OBESITY SURGERY

What is obesity surgery?

individuals with a Body Mass Index (BMI) between 35-40 who have obesity-related conditions (such as cardiovascular diseases, severe diabetes, infertility, joint disorders, respiratory problems), and those with a BMI of 40 or above, refers to surgical interventions performed on the digestive system to treat obesity. The choice of the specific surgical method in obesity surgery varies from patient to patient. Prior to undergoing surgical procedures, other treatment methods such as diet programs, exercise programs, behavior modification, and medications are typically attempted, but if these methods fail to achieve success, obesity surgery is considered as an option. The success of bariatric surgery largely depends on the patient’s adherence to post-operative behavior and lifestyle changes. Patients are required to strictly follow the diet plan determined by a dietitian after the surgical procedure and also participate in behavioral therapy to change their attitudes towards nutrition and exercise.

Who can undergo obesity surgery? Who is suitable for obesity surgery?

Obesity surgery can be a good option in the following cases:

Individuals with a body mass index (BMI) between 35 and 40, who have obesity-related conditions such as cardiovascular diseases, type 2 diabetes, infertility, non-alcoholic fatty liver disease (NAFLD), steatohepatitis (NASH), hypertension, and sleep apnea.

• Patients with a body mass index (BMI) of 40 or above.
• Patients who have been under expert supervision for one year and have not been able to lose weight through medical nutrition, exercise, and other medical treatments.
• Individuals who do not have excessive alcohol or drug addiction.
• Individuals who do not have any health conditions that would prevent them from undergoing surgery.
• Individuals who have a good understanding of the procedure and are capable of following post-operative instructions in coordination with the medical team.

What are the risks of obesity surgery?

Like any surgical procedure, obesity surgery carries certain health risks both in the short and long term. However, obesity surgeries do not carry more risks than other surgical procedures.

The risks associated with the surgical procedure may include:

• Infection
• Adverse reactions to anesthesia
• Blood clots
• Lung or respiratory problems
• Leaks in the gastrointestinal system
• Vital risks (similar to any general surgical procedure)
• The long-term risks and complications of obesity surgery vary depending on the type of surgery. Some long-term complications and risks may include:

• Intestinal obstruction
• Dumping syndrome, which can cause diarrhea, flushing, dizziness, nausea, or vomiting (Dumping syndrome is a complication that can occur in patients who have undergone certain types of obesity surgery and is triggered by consuming heavy meals high in sugar or fat after the surgery.)
• Gallstones or kidney stones
• Hernias
• Low blood sugar (Hypoglycemia)
• Ulcers and acid reflux
• Need for a second surgery
• Vital risks (similar to any surgical procedure)