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Gastric Sleeve

by General

Sleeve gastrectomy, also known as gastric sleeve surgery in medical literature and stomach reduction surgery in common parlance, is the most frequently performed obesity surgery in Turkey and worldwide. In sleeve gastrectomy, 80% of the stomach is removed through approximately 0.5 cm incisions in the anterior abdominal wall, without making a large incision. The remaining 20% ​​resembles a tube, hence the name sleeve gastrectomy. This minimally invasive procedure is called laparoscopic surgery.

The 80% removed portion includes the fundus, the area where the hunger hormone is secreted. Therefore, sleeve gastrectomy reduces stomach volume and decreases the feeling of hunger. It also has an absorption-reducing effect, though not as significant as gastric bypass surgery.

Before any obesity surgery, certain procedures must be performed to assess suitability. For example, a person undergoing obesity surgery must meet the Body Mass Index (BMI) criteria set by the World Health Organization. BMI is calculated by dividing a person’s weight by the square of their height. Each result has categories such as underweight, normal weight, obese, and morbidly obese. To be eligible for bariatric surgery, a result of 40 or higher is required. If additional health conditions are present besides obesity, a result of 35 or higher is sufficient. You can easily calculate your Body Mass Index (BMI) by visiting our BMI calculator page.

In addition to meeting BMI requirements, eligibility for bariatric surgery requires being over 11 years old, having no alcohol problems, and possessing sound mental faculties. Surgery is absolutely not performed on children under 11, and we do not recommend it for children under 16.

How is Sleeve Gastrectomy Performed?

Sleeve gastrectomy is performed laparoscopically. Laparoscopic surgery is a minimally invasive surgical technique. Unlike open surgeries, 10-15 cm incisions are not made. Instead, a few small holes of approximately 0.5 cm are made, and a camera and surgical instruments are inserted into the abdominal area through these holes. The surgeon monitors the surgical area on a high-resolution monitor while simultaneously performing the treatment. Thanks to this technique, the surgery is more comfortable and safer, and the post-operative process is less painful and faster. In the operation, which is performed under general anesthesia, 80% of the stomach is removed with the help of a stapler and the light from the inserted tube. The most important point of the surgery is to control bleeding at the suture line after the stomach is removed. To determine if there is any leakage at the suture line, the stomach is inflated with the help of special dyes. After the checks, the tube inserted at the beginning of the surgery is removed, and a drainage system is placed.

Advantages of Gastric Sleeve Surgery

  • Because the stomach volume is reduced, satiety is achieved with less food. The belief that the variety of foods is restricted for life after the surgery is not true; everything can be eaten.
  • The removal of the ghrelin hormone, which we call the hunger hormone, reduces the desire to eat.
  • Since no procedure is performed on the intestines, risks such as bleeding, leakage, and blockage are not experienced.
  • It takes less time than most obesity surgeries. It takes an average of 1 hour.
  • It requires less hospital stay.
  • There is no foreign body placed in the body.
  • Absorption is not interfered with. Therefore, vitamin and mineral deficiencies occur less.

Post-Sleeve Gastrectomy

The post-operative process is more comfortable thanks to laparoscopic surgery. Less pain is experienced due to small incisions, and faster recovery is achieved. It is necessary to stay in the hospital for 3 days after the surgery. After the check-ups and tests performed during this time, the patient is sent home. They can do simple daily tasks after about 1 week. The ideal time to fully return to normal life is 1 month. Check-ups are done at 1, 3, 6, and 12 months. An average weight loss of 20 kilos is expected in the first month. By the end of 1 year, 70-80% of the excess weight can be lost.

