Frequently Asked Questions about Bariatric Surgery
- Is there a risk of mortality in this operation? If yes, what is the rate?
With this operation, risk of mortality is 1 out of 10,000. This rate is available in every other operations. It does not have risk more than any other operations. But, it should be noted that these patients are obese and most of them have diabetes-hypertension-cardiac diseases and sleep apnea. Due to these diseases, every operation of these patients are more risky than normal weight people. WE SHOULD REMEMBER THAT patients are already obese and they undergo operations to get rid of these diseases.
- » Do I regain weight after operation?
Weight-regain risk after operation is 15-20%, Patients who do not show in follow-ups, do not apply diet and do not start to exercise, in other words who do not change their lifestyles, have risk to regain their weights after 1-2 years.
- Why operation-related death news are so common in media?
Unfortunately, death news has a high rating. The reason of these exaggerated news is to frighten you. Also, it is known that these news have commercial purpose.
- Why costs of operations are so different?
Cost of the operation is determined based on the hospital where the operation is performed, the surgeon, used material, weight of the patient and associated diseases. Costs of cutting-edge devices also vary.
- How much pre-op preparations take?
At night before coming to the hospital, at 11:00 pm, the patient takes 1mg dexamethasone tablet. When the patient comes to the hospital, all tests (blood tests-abdominal ultrasonography-endoscopy-doctors consultation and report for suitable patients) are prepared within 1 day. In this process, our consultant or an attendant assistant will assist you in every step and accelerate the procedures.
- How is endoscopy performed before operation? And why?
Endoscopy is performed under sedation. It is performed to control whether is there any ulcer, gastritis or any other pathology in the stomach that will be cut. If there is any disorder, treatment is performed as a prevention
- How many days will I stay at the hospital after the operation?
Under normal conditions 2 nights
- To undergo this operation, how much should I weight at least?
It is calculated according to weight/length rate, not just weight.
Body mass index calculation: Kilogram/length (meter)2. In bold outline, a person with 160 cm length should weigh 90 kg and with 170 cm should weigh 102 kg.
If there are diabetes, insulin resistance and high cholesterol, we perform operations for patients whose BMI is at least 30, if there is not any diseases, we perform operations for patients whose BMI is at least 35.
- After the operation, is urinary catheter or nasogastric tube attached?
No, they are not attached.
- What kind of risks are there after operation?
In early stage, there might be leak, hemorrhage or embolism risk. These risks are not different from other operations. They are seen very rarely.
- How many days it takes to return my work?
- Patients who are discharged on … Day, can go back to work within 1 week. There are patients who go back earlier.
- What kind of medication should I use after operation?
There is not any medication to use lifelong after this operation. During discharge, 1 gastroprotective (for 1 month), painkiller (if there is pain) and anticoagulant injector are prescribed (for 10 days).
- What kind of measures do you take to prevent embolism?
At night before the operation, anticoagulant is injected, during and after the operation anti-embolism stockings are worn, during the operation pneumatic device is used. The patient, who walks 3 hours after the operation is injected anticoagulant at the night of operation.
- How technological developments effect this operation?
With the latest technological developments, this operation has become safer ad faster. With this operation lasting about 1 hour, cutting-edge technologies are used.
- Do you perform leak test during and after operation?
We perform leak test during and 2 days after the operation.
- Does diabetes mellitus recover after the operation?
60-70% of the patients get rid of diabetes mellitus permanently after the operation.
- Does hypertension recover after the operation?
70-80% of the patients get rid of hypertension permanently after the operation.
- Does sleep apnea recover after the operation? Can I sleep comfortably? Do daily sleepiness end?
70-80% of the patients get rid of sleep apnea permanently after the operation. Our patients sleep less and wake up more fresh.
- How much weight do I lose after operation?
Patients lose 10% of their weight in the 1st month after operation and 20-25% in 3rd month. We can achieve our target weight within 1 to 1.5 year. Surely, it depends on the patient as s/he applies the recommended diet and sports activities.
- Why this operation causes to lose so much weight?
First of all, body takes less calories. And, fat burn is accelerated. With ghlerin hormone and changed metabolism, fat burn is accelerated also in muscles. Metabolic rate increases as you sleep more. Your daily activities and energy consumption increase. Therefore, all of our patients who undergo operation, lose weight faster, without fasting and happily.
- Is follow-up important after operation?
Follow-up is very important after operation. After the operation, mineral deficiency such as iron, b12, b1, vitamin a, vitamin d, folic acid, zinc, magnesium may be seen. Also, gallstone may be formed with 30% possibility. These are controlled in follow-ups.
- Our routine follow-ups are on 10th day, 1-3-6-12th month and 2nd year.
- Why dietitian follow-up is so important?
After the operation, you follow-up will be performed by out dietitian Betül DEMİR for 1 year free of charge. It will helps you to lose weight healthy and well-disciplined. With our monthly motivation support informative meetings, you will undergo this process easily and nice.
- Is there any prohibited food or drinking after operation?
No, there is not any prohibited food or drinking. Your diet is explained by our dietitian Betül DEMİR in detail. We recommend you to avoid acidic drinks and alcohol for 1 year after operation.
- Will I vomit after operation?
Vomiting is observed very rare after operation.
Frequently asked questions about diabetes mellitus
- Is this operation performed for Type 1 diabetes patients?
- Unfortunately, this operation is not performed for type 1 diabetes mellitus patients.
Surgical technique is specified based on duration of diabetes mellitus, length, weight and medications you use.
- How many types diabetes mellitus surgery are there? What kind of diabetes surgery is best for me?
There are techniques which can be performed depending on body mass index.
- ileal interposition
- transit bipartition
- mini-gastric bypass
- sleeve gastrectomy + jejunuileal bypass
- Is this operation performed for any Type 2 diabetes patients?
- It can be performed for patients who are evaluated as eligible with the examinations carried out before the operation. We specify the patients who can benefit from this surgery by evaluating c-peptic level in the blood and other tests.
- What is the main logic of diabetic surgeries?
Our aim in this operation is
- To reduce stomach capacity if the patient is overweight and to control stomach so as to prevent tympanites after operation
- To provide a connection between small intestine and stomach, and to activate last part of the small intestine called ileum and with peptics hormones releases there,
a. To increase insulin release by stimulating dysfunctional β cells in the pancreas and
b. To reverse insulin resistance in patients.
So that, overweight people can activate their PANCREAS and get rid of DIABETES MEDICATIONS – INSULIN by losing weight, and normal weight people do not need to lose weight to recover so.