OBESITY SURGERY

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Who Is Candidate For Surgery?
Active smoking Helicobacter Pylori positivity Iron deficiency Vitamin B12 deficiency Vitamin D deficiency Diseases that may cause upper gastrointestinal bleeding Being pregnant Presence of active infection Be under 18 Chronic aspirin or NSAID use

Who Is Candidate For Surgery?

OBESITY SURGERY
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WHICH SURGERY TO WHICH PATIENT
Patient's BMI Concomitant diseases of the patient Patient's current general condition Presence of diabetes, (how many years, if any, treatment, response to treatment) The possibility of the patient to adapt to the method to be applied Patient's thinking (high risk + definitive outcome or low risk + possible weight gain) Maximum result, minimum risk

WHICH SURGERY TO WHICH PATIENT

OBESITY SURGERY
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LAPAROSCOPIC SLEEVE GASTRECTOMY
1. Preoperative Evaluation: This includes routine blood tests, ultrasonography, endoscopic examination, chest disease evaluation, and cardiology evaluation. The patient should not be operated on unless the deficiencies (diabetes control, iron deficiency, vitamin B12 deficiency, vitamin D deficiency) that affect the wound healing are eliminated. Smoking should be discontinued. Preoperative diet should be applied.

LAPAROSCOPIC SLEEVE GASTRECTOMY

OBESITY SURGERY
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LAPAROSCOPIC SLEEVE GASTRECTOMY AND TRANSIT BIPARTITION
1. Preoperative Evaluation: This includes routine blood tests, ultrasonography, endoscopic examination, chest disease evaluation, and cardiology evaluation. The patient should not be operated on unless the deficiencies (diabetes control, iron deficiency, vitamin B12 deficiency, vitamin D deficiency) that affect the wound healing are eliminated. Smoking should be discontinued. Preoperative d

LAPAROSCOPIC SLEEVE GASTRECTOMY AND TRANSIT BIPARTITION

OBESITY SURGERY
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LAPAROSCOPIC GASTRIC BYPASS
Obesity and metabolic surgery is a safe surgery. It is as safe as other surgical procedures, such as gall bladder surgery. In experienced obesity and metabolic surgery specialists, the life-risk associated with obesity surgery is about 0.13%, while the life-risk of gall bladder surgery in an obese individual is 0.4%. All surgical methods include risks. These risks vary according to weight, age and comorbidities. Each patient should have a specific risk assessment. A clearer interpretation cannot be made until the patient and the physician come together and make a preliminary assessment interview and conduct an examination evaluation.

LAPAROSCOPIC GASTRIC BYPASS

OBESITY SURGERY
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ENDOSCOPIC INTRAGASTRIC BALLOON
Adjustable gastric balloon is inserted endoscopically into the stomach and inflated with water. Intragastric balloon is a bariatric procedure that helps achieve weight loss in combination with behavior change and diet compliance.

ENDOSCOPIC INTRAGASTRIC BALLOON

OBESITY SURGERY
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SLEEVE GASTRECTOMY + JEJUNOILEAL INTERPOSITION VE DUODENOILEAL INTERPOSITION
In 2006, de Paula introduced the SG-II in a pilot study in 19 severely obese adults. After the jejunum was divided 50 cm from the ligament of Treitz, a 100–150-cm segment of ileum was created 50 cm proximal to the ileocecal valve, peristaltically interposing it in the proximal jejunum. The SG-JII is typically used in low-BMI patients, and the SG-DII version of the technique in obese patients. Animal studies show that SG-JII delayed the onset of diabetes, an effect possibly related to increased nutrient-stimulated secretion of PYY and GLP-17–36 and improvements of beta-cell function, insulin sensitivity, and lipid metabolism.

SLEEVE GASTRECTOMY + JEJUNOILEAL INTERPOSITION VE DUODENOILEAL INTERPOSITION

OBESITY SURGERY
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How Obesity Surgery Causes Weight Loss?
Obesity Surgery mainly reduces weight in three ways: Restriction Malabsorption Metabolic

How Obesity Surgery Causes Weight Loss?

OBESITY SURGERY
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DUODENAL SWITCH
DUODENAL SWITCH It is the most effective surgery for type 2 diabetes provides the most effective treatment of diabetes. It is similar to gastric bypass, but the junction of the stomach and small intestine is different.

DUODENAL SWITCH

OBESITY SURGERY
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What is obesity and what causes it?
Obesity is a medical condition that occurs when a person carries excess weight or body fat that might affect their health. A doctor will usually suggest that a person has obesity if they have a high body mass index.

What is obesity and what causes it?

OBESITY SURGERY
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