BODY MASS INDEX
Private Ege Cerrahi Clinic Obesity Center, general surgery specialist Prof. Dr. Cemal Kara stated that the effective treatment of obesity today is surgical methods.
Stating that in 2016, more than half a million obesity patients around the world underwent surgical procedures, Kara,
“These surgeries are supported in many western countries. In some countries such as France, all surgery costs are covered by the state. There are two important points here. The first is the fact that obesity is a very serious and fatal disease and must be treated, and surgery is the effective and safe treatment option we have today for the treatment of these patients. Another important point is the fact that surgery is safe and even safer than gallbladder surgery when applied under appropriate conditions, in centers with sufficient equipment and by experienced teams. “Obesity surgery should be performed by an experienced surgeon and his team under hospital and operating room conditions.”
Saying that obesity is currently ranked 2nd among the preventable causes of death in the world after smoking, Op. Dr. Cemal Kara said, “Obesity causes 85 percent diabetes, 55 percent high blood pressure and 35 percent heart disease. In addition, it causes an increase in the incidence of heart attack, brain hemorrhage, stroke, reflux disease, gallstone formation, polycystic ovary, lymph nodes, decrease in fertility and some types of cancer. There is currently no known effective treatment for obesity other than surgery. In addition, the risks of obesity to the patient are much higher than the risks of surgery.
The World Health Organization defines obesity as “abnormal and excessive fat accumulation in the body that will disrupt health”. Obesity is in question when the body fat tissue exceeds 25 percent in adult men and 30 percent in adult women. According to the data of 2015, 700 million people in the world are obesity and 2.3 billion people are overweight. Turkey is also in the women also have 44.2 percent of men and 25.2 percent of the population of the tray body mass index over 30 un-de, “he said.
Who is Applied?
Studies have shown that the ratio of patients with a body mass index of 35 and above to reach the ideal weight with non-surgical methods such as diet and sports is less than 3% ”and stated that there are some criteria for obesity surgery. Dr. Cemal Kara said, “In the absence of hormonal diseases that cause weight gain in these patients, obesity surgery can be applied in those who cannot lose weight for at least 1 year despite drug and diet therapy, who are not alcohol and drug addicts, and if the patient understands the method to be applied and is able to adapt after the operation.
Gastric sleeve surgery is performed more frequently in our hearts. Gastric sleeve surgery is the laparoscopic method, with the help of a guide catheter placed in the stomach, using special tools to reduce the volume of the stomach by turning it into a tube for about 45 minutes. After the procedure, approximately 75-80 percent of the stomach is removed. The patient, who is hospitalized for 3 days after the operation and is trained on diet, is told about the medications he will use and is discharged. It is monitored periodically. In this surgery, since the part of the stomach secreting appetite hormone is completely removed, the patient’s appetite decreases after the surgery. “The patient starts to lose excess weight with the decrease in the amount of calories taken due to both this mechanism and the reduction of stomach volume.”
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