Obesity

Obesity is one of the important health problems of our age. Obesity is the second leading cause of preventable death after smoking. It is also the cause of many important diseases. Obesity is defined as abnormal or excessive fat accumulation that may impair health. World Health Organization has created a classification according to the body mass index (BMI). According to this classification, a person with a BMI of 30 or above is called obese.

The obesity problem has reached epidemic proportions. More than 4 million people died as a result of being overweight or obese in 2017 according to the global burden of disease. According to the World Health Organization data, the prevalence of obesity increased more than 4 times between 1975 and 2016.

The main cause of obesity and overweight is the energy imbalance between calories consumed and calories taken. Many people become obese because they eat or drink too much, are inactive, or a combination of both. In a small number of cases, hormonal disorders, medications, or genetic predispositions increase the chances of becoming obese.

The risk of developing some serious health problems increases in individuals with overweight and obesity. Some of these health problems are high blood pressure, heart disease, stroke, diabetes, hyperlipidemia, osteoarthritis and fatty liver disease. Obesity is also associated with certain type of cancers including colorectal cancer, breast cancer and prostate cancer. Additionally, obesity has quite negative effects on the overall quality of life. You may not be able to do physical activities you used to enjoy, and you may avoid public places.

How to get rid of obesity?

The aim of obesity treatment is to reach and maintain a healthy weight. Reducing excess calorie intake and adopting healthier diet protocols are vital to overcoming obesity. Increasing physical activity and exercising regularly is also an integral part of obesity treatment. In addition to diet change and exercise program, some drugs can help with weight loss.

How can you change the game?

Many obese people have tried diet and exercise programs before, but have been unsuccessful. Therefore, you may need to reinstall the game in a different way to regain your health and get rid of obesity.

Endoscopic procedures do not require any incision in the skin. After sedation, some procedures are performed through flexible tubes inserted from the mouth into the stomach. In endoscopic sleeve gastroplasty method, sutures are placed in the stomach to reduce the volume of food that the stomach can take. In gastric balloon procedure, a balloon is placed in the stomach and inflated by injecting liquid into it. The application of botulinum toxin (botox) is based on injecting botox into certain parts of the stomach. By preventing the contraction of the stomach muscles, the gastric emptying time is delayed and the patient loses appetite.

Obesity Surgery:  Weight loss Surgery works by reducing stomach volume, limiting the amount of food you can eat, or reducing the absorption of food and calories. Weight loss surgeries are very effective methods. These surgical methods are;

v  Laparoscopic adjustable gastric banding: In this surgical method, an inflatable band separates the stomach into two parts. The adjustable band is placed on the upper part of the stomach. This creates a very small stomach pouch. Therefore, it means that you will feel full after eating less food.

v  Gastric bypass: After gastric bypass surgery, food and liquid flow directly from the stomach pouch into the intestine, bypassing most of the stomach.

v  Sleeve gastrectomy: In this surgical procedure, part of the stomach is removed and a smaller space is created for food.

Who is a suitable candidate for weight loss surgery?

This surgery can be applied to people between the ages of 18 and 65 years. Surgery can be performed in morbid obese (BMI ≥40 kg/m²) patients in this age range, if they do not have any comorbidity. Patients with a BMI ≥ 35 kg/m² and one or more comorbidities (diabetes, hypertension, hyperlipidemia, fatty liver disease etc.) may benefit from surgery. In addition to these, surgery can be applied to patients with a BMI of 30-35 kg/m² and those with diabetes and metabolic syndrome.

We are at your service with our surgeons, endocrinology, psychiatry and dietician staff who are experienced in obesity and its treatment.

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Just be healthy.