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Health Problems Caused by Obesity

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Diseases and Health Problems Caused by Obesity

The negative effects of obesity can be more serious than you think. Obesity, which is a disease in itself, differs from other diseases in that it is the primary cause of many other diseases. In addition to its harmful effects on the body’s systems, obesity is also the cause of many mental health problems. We can list “some” of the health problems caused by obesity as follows:

  • Insulin resistance
  • Type 2 diabetes
  • Hypertension
  • Cardiovascular occlusion
  • Hyperlipidemia – Hypertriglyceridemia
  • Metabolic syndrome
  • Gallbladder diseases
  • Cancers such as gallbladder, endometrium, ovary, breast, colon and prostate
  • Osteoarthritis
  • Stroke
  • Sleep apnea
  • Fatty liver
  • Asthma
  • Respiratory diseases
  • Pregnancy complications, anomalies
  • Menstrual irregularities
  • Excessive hair growth
  • High risk of surgical complications
  • Social maladjustments
  • Skin infections, fungal infections in the groin and feet (May occur as a result of constant weight gain and loss.)
  • Musculoskeletal problems

Obesity Can Lead to Neurological and Psychological Problems Beyond Body Systems:

  • Low self-esteem
  • Depression
  • Psychosocial inadequacy
  • Anxiety disorders
  • Personality disorders
  • Sleep disorders
  • Eating disorders

Some Eating Disorders Include:

  • Anorexia nervosa (not eating)
  • Bulimia nervosa (not benefiting from food consumed by vomiting)
  • Binge eating
  • Night eating syndrome
  • Trying to achieve psychological satisfaction by eating more of something
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Sagging Skin After Obesity Surgery and Cosmetic Surgery

by General

Obesity surgery is performed on individuals with a body mass index (BMI) above 40 or above 35 with additional health conditions. In other words, a person undergoing obesity surgery is extremely overweight. Losing this weight can lead to changes such as sagging or volume loss in the body. Of course, this can vary depending on the patient’s weight, age, and physiological condition. Especially during periods of rapid weight loss, while the patient experiences happiness from losing weight, the sagging that may occur can also demoralize them. I always tell my patients that “the important thing is to treat the obesity that is harming your health, and that other problems like sagging are very minor issues compared to obesity.”

How to Prevent Sagging?

First of all, we should state that sagging may not be severe when weight is lost in a balanced way. The primary thing to do to prevent sagging is to lose weight healthily, as we mentioned in the article “How Much Weight Will I Lose After Obesity Surgery?”. We can achieve this by eating healthily, exercising regularly, and strictly following the doctor’s recommendations. In addition, sagging and volume loss can be prevented with tightening exercises. Getting professional support here will be extremely beneficial. If what we have said is not successful or does not provide benefit and the patient complains of sagging, body shaping operations can be resorted to.

Precautions Before Cosmetic Surgery

If you have decided to have cosmetic surgery to improve your body, you need to pay close attention to one point. It is essential to ensure that the weight loss process is complete after obesity surgery. Because if the weight loss process continues after cosmetic surgery, sagging may occur again.

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Stomach Botox

by General

Obesity, one of the most important health problems in our country and the world in recent years, is defined by the World Health Organization as the accumulation of fat in the body to a level that negatively affects health. If the energy taken in is greater than the energy expended, the body’s energy balance is disrupted, and body weight increases to a level that harms the person’s health, leading to obesity. An adult is considered obese if their body fat percentage is above 25-30% (30% for women, 25% for men). Besides being a disease in itself, obesity is a contributing factor to the development of many other diseases. Obesity is among the leading causes of many serious diseases such as heart disease, hypertension, sleep apnea, and diabetes.

Obesity Treatment

The treatment process for obesity should be examined with some specialization. This is because it requires a structured and disciplined process due to the treatment procedure, the variety of treatments, and the involvement of multiple branches. Treatment options include behavioral changes, diet, exercise, medication, non-surgical procedures, and surgical methods. Non-surgical methods should always be the first choice. In fact, for a patient to undergo surgery, they must first meet the World Health Organization’s body mass index (BMI) requirements, followed by psychological and physiological suitability. According to the World Health Organization, individuals with a BMI above 40 or above 35 with additional diseases can undergo obesity surgery. Click here to easily calculate your BMI: BMI

Stomach Botox

Stomach Botox is one of the non-surgical methods used in the treatment of obesity and gives very pleasing results. Botox, which has been used for years in many areas such as skin wrinkles, eye diseases, neurological diseases, sweating, and urinary incontinence, has also been applied to the stomach for 10-15 years. Based on the principle of stopping the electrical current in the area where it is applied via injection, when applied to the stomach, Botox temporarily disables the nerves and muscles of the stomach that affect appetite and hunger. By prolonging the fasting period, it enables the person to lose weight.

