Please call our office to get an offer. You can reach our office at +1 312 667 5559 or +90 533 407 99 08 or send an e-mail now [email protected]

Obesity is not just only a cosmetic problem, it is rather a chronic disorder affecting several organs and systems. It may cause irregular menstruation, infertility and polycystic ovarian syndrome in females and infertility and erectile dysfunction in males due to its effects on the endocrine system. In addition, insulin resistance, type 2 diabetes mellitus, heart diseases, hypertension and hypercholesterolemia, pancreatitis and gallbladder disorders may emerge because of the increased fatty acid levels in the blood. As a result of the physical stress caused by body weight, the patient may complain from sleep problems (sleep apnea syndrome, snoring), dyspnea, joint disorders, and backbone problems.

The most threatening danger is the increased risk of cancer. According to a study conducted in the USA, the risk of cancer is 33% among smokers, while the same risk is 20% among overweight individuals. The most common cancers observed in obesity are breast, uterus, cervix, colon, esophagus, pancreas, and prostate cancers. Furthermore, its negative impact on the psychological condition affects all obese patients.

Several scientific studies conducted worldwide have shown the benefits of weight loss. In light of these studies,

1. We can suggest the following benefits of weight loss; A 1-kg loss in the body fat provides a 2mmHg decrease in the systolic and 1mmHg decrease in the diastolic blood pressure.
2. Each 10-kg weight loss means a 10% decrease in the cholesterol level.
3. Regarding the chronic metabolic diseases, the risk of development of diabetes mellitus is decreased by about 40-60% within 3-4 years if individuals with high risk achieve a moderate weight loss with diet and exercise.
4. A 1% restriction of the daily energy intake decreases the bodyweight about 0.28kg.

Obesity surgery can be considered in patients, who have a BMI>40kg/m2 or between 35-40kg/m2 concomitant with metabolic diseases like diabetes, hypertension and sleep apnea syndrome and tried lifestyle changes (diet and exercise) without success.

• Example: Is a person with a height of 165cm and a weight of 120kg a candidate for surgery?
• Body Mass Index=Weight (kg) / Height (m²)
• Body Mass Index=120kg / 1.65mx1.65m
• Body Mass Index = 120 kg / 2.72 m²
• Body Mass Index = 44.11 kg /m²

This patient has to be classified as “morbidly obese” and they can be considered as a candidate for bariatric surgery if they have previously tried to lose weight with diet and exercise without success.

Obesity surgery provides more permanent and effective metabolic outcomes compared to the outcomes obtained with lifestyle changes, diet, exercise, and medical treatment due to the significant weight loss in a short time. The postoperative morbidity and mortality rates become comparable to the common surgeries like gallbladder surgery or uterus surgery depending on the increased experience of the surgery teams. In scientific studies focused on the efficacy and safety of obesity surgery, the operated and not operated morbidly obese patients are compared and the investigators found out that the mortality risk related to cardiac factors and all factors was higher in the not operated groups.

One of the important factors affecting the short- and long-term success of surgery is good patient preparation. Before surgery, the presence of any metabolic disorder like thyroid gland disorders, Cushing’s syndrome, or obesity-mediated hypertension, sleep apnea syndrome and diabetes should be assessed. In addition, the stomach is examined with endoscopy for gastritis, ulcer, and reflux and surgery is scheduled after the treatment of the detected problems. The abdominal ultrasonography is used for problems like biliary sludge and stones. If these problems are detected, the gallbladder is also removed during surgery.