What is Obesity Surgery?
Obesity surgery is a permanent treatment option applied to individuals whose quality of life is impaired due to excessive weight and who cannot lose weight with other methods. These surgical interventions both support weight loss and help prevent health problems caused by obesity.
The most frequently preferred obesity surgery methods include sleeve gastrectomy and gastric bypass.
These operations are generally performed to reduce the volume of the stomach or to reduce the amount of food consumed by bypassing a part of the digestive system. The success of the surgery is directly related to the person's adherence to healthy eating and active lifestyle habits after the operation.
When Should Obesity Surgery Be Considered?
Obesity surgery is an effective option for individuals experiencing health problems due to excess weight. However, it is not suitable for every overweight person.
Before deciding on surgery, the individual's general health status, psychological readiness, and previously applied weight loss methods should be evaluated by a specialist.
Generally, individuals with a Body Mass Index (BMI) above 40, or those with a BMI above 35 and suffering from conditions such as high blood pressure, diabetes, or sleep apnea, are considered candidates for this surgery.
Before deciding on surgery, diet, exercise, and lifestyle changes should definitely be tried, and if no results are obtained, surgical planning should be made.
Who Are Suitable Candidates for Obesity Surgery?
Obesity surgery is performed on individuals who meet specific criteria.
Suitable candidates for this surgery are generally:
- Individuals with a BMI of 40 and above,
- Those with a BMI between 35–39.9 who have health problems related to excess weight,
- Individuals with a BMI between 30–34.9 who have not been able to lose weight with medical methods,
- Individuals with obesity-related diseases such as diabetes, hypertension, and high cholesterol.
Additionally, the person's general health status should be suitable for surgery, and they should have the psychological readiness to change their lifestyle during the post-operative period.
What Are the Methods of Obesity Surgery?
The aim of obesity surgery is to reduce stomach volume or to reduce calorie intake by bypassing a part of the digestive system.
The most commonly applied methods are:
Sleeve Gastrectomy: Approximately 80% of the stomach is removed, creating a smaller stomach.
Gastric Bypass: A new connection is established between the stomach and the small intestine, reducing food absorption.
Adjustable Gastric Banding: A silicone band is placed around the upper part of the stomach to reduce its volume.
Duodenal Switch: Both the stomach is reduced, and the intestinal structure is reconfigured.
Mini Gastric Bypass: The stomach is reduced, and a direct connection with the intestine is established.
Sleeve Gastrectomy
In sleeve gastrectomy, a large part of the stomach is removed, and the stomach is transformed into a long, thin tube. This method both reduces stomach capacity and controls appetite by decreasing the production of hunger hormones.
It is generally preferred for individuals with a BMI over 35 and accompanying problems such as diabetes and hypertension.
Performed with a closed (laparoscopic) technique, this surgery offers a quick recovery thanks to small incisions. A large portion of excess weight can be lost in the first years after the procedure. It is one of the most frequently applied methods due to the preservation of anatomical structure and relatively low complication risk.
Gastric Bypass Surgery
In this method, a small part of the stomach is left active, and a direct connection is made with the small intestine. This results in both a feeling of fullness with less food and reduced nutrient absorption.
It is frequently preferred for patients with Type 2 diabetes or severe reflux problems.
The surgery can be performed with laparoscopic or robotic techniques. However, regular vitamin and mineral supplements are required in this method, as deficiencies may occur.
Gastric Balloon
A gastric balloon is a non-surgical, temporary procedure. A balloon placed in the stomach via endoscopy is inflated with liquid, narrowing the stomach volume and increasing the feeling of fullness.
It is generally used in the pre-operative preparation phase or for individuals not suitable for surgery. The balloon is removed within 6 months to 1 year.
It is not a permanent method, but it can support the weight loss process.
Adjustable Gastric Band
In this method, an adjustable band is placed at the entrance of the stomach, restricting its volume. The band reduces the stomach's capacity, allowing the person to eat less. Its most significant advantage is that it can be removed if desired.
The surgery duration is short, and the recovery period is fast. A significant portion of excess weight can be lost within 1–2 years after the application. Furthermore, significant improvement can be achieved in conditions such as diabetes, sleep apnea, and hypertension.
