Everything You Need To Know About Bariatric Surgery

Obesity, one of the most important diseases of the era, will lead to both chronic diseases and losses of life comfort. For ensuring loss of weight of the obese patients and for the treatment of obesity-related comorbidities, one of the most effective methods of treatment is the bariatric surgery today. Assoc. Prof. Dr. Hasan Altun, Liv Hospital’s Obesity Surgery Specialist, tells that the bariatric surgery is an import option for those who try every way to lose weight but cannot achieve it, told about the topics of bariatric surgery that are wondering by people.

Comorbidities are improving too

In obesity disease, our country holds the upper rank among the European countries. Obesity is observed 40% in females and 20% in males in Turkey. Bariatric and metabolism surgeries have gained importance with high success rate in treatment of obesity and they treat also the comorbidities of obesity (diabetes, hypertension, high cholesterol level, sleep apnea, polycystic ovary, etc.), and they started to be used at increased level in recent years. After bariatric surgery, getting rid of many of these diseases is realized while discharged from hospital or in a short while after discharge. The surgical methods are now accepted as alternative to the medical treatment and as a very effective method, not as the ultimate remedy especially in diabetes.

Assoc. Prof. Dr. Hasan Altun points out the methods used frequently in bariatric surgery.

Sleeve gastrectomy

In this method, 75% of the stomach is removed and part of the stomach is left behind in the form of tube. Weight loss is ensuring better compared to vertical banded gastroplasty surgery. Lack of mineral and vitamin emerges rare because anatomy does not distort, and a lifelong vitamin-mineral supplement does not require. The operation lasts very short (45 mins) and patients are discharged after 2-3 days from hospital.

Gastric bypass

It is an operation that limits eating and prevents absorption at the same time. Effect of weight loss and of getting rid of the comorbidities is better than other methods. The Type-II diabetic patients may get rid of diabetes in the ratio of 85-90%. Its side effect rate is more than other methods. A lifelong mineral supplementation may be required.

Robotic surgery is advantageous both the patient and the physician

All of the bariatric surgeries are carried out by the laparoscopic method, i.e. by means of the instruments inserted through the small-sized holes opened in the abdomen without opening the abdomen. In addition, it can be performed also using the robotic method which is a more advanced method. In robotic surgery, the robotic arms with very high movement capability that is controlled by the physician remotely is used rather than the hand instruments controlled by the physician. Thanks to these arms, the robot imitates all motions of a human wrist and allows movement capability more than the human wrist. Clearer images can be obtained by the robotic surgery systems. Operations are performed by very small-sized incisions and better esthetic results are obtained. Side effects such as bleeding and leakage that might be occurred in post-operative period and extend the hospital stay can be reduced.