Obesity Surgery
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Obesity

In recent years, the increase in obesity and metabolic diseases has become an alarming situation. Obesity refers to the state of being overweight and is characterized by an abnormal increase in body fat. This condition has become common in both children and adults and can lead to serious health problems. Obesity increases the risk of metabolic diseases such as heart disease, diabetes, high blood pressure, liver disorders and some types of cancer.

Metabolic diseases are diseases that are associated with problems with the production, storage and use of energy in the body. Poor nutrition, sedentary lifestyle, stress, genetic factors and hormonal imbalances are among the factors that contribute to metabolic diseases.

In this article, the relationship between obesity and metabolic diseases will be examined and awareness will be raised on this issue. Additionally, information will be given about the causes, symptoms and treatment methods of obesity and metabolic diseases.

Understanding the Causes of Obesity

Obesity is a condition that occurs as a result of the interaction of many different factors. Eating habits, physical activity level, genetic predisposition and hormonal imbalances are among the factors that play a role in the emergence of obesity.

Eating habits are one of the most important causes of obesity. Excessive consumption of low-fiber, high-fat and sugary foods can lead to obesity. The spread of fast food and convenience foods has increased unhealthy eating habits. In addition, poor portion control, snack consumption and irregular meal times are among the factors that contribute to obesity.

Lack of physical activity is also a cause of obesity. Nowadays, with the advancement of technology, people have become less mobile. Sedentary work, long-term television watching habits and lack of exercise are among the factors that lead to obesity.

Genetic predisposition may also be effective in the emergence of obesity. Individuals with a family history of obesity have a higher risk of obesity. Additionally, conditions such as hormonal imbalances, thyroid problems, and polycystic ovary syndrome can also contribute to the emergence of obesity.

The Link Between Obesity and Metabolic Diseases

There is a strong connection between obesity and metabolic diseases. Obesity is associated with increased accumulation of fat tissue in the body, which can affect the proper functioning of the metabolism. Obesity increases the risk of developing metabolic diseases such as insulin resistance, type 2 diabetes, high blood pressure, hyperlipidemia and cardiovascular diseases.

The relationship between obesity and insulin resistance is very important. Insulin resistance is a condition in which the body cannot use the hormone insulin effectively. Obesity can increase insulin resistance, which can lead to the development of type 2 diabetes. Insulin resistance due to obesity causes blood sugar levels to rise and the pancreas to produce more insulin. Over time, this condition causes the pancreas to fatigue and decrease insulin production, contributing to the emergence of type 2 diabetes.

Obesity is also a cause of high blood pressure. As the fat tissue in the body increases, blood pressure also increases. Obesity affects the cardiovascular system, increasing the risk of heart disease. Additionally, hyperlipidemia (high cholesterol and triglyceride levels) is also frequently associated with obesity. Obesity can lead to fat accumulation in the liver and increases the risk of developing liver diseases such as fatty liver.

The Impact of Obesity on General Health

Obesity can have serious effects on overall health. Obesity increases the risk of life-threatening diseases such as heart disease, stroke, diabetes, liver diseases and some types of cancer. Additionally, obesity can lead to a variety of health problems, such as sleep apnea, joint problems, mental health issues, and skin diseases.

Heart disease is one of the most important complications of obesity. Obesity leads to high cholesterol and triglyceride levels, which can block heart arteries and increase the risk of heart attack. Additionally, obesity increases the risk of heart failure by causing the heart muscle to work harder.

Diabetes is closely related to obesity. Obesity contributes to the development of type 2 diabetes by increasing insulin resistance and causing the pancreas to produce more insulin. Diabetes can cause blood sugar levels to rise uncontrollably and damage many organs. Diabetes can lead to serious complications such as kidney failure, vision loss, nerve damage and heart disease.

The effects of obesity on general health are not only physical, but also have negative effects on mental health. Obesity can lead to mental health problems such as low self-esteem, depression, anxiety and eating disorders. Therefore, fighting obesity is important not only for physical health, but also for mental health.

Prevention and Management of Obesity and Metabolic Diseases

A number of strategies can be implemented for the prevention and management of obesity and metabolic diseases. These include healthy nutrition, regular exercise, stress management, sleep patterns and medical treatments.

Healthy nutrition is an essential step for the prevention and management of obesity. A balanced diet helps maintain a healthy body weight. Consumption of low-fat, high-fiber foods is especially important in preventing obesity. In addition, portion control, regular meal times and choosing healthy snacks also contribute to the prevention of obesity.

Regular exercise is a critical factor for the prevention and management of obesity. Exercise is important to keep body weight under control, increase muscle mass and speed up metabolism. Doing at least 150 minutes of moderate aerobic exercise a week can be effective in preventing obesity. Additionally, doing strengthening exercises also supports metabolism by increasing muscle mass.

Stress management is an important step in the management of obesity. Stress can trigger obesity by causing hormonal imbalances. Activities to reduce stress, techniques such as yoga, meditation and deep breathing can be used. Additionally, paying attention to sleep patterns also helps reduce stress.

