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In order to decide for bariatric surgeries, patient’s body mass index values and health problems relevant to obesity are taken into consideration rather than the patient’s weight. Under normal conditions, patient’s body mass index value should be 40 and over for surgeries. However, this figure may be brought down to 30 for patients who have serious health problems associated with obesity and have fatal risks.
Yes. It is suggested to follow a preoperative diet for 2-3 weeks. Reason of this preoperative diet is shrinking liver and reducing abdominal fat. This diet helps for a successful and safer surgery.
Can I have a metabolic surgical operation even if I had another surgery in abdominal region previously or have hernia?
In general, yes you can. However, if you had an abdominal surgery previously or have hernia, we would like to examine you at a pre-interview to evaluate your situation. The reason for this examination is predetermining potential problems we may confront with during the surgery and taking measures in this respect. It is useful for your surgeon to know the surgeries you had relevant to specifically stomach, intestine and esophagus. Surgery should not be started before receiving preliminary information necessary for surgery.
We suggest our patients to hospitalize 24 hours before bariatric surgeries. However, depending on the patients’ preferences, admission to hospital early in the morning of the surgery may be suitable.
Patients start losing weight just after the surgery, they lose weight even during their stay in the hospital for 2-3 days. Losing weight is faster in the first months and this period lasts for 1 – 1.5 years. Patients lose 75-80 percent of their excess weight within this period.
As the hospital team, we shall accompany and support you from your admission to discharge from the hospital. On the other hand, it shall be favorable for your comfort to have an attendant accompanying you.
Generally, analgesics shall be administered just after the surgery, before leaving the surgery room. During the analgesics’ effectiveness on the patient; there may be some pain differing from patient to patient depending on the pain threshold.
We do not hold our patients at intensive care unit after bariatric surgeries. (Only patients with age-related heart and lung problems may be taken to intensive care unit for precaution.)
Sagging excess skin is unavoidable after losing a lot of weight. The amount of weight lost, whether exercises are skipped or not and patient’s age and such factors affect the amount of sagging. Abdominal region, breast region, thighs and arms are the areas where loose skin is mostly seen. Patients may get rid of sagging loose skin completely by plastic and reconstructive surgeries after the patient loses sufficient weight and reaches to a constant weight.
We usually suggest our patients 10-day rest at home after bariatric surgeries. If the patient is a white-collar worker, he/she may go back to work after 7 days. For works requiring intensive physical activity and for starting to do exercise, it is suggested to wait for minimum 30 days.
Our control periods are 6 weeks, 6 months, 12 months and 18 months after surgery.
Hair loss is a complication of sleeve gastrectomy surgeries, it may be seen at maximum level in people who do not take sufficient protein as body is passing through regeneration. People who follow the suggestions of the doctors and dieticians after bariatric surgery do not confront with any problem.
Obesity is an important factor in increase of pregnancy complications, and fetal and new born morbidity; moreover, obesity is among the most significant infertility reasons. These risks naturally reduce in women who have bariatric surgery. We do not suggest getting pregnant in the first year to protect vitamin and nutrition balance of the body as weight losing continues during the first year. Pregnancy after the first year shall not cause any problem.