Obesity as one of the greatest problems of our era is spreading every day. Obesity is a serious and risky health problem that can cause other serious health problems and death. Individuals must fight against this problem with an expert doctor. There are some non-surgical and surgical alternatives among bariatric treatment. Here are the most effective operations in weight loss

obesity surgery

Excessive weight problem is defined as excessive fat accumulation on body due to high calorie intake. These individuals need medical treatment to eliminate obesity. Patients who are afraid of surgical methods or want to lose weight faster and more effectively generally choose non-surgical methods. It is noted that most effective methods for morbid obese and super obese individuals is surgical methods.

Most effective non-surgical operations in weight loss

Non-surgical medical operations that enable the most effective weight loss are divided into two as gastric balloon and stomach Botox.  

Gastric Balloon: This is a non-surgical weight losing method for fast and healthy weight losing of morbid obese patients and effective weight losing in advanced obese individuals. Individuals who have body mass index of 25 or higher, individuals with weight losing problems can have this operation if they do not have any stomach problem, took long-term cortisone treatment and are not pregnant. This method helps losing approximately 10-25 kg and it is completed in 15 minutes.

After sedating or applying general anaesthesia to the patient, deflated intra gastric balloon is placed in the stomach with endoscopic methods. After placing the balloon to the stomach, this balloon is inflated with air until reaching 500-900 ml volume or with blue dyed serum until reaching 450-500 cc volume. Stomach spasm and mild spasm for the first 3 days is perfectly normal and temporary. After the operation, patient needs to follow special diet and exercise program. Otherwise, all lost weights can be regained. Intra gastric balloon must be removed 6-12 months after the operation. During balloon removal, general anaesthesia is applied.

Stomach Botox: This operation can be applied to anyone with body mass index below 35, below 60 years old and without stomach disease or Botox allergy. This operation approximately takes 20-30 minutes and applied with endoscopic method when the patient is sedated.  This treatment restricts contraction of stomach muscles, extends time for food to leave the stomach and helps feeling full for longer time. This way, weight loss is achieved. Effects of this operation will be visible after 3-7 days. Also, effects are permanent for 6 months. When this treatment is supported with diet and exercise, it is possible to lose 4-20kg within 6 months. According to literature, stomach Botox can be applied for maximum 3 times with 6 months intervals.  

Does gastric balloon rupture?

Intra gastric balloon does not have rupturing risk but it can leak. This balloon is inflated with blue liquid to detect any leakage. When there is any leakage, patient’s urine will turn green. This way, it is easier to detect any leakage. When this happens, you need to contact to your doctor as balloon location and volume needs to be checked. 

Does non-surgical operations guarantee weight lost?

Both surgical or non-surgical operation and applications does not guarantee weight loss alone. After the operation, patients need to fully cooperate and follow personal program. These are the main conditions to lose weight and sustain weight loss after these operations.  Otherwise, patient can fail to lose weight or preserve this weight.

Most effective surgical operations in weight loss

Sleeve Gastrectomy: Sleeve gastrectomy is the common name. This is the most demanded and most commonly applied bariatric alternative. This is among the most effective operation for weight loss. This operation is applied to patients with body mass index of 36 or higher, who cannot lose weight with diet and exercise, who experience other health issues such as diabetes, hypertension, sleep apnea and who are between 15-65 years old. This operation is closed. 6 small laparoscopic holes are opened and hormone production segment of the stomach is removed. Generally, remaining stomach part has 150-200 cc volume. This part is shaped as a tube. After leakage control, operation is completed. 

Gastric By-Pass: Certain part of the stomach is bypassed. This way, half of the intestines are used for digestion and stomach volume is decreased. This method is limiting and enzyme decreasing method. It can be applied in 3 methods including closed, open and robotic. However, since open operations leave a large scar, this method is rarely preferred. 

Silicon Gastric Band: This is also known as stomach staple. This method is applied to patient with at least 40 kg or more than their ideal weight. Main difference from other operations is that there is no need to dissect and remove the stomach. Silicon band is placed around the stomach to leave 15-20 cc gap on top part of the stomach. A tunnel is created to prevent this band to slip. Diet and exercise program must be followed after this operation. 

Is sleeve gastrectomy risky?

Risk rate in international data shows 0.2-0.4%. This risk rate is same as any other operation. As in other surgical operations, risks could be decreased with doctor experience, team experience, equipment quality, correct equipment use during sleeve gastrectomy operation. As in all other surgical operations, doctor selection is extremely important in bariatric surgery. 

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