Stomach Botox, a non-surgical weight loss method, takes an average of 15-20 minutes. Its effect lasts 4-6 months. Thanks to the deactivation of nerves and muscles, appetite decreases, and since the ability of the stomach muscles to contract is lost, the emptying of the stomach is delayed. In this way, food stays in the stomach longer and the feeling of fullness is extended. You feel full with less food, resulting in weight loss. Under normal circumstances, carbohydrate-rich foods take 2-4 hours to leave the stomach. After gastric Botox treatment, this time can be extended to 12 hours.

How Much Weight Can Be Lost with Stomach Botox?

The effect of stomach Botox lasts for 4-6 months. Accordingly, the goal is to lose 40% of excess weight within 6-8 months.

Who is a candidate for Stomach Botox?

Stomach Botox is among the non-surgical weight loss methods. The stomach Botox procedure, which has become widespread in our country and around the world in recent years, is ideal for people who cannot stick to a diet, have difficulty exercising regularly, have failed in weight loss attempts, and have additional health problems due to obesity. In cases where diseases such as stomach ulcers, gastritis, and duodenal ulcers are present, it is recommended that these diseases be treated first, and then the stomach Botox procedure be applied.

Question and Answer

Is there an age limit?

It can be done on people aged 18-65.

Are there any side effects or harms?

Gastric Botox is not a harmful procedure. Rarely, complaints such as nausea, indigestion, and bloating may occur after the procedure; these are temporary.

How long do I stay in the hospital after the procedure?

You can leave the hospital walking 1-2 hours after the procedure.

When are the effects of gastric Botox seen?

When will I lose weight?

You will notice a decrease in your hunger and appetite 3 days after the procedure. This feeling will reach its maximum level after 1 week.

Can it be repeated after the effect wears off?

Yes, it can be repeated.

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Ways to Protect Your Liver

by General

When liver failure occurs, we can encounter conditions ranging from a deterioration in quality of life to the risk of death. Organ transplantation is necessary to avoid life-threatening situations. Therefore, it is necessary to pay attention to certain points to protect liver health. The liver is an organ that can protect and heal itself. We can protect ourselves from liver diseases by avoiding actions that will harm it.

How Can We Protect Ourselves from Liver Failure?

  1. We will get the hepatitis vaccine.
  2. We will not consume excessive alcohol.
  3. We will not gain weight.
  4. We will not neglect congenital diseases.

One of the most important causes of liver failure is the hepatitis virus. We can prevent this risk with the hepatitis vaccine, but a person who protects themselves by getting vaccinated against hepatitis viruses may unknowingly contract Hepatitis B and C viruses. People can contract these viruses from complete strangers in places like hair salons, dentists’ offices, and shared spaces.

In recent years, a parallel increase in liver diseases has been observed alongside the increase in alcohol consumption. Excessive alcohol consumption can, over time, impair a person’s quality of life and lead to cirrhosis and liver failure. The only treatment for liver failure caused by cirrhosis is organ transplantation.

It’s best to protect your liver while it’s still healthy. However, methods are only sought after when a liver problem is discovered. Yet, by eating healthily and exercising regularly, you can protect not only your liver but your entire body health. Irregular eating, a sedentary lifestyle, and consequent excessive weight gain lead to fatty liver disease. This can later lead to liver failure.

Congenital iron and copper deficiencies and metabolic disorders can lead to liver failure. Early diagnosis of genetic disorders is crucial for preventing liver diseases.

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Indigestion May Be Caused by Your Gallbladder

by General

Gallstones are one of the most common diseases in our society. Besides genetic factors, gallstones are directly related to dietary habits. If small, they can cause more serious problems by blocking the bile duct. So, contrary to popular belief, small gallstones are not necessarily a good thing.

