes and metabolism disorders and BMI between 30 and 35 can also be operated on with the decision of the obesity doctor.
In this procedur, large portion of the stomach (approximately 80%) is removed with intent to reduce the gastric volume. Since the food intake is limited with the stomach reduction, the patient loses weight.
A large part of the stomach is bypassed and a small volume (approximately 30-50 cc) stomach section is prepared and sutured to the small intestines.
It is aimed both to reduce the stomach volume and to disable a part of the intestines and to throw away some of the consumed food without being absorbed.
It is not a gastric reduction surgery method, that is, no surgery is performed in this application.
The gastric balloon method is only used for overweight and super obese patients who are prepared for morbid obesity surgery, for weight loss before surgery. In addition, it can be applied as an auxiliary method, albeit very rarely, in patients who are slightly overweight and are not accepted for surgery.
GASTRIC MINI BYPASS
In addition to the tube formed in the stomach, it directs the intestinal working mechanism and reduces the absorption rate of nutrients, thus ensuring elimination without being absorbed.
With the operation performed in a section of approximately two meters of the intestine, the tissues that provide absorption are disabled and the amount of energy mixed with the blood is reduced.
Thus, the patient usually throws out the food he eats before it mixes with the blood with digestion.