WHAT IS OBESITY?

Obesity is one of the most important health problems of developed and developing countries. Obesity generally increases the body’s fat mass to fat-free mass, resulting in an increase in body weight over the desired height. The body weight is 15-18% in males and 20-25% in females. This rate is 25% in males and 30% in females. In the event that the daily energy consumption is higher than the energy consumed, the energy that cannot be spent is stored as fat in the body and causes the formation of obesity. . Obesity; It is considered as a disease which affects the life quality and duration negatively by the energy consumed by the nutrients (calories) more than the energy consumed and storage of excess energy in the body (20% or more). The World Health Organization (WHO) has also described obesity as excessive fat accumulation in the body to disrupt health. (Turkish public health institution)

OBESITY IS RISKY FOR

EYE HEALTH

PREGNANCY

DIABETES

ASTHMA

METABOLIC SYNDROME

EXTREME HAIRING

MORE

HOW TO MEASURE AND CLASSIFY OBESITY

Obesity can be measured by BMI (Body Mass Index). BMI is a numerical result that is divided by the square of length and obesity is classified into this result.

According to the classification of the World Health Organization;

CLASS I

In short a classification

CLASS II

Underweight at 18 BMI

CLASS III

5 – 24.9 Normal Weight

CLASS IV

25.0 – 29.9 Overweight

Obese

0 – 39.9 Obese

Morbid obese

More than 40.5 Morbid (serious) obese





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The BMI of a person with a height of 170 cm weight is 1.7 * 1,7 = 2,89 120 / 2,89 = 41,5 and has morbid obesity and requires absolute treatment. World health braid accepted all people with BMI values 30 and above obese.

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WHY BE OBESE?

Obesity is often seen in people with a high rate of calorie diet, with little or no physical activity. In addition, genetically predisposing, hormonal disorders, psychological problems, and then used antipsychotic drugs are among the reasons that trigger obesity. Although there is some evidence that the population is associated with a lower rate of metabolism, obesity is a rare cause. Studies have shown that 25-40% of the heredity or genetic factors play a role in the formation of obesity. It is 2-3 times higher in obese children than obese children. If both of the parents are obese, 80% of children develop obesity in adulthood.

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OBESITY CAUSES SOME PROBLEMS

  • Insulin resistance
  • Coronary artery disease
  • Hyperlipidemia
  • Metabolic syndrome
  • Safra sac diseases
  • Osteoartrit
  • Some types of cancer
  • Tip 2 Diabetes
  • Paralysis
  • Sleep Apnea
  • Faturation of Liver
  • Asthma
  • Skin Infections
  • Pregnancy Complications
  • Irregular Menstruation
  • Extreme Hairing
  • Anorexia Nervosa
  • Binge Eating
  • The Social Incompatibilities
  • Musculoskeletal System Problems

IS OBESITY DISEASE TREATABLE?

The treatment of obesity that requires the determination and effective participation of the individual, is a long and continuous process.  Many factors are effective in the etiology of obesity makes the prevention and treatment of this disease extremely difficult and complicated. For this reason, a team consisting of physicians, dietitians, psychologists, physiotherapists and a multidisciplinary approach are needed to treat obesity. Successful results are obtained when a combination of treatment options for obesity is used.

The aim of obesity treatment is to decrease the risk of morbidity and mortality related to obesity by aiming for a realistic body weight loss, to gain an adequate and balanced diet habit and to improve the quality of life. The decrease in body weight in 6 months provides important benefits in preventing the health problems caused by obesity. The methods used in the treatment of obesity are grouped under 5 groups. These methods;

THE BASIC PRINCIPLES OF EXERCISE THERAPY FOR OBESITY TREATMENT

DAILY EXERCISE THERAPHY

  • Type of Exercise; Walking, Resistance Exercises in Daily Living Activities
  • Frequency of Exercise; Every day or at least 5 days / week
  • Duration of Exercise; 40-60 min / 1 time per day, 20-30 min / 2 times a day
  • Severity of exercise; 50-70% of Maximal Oxygen Consumption

Exercise Theraphy is called Behavior Change Treatment and it is also under the control of body weight is a form of treatment which aims to increase or decrease the negative behaviors related to eating and physical activity which cause excess weight, and to improve the positive behaviors by becoming a life style.