Duodenal Switch
Duodenal Switch is an advanced surgical method that combines both stomach reduction and intestinal bypass.
This significantly reduces both food intake and calorie absorption.
It provides long-term permanent weight loss and also yields effective results in metabolic problems such as diabetes and high cholesterol.
Mini Gastric Bypass
Mini gastric bypass is a surgical procedure that is completed in a shorter time and involves less risk compared to classic gastric bypass.
The stomach is reduced, and a direct connection is established with the intestine, both increasing the feeling of fullness and limiting calorie intake.
It is an effective option for both long-term weight control and the reduction of obesity-related diseases.
Biliopancreatic Diversion (BPD)
In this method, the stomach is reduced, and a part of the intestines is bypassed, reducing calorie absorption.
It is preferred for individuals with very high BMI and provides a high rate of weight loss. However, regular vitamin and mineral supplementation is required.
Gastric Pacemaker
The muscle movements of the stomach are regulated by an electrical device placed in the stomach wall.
This device sends low-voltage impulses, increasing the feeling of fullness and reducing appetite.
It is an alternative treatment option for individuals not suitable for surgery or seeking a less invasive method.
Preparation Process Before Obesity Surgery
Pre-operative preparation is critical for the safety and success of the operation.
In this stage, general health checks are performed, and internal organs are evaluated with blood tests and imaging methods.
With the support of a dietitian and psychologist, the person's nutritional and mental state is prepared for surgery.
Additionally, a special diet may be applied in the pre-operative period to reduce the size of the liver.
Pre-Surgical Evaluation and Tests
Comprehensive tests are performed to determine suitability for surgery. These tests include blood analyses, hormone level checks, and heart and respiratory function tests. The condition of the stomach and intra-abdominal organs is evaluated using imaging methods such as endoscopy and ultrasonography. Psychological and nutritional counseling is also part of this stage.
Psychological Support and Dietitian Follow-up
Receiving psychological support before surgery emotionally prepares the person for the process.
Dietitian follow-up helps regulate eating habits in both the pre-operative and post-operative periods.
A personalized nutrition plan is created to ensure a balanced weight loss process.
Preparation for Surgery and Patient Education
Patients need to be ready for lifestyle changes before the operation.
Smoking should be quit, the diet should be made healthier, and the patient should be psychologically prepared for the process.
Specialists provide detailed information about the diet, exercise, and supplement plan to be followed in the post-operative period.
How is Obesity Surgery Performed?
Surgeries are generally performed under general anesthesia. Depending on the technique applied, stomach reduction or intestinal rerouting procedures are carried out. Mostly, the closed (laparoscopic) method is preferred, which shortens the recovery period. The operation duration varies between 1 and 4 hours depending on the method, and patients are kept under observation for a few days.
Obesity Surgery (Bariatric Surgery) Prices
The cost of obesity surgery can vary depending on many different factors. The most important elements determining the cost of the surgery include the person's general health status, the quality of medical equipment and surgical materials to be used, the experience level and technical proficiency of the surgical team performing the operation. In addition, the equipment of the health center where the surgery will be performed, the technological facilities used, the patient-specific pre-operative evaluation process, and post-operative care services also have a decisive impact on the total cost.
Furthermore, the cost of the diet program to be followed after the surgery, the follow-up process, and possible additional tests or controls may also be reflected in the total expenses. Considering all these factors, the price of obesity surgery can differ from person to person and from institution to institution. Therefore, to obtain the most accurate and current price information, it is recommended to contact a doctor or schedule a consultation.
Provinces Where We Provide Obesity Surgery Services
General Surgery and Gastroenterology Surgery Specialist Op. Dr. İbrahim Çolhan successfully performs obesity surgery operations with his experienced team and modern medical equipment. Op. Dr. Çolhan provides professional services not only in his current city but also to patients coming from surrounding provinces such as Adana, Mersin, Osmaniye, and Hatay. Patients benefit from a holistic treatment process with detailed pre-operative evaluation, safe follow-up during the operation, and continued nutritional counseling afterward.
If you want to permanently get rid of your excess weight, improve your quality of life, and move away from obesity-related health problems, you can contact Op. Dr. İbrahim Çolhan to start your treatment process. You can take a step towards a new beginning with obesity surgery by filling out the appointment form.
What is Obesity Surgery?