Gastric Sleeve Surgery Gastric sleeve surgery is one of the most common surgeries under bariatric surgery today. It is basically called stomach reduction surgery, and gastric sleeve surgery can be referred to among the public as stomach reduction surgery. Apart from gastric sleeve surgery, there are various surgical methods under bariatric surgery. Although methods such as gastric bypass, duodenal switch and biopnacratic diversion are applied under the scope of obesity surgery, the most commonly used surgical operation is gastric sleeve surgery. The main reasons for this are, of course, the fact that gastric sleeve surgery is both easy to apply and the process can be completed with a low risk of complications and successful results. Nevertheless, surgical practices may vary according to the individual, so a decision must be made according to the doctor's direction. What Does Gastric Sleeve Surgery Include? Another advantage of gastric sleeve surgery is that it can be performed completely by laparoscopic methods. In gastric sleeve surgery, which is carried out by laparoscopic methods, the majority of the stomach is removed through small incisions. An average of 80% of the current stomach is taken out. Since the laparoscopy method is applied, large incisions are not opened in this process, and both surgery and recovery time are short while at the same time, they do not cause large surgical scars. Decision and Preparation Process Before Gastric Sleeve Surgery Gastric sleeve surgery is mostly done in patients struggling with obesity or morbid obesity diseases. The evaluation of such patients in a multidisciplinary way under different branches is very important in the preparation for surgery. Considering all the medical history of the patient, all possible complications should be considered in advance, and experts from every branch that the patient will need should be present. The surgery team should also be a multidisciplinary team. Gastric sleeve surgery is only one step in a long process. In some cases, patients may first need to lose weight to undergo this surgery, and the process will continue after the surgery. For this reason, it is very important that the patient is aware that he will successfully complete the process patient is in, but it is also important that the process should be performed by professionals. Examination and Preparation Process Before Gastric Sleeve Surgery A patient who will undergo Gastric sleeve surgery must be evaluated by general surgeons, endocrine and metabolic diseases, chest diseases, cardiology, diet and nutrition, psychiatry, physical therapy and rehabilitation and anesthesiology and reanimation branches. Tests such as investigating whether the cause of high weight is due to endocrine and metabolic disease, blood tests, ECG, pulmonary function tests, body composition analysis, endoscopy can be requested. Additional tests may also be ordered depending on medical history. The information received at the end of this entire examination and examination process produces a cumulative result and preparation is made for the surgical process in the light of this information collected from the patient. Things To Be Considered A Day Before Gastric Sleeve Surgery The evening of the day before the operation, patient should stop eating and the fluid intake on the night of the day before the surgery should also stop. Apart from these, if medications such as blood thinners and intestinal cleansers are given by the doctor, it is very important to take them at the right time and in the right way. Process After Gastric Sleeve Surgery and Things to Consider  Patients can be taken to normal rooms or intensive care units after the operation according to the patients condition and the operation process. No solid or liquid food intake takes place within a few days. Then, with the passage radiograph, it is checked whether the operation process has been successfully completed and then the patient's fluid intake with drinks such as water and milk begins again. If no problems are observed, patients are discharged. Gastric sleeve surgery is in most cases just the beginning of the process. It is recommended to consume liquid or near-liquid foods for a while in the postoperative period, multivitamin drugs are recommended as support and when the patient returns to his normal life, he continues the process with a serious diet. In this process, the individual should proceed in a balanced way within the framework of the program prepared by doctor and should not neglect the controls.  

