Obesity is, in general, the condition in which the body weight goes beyond the desired level in proportion to height due to an excessive increase in the ratio of fat mass to fatlass of the body. Obesity is also defined by the World Health Organization (WHO) as an accumulation of excess fat in the body to the degree that it will impair health. Based on the World Health Organization’s obesity classification, Body Mass Index (BMI) is widely used to determine obesity. A person with a body mass index (body mass index) above 30 is considered obese, while a person with a value above 40 is regarded as morbid obese.

Methods Used in Obesity Surgery

  • Tube stomach surgery (Sleeve Gastrectomy)
  • Stomach reduction surgery (mini gastric bypass)
  • Stomach balloon
  • Stomach bypass surgery
  • Diabetes surgery

The activities to be carried out pre and post-surgery

Questions and answers

whose body mass index is above 40. We are also able to operate on patients whose index value is between 35-40, if they also suffer from related illnesses, such as weight related diabetes, blood pressure problems, sleep apnoea issues and fatty liver syndrome. Together with this, obesity needs to have been present for a minimum of 3 years.

Obesity is defined as being fat, and roughly means that there is an accumulation of “fat” to a level higher than normal, in the body. In short, the cause of obesity is the excessive intake of calories, the conversion of these calories into fat and the storage of the resulting fat. Scientifically, a BMI above 40 is defined as “morbid obesity”.

As standard, the operation is performed on patients between the ages of 18-65. However, it can also be performed on patients above the age of 65, in experienced centres. It is also possible to perform it on patients under the age of 18, through choice.

If the patient has alcohol or substance addictions, then these will need to be treated first. This operation can also be performed on psychiatric patients, after speaking to their physician and obtaining approval, but if the patient suffers from serious depression, which is not under control, we are unable to operate on such patients.

The risk rate of these operations is not very high in experienced centres. Of course, there have been patients who have lost their lives during these operations, but when we look at the rates in general, we see a risk rate of 0.3%. This rate is no higher than the risk for gall bladder and appendix operations. This needs to be made very clear – it is no longer possible for individuals who are above a certain weight to lose weight through diet and exercise.

Whether a previous obesity operation has been performed, whether the patient suffers from Type 2 Diabetes or other related illnesses in addition to obesity, the age and body mass index of the patient and the experience of the surgical team play a role in determining the Surgical Procedure to be performed.

Am I suitable for obesity surgery?

  • Individuals between the ages of 18-65 (if surgery is being considered in patients of other age groups, this will be assessed on a patient by patient basis);
  • Individuals with a body mass index (BMI) of over 40 kg/m2, and without any additional illnesses;
  • Individuals with a body mass index (BMI) of between 35-40 kg/m2, and with additional illnesses (diabetes, high blood pressure, high cholesterol, sleep apnoea, asthma, polycystic ovarian syndrome);
  • Individuals with a body mass index (BMI) of between 30-35 kg/m2 and difficult to control diabetes;
  • Individuals who will be able to continue with the required monitoring and utilise the recommended support and medication in the period after surgery
  • Individuals with no active psychiatric history;
  • Individuals who have received positive results from the departments which conducted evaluations prior to surgery.

Patients who are not suitable for surgery:

  • Individuals who have alcohol or substance addictions;
  • Individuals without family support;
  • Individuals who will not be able to make changes in their lifestyle after the operation, are not candidates for surgery. (The most important factor in maintaining the weight loss is the compliance of the patient);
  • Individuals who have suffered gastric cancer or who have been determined to have pre-cancer lesions (stomach ulcers), before the operation, are not suitable candidates;
  • Smokers are not suitable candidates. Stopping smoking comes at the top of the lifestyle changes which are required. Stopping smoking before surgery, rather than afterwards, will be a good indicator of the desire and serious attitude of the patient.