Bariatric & Metabolic Surgery

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Bariatric Surgery

People undergo this surgery to prevent diseases that carry a risk of death such as diabetes, joint pain, high blood pressure, cancer, sleep apnea, heart diseases, which develop due to excess weight, and to achieve a more fit appearance for the rest of their lives. More than 1500 stomach reduction surgeries have been performed in our contracted hospitals and no adverse events have been encountered. The skin deformations that occur in your body due to the weight you lose after stomach reduction surgery will be eliminated with the surgical interventions of our aesthetic surgeons with 25 years of experience in aesthetic surgery, and you will have a beautiful appearance.

This surgery is also applied to patients who have tried all the treatments related to diabetes before, but have not been successful and have started organ damage due to diabetes. Stomach surgery is an operation that is applied to patients with Type 2 diabetes and does not disrupt the absorption of food by 90%. There are hormonal targets in metabolic surgery operations. Bad hormones are disabled and good hormones are stimulated. In these surgeries, the hormone balance is regulated and the person is targeted to be healthier. In metabolic surgery, the target is the stomach and large intestines. Hormones that trigger the feeling of hunger are secreted in the upper left part of our stomach. These hormones also increase the person’s insulin resistance. In these surgeries, the use of insulin secreted by the pancreas, which cannot be used by our body, is also provided.

Type2 Diabetes

Patients who struggle with many diseases (cancer, diabetes, obesity) that are common in the world now have a new enemy. Corona (Covid19) virus, which emerged at the beginning of 2020, shows very little effect in healthy people who do not have any disease, but it can show fatal results in diabetes, cancer and obesity patients. Diabetics are more vulnerable to viruses and other diseases due to their low immune systems. It is a good solution to have type 2 diabetes surgery to increase your standard of living, get rid of the drugs you use and increase your body resistance.

Ileal Interposition for type 2 diabetes is a digestive system surgery. It destroys insulin resistance with the hormonal changes it creates. First, the outer part of the stomach is removed. The stomach takes the shape of a tube, so the secretion of the hormone called gralin in the stomach, which suppresses the feeling of hunger, is reduced. The 12 finger intestines are then separated from the stomach. This process prevents the passage of food into the 12 finger intestines. A small part is separated from the end of the small intestine and continuity is ensured by connecting the upper and lower ends of the small intestine. The upper end of the prepared small intestine is connected to the stomach outlet, and finally, the lower end is connected to a section close to the beginning of the small intestine, so that the stomach contents are transmitted to the intestines. After the surgery, the food coming from the stomach passes to the last part of the small intestine without any digestion yet, stimulating the hormone secretion called “GLP 1” and insulin resistance disappears. The capacity to produce insulin increases. After ileal interposition surgery, you will not experience any malabsorption and you will not have to use any medication for life.

Bariatric surgery (or weight loss surgery) includes a variety of procedures performed on people who are obese. Long term weight loss through standard of care procedures (bypass, sleeve gastrectomy, and biliopancreatic diversion ) is largely achieved by altering gut hormone levels that are responsible for hunger and satiety, leading to a new hormonal weight set point. Bariatric surgery is a hormonal surgery in these procedures, for which the alteration in gut hormones develops as a result of the procedure’s restriction and malabsorption. Long-term studies show the procedures result in significant long-term loss of weight, recovery from diabetes, improvement in cardiovascular risk factors, and a mortality reduction from 40% to 23%. The U.S. National Institutes of Health recommends bariatric surgery for obese people with a body mass index (BMI) of at least 40, and for people with BMI of at least 35 and serious coexisting medical conditions such as diabetes. However, research is emerging that suggests bariatric surgery could be appropriate for those with a BMI of 35 to 40 with no comorbidities or a BMI of 30 to 35 with significant comorbidities. The most recent American Society for Metabolic & Bariatric Surgery guidelines suggest the position statement on consensus for BMI as an indication for bariatric surgery. The recent guidelines suggest that any person with a BMI of more than 30 with comorbidities is a candidate for bariatric surgery. The risk of death in the period following surgery is less than 1 in 1,000.

After This Surgery;

  • Diabetes related drugs are no longer used
  • Tension regulates
  • Triglyceride returns to normal levels
  • Weight-related sleep apnea disappears
  • Since the stimulated hormones will not allow fat storage, the person will continue to live at an ideal weight for years.
  • The person’s quality of life increases and he feels constantly fit.