Weight Loss Surgery Obesity and Weight Loss

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What is Obesity Surgery?

Obesity surgery, also called weight loss surgery or bariatric surgery, can help to achieve significant weight loss and resolve obesity-related health problems. Type 2 diabetes, sleep apnea or hypertension can be examples of these problems. There are various surgical options based on patients’ needs and health conditions. Operations either restrict the amount of food consumed or reduce the ability to absorb nutrients. A combination of both is also possible for several cases. Surgery for weight loss can be a life-saving option for people with severe obesity. It is also a major procedure that poses certain risks and side effects. At ACIBADEM Beauty Center, we perform an extensive evaluation with a multidisciplinary team of experts before a bariatric surgery. It ensures that each patient receives the medical procedure that is right for him.

Weight loss surgery has been refined to improve results and reduce risks during recent years. ACIBADEM patients can benefit from the robotic surgery option. Robotic obesity surgery is associated with lower risk of complications during post-operation period. The procedure is performed with the “da Vinci” system which is called ‘robot-assisted laparoscopic surgery’. Robotic obesity procedures have reduced the blood loss, risk of infection, scars and recovery times.

Obesity Surgery

Weight loss can be a life-changing process

Obesity is not just a cosmetic issue but a complex medical condition. According to WHO, obesity is defined as abnormal or excessive fat accumulation that threatens health. It is a major risk factor for many chronic diseases. Diabetes, heart diseases, musculoskeletal disorders, respiratory problems, and some types of cancer are amongst them. Excessive body weight is measured through a simple index called Body mass index (BMI). It is defined as a person’s weight in kilograms divided by the square of his height in meters (kg/m2). A BMI of 25 or higher is considered overweight, and over 30 is obesity.
Bariatric surgeries are helps people who struggle with excessive weight even after diet and exercise.

If you struggle with excessive weight through diet and exercise without success, you may consider bariatric surgery options.

Obesity Operation Types

Sleeve Gastrectomy

  • It is a surgical procedure that is performed with laparoscopic or robot-assisted approach.  
  • Up to 80% of the stomach is removed 
  • The stomach has a shape of a banana after surgery.
  • Removal is permanent and irreversible.
  • 3-day hospital stay
  • Rapid weight loss and health improvement without affecting food absorption.
  • It is suitable for patients with BMI above 40.
  • Also applicable to patients with a BMI between 30 and 40 with obesity-related health issues
     
Obesity Surgery

Gastric Bypass

  • Surgical procedure for weight loss
  • A small pouch (approx. 30-50 cm³) is formed from the stomach
  • This pouch connects directly to the small intestine
  • Gastric bypass is performed laparoscopically
  • Gastric bypass may be suitable for patients with a BMI of over 40
  • For some patients with a BMI between 35 and 40 and obesity-related health problems, gastric bypass may also be an appropriate option
Obesity Surgery

Why to Have an Obesity surgery ?

After obesity surgery, you can expect to experience some health benefits, such as:

  • Permanent loss of weight, in case that recommended lifestyle changes are observed;
  • Regulated blood pressure. 70% of patients stop using blood pressure medication;
  • Improved cholesterol levels. 80% of patients experience a drop in cholesterol levels;
  • Lower blood sugar. Most type II diabetes patients stop using medication;
  • Reduced risk of cardiac disease due to decreased workload of the heart;
  • Asthma attacks can stop or be significantly reduced;
  • Respiratory problems improve within a few months;
  • Obesity-related sleep disorders like sleep apnea are reduced or solved.
Obesity Surgery

How much Does Obesity Surgery Cost?

Obesity surgeries costs an avearage of 9.000-12.000 £ in UK. Prices can go above 15.000 £ according to surgeons’ experience and clinic’s physical attributions. This price may go well above 25.000 $ in U.S and 16.000 € in top clinics of Germany. Obesity surgery in Turkey is quite price competitive compared to Western Europe. Average weight loss surgery cost in Turkey lies around 4.500 £. Prices can change according to hospital’s facility quality and the experience of the surgeon.

Frequently Asked Questions about Obesity Surgery

People with BMI (body mass index) 40 or higher (morbid obesity patients) People with BMI between 35 and 40 who also suffer from diseases that affect the quality of life and life expectancy due to excessive weight, such as hypertension, type 2 diabetes, sleep apnea, heart disease, abnormal cholesterol, etc. In some cases, people with a BMI between 30 and 34 with severe weight-related health problems. Surgery can be suggested to obese patients who cannot lose weight with conventional methods, such as exercise and diet, including medically supervised dieting. At ACIbadem, each patient undergoes detailed clinical evaluation before bariatric surgery and all treatment options are discussed in detail.

It depends on many factors, such as your age, BMI, general health status and desired outcome. There are various types of bariatric surgery and if you prefer a certain type, your wish will be taken into consideration, but the final decision is made by specialists after many evaluations. You can discuss any type of weight-loss surgery in detail with your physician to choose the best option for your case.

There is no universal answer. The effectiveness of weight loss surgery depends on the type of procedure and, most of all, on your motivation to adopt a healthy diet and exercise regularly. On average, you can expect to lose 40% of your excess weight within 6 months and 75 to 90% of it within 2 years.

Bariatric surgery provides excellent long-term results but its success depends on your motivation and willingness to make permanent changes in your lifestyle. You may regain some of the lost weight unless you follow strictly the guidelines for a healthy diet and exercise.

Surgical procedures come with some risks. In obesity surgery they might involve the operation itself, the postoperative complications and some long-term nutritional problems. However, when compared to the negatives of living with obesity, the risks look reasonable. Choose your trusted hospital and physician with safety on your mind and remember that in surgery volume matters: experienced surgeons achieve better outcomes with fewer complications.

After your surgery, you’ll be given a detailed dietary plan to follow. In general, you will be on liquid diet first few days; pureed food first few weeks, and soft food for another couple of weeks before returning to a regular healthy diet. It is important to eat balanced meals with restricted portions, four to six times a day, and this is a lifetime recommendation for obesity surgery patients.

Every patient is different and recovery time varies. However, most patients return to their daily activities, including work, in 1-4 weeks, depending on the type of procedure. After bariatric surgery, you should avoid lifting and activities that might affect the abdominal region until your doctor allows it.

Female patients who intend to have children in the short term should discuss this issue with their doctor before the operation. Getting pregnant within 24 months of obesity surgery is not recommended.

Bariatric surgery is not a cosmetic procedure but a complex surgical intervention. Obesity is often accompanied by cardiac, respiratory and other health conditions that require a comprehensive approach by a multidisciplinary team in a full-service hospital. Acibadem is a world recognized brand and a leading provider of A-class medical services in Turkey. Our experienced surgeons apply the latest laparoscopic techniques in bariatric surgery, as well as robotic surgery for your best comfort and speedy recovery. Your weight loss process will be supported by a team of specialists in endocrinology, nutrition and physiotherapy.

Doctors

Prof. Bilgi Baca, M.D.

Prof. Bilgi Baca, M.D.

General Surgery

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