9 THINGS TO KNOW AFTER OBESITY SURGERY

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9 THINGS THAT ARE KNOWN TO BE TRUE AFTER OBESITY SURGERY ARE WRONG!

Obesity, which is one of the most important health problems of the modern era, is rapidly becoming widespread in our country as well as in the world. Turkey Medicals medicalpark hospital and head of department General Surgery Specialist Professor Doctor says that obesity has become much more threatening to people of all ages, children and adults, especially due to the increase in time spent at home inside, physical inactivity and unhealthy diet due to the Covid-19 pandemic over the past two years.

Stating that some mistakes that are considered correct in society about obesity surgery also lead to an increase in the incidence of this disease, Professor doctor told about the 9 known mistakes, made important warnings and suggestions.

I’m at peace with my weight, there’s no need for surgery. Especially not in a pandemic!: WRONG!

THE TRUTH IS: Obesity significantly reduces the life expectancy and the quality of life. Moreover, the consequences are much worse when a patient who is obese or has obesity-related diabetes or cardiovascular disease has Covid-19. For this reason, the treatment in these patients should be performed by a multidisciplinary team with the right timing with the right method.

Obesity is just an aesthetic problem: WRONG!

THE TRUTH is: According to some people, obesity is just an aesthetic problem. This is a very wrong idea. Because obesity is a very serious disease. Because of many problems such as diabetes, hypertension, cardiovascular diseases, sleep apnea, cancer and depression that occur due to obesity, the life expectancy and quality of life of obese patients are negatively affected. However, it is possible to get rid of excess weight and all these diseases.

Obesity is a willpower problem. The patient can become weak if he wants: WRONG!

THE TRUTH is: Many patients are looked at by their family and surroundings with this eye. However, it has been shown that as the patient’s weight increases and the duration of the patient’s stay at this excess weight increases, the patient’s chances of permanent weight loss decrease. Unfortunately, the chances of permanent weight loss by willpower, psychotherapy, acupuncture, diet, diet, etc. methods are very small, especially for the majority of patients whose body mass index rises above 35 or even 40 and who stay in this period for more than a year.

Anyone who wants can have obesity surgery: WRONG!

AS A MATTER OF FACT: Prof. Doctor, obesity surgery, with the right team, the right patient to the right method is applied to the results were excellent in most patients said, noting that cases can cause very serious problems and vice versa, he said: “Therefore all in the world of obesity surgery should be administered according to certain criteria. According to these criteria; those over 40 body mass index, body mass index, and between 35-40 linked to obesity, diabetes, hypertension with serious problems, such as those between the ages of 15 and 65, for at least a year under the supervision of a dietician and body mass index over 40 trying to lose weight on a diet at least two times but are surgical candidates who are not successful . However, although patients meet these criteria, obesity surgery in Antalya Turkey hospitals is not performed if the patient has even one of the problems such as having a chronic alcohol or substance use habit, having a serious psychiatric problem or eating disorder, and the patient is reluctant to have surgery.”

There is no need for surgery. I solve my weight problem with fat removal: WRONG!

AS A MATTER OF FACT: Prof. Doctor “Many methods are used to treat the obesity. They are mostly complementary, not alternatives to each other. Of course, it is necessary to start the treatment of patients who do not have too much weight with methods such as regime, no egser, lifestyle change. When the weight increases a little more, medical treatment and perhaps endoscopic methods can also be added at the suggestion of the endocrinologist. But this approach to treatment is not right for all patients. For example, in a patient with a body mass index of 45 and a height of 1.60 and a weight of 115 kg for at least two years, these methods are most often not useful. Even as a result of serious exercise, the risk of heart disease may increase. Therefore, obesity treatment is a multidisciplinary team effort. Each patient should be evaluated independently and the most appropriate treatment method should be chosen for the patient,” he says.

The most appropriate surgery for each patient is tube stomach surgery: WRONG!

TO be HONEST: sleeve gastrectomy (tube stomach) has been the most preferred method in obesity surgery all over the world especially in the last ten years. Currently, more than half of the patients operated for obesity in the world have this procedure. This expansion of the main causes of the process; other obesity surgeries, according to the procedure technically easier, hence the complication rate to be lower in patients with additional health problems that can be made with more confidence, and the process of long-term results are acceptable. However, the patient’s age, gender, body mass index, comorbidities, the presence of factors such as eating habits affect the selection of surgery ‘to benefit patients with definite tube stomach surgery in Turkey’ idea is not true.

I don’t gain weight again after surgery: WRONG!

AS A MATTER OF FACT: Prof. Doctor “it can’t give enough weight after bariatric surgery, some patients (50 percent less, lose excess weight 18 months after surgery), some patients also start to gain my weight back over the years. If these patients have diabetes, hypertension, etc. serious problems that develop due to obesity, either do not improve after surgery, or they improve for a while and reappear when the patient starts to gain weight again. The average rate of re-surgery due to such problems is 20 percent. This situation may depend on many factors. For example; surgery of the stomach tube or a stomach called the fundus of the stomach that is larger than necessary to be left in the esophagus near the section of this condition as it can cause problems such as insufficient removal, sometimes the main problem are the problems that are associated with the patient’s lifestyle, so the change of the patient’s dietary habits, eating disorders, physical activity and the release of uncontrolled psychological problem re-accelerate weight gain.”

Despite the operation, I gained weight again, there is no solution anymore: WRONG!

IN FACT: behavioral therapy, diet, non-egcer, antiobesity drugs (appetite suppressants), psychotherapy and endoscopic methods, which are the most commonly used methods of treating obesity, can also be tried in these patients. Although these procedures are being tried to eliminate the need for a second surgery, the success rates in these patients are quite low. For this reason, many patients may need a second surgery (such as re-sleeve, gastric bypass, BPD-duodenal switch, and SADI). Such second surgical procedures are both technically more difficult and can cause more morbidity than the first surgeries. However, in good centers, with the right team, these operations can be performed safely.

Death is inevitable in most patients after bariatric surgery: WRONG!

AS A MATTER OF FACT: Professor Doctor “Due to a better understanding of the disease and advances in the treatment of the disease, the mortality rate after obesity surgeries has dropped markedly in good centers over the years. Moreover, studies have shown that the risk of death in patients undergoing surgery for severe obesity is lower than in those who are not treated or treated with medication. Therefore, today we can safely say that bariatric surgery in Antalya and Istanbul can be safely performed in good centers by a professional hospital team with a multidisciplinary approach,” was said.

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President of Organ Transplant Center at MedicalPark Hospital Antalya

Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.

Physician's Resume:

Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.

Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.

In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.

Awards:

Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.

Certificates:

Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .

Professional Members:

American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.

Disclaimer:

Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.
Medically Reviewed by Professor Doctor Alper Demirbaş
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