It is important to evaluate the patient in all details before bariatric surgery. Obesity is a chronic, recurrent, multifactorial disease. This disease, which usually starts early in life, is an important risk factor for undesirable conditions such as heart disease, diabetes and cancer.
Candidates for bariatric surgery are determined according to the criteria set by the World Health Organization (WHO). The most important of these criteria is that your body mass index (BMI) is 40 or higher. According to these criteria, non-surgical treatment methods are determined for people who do not need surgery or who have a condition that contraindicates surgery. Patients who are suitable for surgery are also given detailed information about the operation process, the surgical options and the prices of bariatric surgery.
The metabolic and hormonal status of the patients should be investigated in detail before the operation. If a hormonal disorder that causes obesity is found in the tests, the underlying condition is first treated. After the tests, the surgery process is started for the patients who are suitable for surgery and cannot lose weight despite achieving and maintaining healthy living habits.
One of the assessments made before the obesity surgery is the body weight analysis. Then, the person's nutritional routine is learned and information about their eating habits is obtained. Weight loss goals are determined according to these habits. The diet of the patients who need to be operated is followed for at least 2 years after the operation.
Before the bariatric surgery, the behavioral and mental status of the patient is examined and it is assessed whether the patient has a psychiatric disease that may prevent the surgery. If there is a psychiatric condition that prevents surgery, this condition is treated first.
In this process, the patient's duodenum, stomach and esophagus are examined endoscopically for preparation before gastric surgery. In this examination, conditions such as tumors and ulcers that may prevent the operation or change the surgical technique to be performed are determined and evaluated.
Whole abdominal ultrasound is performed for every patient, during this examination it is checked whether there is an absolute contraindication to the surgery.
Obesity surgery prerequisites include the patient's suitability for anesthesia. For this reason, the patient undergoes an assessment of suitability for anesthesia before the operation. If deemed necessary, patients condition is consulted with pulmonary diseases specialists and cardiology doctors for heart and pulmonary functions.
All tests performed for those who have bariatric surgery are re-examined at the last stage and the appropriate date for the surgery is determined.
Does the state pay for obesity surgery?
The state hospital's compensation of costs of bariatric surgery depends entirely on the general health status of the patient.
Who is suitable for obesity surgery?
This surgery is performed on people with a body mass index of 40 and above, or those with a body mass index of over 35, who cannot lose weight with a specialist nutrition program and exercise.
At what weight does obesity surgery is indicated?
Body mass index should be over 40 kg/m².
How is obesity surgery done?
This surgery is generally performed under anesthesia in the form of sleeve gastrectomy, gastric bypass, duodenal switch, gastric band (stomach band) and mini gastric bypass, depending on the individual needs of the patient.