Op. Dr. Cemal Kara

FREQUENTLY ASKED QUESTIONS

Responses to the most up-to-date questions from our patients.



  • Tüp mide operasyonu geçirdim. Beslenmemde nelere dikkat etmeliyim?
  • Obezite ameliyatını SGK karşılar mı?
  • Obezite ameliyatı için yaş sınırı var mı?
  • Obezite ameliyat öncesi hangi tetkikler yapılmalıdır?
  • What is Laparoscopic Sleeve Gastrectomy?
  • What is the effect of Sleeve Gastrectomy?
  • How Much Weight Loss is Achieved After Sleeve Gastrectomy?
  • How is Sleeve Gastrectomy performed?
  • Will there be pain after Sleeve Gastrectomy?
  • In Which Cases Should Sleeve Gastrectomy Not Be Performed?
  • How is Preoperative Preparation Done?
  • Which Tests Are Performed Before the Surgery?
  • Advantages of Sleeve Gastrectomy
  • Can I Get Pregnant After Sleeve Gastrectomy?
  • How Long Should I wait to get pregnant after Sleeve Gastrectomy?
  • What to Watch out for in Pregnancy after Sleeve Gastrectomy?
  • When Can I Get Shower After Sleeve Gastrectomy?
  • When Can I Return to Work after Sleeve Gastrectomy?
  • How Many Days will I be hospitalized after Sleeve Gastrectomy?
  • When Can I Get Up After Sleeve Gastrectomy?
  • Can I Smoke After Sleeve Gastrectomy?
  • When can I Go to the Sea / Pool After Sleeve Gastrectomy?
  • Does hair loss occur after Sleeve Gastrectomy?
  • Alcohol Use After Sleeve Gastrectomy
  • Fizzy Drink Consumption After Sleeve Gastrectomy
  • Coffee Consumption after Sleeve Gastrectomy
  • Legume Consumption after Sleeve Gastrectomy
  • Sexuality after Sleeve Gastrectomy
  • Vegetable Consumption after Sleeve Gastrectomy
  • The Importance of Protein Intake After Sleeve Gastrectomy
  • Does sagging occur after Sleeve Gastrectomy?
  • Nausea after Sleeve Gastrectomy
  • Use of medications after Sleeve Gastrectomy
Tüp mide operasyonu geçirdim. Beslenmemde nelere dikkat etmeliyim?

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.

Obezite ameliyatını SGK karşılar mı?

Evet SGK karşılar. Bunun için Vucut Kitle İndeksinizin 40’dan fazla olması gerekmektedir. Eğer kriterleriniz uygunsa heyet raporu çıkarıp ameliyat olabilirsiniz.

Obezite ameliyatı için yaş sınırı var mı?

Ameliyat genellikle 18 ile 65 yaş arasında uygulanmaktadır.

Obezite ameliyat öncesi hangi tetkikler yapılmalıdır?

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;

HbA1C

Glukoz (Açlık)

İnsulin

Kortizol supresyon testi

TSH

What is Laparoscopic Sleeve Gastrectomy?

Sleeve gastrectomy, also known as bariatric surgery, is the reduction of the stomach surgically.

What is the effect of Sleeve Gastrectomy?

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.

How Much Weight Loss is Achieved After Sleeve Gastrectomy?

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%.

How is Sleeve Gastrectomy performed?

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.

Will there be pain after Sleeve Gastrectomy?

There is not much pain except for the trocar entrance site. Pain is in minimal levels in laparoscopic procedures.

In Which Cases Should Sleeve Gastrectomy Not Be Performed?

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.

How is Preoperative Preparation Done?

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.

Which Tests Are Performed Before the Surgery?

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.

Advantages of Sleeve Gastrectomy
  • Vitamin and mineral deficiencies occur less often as absorption is not intervened.
  • Since the extracted part of the stomach is the most secreted part of the ghrelin hormone that triggers the hunger, not only the amount of nutrients to be eaten decreases but also the desire to eat is reduced.
  • Dumping syndrome is not observed because it does not impair the mechanism controlling the passage of food from the stomach to the small intestine.
  • Obesity-related diseases such as hypertension, diabetes and sleep apnea can be improved by 70-80% after the surgery.
  • It can be converted to other bariatric surgeries if necessary.
  • No foreign object is placed into the body.
Can I Get Pregnant After Sleeve Gastrectomy?

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.

How Long Should I wait to get pregnant after Sleeve Gastrectomy?

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.

What to Watch out for in Pregnancy after 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.

When Can I Get Shower After Sleeve Gastrectomy?

You can take a shower from the 1st day by closing your medical dressing region with protective bathroom covers.

When Can I Return to Work after Sleeve Gastrectomy?

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.

How Many Days will I be hospitalized after Sleeve Gastrectomy?

You will stay in your private room in our hospital 3 nights.

When Can I Get Up After Sleeve Gastrectomy?

You can stand up in about 1-2 hours after going to your room after the surgery and you can meet your personal needs.

Can I Smoke After Sleeve Gastrectomy?

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.

When can I Go to the Sea / Pool After Sleeve Gastrectomy?

After an average of 3 weeks you can go to the sea or pool.

Does hair loss occur after Sleeve Gastrectomy?

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.

Alcohol Use After Sleeve Gastrectomy

It is recommended that you do not drink alcohol for the first 6 months after surgery.

Fizzy Drink Consumption After Sleeve Gastrectomy

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.

Coffee Consumption after Sleeve Gastrectomy

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.

Legume Consumption after Sleeve Gastrectomy

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.

Sexuality after Sleeve Gastrectomy

We recommend that you keep your first 21 days away from activities that require high effort after bariatric surgery.

Vegetable Consumption after Sleeve Gastrectomy

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.

The Importance of Protein Intake After Sleeve Gastrectomy

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.

Does sagging occur after Sleeve Gastrectomy?

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.

Nausea after Sleeve Gastrectomy

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.

Use of medications after Sleeve Gastrectomy

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.





Stay in contact!

Contact us now.

Contact me to learn about Obesity and General Surgery and make an appointment.


CALL ME

All calls
+90 546 969 39 00



WRITE ME

Contact Email
drcemalkara@gmail.com



Follow Me

Social Media

You can keep up to date on social media.



Copyright © Op. Dr. Cemal Kara Official Web Site.

1
×
Merhabalar. Whatsapp ikonuna tıklarsanız obezite cerrahisi hakkında merak ettiğiniz tüm soruları bize sorabilirsiniz, cevaplamaktan memnuniyet duyarız :)