Treatment Of Obesity

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Treatment Of Obesity

Permanent treatment of obesity refers to two basic elements. • Giving at least 10% of the initial weight • Stay constant for at least 1 year on given weight If these two are provided together, we can talk about successful weight loss. If one of them does not reach the target, we say "failed treatment".

Treatment Of Obesity

 


Prior to the treatment of obesity, the patient's current body mass index, how many years the patient has been obese, and concomitant diseases associated with obesity are evaluated. Considering these conditions, treatment options are evaluated.


Permanent treatment of obesity refers to two basic elements.

  • Giving at least 10% of the initial weight
  • Stay constant for at least 1 year on given weight

If these two are provided together, we can talk about successful weight loss. If one of them does not reach the target, we say "failed treatment".

 

Treatment of Obesity


Medical Treatment

  • Medicine
  • Diet
  • Change of Behavior
  • Regular Physical Exercise

Interventional Treatment

  • Intragastric Balloon
  • Intragastric Botox Injection
  • Surgical
    • Sleeve Gastrectomy
    • Gastric Bypass
    • Sleeve Gastrectomy + Transit Bipartition
    • Duodenal Switch
    • Ileal Interposition

 


In order to decide which of these treatment options to choose, the patient's current body mass index, how many years the patient has been obese, and concomitant diseases that are associated with obesity are evaluated. Considering these conditions, treatment options are evaluated.


First of all, each patient is evaluated for medical treatment and this pathway must be tried and unsuccessful before going to surgical treatment

Tedavide hangi yolu izleyeceğimize ışık tutması için mevcut tedavilerde kalıcı kilo kaybı olasılığını bilmek gerekir. 


Patients with BMI> 30 for 5 years have a 1% to 3% chance of permanent weight loss with non-surgical treatment options. <0.1% in those receiving unsuccessful diet therapy during this time Non-surgical treatment options for patients with BMI> 50 have a probability of permanent weight loss <0.01%

The possibility of permanent weight loss by surgical treatment of these patients according to the body mass index of the patient the possibility of permanent weight loss

  • 95-99% of patients with BMI 35-50
  • 80-85% in patients with BMI> 50
  • 60-65% in patients with BMI> 60

 


There is a 80% chance of co-morbidities associated with surgical treatment. This rate varies according to the type, duration and damage of the organ


To evaluate these results in general; In the treatment of obesity disease should not be late.


When the body mass index exceeds 30 years and exceeds 5 years, failure rates in medical treatment increase.

When the body mass index exceeds 50, the success rates of even surgical treatment options decrease and a greater intervention is needed.

Obesity-related concomitant diseases occur and organ damage begins to be late in case of return may not be provided.