Gastric Bypass Gastric bypass is one of the stomach reduction surgeries performed within the scope of bariatric surgery. Gastric bypass operation has an important place in bariatric surgeries, which is performed in order to facilitate the weight loss of individuals with diseases such as high weight problems, obesity and morbid obesity. Gastric Bypass is a stomach reduction surgery and approximately 80% of the stomach is taken out with the surgery. Along with gastric bypass surgery, solutions can be found for metabolic disorders. It also contains many advantageous results with changes in the patient's hunger-satiety feeling and with low calorie consumption. How Much Weight Can I Lose With Gastric Bypass Surgery? With surgical interventions performed within the scope of obesity surgery, especially gastric bypass, patients who have overweight complaints and have numerous complications developed accordingly are provided to experience weight loss from 40 kilos to 100 kilos. In gastric bypass surgery, a foreign material is not integrated into the body during the surgical operation and patients stay less in the hospital. Gastric bypass, which also helps in the solution of metabolic disorders, provides a comfortable loss of 50 to 60% weight in patients acting according to the doctor's instructions. In Which Conditions Is Gastric Bypass Surgery Applied? Gastric bypass is an operation performed in patients with overweight problems and evaluated within the scope of bariatric surgery. Here, it is very important to measure the body mass index and perform the body analysis of the patient in detail. Follow-up should be definitely started for patients with a body mass index of 35 and above, and priority treatment should be started without delay. Bariatric treatment practices, of course, begin with the changes in exercise and nutritional habits reinforced with medical support. However, if patients have different medical histories or possible risks of complications, the process can also proceed directly to surgery. If the body mass index cannot be taken under control and rises above 40, then surgery will be inevitable. Preparation Process Before the Gastric Bypass Surgery While surgical interventions such as gastric bypass may be a start for individuals in some cases, preparation may be required in some cases to undergo surgery. However, obesity surgery methods such as gastric bypass are preferred in cases where patients cannot get results with diet, exercise and medical support processes.  Individuals with a body mass index above 25 are in the risk group for heart disease and diabetes. Therefore, patients with overweight complaints that exceed 35 and 40, are in the risk group for many diseases. Therefore, patients should be examined by various branches before obesity surgery operations such as gastric bypass. Examinations of various branches will of course bring along many different inspection processes. However, a cumulative treatment process will be revealed in the light of data such as the patient's medical history. Therefore, these stages are very important, both the operation and the postoperative process are shaped according to these stages. For this reason, it is recommended that the operations performed within the scope of obesity surgery such as gastric bypass are performed by a professional team in a fully equipped hospital. It is very important for the individual to follow all the test and decision steps and the doctor's instructions exactly, in order for the process to be successful. Nutrition Process After Gastric Bypass Surgery Consumption of solid foods should be stopped at the first stage in the postoperative period and should be gradually integrated into the feeding steps for the patient to eat again. In this process, it is recommended to choose foods that are high in vitamins and nutrients. Bariatric surgeries such as gastric bypass are the beginning, not an end. That’s why the most important thing is awareness of the patients about this. Patients should be ready a long term diet process. In the postoperative period, diet process is quite important to gain new and healthy nutrition habits. In the period following the surgery, the patients should put their eating habits and lifestyle into a healthy form with the guidance of the doctor and take steps to achieve full success.

Gastric Balloon Although gastric balloon application is not considered as an operation, it is an alternative to surgical operations for individuals with overweight disease. For some surgical operations, patients with overweight, obesity or morbid obesity may need to lose weight in order for the surgery to take place. In this case, gastric balloon application is applied. If patients follow their doctor's instructions, they may lose weight significantly with the application of a gastric balloon. However, it is essential to act correctly and to manage the process in a balanced and regular manner after the gastric balloon. What Does the Stomach Balloon Process Include? Stomach balloon application takes place through endoscopic stages. A fist-sized balloon filled with water is placed in the stomach through an endoscopy. With the place that this balloon covers in the stomach, food intake is reduced and it is aimed to feel the feeling of satiety more easily. The stomach balloon can remain in the stomach of patients for a maximum of 1 year. Taking the right steps in this process and supporting the process with changes in nutritional habits and exercise processes can lead a weight loss of 10-30%. What Are The Advantages of Gastric Balloon Application? Since the gastric balloon application is not a surgical intervention, it can be easily placed in the stomach only with the application of endoscopy. The process can be completed easily and quickly. A healthy change in the eating habits of the patient and supporting this process with physical activities can significantly speed up weight loss. In this way, up to 30% weight loss can be achieved. What Are The Disadvantages of Gastric Balloon? Gastric sleeve application may not normally progress and can ocur some complaints. Besides nausea and vomiting complaints, cramps and pain can occur after gastric balloon application. That’s why some patients may not be suitable for this application. The stomach balloon can remain in the stomach of patients for a maximum of 1 year. Therefore, patients need to evaluate this 1-year period well and act in accordance with their goals. Even if the target is not reached at the end of the 1-year period, the stomach balloon will need to be removed. Before Gastric Balloon Application Before the application, the internal side of stomach is examined and it is checked whether there are any obstacles for placing balloon. The balloon is then placed to the stomach with laparoscopic method under anaeshtesia. The balloon is filled with air or liquid. It is recommended not to eat for 12 hours before the stomach balloon application and not to consume liquid 6 hours before. Stomach balloon placement takes up to 20 minutes and patients are discharged after only a few hours of observation. Nausea and vomiting problems may occur in the first week and you can no feel hunger for a while, but all o these will also return to normal after the first week. How Does Gastric Balloon Work? The stomach balloon provides a feeling of satiety with the volume it covers in the stomach. The individual becomes unable to consume the calories he consumed before the stomach balloon after the stomach balloon. At the same time, it provides a longer feeling of satiety because it slows down the passage of foods that will continue the digestive process from the stomach. It is observed that the feeling of openness is gradually recovered after the first week. At the end of the first month, adaptation to the gastric balloon is generally achieved and the food consumption may increase a little more, it is strongly recommended to consume foods with high nutritional value until this time. It is very important to learn to eat slowly during the stomach balloon process and not to continue eating if it is saturated. After Gastric Balloon Application Even if application is completely accomplished, the process after removing balloon is quite important. Removing the balloon can cause nutrition disorder. Even if the whole process has successfully progressed, the management of the process after the stomach balloon is removed is very important. Even if all goals have been reached, it is necessary to act carefully after the stomach balloon comes out. Taking out the balloon that fills the stomach can lead to disruptions in the nutritional regime applied by the person during this period and cause the regain of the weight lost during the stomach balloon process. Therefore, the balanced nutrition process should be maintained.

