Surgical Treatment of Obesity
Type II Diabetes and Metabolic Diseases

Obesity Surgery

Our way of living and nutrition habits that keep changing affect our health and make obesity one of the most common and important health problems experienced in Turkey as in the world. Obesity surgery is suitable for patients whose Body Mass Index is above 40 and for those whose Body Mass Index is between 35 and 40 and who suffer from additional diseases related to obesity such as Hypertension, Diabetes or Sleep Apnoea. However, the surgery is applied after all the examinations are performed in detail and the reasons for obesity and suitability for surgery are analysed comprehensively when a patient who decides to have such an operation applies to our NHSTR Hospitals in Turkey. Operations within the scope of obesity surgery are performed by specialised teams in the operations theatres equipped with advanced technology.

Diseases Caused by Obesity

Choice of The Surgical Method

Selection of the best surgical technique requires a detailed interview, physical examination, investigations and tests. The method is selected jointly with the patient and surgeon according to the needs. Here, the most common two methods are addressed. Selection of the method substantially varies for the patients with a history of obesity surgery.

Choosing a surgical method for obesity

Sleeve Gastrectomy

It is one of the most common methods. Closed or Laparoscopic method is used for the sleeve gastrectomy, or in other words, the procedure is performed through holes as small as 5 to 12 mm in diameter. In the Sleeve Gastrectomy, the size of the stomach is reduced by approximately 75-80% using surgical staplers. Moreover, the entire staple line is manually sewn once more and fibrin glue is sprayed over to boost the security. The resected stomach is removed without a need for an extra hole. The residual stomach measures approximately 100-150 ml in volume.

Gastric By-pass (Roux-en-Y Gastric Bypass)

Gastric By-pass Surgery is primarily preferred for patients with diabetes mellitus and metabolic syndrome. Gastric By-pass Surgery is also the first option for patients with severe sweet eaters. As in the case with other methods, the procedure is carried out through small holes during the Gastric By-pass Surgery. In Gastric By-pass Surgery, the volume of the stomach and the small intestines. In the second phase, a second By-pass tract is created between the small intestines.

Gastric By-pass Surgery (Roux-en-Y Gastric Bypass)

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Results of Bariatric and Metabolic Surgery

Sleeve gastrectomy results in a 70% excess weight loss, while 80% of the excess weight can be lost after gastric bypass surgery. Many diseases improve in the postoperative period.

Resolution Rates after Bariatric and Metabolic Surgery:

Type 2 Diabetes (improvement or complete cure) 83%
The Decrease in risk of cardiovascular diseases 82%
Hypertension 52-92%
Sleep Apnoea 74-98%
Pseudotumor Serebri 96%
Hypercholesterolemia 63%
Metabolic Syndrome 80%
Polycystic Ovary Syndrome 79%
Varicose Veins 95%
Gout 77%
Correction of Urinary Incontinence 44-88%
Degenerative joint disease 41-88%
Asthma 82%
Depression 55%
Reflux 72-98%
Improved Quality of Life 95%

What to Expect in Obesity Treatment Period?

Preoperative preparations for Obesity Surgery are more comprehensive and detailed relative to many other surgeries. The measurement results, laboratory tests and examination findings are discussed in a council and the final decision is made on the method of treatment. The council consists of;

Bariatric and Metabolic Diseases Surgeon,
Endocrinologist,
Nutrition expert,
Psychologist and Psychiatrist,
Gastroenterologist,
Pulmonologist,
Cardiologist,
Anesthesiology and Reanimation Physician,
Gynaecologist and Obstetrician,
Coordination Nurse,
Physicians of other relevant departments.

Obesity Surgery is Safe

Metabolic Surgeries carried out to manage Obesity and Type 2 Diabetes mellitus are quite safe procedures. Detailed preoperative examination, investigation and preparation boost the safety of such operations. The equipment available in the hospital, the experience of the surgical team and proper postoperative monitoring minimize the risks. The most common complications of these procedures are listed below, although they are rare.

Complications