Steps of behavior change therapy;

Self-observation

Stimulus control

Alternative behavior development

Consolidation, self-awarding

Cognitive restructuring

Social support

The surgical approach in obesity is basically two-stage. The aim of the bariatric surgery is to reduce the energy taken in the body. For this purpose, gastric bypass operations (both decomposition and gastric volume reduction), gastric volume debilitating surgeries are performed after the excess weight given to the body is located in various parts of the body to remove existing fat tissue. This treatment is predominantly aesthetic.

In obese individuals, the most important issues to be considered in the implementation of the exercise program are to increase the energy expenditure while minimizing the risk of injury. The proposed exercise program should be individual, fun, applicable and compatible with the individual’s daily life habits.

The drugs to be used in obesity treatment are not suitable for individuals with mild to moderate weight. It is of great importance that the drugs used should have a health-related safety, have an appropriate effect on the etiology of obesity, have no significant side effects in the short and long term, and do not depend on them, and that such drugs should be used in the advice and control of physicians.

In order for the obesity treatment to be successful, the patient should accept to continue medical treatment and exercise therapy as well as medication treatment, and regularly check-up.

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OBESITY SURGERY

WHAT IS OBESITY SURGERY?

Obesity surgery is the most effective and fastest way to lose weight. It should be kept in mind that obesity is a disease that requires a multi-disciplinary approach. The most important factor in this treatment is patient compliance.

WHICH PATIENTS NEED OBESITY SURGERY ?

The BMI index is recommended for patients who have not been successful with other treatment methods of 40 or more. However, the BMI index is 35 and is recommended for people with additional disease. It is not recommended for patients planning pregnancy in the short term because it is not recommended to be pregnant for the first 24 months after the operation.

WHAT ARE THE OBESITY SURGERY TECHNIQUES?

First of all, obesity surgery techniques are performed by laparoscopic (closed) method. In some cases, open surgery is underway. Obesity surgery can be divided into 2 parts;

1- Volume reduction operations

2- Absorbing operations

WHY SURGICAL TREATMENT ?

Surgical treatment is the most effective and safe method to treat obesity.

  • Gives motivation to patients
  • Diabetes, hypertension, high cholesterol, joint problems, respiratory problems, such as short-term after the recovery or use of drugs helps to reduce
  • Fast and effective weight loss in the early period
  • This fast and effective weight loss also increases self-confidence and faith, which helps to keep weight loss going
  • Above all, obesity is a treatable disease
  • 30% of diabetic patients, especially those who use insulin, are relieved of the use of insulin the day after gastric bypass surgery, and 70% of these patients are completely free of their insulin need within 6 months.

As a result, surgical treatment in morbid obesity is progressing towards becoming the gold standard.

SURGICAL TREATMENT TYPES

LAPAROSCOPIC ADJUSTABLE STOMACH BAND

In the operation, the band that is inserted into the abdomen in a straight line is connected in the belt style by twisting the stomach tissue in a few centimeters below the esophagus-stomach joint.

A knuckle is formed in the stomach to form the upper stomach chamber as walnut. Foods fills the upper stomach chamber until it comes to the stomach. Foods can only pass slowly, as the ring-shaped band is partially choking. This results in a slowing of the eating speed, allowing you to feel a saturation quickly.

TUBE GASTRIC SURGERY (SLEEVE GASTRECTOMY)

Since 2011, modern sleeve gastrectomy surgery; According to the old technique, a thinner and longer stomach tube is formed and the remaining stomach volume is reduced more. Thus, it is hoped that patients will be able to lose weight more and more permanently.

GASTRIC BYPASS, MINI GASTRIC BYPASS

Gastric bypass: It is both restrictive and absorption (calorie) reduction. Obesity surgery is the most commonly used method in the USA and many European countries. Gastric Bypass operation with the stomach is reduced to the patient, although smaller portions of this hunger with a small portion can be saturated without feeling. Gastric Bypass operation also reduces the absorption rate of foods consumed. After the operation, the ghrelin hormone called appetite hormone decreases and the patient’s appetite decreases sharply. Mini gastric bypass: It is both restrictive and absorption (calorie) reduction. It forms a single gastrointestinal connection. The effect of absorption reduction (especially for fat) is more pronounced.

