Olduğunuz ameliyat zayıflamanıza yardım eder. Tek başına sizi zayıflatmaz. Beslenmenize yine dikkat etmek zorundasınız. Mümkünse her gün düzenli olarak en az yarım saat yürüyüş yapın.
Evet SGK karşılar. Bunun için Vucut Kitle İndeksinizin 40’dan fazla olması gerekmektedir. Eğer kriterleriniz uygunsa heyet raporu çıkarıp ameliyat olabilirsiniz.
Ameliyat genellikle 18 ile 65 yaş arasında uygulanmaktadır.
Rutin ameliyat tetkiklerine ilaveten heyet raporu çıkarmadan önce mutlaka aşağıdaki testler yapılmalıdır. Çünkü bu değerlerde olabilecek bir sorun kilonuzun asıl nedeni olabilir.Bu testler aşağıda maddelerdeki şekildedir;
Kortizol supresyon testi
Sleeve gastrectomy, also known as bariatric surgery, is the reduction of the stomach surgically.
Sleeve Gastrectomy is a restrictive and effective procedure removing approximately 80% of the stomach and provide an early satiety feeling. Removed part of the stomach is the part that produces the hormone Ghrelin which triggers the hunger. Removal of this area reduces the level of the hormone Ghrelin in the blood and suppresses appetite.
65% -80% weight loss can be achieved within 1 year after surgery in patients who have healthy diet and regularly exercise after surgery. However, in those patients who are unable to comply with their dietary habits, weight gain may be observed around 5%.
A thin needle is inserted into the abdomen and the abdomen is inflated with carbon dioxide gas. In total, 4 trocars (cylinder shaped instruments placed on the abdominal wall) are inserted and the image transferred to screen with a camera and the process starts. During the operation, the stomach is cut perpendicularly by taking the tube as a reference, which is placed from the mouth into the stomach and 80% of the stomach is removed.
There is not much pain except for the trocar entrance site. Pain is in minimal levels in laparoscopic procedures.
Sleeve Gastrectomy should not be applied to people with psychiatric distress, who like to consume sugary foods, who have alcohol or substance dependency, who have cancer, who cannot get general anesthesia, and who have untreated stomach disease.
You should consume light meals 2 days before surgery, consume juicy food from 16:00 on the day before surgery, you should come to the hospital fasting as you start fasting from 24:00 and without drinking water.
After your first consultation informed by your surgeon and after specifying the date of your operation, some blood tests, endoscopy, ECG, respiratory function test, ultrasound are required to determine if there is any condition that may prevent you from taking anesthesia. Consultations of specialists in internal medicine, cardiology, anesthesia, pulmonology and endocrinology are required.
Today, studies show that bariatric surgeries reduce many risk factors for a healthy pregnancy by decreasing the risk of gestational diabetes or high blood pressure risk of pregnancy about by 50%. Besides this, the risk of overweight babies decreases, thus the rate of cesarean decreases.
Maternal candidates who have undergone sleeve gastrectomy need to wait at least 12 months and ideally 18-24 months to get pregnant in order to get used to the new diet and complications that can develop during this period in order not to affect the pregnancy and in order to complete the healing process. It should be aimed that digestion problems, nausea and vomiting caused by pregnancy should coincided with sleeve gastrectomy.
The most important vitamins that require special follow-up during pregnancy are B12, iron, folate, vitamin D and calcium. Post-operative patients who normally consume 60 grams of protein per day need more protein in their pregnancy. Nutritional counseling is very important after surgery and should be continued during pregnancy.
You can take a shower from the 1st day by closing your medical dressing region with protective bathroom covers.
After surgery, we recommend an average of 10 days rest at home. You can start your desk work in 7 days. You can start the work which requires physical activity after 30 days.
You will stay in your private room in our hospital 3 nights.
You can stand up in about 1-2 hours after going to your room after the surgery and you can meet your personal needs.
We do not recommend smoking for the first month after surgery because it reduces the curing and healing of the stitch line and increases the risk of leakage.
After an average of 3 weeks you can go to the sea or pool.
Hair loss is a problem after bariatric surgery that can affect about the half of the patients. Surgery stress, vitamin-mineral deficiencies, inadequate nutrient intake, inadequate water consumption are the main causes of hair loss problem. Even if all these deficiencies are eliminated, the body’s reduced calorie intake and the sudden change in metabolic balance can cause hair loss. Do not worry, hair will grow again in this period.
It is recommended that you do not drink alcohol for the first 6 months after surgery.
In the first year of sleeve gastrectomy, consumption of acidic and fizzy beverages such as cola and soda is not recommended in order not to adversely affect the healing process.
The use of caffeine-containing coffee may increase bowel movements and appetite. For this reason, coffee consumption is not recommended for the first month after surgery.
Legumes are recommended to be consumed 4-6 weeks after surgery because it is difficult to digest because of its flatogenic properties and fibrous structure. First, it should be tried in the form of soup to observe the effect on gas complaints and then it can be consumed adding cumin to the well-cooked foods.
We recommend that you keep your first 21 days away from activities that require high effort after bariatric surgery.
Consumption of raw vegetables should be started after 1 month of sleeve gastrectomy. If there are gas complaints, consumption of flatogenic vegetables such as Brussels sprouts, cabbage, broccoli, asparagus, fresh beans and peas should be avoided.
Patients who have undergone sleeve gastrectomy need to consume at least 60 grams of protein daily to prevent the loss of their muscles during quick weight loss.
If you do regular and body-shaping sports in your weight-loss process, you are most likely to minimize sagging problems in your skin. If you still need aesthetic procedures, we recommend you to take your surgery one year later.
The main reasons for the nausea after surgery are to force the stomach with more nutrients than it can take, to eat quickly, to swallow without chewing enough. In order to avoid nausea, you should stop eating and drinking at the moment of saturation, the bites should be minimized, thoroughly chewed and slowly eaten.
You can continue to use any type of medication 1 month after the surgery. However, it is recommended that you use painkillers carefully. As far as possible, do not choose aspirin, apranax type of medications. It is recommended that you take stomach medication and drink plenty of water along with the other medication.