Type 2 Diabetes Surgery With type 2 diabetes surgery are tried to eliminate both overweight complaints and diabetes complaints of the patients. Type 2 diabetes surgery, which can be described as a type of gastric sleeve surgery, can also be evaluated within the scope of bariatric surgery. With type 2 diabetes surgery, a piece of the stomach is removed. With type 2 diabetes surgery, patients start to lose weight and number of cells that secrete insülin increase. Therefor it provides a treatment environment for type 2 diabetes. With this process, it was observed that insulin production increased in patients and the insulin values needed by the body were exposed. Under What Conditions Is Type 2 Diabetes Surgery Applied? Although type 2 diabetes surgery is an operation performed only in patients with type 2 diabetes, not all type 2 diabetes patients can have this surgery. Patients who can complete prerequisites without problems for type 2 diabetes surgery can benefit from this surgical application. The most important of these conditions is that the insulin reserve is not yet completely exhausted. What are the positive results of Type 2 diabetes surgery? Patients who have type 2 diabetes surgery may need additional nutritional habits and exercise practices in their lives to maintain their weight loss and reach their healthy weight. Likewise,  patients with problems with type 2 diabetes with this surgery, they do not need additional insulin supplements, as the body produces self-sufficient insulin. These two results of type 2 diabetes surgery cause a serious increase in patients' quality of life. Some unwanted treatments such as insulin pump and injector that are required as a result of type 2 diabetes disease are not required and additional complications that patients may experience are controlled. Type 2 Diabetes Diease and Surgery Type 2 diabetes is one of the disease named sneaky and process of this disease is very slow. Symptoms of type 2 diabetes are; drinking too much water, frequent urination, dormancy and tiredness after eating, concentration impairment and aggression etc. These symptoms can be  interpreted as a different disease. Therefore, regular body scans are quite important to diagnose early this kind of disease. Cardiovascular diseases, vision disorders, scar on the skin and slow healing, infections, numbness, tingling can occur as a result of type 2 diabetes. Medical applications, insulin support, exercise, regulating nutrition habits are the stages of the treatment process in type 2 diabetes. However, these treatment practices may be insufficient in some cases. Therefore, in the scope of carrying out more radical interventions to type 2 diabetes and related organ losses, type 2 diabetes surgery is applied. What are the Benefits of Type 2 Diabetes Surgery? There are many gains in addition to lose weight and healing of type 2 diabetes disease.The first of these gains is the facilitation of insulin penetration into the cell. While the insulin production is already increasing, the acceptance of this easily by the cells can be considered as a very positive development when the steps of the healing process are evaluated. It can be said that problematic processes and protein metabolism, liver fattening, intracellular signaling and conduction mechanisms, which may be developed depending on the disease and medical history, have gained a positive acceleration within the scope of type 2 diabetes surgery. These include balancing in blood sugar, cholesterol and trigiliserid levels; It also improves hypertension, overweight, liver fat, eye and kidney damage, and foot wounds.

Botox application is a new weight loss method. In an endoscopy, botox (botulinum toxin) is injected into the stomach wall by entering the stomach. By this method, the contraction of the stomach muscles is limited, the gastric emptying time is delayed and the patient loses appetite; thus weight loss is achieved.