Gallstones can manifest with symptoms such as abdominal pain (in the stomach area), indigestion, gas pain, and bloating. More common in women, this disease has risk factors such as obesity, high cholesterol, and fair skin. Some patients with gallstones may experience weight loss.

A significant number of people in society suffer from indigestion and bloating. Many of these individuals are unaware of the cause of their symptoms and do not even seek investigation. Of those who do seek medical attention, a significant portion are found to have gallbladder diseases as the underlying cause of their indigestion and bloating. On the other hand, some diseases can also cause symptoms similar to those caused by gallstones.

It is necessary to differentiate between intestinal diseases such as reflux, gastritis, hiatal hernia, and heart attack, and gallbladder diseases.

How Can We Prevent Gallstone Formation?

Dietary habits play a significant role in gallstone formation. Excessively fatty foods, in particular, can cause stone formation. It is necessary to avoid fried foods and pastries. High cholesterol also creates a زمینه for stone formation. Disruptions in the cholesterol and water balance in bile can lead to stone formation. If cholesterol is high and the patient does not drink enough water, the risk increases.

Small Stones Are More Dangerous

Small gallstones should be taken seriously. If ignored, they can cause inflammation of the gallbladder, blockage of the bile duct leading to jaundice and cholangitis, and blockage of the pancreatic duct causing pancreatitis. Long-term inflammation in the gallbladder duct can even lead to gallbladder cancer. Therefore, small gallstones should be taken more seriously than larger ones as they can cause more serious problems.

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Childhood Obesity

by General

Obesity has become a problem for people of all ages today. In fact, according to research, 20% of children aged 6-11 are obese… It is said that the number of obese children in the world has reached 1 billion. Obesity, especially in childhood, leads not only to physical problems but also to psychological problems.

So Why Has Obesity Spread to Children?

One of the most important reasons is the fast food habit, and the other is the sedentary lifestyle. The increase in technology and video games is keeping children away from exercise and making them dependent on home. While the risk of obesity decreases in children who eat frequent and regular meals, this risk increases considerably in children who eat fewer meals and unhealthy diets. A child who eats at home consumes an average of 420 calories a day, but this number increases to 720 if they eat out. The 300-calorie difference is a major cause of obesity, especially for children who are inactive. Controlled meal consumption, supported by snacks, is a fundamental principle in preventing childhood obesity. Children who spend too much time in front of the TV or computer have a higher risk of developing obesity. In fact, studies indicate that the risk rate is 45 percent. Families should play a role in encouraging healthy eating and exercise.

The responsibilities of families are as follows:

  • Prepare healthy snacks and main meals.
  • Do not force them to finish the whole plate in one sitting.
  • Limit high-calorie snacks.
  • Do not reward or punish with food.
  • Limit computer games and TV.

Ways to Reduce Childhood Obesity

  • Do not put your children on diets.
  • Guide them towards healthy eating.
  • Keep them away from processed foods, fast food, and unhealthy foods.
  • Keep them away from sugary drinks and ready-made fruit juices; prepare freshly squeezed fruit juices.
  • Have fun time in the kitchen.
    • Cook meals with them.
  • Encourage vegetables, yogurt, and legumes.
  • Restrict fat, flour, and sugar.
  • Don’t force them to finish the whole plate.
  • Prevent snacking on the go. Have them eat at the table with you. Don’t allow them to eat alone in their rooms.
  • Don’t use food as punishment or reward.
  • Monitor what they consume at school.
  • If they insist on snacking, give them fruits, almonds, walnuts, or cucumbers instead of biscuits or cookies.
  • Encourage them to exercise, but only allow them to do a sport they enjoy.
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Fatty Liver Disease

by General

The liver is an organ in the body that processes proteins, vitamins, fats, and medications. Therefore, it is extremely important for overall health.

Fatty liver disease is closely related to obesity, diabetes, and cardiovascular diseases. Excess fat accumulated in the liver prevents the production and proper distribution of certain enzymes vital to the body, thus paving the way for disease.

Excessive consumption of processed carbohydrates (pasta, bread, cookies, cakes, etc.) leads to further fat accumulation in the liver.