DUODENAL SWITCH, SADI-S

Duodenal switch operation is also known as duodenal switch with biliopancreatic diversion. SADI-S is a more recent and safer modification of this high-impact surgery. As with gastric bypass, SADI-S is one of the operations that have both restrictive and absorption-reducing effects. This method, also known as Loop duodenal switch operation, is a highly effective operation in the solution of metabolic problems, especially in weight loss and diabetes, with both restrictive and severe absorption reducing effects. The first stage of the operation is the removal of 85% of the stomach as a sleeve gastrectomy, that is, tube gastric surgery, and the transformation of the stomach into a thin tube.

How much do weight-loss procedures cost?

Most insurance carriers cover the laparoscopic gastric bypass procedure and gastric banding if you are eligible. Coverage for laparoscopic sleeve gastrectomy varies depending on your health insurance carrier. If your insurance does not cover these procedures, you may discuss other options with us

What is severe obesity?

Severe obesity, sometimes known as “morbid obesity,” is defined as being more than 100 pounds overweight or twice your ideal body weight, according to the Metropolitan Life Insurance Company height and weight table.

More than 35 percent of U.S. adults are obese. Of these, 6.3 percent — or about 15 million adults — are severely obese, according to the National Institutes of Health. Severe obesity is a well-established risk factor for development of coronary artery disease, type 2 diabetes, dyslipidemia, gallbladder disease, hypertension and certain cancers.

The risk of developing these additional medical problems is proportional to the degree of obesity.

Numerous medical approaches to this problem have been advocated, including low-calorie diets, drugs, behavioral modification and exercise therapy. Unfortunately, many patients are unable to maintain reduced body weight. Surgical intervention is a treatment proven to be effective in the long-term management of morbid obesity.

Why should people consider bariatric (weight-loss) surgery?

Obese individuals are at far greater risk of dying from obesity-related diseases, including coronary artery disease, hypertension (high blood pressure), type 2 diabetes and certain cancers. According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), individuals who are obese have a 10 percent to 50 percent increased risk of death from all causes. A healthy weight for most people is defined as a body mass index (BMI) between 18.5 and 24.9.

How experienced are Luna Health Turkey bariatric surgeons?

Our weight-loss surgeons have performed more than 2,000 laparoscopic bariatric operations and managed complex complications associated with weight-loss surgery.

Board-certified gastrointestinal surgeons Dr. xxx and Dr. xxx also are specialists in minimally invasive laparoscopic techniques for these procedures.

Who is eligible for laparoscopic bariatric surgery?

Eligibility for a laparoscopic procedure is based on the patient’s BMI at the initial consultation, his or her body build (pear versus apple body type), prior surgical history and whether the patient can tolerate inflation of the abdomen. The following guidelines for selecting patients for obesity surgery were established in 1991 by the National Institutes of Health Consensus Development Panel. Ideal candidates are individuals who:

 

  • Have suffered from obesity for at least five years
  • Have tried losing weight with conservative, nonsurgical methods without success. Documentation of such efforts must be provided at the time of consultation. If unavailable, a medically supervised weight-reduction program may be recommended before bariatric surgery is considered
  • Have a BMI of 35 or higher along with an obesity-related medical problem, or 40 or higher without an obesity-related medical problem. Recent FDA approval of gastric banding for patients with BMI greater than 30 with an obesity-related medical comorbidity allows for adjustable band placement in these patients
  • Fully understand the importance of the proposed surgical procedure, including all known and unknown risks
  • Are prepared to make the necessary lifestyle changes required for long-term success
  • Are willing to be observed by a physician for a prolonged period of time.
  1. What happens if I am eligible and want to proceed with surgery?

Once you are deemed eligible for surgery and your procedure is authorized by your insurance carrier, you receive a date for a preoperative history and physical exam. Preoperative laboratory studies are ordered and a date for your surgery is set. Next you receive instructions for two weeks of a liquid diet, as well as bowel preparations for the day before surgery and instructions regarding current medications.

What is laparoscopic bariatric surgery?

