While evaluating success in obesity surgery, it should be possible to minimize the complications that may occur due to the operation in the short term, treat the complications that occur appropriately and ensure that the patients reach their target weight and maintain it in the long term.
The Right Patient should be administered Obesity Surgery.
Obesity surgeries are not performed for every overweight person. Patient selection is important. If someone who is obese due to hormone disorder becomes surgery, it is obvious that the operation will fail. If surgery is performed for those with some psychiatric illness, such as schizophrenia, there may be difficulties in following the postoperative diet; this increases the development of complications and the risk of weight gain in the long run. It is not correct to operate patients who are at high risk for general anesthesia and alcohol and drug addicts. First, the patient must comply with the criteria of having obesity surgery. Those with a body mass index (BMI) over 40kg / m², BMI between 35-40 kg / m², with additional disease caused by obesity (diabetes, high blood pressure, high cholesterol, sleep apnea syndrome, knee and joints ...) and Those with a BMI of 30-35 kg / m² and type 2 diabetes are eligible for this surgery.
Choosing the Right Doctor
Obesity surgery should be performed by Obesity and Metabolic Surgery Specialists who have been trained in this field for many years, who only perform these surgeries and have more than 100 operations annually. Otherwise, complications related to the operation increase at an unacceptable level and inadequate weight loss is encountered due to the inability to perform with the right surgical technique. The surgeon must be able to perform all methods, not a single type of obesity surgery. The surgeon must be willing to obesity surgery and be available 24 hours a day. Surgery follow-up of the patient should be done by the physician in an appropriate manner.
Choosing the Right Hospital for Obesity Surgery
The operated hospital must be fully equipped. Medical devices used in operating rooms, services, imaging centers, and hospital departments must be state of the art and reliable. Complications that may develop after surgery should be resolved at the same center. Otherwise, serious unwanted problems may be encountered. The fact that the hospital has good physical conditions affects patients psychologically positively. The fact that two or three days after the surgery are in the comfort of a 5-star hotel helps patients and their relatives to get out of the hospital psychology and concentrate only on the operation and the nutrition process afterwards.
The Right Method According to the Patient
There is no such thing as the best method and the most correct method in obesity surgery. The method should be determined according to the patient. If a tube stomach surgery is performed on someone with a reflux condition, life may become unbearable since the person's reflux complaints will increase. If the patient, who will have difficulties in using lifelong drugs, is used such as gastric bypass or SADI-S, important diseases may occur due to vitamin and mineral deficiency caused by absorption disorder. In addition to obesity, if patients with severe additional systemic disease are given a type stomach, these diseases will be less likely to pass compared to other methods. Also, the desire of the patient is also important. If there is absolutely no contraindication (wrong to do), the method requested by the patient must be considered. The surgeon is required to explain to all methods and tell the pros and cons. It would be best to decide on the method to be done together.
Patient Compliance Is Very Important
There are certain things that need to be done after surgery. Movement is very important and regular exercise is one of the sine qua non for weight loss and protection. It also minimizes sagging. Healthy eating has an important place both in weight loss and living healthy. A daily diet of 2-2.5 liters of water and protein is very important. Foods with high glycemic index should be avoided and 3 main meals should be made. Post-operative checks are also required. In the controls, possible vitamin and mineral deficiencies are detected early and necessary precautions are taken. In addition, each control is a source of motivation for weight loss in patients. Good doctor-patient compliance is essential for all this.
With the combination of all the headers, obesity surgery will result in success in every sense.