Causes of Fatty Liver Disease

  • Poor eating habits
  • Excessive consumption of unnatural foods
  • Sedentary lifestyle
  • Obesity
  • Alcohol consumption
  • Rapid weight gain and loss
  • Diabetes
  • High blood pressure

Fatty liver disease can be diagnosed through physical examination, blood tests, ultrasound, and biopsy.

Symptoms of Fatty Liver Disease

  • Bloating and indigestion
  • Nausea
  • Weakness, exhaustion, and feeling tired
  • Certain skin problems
  • Redness and yellowing of the eyes
  • Headache
  • Memory loss, forgetfulness

The liver is an organ that has the ability to regenerate itself rapidly. It plays a role in providing immunity against infections, stores excess sugar as starch, and is extremely important for the body in terms of regulating blood clotting. Therefore, care must be taken to maintain its health so that bodily functions do not lose their function.

Ways to Prevent Fatty Liver Disease

  • Walk regularly for at least 45 minutes every day
  • Follow a diet rich in vegetables and fruits, grains, and dairy products
  • Avoid packaged and processed foods with additives
  • Maintain weight control
  • Prefer whole wheat grains and legumes.
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Liver Cyst

by General

Hydatid cysts of the liver, commonly known as “dog cysts,” are transmitted from animals to humans and are a serious disease. They are a type of parasitic disease. Parasites live in the intestines of animals such as wolves, jackals, and dogs. Parasite eggs, excreted in feces, can enter the intestines of livestock through water and grass. Humans can also ingest these eggs orally. The eggs hatch in the intestines and usually (in 80% of cases) settle in the liver, forming cysts.

Liver cysts are not contagious from person to person and are not found in human feces. They are only transmitted to humans through the oral ingestion of contaminated food containing parasite eggs. The disease does not cause direct liver damage, but bacterial growth can lead to jaundice, perforation, rupture triggering allergic reactions, and the spread of cyst contents throughout the abdominal cavity. These factors complicate the fight against the disease.

Symptoms of Liver Cysts

Liver cysts usually do not cause symptoms, and many are benign. Cysts that do not show symptoms are mostly small. However, as the cyst grows, a number of complaints may occur in the abdominal area:

  • Abdominal pain (Especially felt in the upper right part of the abdomen)
  • Feeling of fullness, bloating (Again in the upper right part)
  • Nausea
  • Diarrhea
  • Digestive problems
  • Blockage of bile fluid and infection

Treatment of Liver Cysts

There is no medication or other non-surgical treatment method for liver cysts. The only treatment is surgery. The cysts in the liver must be removed surgically. The surgical method may vary depending on the size, location, and number of cysts. Laparoscopic surgery is performed in suitable patients.

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Liver Cancer

by General

The liver is the largest organ in the body. It plays a role in digesting food, storing energy, and eliminating harmful substances from the body. Therefore, it is of great importance.

Liver cancer is one of the most common types of cancer in the world. More common in men, this disease arises in liver cells.

What Causes Liver Cancer? (Risk Factors)

  • Chronic infection with Hepatitis B and Hepatitis C viruses increases the risk of liver cancer.
  • Certain hereditary liver diseases
  • Cirrhosis
  • Fatty liver
  • Excessive alcohol and tobacco consumption

Symptoms of Liver Cancer

  • Abdominal discomfort, pain, and tenderness
  • Weakness and unexplained weight loss
  • Constant fatigue and weakness
  • Nausea
  • Vomiting
  • Jaundice

To diagnose liver cancer, the doctor first listens to the symptoms and complaints. During a physical examination, you must inform your doctor if you have a history of hepatitis.

Liver function tests are performed to determine your health status.

Abdominal CT or MRI scans are conducted to obtain detailed images of the liver and other organs.

Liver Cancer Treatment

Removing cancerous cells through surgery is the primary treatment for liver tumors. It is preferred in patients with adequate liver function and where the mass can be removed. However, liver transplantation is necessary when the tumor is confined within the liver.

*Ablation

*Chemotherapy

*Radiation therapy

*Targeted therapy are other treatment methods.

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