Bariatric surgery is one of the methods that is becoming increasingly common today, and in the long term, the results of bariatric surgery are generally significantly better than those taken by conventional methods.
In addition, the most important benefits of bariatric surgery include a decrease in obesity-related diseases and a perceptible increase in quality of life. Obesity is one of the biggest health problems worldwide, especially in Western societies.
In many scientific studies, obesity has been shown to be the most important cause of many diseases that increase mortality and morbidity. The value obtained by dividing the weight by the square of the height measure.
You need to be fully prepared for surgery and have high motivation. When considering surgery, you must have fully understood all the details, including the risks and benefits.
After surgery, you should be aware that you need to make long-term changes to your lifestyle and eating habits. Bariatric surgery is any type of surgery done specifically to help you lose weight. All operations performed for bariatric surgery are called bariatric surgery.
Put simply, gaining weight depends on how many calories you take in and how much energy your body uses. If the amount of calories you take is equal to the amount of energy your body uses, your weight remains constant.
Eating too much can reduce the size of your stomach by reducing it, so that you get more saturated with less food and start losing weight. Bariatric surgery changes the way your body uses the food you eat, bypassing part of your intestine.
To find out if you are eligible for any of the bariatric surgery methods, your body mass index (BMI) must first be above 40. People with a BMI above 40 are at risk for obesity.
At the same time, bariatric surgery requires the absence of pregnancy, the absence of severe eating disorders, the absence of serious diseases, the absence of excessive alcohol intake, and the psychological state should be stable.
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What is Bariatric Surgery?
Obesity is one of the most important diseases of our time. The incidence of this disease is increasing every day. The most effective method of combating obesity is obesity surgery procedures.
For this reason, bariatric surgery is extremely popular today, and the number of surgeries increases every year compared to the previous year. Bariatric surgery is not a single surgical method, but more than one method is mentioned.
These methods basically aim to either reduce the capacity of the stomach or reduce the amount of food the patient receives, or shorten the surface of the bowel where the food is absorbed, or achieve both effects together.
If we list these methods from simple to complex: intra-gastric balloon applications, gastric band (or clamp), tube stomach surgery and various bypass operations can be considered.
What criteria must be met for bariatric surgery?
Type 2 diabetes is also an important criterion in determining the candidate suitable for bariatric surgery. In Europe, an obese patient with a BMI of over 35 and diabetes is a suitable candidate for metabolic surgery, while in Asia, type 2 diabetics with a BMI of over 32 and above are suitable for surgery.
In bariatric surgery, along with current indications, the body mass indices of people and Obesity-related diseases are looked at. In addition, the psychological state of the person is also being studied.
The new clinical practice guidelines published by the authorized body state that surgery may also be appropriate for patients with a body mass index greater than 30(kg/m2) to reduce the risk of cardiovascular disease and for those with uncontrolled diabetes.
Meets these criteria and wish to spend for bariatric surgery patients who typically a dietitian to determine whether the patient is a suitable candidate for surgery, psychology, by a team of medical and surgical physicians are evaluated.
Before and after Bariatric Surgery
The method of bariatric surgery in the battle with obesity should not be evaluated alone. Patients who enter this path should prepare themselves physically and spiritually for surgery in the preoperative period. Nutrition programs and exercises are essential for this.
After bariatric surgery, attention should be paid to nutrition again, nutrition stages should be followed according to the doctor’s direction and exercises should be started from the first moment that can be done. But with this strategy, a person can get their dream body and stay healthy.
The nutrition protocol before bariatric surgery should definitely be a diet with high protein values. A person should not forget to take useful fats into his body to burn excess fat, and he should also consume useful fats, not too high, and cover the calories he needs to take with carbohydrates.
But if he wants to lose weight, he should give a calorie deficit, and he should do this by cutting down on fat and mostly carbohydrates.
During the initial period after surgery, there is a completely grain-free liquid diet, as it was done two days before surgery.
Immediately after this process, granular liquid, mash, soft-solid and solid periods are listed, but these processes should be carried out entirely according to the individual’s personal characteristics and response to treatment with the direction of the doctor.
The most critical point in the whole process is meeting the nutritional value needs that the body needs to receive. Of course, the most important factors during the diet are the need for protein and liquid.
What tests do I need before bariatric surgery?
Preoperative tests ECG, sft, lung graph, full count blood test, detailed endoscopy, lower abdomen ultrasonography checks are performed. If the patient is fit, the operation takes place. Before examinations, you must be hungry for 10 hours and dehydrated for 8 hours.
Although the tests performed before surgery vary depending on the patient, there are some tests that should be performed as standard. These are routine biochemical blood tests, general blood counts, and vitamin levels. Endoscopy is performed with the patient.