Frequently Asked Questions

Treatment of the obesity is based upon decreasing of gained extra calories or increasing burning calories with diet, sports and the change of the life style. If it cannot be losed weight in spite of the insistent tryings, obesity surgery is the most efficient treatment which is proven.
It is seen that the success rate in reaching the ideal weight by losing excess weight with diet, sports and lifestyle changes and keeping this weight constant for a long time is in the range of 2-8% in long-term studies. In other words, there is a 92-98% risk of weight regain called is recurrence.
The yoyo effect is the return of the weight lost or gained more weight after stopping the diets for weight loss.
Nowadays, thanks to the developing technology and increasing experience, obesity surgeries have become similar to risk ratio of other surgeries of general surgery (such as gall bladder, appendicitis). Obesity alone does not increase the risk of surgery. However, the risk increases if the person has additional diseases (such as diabetes, high blood pressure, heart disease) as well as obesity.
It is generally implemented in between 18-65 years old. As well as, in the 15-18 age range, these operations can be implemented with parental permission and the consent of the pediatrician.
Living as obese for a long time leads up to many diseases such as cardiovascular diseases, high blood pressure, diabetes, respiratory arrest during sleep, joint diseases and some types of cancer..
After a detailed examination in Doctor’s appointments, your current situation into consideration, detailed blood tests, ECG, respiratory function tests, ultrasonography, endoscopy, opinions about other physicians (Cardiology, endocrinology, anesthesiology, etc) are taken. All these consultations are completed within 1-2 days.
Although the wishes of the individuals who are appropriate for the surgery are taken into consideration, the laparoscopic sleeve gastrectomy or by pass surgery is decided after the existing additional diseases and all examinations are done.
The laparoscopic sleeve gastrectomy takes approximately 45 minutes – 1 hour, and RNY Gastric bypass takes 1.5-2 hours
The evaluation of whether there is a leakage or not between the suture lines in the stomach cut with special devices (staples) is called leakage test. It is done either in the form of an air-liquid test or with a blue dye (methylene blue). When a leak is seen, the risk is reduced by strenghtening this area with sutures.
Post-operative leaks are seen most common in between the first 5-7 days and it is very rare after the 10th day. Therefore, the first week after surgery is very important.
Because it is implemented laparoscopically, pain often occurs in the shoulders, either in small incisions or in the shoulders due to the diaphragm muscle stretched due to the abdominal inflation during surgery. All these pains can be easily controlled with painkillers and do not remain the next day.
Although it depends on the type of surgery, you are hospitalized for approximately 2-3 days.
The Patients start walking with support within the 2-6 hours after the surgery, and after discharge, they become to be able to meet their daily needs at home. Office-style desk work can be started in about 7-10 days. Driving is appropriate after the 10th day.
After making sure that there is no leakage, water nutrition is started in the company with a dietician on the first post-operative day. Then, your new diet, that is, a liquid-puree-solid transition diet, prepared specially for you, is reformed.
The first check is done in the 1st week. In the meantime, sutures, if any, are removed. Later, controls are made at 1, 3, 6 and 12 months for the first year, every 6 months in the 2nd year and at least once a year thereafter.
Since a new diet is started after obesity surgeries, protein and vitamin intake may be limited in the first periods and supportive treatment is required. Multivitamin and Protein powder (as a sports food) should be used in the first 3-6 months after both gastric sleeve and RNY Gastric Bypass surgery.Then, if there are deficiencies in routine controls, it can be used as a replacement.

Although hair loss is not seen in everyone, if it is seen, it starts in the 2nd month after the operation and can continue for about 3-6 months. The cause of hair loss is often a temporary vitamin and mineral deficiency due to changes in diet. Therefore, when the deficiencies are replaced, hair loss gets better.

The first 1-1.5 years after obesity surgery is a rapid weight loss period and during this period, the diet changes, vitamin and mineral supplements may be required. Similarly, pregnancy is a process in which metabolism accelerates and vitamin and mineral needs increase. Therefore, getting pregnant in the early post-operative period can harm both mother and baby due to malnutrition.
About 1 week after leaving the hospital, sports activities in the form of light walks can be started. Walking pace and duration should be done 30 minutes in a day and at least 3 days in a week, depending on the condition of the person before the surgery. Post-operative gym exercises can be started after 1-1.5 months, and again, you can start with low-intensity training and increase strength over time.
Regardless of the type of obesity surgery, there is a certain risk of gaining weight back in cases where diet and lifestyle are not considered. While this risk is about 30% for sleeve gastrectomy, this risk is around 10-15% in RNY Gastric Bypass surgery.
If 2-3 weeks have passed after you were discharged from the hospital, you can now enter the sea or pool.

In addition to the general health hazards of smoking and alcohol use, it also increases the risk of complications after obesity surgery. Alcohol also causes weight gain due to its high calorie content. For all these reasons, it is recommended to quit smoking 2 months before surgery. Post-operative alcohol consumption, on the other hand, should not be for the first 6 months, and then it can be used considering its harmful effects, provided that it is limited.