Laparoscopic weight-loss surgery involves making five half- inch incisions and performing the operation by observation through a small camera. The laparoscope, which is connected to a video camera, is inserted through one of the small abdominal incisions, giving the surgeon a magnified view of the patient’s internal abdominal space on a television monitor. The entire operation is performed “inside” the abdomen after gas has been inserted to expand the abdomen and create a working space.

Advantages of the laparoscopic approach include less post-operative pain, a shorter hospital stay, faster return to work and improved appearance. Recovery time also is shorter, absent any operative complications.

Which weight-loss (bariatric) surgery is best for me?

To decide which weight-loss (bariatric) surgery is best for you, start first by considering your current health and weight, your goals, the procedures your physician performs and which are covered by your insurance provider.

There are many different procedures to choose from but they fall into two basic categories:

 

  • One restricts the size of the stomach to reduce the amount of food you can eat.
  • The second type restricts the size of the stomach and also bypasses parts of the digestive tract to limit the calories absorbed as food passes through your intestines.

Your physician can help you discuss which approach will help you achieve your individual goals in the safest manner possible.

At Luna Health Turkey, we perform gastric bypass, sleeve gastrectomy and gastric banding as surgical options. There are many factors to consider when choosing between these procedures, including the patient’s obesity-related medical problems and eating habits.

How much weight can I expect to lose?

Most gastric bypass patients experience fairly rapid weight loss for three to six months after surgery. Weight loss slows but generally continues for 12 to 18 months after surgery. Patients lose an average of 65 percent to 75 percent of their excess body weight within the first year.

After 18 months, it is critical to adhere to the low-fat, low-sugar diet and exercise recommendations to maintain your weight loss.

With gastric banding, weight loss is generally slower and more gradual, with patients losing about 40 percent to 50 percent of excess body weight. Laparoscopic sleeve gastrectomy patients lose about 60 percent to 65 percent of excess body weight within the first year. Weight loss may continue for up to two years.

 

Questions? Contact Luna Health Turkey from xxxnumberxxx.

How much time does the surgery take?

Both laparoscopic and open gastric bypass surgeries last about two hours, although it can take longer if a patient has had previous abdominal surgery or if anatomical conditions make the procedure more difficult. Laparoscopic adjustable gastric banding normally takes about 60 to 90 minutes. A laparoscopic sleeve gastrectomy takes about one hour.

If you have the laparoscopic gastric bypass procedure, you can expect to be in the hospital for two days postoperatively. You may be able to return to most of your usual activities in seven to 10 days.

With the adjustable gastric banding procedure, the hospital stay is typically one day, with most patients able to resume normal activities in seven to 10 days.

Sleeve gastrectomy patients also typically stay one day in the hospital, then are able to resume normal activities in seven to 10 days.





ft

in


lbs


cm


kg

The BMI of a person with a height of 170 cm weight is 1.7 * 1,7 = 2,89 120 / 2,89 = 41,5 and has morbid obesity and requires absolute treatment. World health braid accepted all people with BMI values 30 and above obese.

ABOUT OUR OBESITY SURGERY CENTERS

People who are not able to lose weight with treatment and diet programs, have a Body Mass Index (BMI) greater than 40 or have a BMI of more than 35 and have chronic diseases and therefore have significant health problems. also called Obesity Surgery. Obesity (bariatric) surgeries have an important role in obesity treatment and patients can return to their normal weight and the frequency of obesity related diseases decreases. Thanks to closed surgery (laparoscopic) and robotic obesity surgery, the healing process of the patients is shortened. Investigations among patients who have undergone obesity (bariatric) surgery to lose weight have shown that people who have undergone surgery have a lower rate of obesity-related cancers than those without. The reason for this is that only the diet and sports-targeted weight loss attempts result in a 7-10% weight loss in the body, but when bariatric operations are supported with the necessary lifestyle changes, the weight loss is 80% in the first year.

 

How much does Obesity Treatment cost?

Obesity treatment tends to be pretty expensive. A few states have laws that say health insurance companies must cover some or all of the costs of dental treatment if you meet certain requirements. But many insurance plans don’t offer any dental treatment coverage at all.

 

For all your questions about Obesity Treatment;

  • Fill out the form
  • Whatsapp from our contact line
  • By e-mail

You can get an appointment from Luna Health Turkey.