Curious About Obesity | Q&A - Dr.Adem Dervişoğlu, MD, Professor

Dr.Adem Dervişoğlu, MD, Professor

Curious About Obesity | Q&A

One decision can make your whole life better. Obesity is the world’s biggest health problem and eliminating this problem depends on your one decision. A healthy, self-confident and free life… We are with you in your fight against obesity. The answers to all your questions are on this page.

How will I lose weight with obesity surgery?

There are different surgical methods, but let’s give a short answer to this question through the sleeve gastrectomy, which is the most frequently applied. In sleeve gastrectomy surgery, 70% of the stomach is removed and the stomach is reduced. As the stomach shrinks, food intake decreases. In addition, the presence of the hormone ghrelin, which we call the hunger hormone, in the removed part reduces the feeling of hunger. Weight loss occurs because both hunger is not felt and stomach capacity is reduced.

What are the conditions for obesity surgery?

The body mass index (BMI) of the World Health Organization (WHO) is used for obesity surgery. According to this calculation, if your BMI is over 40, you are qualified for bariatric surgery. If your BMI is over 35 and you have problems such as hypertension, heart or diabetes, you can still have bariatric surgery. Of course, apart from these, your age, ability to receive general anesthesia and your psychological state should be suitable.

Which is the most appropriate bariatric surgery?

There are 5 different surgical methods. However, the most applied method is the sleeve gastrectomy (tube stomach) method. Depending on your situation, the doctor decides which method to use. After the preliminary interview, all data such as your weight loss history, weight, body mass index, and additional diseases, the best surgical method is selected for you.

Why is gastric sleeve surgery performed the most?

Gastric sleeve surgery has many advantages compared to other methods, few disadvantages and being relatively more suitable for the body, making it the most preferred bariatric surgery method. It is among the important advantages of sleeve gastrectomy that it can be converted to other methods when necessary, it is a relatively easy and short operation, the hospital stay and the recovery period are shorter.



How much weight will I lose after the surgery?

The amount of weight lost is related to the current weight of the patient. The amount of weight and the duration of weight loss will not be the same for a patient weighing 150 kilograms and a patient weighing 100 kilograms. At the same time, the patient’s compliance with his diet, exercising without interruption, paying attention to fluid intake will also affect the amount of weight lost. Therefore, it would not be correct to give an exact figure. However, at the end of 1 year, we expect the patient to lose 50-80 kilos, considering the weight at which he underwent surgery and assuming that he had sleeve gastrectomy.

How will my monthly weight loss process be?

The weight loss process after obesity surgery is a marathon. Our expectation is that at the end of 1 year, our patient will lose at least 70 percent of their excess weight. The weight loss process starts quickly in the first month and continues at high speed for the first 6 months. The amount of weight lost and the duration of weight loss will vary according to the current weight of the patient. The weight loss process continues after 1 year until 2 years, although not as long as the first year.

What is required for a good surgery?

A good team is essential for a good bariatric surgery process. It is important that the surgeon or surgeons specialize in bariatric surgery and be at a satisfactory level in number. It is a great advantage that the assistant surgery team specializes in bariatric surgery. (We have been working with the same surgical team for a long time, so we can act with team logic and we have a comfortable operation thanks to the trust we have in each other.) The quality of the equipment is as important as the team. There are instruments and devices of different qualities in bariatric surgery. We use high-quality, FDA-approved tools and devices to minimize equipment-related risks. The conditions of the hospital are another important issue. Factors such as the operating room, examination facilities, patient rooms, and personnel directly affect the surgery, pre- and post-operatively. Apart from all these, close follow-up in the post-operative period and when the patient adapts to this close follow-up, there is not much reason not to have a successful weight loss process.

What kind of process will I go through before the operation?

When you come to the interview for bariatric surgery, we will first listen to your story. If you have tried and failed to lose weight with diet and sports before, if your body mass index is above 35 after our measurements and you are psychologically ready, we will start the surgery process. We will check your values ​​by doing blood tests, and if you have vitamin and mineral deficiencies, we will complete them. We will investigate your hormonal disorders that cause you to gain weight or prevent you from losing it. We will evaluate your stomach and duodenum by endoscopy. We will contact our anesthesiologist. If you have additional diseases, we will arrange for you to be admitted to the hospital, preferably one day before the operation, after you have contacted our branch physicians for these diseases. Our dietitian will be with you before the surgery as well as in the next process.

Will the doctor and dietitian follow me up after the operation?

We provide free doctor and dietitian support for 1 year after obesity surgery. In this process, we both follow you closely and want you to feel that we are with you.

You can watch our video we prepared to inform you.

Which hotel will I stay at?

You will receive 5-star service in the most comfortable hotels of Istanbul.

Will I pay for the consultation?

You will not pay an extra fee for the preliminary interview and examination.

Will you meet me from the airport?

Our professional team will greet you from the airport and your transfer will be made with our VIP vehicles.

How do I get from the hotel to the hospital and clinic?

Likewise, your hotel-clinic-hospital journeys will be made with our private vehicles.

In which hospital will I be operated?

We will perform your surgery in Turkey’s most prestigious hospitals (Medicana, Memorial, MedicalPark) with advanced technological infrastructure, using modern tools and methods, giving importance to comfort in all areas from the operating room to the patient rooms, and you will spend your rest period in these hospitals.

How many days will I need to stay in Turkey?

We will host you in Istanbul for minimum 5 days for your consultations, examinations, surgery and post-operative rest.

How often and how will I see you after the surgery?

We will make free online calls every month for 1 year after the surgery.

Will I receive dietitian support in my own country?

Our dietician will support you free of charge with online interviews.

How many days after the operation will I be able to board the plane?

You will be able to board the plane 3 days after the operation.

When can I return to work and my normal life?

After 5-7 days, you can return to work and your normal life.

Will my health problems such as diabetes, hypertension, sleep apnea go away after the surgery?

The most important source of problems such as high blood pressure, diabetes, heart diseases and sleep apnea is overweight. If you have these diseases, when you start to reach your ideal weight after bariatric surgery, they will probably all decrease.

Will I diet after surgery?

After the operation, you will have a diet program that we will definitely want you to follow. But don’t worry; Reducing your feeling of hunger will make it easier for you to adapt to the diet. We will experience a healthy weight loss process with diet, sports and vitamin supplements. In this process, we will be with you as a team.

What are the things I should pay attention to after the operation?

It is important that we comply with the diet and sports program we recommend. Keeping in touch with us will help you during the weight loss period. It is recommended that you do not consume coffee, alcoholic and carbonated drinks, especially in the early period. We have written down all the do’s and don’ts one by one in our “post-operative adjustment” notes we have prepared for you.

When can I get pregnant after bariatric surgery?

We recommend getting pregnant 18 months after bariatric surgery. This is because you can’t give your baby essential nutrients while taking care of your own weight. Also, rapid weight loss can harm the fetus.

Can you have a normal delivery after bariatric surgery?

Yes, you can. You can watch the video of Ebru, who went through a pregnancy process after sleeve gastrectomy and gave birth to her baby by normal delivery.

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