Bariatric surgery for High-Risk Patients
Obesity is seen as one of the most important health problems of developed world countries. Prof Dr Abdulkadir Bedirli says: "Those who cannot lose weight with diet and exercise methods and whose body mass index is more than 40 can have bariatric surgery".
Koru Ankara Hospital General Surgery Specialist Prof. Dr. Abdulkadir Bedirli stated that morbid obesity, that is, obesity, which is defined as a disease, is the state of having a body mass index above 40 and said: "Morbid obesity is a chronic disease and it carries with it a decrease in quality of life, deterioration in psychological functions and morbidity-mortality over the years. The main health problems related to morbid obesity are cardiac diseases, diabetes mellitus, sleep apnea, hypertension, lipid disorders, reflux disease, urinary incontinence, joint disease and infertility".
Stating that the ideal treatment for morbid obesity is diet and exercise, Bedirli said: "Diet and exercise programs can be effective in some patients, but the main problem in conservative approaches is continuity. Unfortunately, only 5 to 10 percent of morbidly obese, disease-sized obese people continue to lose weight with conservative approaches.
Therefore, for the first time in 1991, the National Institutes of Health in the USA defined patients who failed to lose weight with diet and exercise methods and whose body mass index was more than 40 as high risk and recommended surgery for these patients.
Bedirli says: "If your body mass index is over 40 or your body mass index is over 35 and you have obesity-related diseases such as hypertension, diabetes, respiratory apnea, osteoarthritis of the knee, you are a candidate for bariatric surgery".
Bedirli continues his words as follows: "Because the most effective and sustainable treatment of obesity known today is the surgical approach. With the applied surgical techniques, patients can lose 65-70 percent of their total body weight. Although the most weight loss after surgery is in the first 6 months, weight loss can be achieved after surgery. It continues for the next 24 months. It is a serious decision to perform a surgical procedure for cosmetic purposes.
Every patient considering this surgery should know that the anatomical and physiological effects of the surgical procedure to be created on them, most importantly, the total amount of calories they will take will decrease. In order to obtain maximum benefit from surgery, patients should It is important that they maintain the lifestyle and diet recommended to them”.
Bedirli said that patients who had morbid bariatric surgery had an increase in life expectancy and improvement in metabolic diseases such as diabetes accompanying obesity, and said: "There are many studies that show that surgical methods are much more effective and sustainable in the treatment of obese type 2 diabetes patients."
News Date: 24 February 2016 Wednesday 10:44
