Beat obesity in 10 steps
Obesity is among the most common diseases in our age. Obesity, which is the problem of everyone from 7 to 70, male or female, young or old, the degree of obesity if the person has excessive weight that will impair his health; It is determined by the body mass index calculated according to the height and weight of the person recommended by the World Health Organization. More than 200 thousand bariatric surgeries are performed in the USA every year, especially thanks to the developments in closed method surgeries. prof. Dr Abdulkadir Bedirli summarized the causes, problems, obesity and bariatric surgery that make obesity so common in 10 items.
1. Obesity in the World
Regarding obesity in the world, Abdulkadir Bedirli said, “Obesity is an important public health problem on a global scale. Obesity is increasing day by day in both developed and developing countries. In the MONICA study, which was carried out by WHO in 34 different populations from 21 countries and lasted for 10 years, it was reported that an increase of 10-30% was detected in the prevalence of obesity in 10 years.
2. Obesity in Turkey
The prevalence of obesity is increasing day by day in our country. According to TUIK (Turkey Statistics Institute) 2010 Health Survey data, the prevalence of obesity in individuals aged 15 years and over was determined as 13.2 percent in men, 21 percent in women, and 16.9 percent in the general total.
3. Causes of obesity
Prof. Dr. Abdulkadir Bedirli; In addition to excessive and wrong eating habits, insufficient physical activity, age, gender, education level, socio-cultural factors, income status, hormonal and metabolic factors, genetic factors, psychological problems; He stated that factors such as very low-energy diets at frequent intervals, smoking-alcohol use, some drugs used (antidepressants, etc.), number of births and time between births cause obesity
4. The effect of working conditions on obesity
Stress, anxiety, intense work pace are among the factors that push the individual to eat together with the emotional hunger instinct. Office workers, in particular, are more prone to gain weight because they are inactive throughout the day.
5. Obesity and psychology
Obesity, which is not an eating disorder in the psychiatric sense, is considered as food addiction by some psychiatrists and psychologists. Just like alcohol and drug addiction, it is associated with problems in the regions of the brain responsible for motivation, reward and inhibition control.
6. Health problems caused by obesity
• Diabetes
• Hypertension
• Sleep apnea,
• Fatty liver
• Asthma
• Difficulty breathing
• Degenerative joint diseases
• Menstruation irregularities
• Mental problems
7. Obesity treatment methods
Prof. Dr. Abdulkadir Bedirli defined obesity surgery as "Obesity surgery, in short, is a treatment method that includes a group of surgical methods applied on the digestive system to solve the problem of excess weight that can cause health problems and that cannot be solved by methods such as diet and exercise". Stating that he has performed over 250 surgeries with the robotic method to date, Bedirli said, "The result, return and continuation process of all of them were very successful." said.
8. Surgical solution to obesity
Prof. Dr. Abdulkadir Bedirli defined obesity surgery as "Obesity surgery, in short, is a treatment method that includes a group of surgical methods applied on the digestive system to solve the problem of excess weight that can cause health problems and that cannot be solved by methods such as diet and exercise". Stating that he has performed over 250 surgeries with the robotic method to date, Bedirli said, "The result, return and continuation process of all of them were very successful." said.
9. Current approaches in bariatric surgery
• Da Vinci Robot-Assisted Obesity Surgery
In the surgical treatment of obesity, which is an important health problem today, robotic surgery is a procedure that has been frequently applied in recent years. In 1997, for the first time in Brussels, Dr. After the first gallbladder surgery performed by Cadiere et al., the da Vinci Robotic Surgery System broke new ground in the field of surgery.
• Gastric Bypass Surgery
Gastric Bypass Surgery is a suitable alternative for morbidly obese patients who have tried but failed all conservative methods and measures, including diet and exercise, to control their weight. The more important the decision to have an operation to solve the weight problem, the more important the type of surgery and the technique to be applied.
• Tube Stomach Surgery
Gastric sleeve gastrectomy/stomach reduction surgery is the most frequently performed bariatric surgery method in our country. This surgery, which can be completed in under an hour in skilled hands, is a laparoscopic procedure. Therefore, there is no large abdominal incision and the operation is performed through millimetric holes.
• Duodenal Switch Surgery
The Duodenal Switch procedure facilitates weight loss as it limits the amount of food consumed. The size of the stomach is reduced, thus reducing the amount of calories entering the body. Duodenal Switch h surgery effectively reduces the absorption of food in the small intestines, resulting in more weight loss as it directly affects the metabolism.
10. After obesity surgeries
Prof. Dr. Abdulkadir Bedirli summarized the postoperative period as follows; “It would be appropriate to divide the post-obesity surgery period into two as “early” and “late” periods. The “early period” in which weight loss is expected to last includes roughly the first two years after surgery. The late period, on the other hand, defines after the cessation of weight loss, that is, after the first two years. With the applied surgical techniques, patients can lose 70 percent or more of their excess weight. Such a massive and permanent weight loss with surgery is very different from what most patients have previously experienced with nonsurgical treatments. Eating healthy after surgery, learning to listen to your body, taking responsibility for your choices and regular exercise is a lifelong commitment.
