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Obesity Surgery

Laparoscopic Sleeve Gastrectomy, Gastric Bypass and Other Methods

What is Obesity Surgery?

Obesity surgery refers to surgical procedures performed on severely overweight patients to achieve weight loss. These operations help patients eat less and absorb fewer calories by reducing stomach volume or altering the digestive system. Modern obesity surgery techniques are performed minimally invasively using laparoscopic methods. This allows patients to recover faster and reduces the risk of post-operative complications.

Who is it Suitable For?

Obesity surgery is suitable for patients who meet the following criteria:

  • Patients with Body Mass Index (BMI) 40 or above
  • Patients with BMI 35-40 and comorbidities (diabetes, hypertension, sleep apnea)
  • Patients with BMI 30-35 and uncontrolled Type 2 diabetes
  • Patients who cannot lose weight with traditional methods like diet and exercise
  • Age 18-65 (age limits may be flexible)
  • No serious heart or lung disease that increases surgical risk

Surgical Methods

Most commonly used obesity surgery methods:

Sleeve Gastrectomy (Gastric Sleeve)

A large portion of the stomach is removed to create a tube-shaped stomach. Stomach volume is reduced by 80% and ghrelin hormone secretion that increases hunger decreases.

  • ✓Most commonly performed method
  • ✓Provides permanent weight loss (60-70% of excess weight)
  • ✓Improvement in diabetes and metabolic diseases
  • ✓Short recovery time (2-3 days in hospital)
  • ✓Vitamin absorption minimally affected

Gastric Bypass

The stomach is reduced and the small intestine is reshaped. It is both a restrictive and malabsorptive method.

  • ✓Very powerful weight loss (70-80%)
  • ✓Very effective in diabetes treatment
  • ✓Improves reflux disease
  • ✓Long-term results are maintained with regular follow-up and lifestyle change

Benefits and Expectations

Data from the medical literature on bariatric surgery. Outcomes depend on the starting point and on post-operative nutrition and activity:

  • Loss of 50-70% of excess weight in first 6-12 months
  • Improvement or remission of Type 2 diabetes is reported at 80-90% in the literature
  • Control of hypertension
  • Significant improvement in sleep apnea
  • Reduction in joint pain
  • Increase in quality of life
  • Social and psychological improvement

⚠️ Results may vary from patient to patient. Compliance with lifestyle changes after surgery is very important for success.

Recovery Process

Hospital Stay

Usually 2-3 days hospital stay is required after surgery. Pain control is provided and mobilization is started during this period.

Nutrition Program

  • • Week 1: Clear liquid diet
  • • Weeks 2-4: Full liquid diet
  • • Weeks 5-8: Pureed foods
  • • Month 3 onwards: Transition to normal consistency

Follow-up Program

  • • Week 1 check-up
  • • Months 1, 3, 6, 12 check-ups
  • • Regular blood tests
  • • Vitamin and mineral supplements
  • • Dietitian consultations

Frequently Asked Questions

How long does the surgery take?

Sleeve gastrectomy surgery takes approximately 1-2 hours, gastric bypass 2-3 hours. All procedures are performed laparoscopically.

How much weight will I lose?

On average, you can lose 60-80% of your excess weight within the first year. However, this rate depends on your compliance with lifestyle changes after surgery.

Will there be pain after surgery?

Thanks to the laparoscopic method, pain is minimal. Necessary medications are given for pain control after surgery. Most patients can return to normal activities within 2-3 days.

Will I regain weight?

If lifestyle changes are maintained after surgery, permanent weight loss is possible. However, if old habits return, partial weight regain may occur. Regular follow-up is very important.

Can pregnancy be planned?

It is recommended to wait at least 12-18 months after surgery. After this period, when your weight is stable, pregnancy can be safely planned.

Book an Appointment for More Information

Book a detailed evaluation appointment to determine the most suitable treatment method for you. Our practice is in Darıca, Kocaeli — 20 minutes from Istanbul's Asian side.

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