Medical treatments are an option used in the management of obesity. Drug treatments and surgical interventions administered under the supervision of a doctor are the methods used to control obesity. However, medical treatments are effective not only for weight loss but also when applied together with lifestyle changes.

Medical Treatments of Obesity and Metabolic Diseases

Medical treatments for obesity and metabolic diseases include pharmacotherapeutic methods such as medications and hormones used to promote weight loss and help restore metabolic balance. These treatments are used to support individuals' weight loss process and reduce the effects of metabolic diseases.

In addition to pharmacotherapeutic treatments, diet and supplements can also be used in the treatment of obesity and metabolic diseases under the guidance of nutritionists and dietitians. With the support of a healthcare professional who specializes in weight management and metabolic control, it is possible for patients to develop healthy eating habits and achieve their weight loss goals.

Surgical Options in Obesity Treatment

S1. Stomach Reduction Surgeries (Restrictive Methods)
These amounts are reduced by reducing the middle volume, allowing less food to be consumed.
 
a) Sleeve Gastrectomy (Sleeve Gastrectomy)
It is the most commonly used bariatric surgery method.
Approximately 75-80% of the stomach is removed and turned into a thin tube in the form of a middle tube.
Advantages: It does not reduce absorption, the anatomy of the exits is permanent, and the risk of integrity is low.
Disadvantages: Since the stomach volume is reduced, there may be discomfort in case of fast eating.
b) Gastric Band (Gastric Band)
An adjustable silicone band is placed in the stomach and the food transfer is compressed.
Although it was used frequently in the past, it is rarely preferred today.
Advantages: It is not a permanent procedure, if it does not change.
Disadvantages: Its popularity has decreased due to its high complication rate, stomach perforation and shifting risk.
2. Malabsorptive and Combined Methods
In these cuts, both the middle volume is reduced and some of the thin outlets are disabled, reducing nutrient absorption.
 
a) Gastric Bypass (Roux-en-Y Gastric Bypass)
A new stomach pouch containing a small portion of the stomach is created and connected to the thin outlets.
Advantages: Provides rapid and permanent weight loss, helps change metabolic changes such as type 2 diabetes.
Disadvantages: Nutrient absorption is reduced, vitamin and mineral deficiencies may occur.
b) Mini Gastric Bypass (Single Anastomosis Gastric Bypass)
Similar to traditional gastric bypass, but the surgical duration is shorter.
More weight loss can be achieved due to its absorption-reducing effect.
Disadvantages: Side effects such as reflux may be observed.
c) Duodenal Switch (Biliopancreatic Diversion)
Both the stomach is reduced and a large portion of the outlets are disabled.
Advantages: It is one of the ones that provides the most weight loss.
Disadvantages: It can cause serious vitamin-mineral deficiencies due to severely reducing excessive absorption.

Benefits of Bariatric Surgery

Permanent weight loss: Bariatric surgery provides long-term results in the fight against obesity and provides permanent weight loss.

Health improvements: Bariatric surgery improves or eliminates obesity-related health problems. Conditions such as diabetes, hypertension, and sleep apnea often improve after bariatric surgery.

Better quality of life: Bariatric surgery allows people to participate more in physical activities and experience a better quality of life.

Psychological recovery: Bariatric surgery also improves psychological problems caused by obesity. Self-confidence increases and conditions such as depression decrease.

Risks of Bariatric Surgery

Surgery risks: As with every surgical operation, bariatric surgery also has risks. There may be risks such as bleeding, infection, and anesthesia complications.

Nutritional deficiencies: After bariatric surgery, nutritional deficiencies may occur because the absorption of food decreases. Therefore, careful dietary monitoring is important after bariatric surgery.

Weight regain: Although bariatric surgery is an effective method for losing weight, some people may regain weight over time. Therefore, regular follow-up and lifestyle changes are important after surgery.

Psychological effects: After bariatric surgery, psychological effects may occur regarding a person's body image and self-esteem. Joining support groups or working with a therapist can help.

Eligibility for Bariatric Surgery

Bariatric surgery may not be suitable for everyone. Meeting a number of criteria is important to determine a person's suitability for bariatric surgery. Here's a look at the eligibility criteria for bariatric surgery:

Body Mass Index (BMI): Suitable candidates for bariatric surgery are generally those with a body mass index (BMI) over 35 or a BMI between 30-35 and a comorbid health problem . BMI is an index that measures the ratio of weight to height.

Health problems: Suitable candidates for bariatric surgery are people who have health problems caused by obesity. Conditions such as diabetes, hypertension, hyperlipidemia, and sleep apnea may affect eligibility criteria for bariatric surgery.

Failure of other weight loss methods: Bariatric surgery may be considered when other weight loss methods have failed.
Op. Dr. Cihan Gökler | Gastroenterology Surgery Specialist
Op. Dr. Cihan Gökler | Gastroenterology Surgery Specialist
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