Obesity and Metabolic Surgery

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What is the Obesity and Metabolic Surgery Center?

The obesity and metabolic surgery center is a medical unit where surgical procedures are applied for the treatment of obesity caused by metabolic diseases. The causes of obesity may be genetic, environmental factors, nutrition or metabolic diseases. In some obesity treatments, sports and diet may not be sufficient. In cases where treatment cannot be provided, the underlying causes of obesity should be investigated well. Metabolic diseases can cause excessive weight, and various metabolic diseases can occur in the body due to morbid obesity. In order for obesity treatment to be successful in people with an additional metabolic disease such as diabetes and hypothyroidism, treatment should be applied for this disease. The goal in metabolic surgery methods is to solve metabolic surgery. In obesity surgery, the aim is to correct the physical conditions that cause excessive weight. Obesity and metabolic diseases should be treated together.

Diagnostic Methods and Florence's Approach in the Obesity and Metabolic Surgery Center

Various methods can be used to diagnose diseases in obesity and metabolic surgery centers. Florence Nightingale Hospitals Obesity and Metabolic Surgery Center has the latest technology diagnostic devices. People who apply to our hospitals are first examined by experienced doctors in our center. In addition to physical examination, the disease is diagnosed with the help of necessary tests and diagnostic methods. After the diagnosis and causes of the disease are determined, treatment options are presented to the person. The treatment method is decided after the doctor's recommendation and the patient's approval are obtained. The diagnostic methods applied in Florence Obesity and Metabolic Surgery Center are as follows:

  • Body Mass Index (BMI): The numerical value obtained by dividing a person's weight by the square of their height gives the body mass index. There are value ranges determined for healthy and obese people in the body mass index. The results are compared with these values and obesity is diagnosed.
  • Magnetic Resonance Imaging (MRI) and Computed Tomography: Magnetic resonance imaging can detect any type of mass in soft tissues. Computed tomography is a radiological technique used to image hard tissues. Magnetic resonance imaging and computed tomography can be used to measure the amount of fat in obese patients.
  • Urine Tests: The amount of carbohydrates, fats and proteins in the urine is examined in the diagnosis of metabolic diseases such as diabetes and thyroid disorders. Various urine tests can be used for this purpose.
  • Blood Tests: In the diagnosis of metabolic diseases that cause obesity, carbohydrate, fat and protein levels in the blood are measured. If results outside of normal levels are detected, the disease can be diagnosed.
  • Hormone Tests: Metabolic diseases can occur as a result of hormone deficiency or excess. Therefore, it is important to check hormone levels.

Diseases Treated at the Obesity and Metabolic Surgery Center

In the obesity and metabolic surgery center, various diseases that cause weight gain can be treated. Hormonal diseases and diseases that disrupt the sugar, fat and protein levels in the blood are some of them. In addition, morbid obesity can cause various diseases in people. The most appropriate surgical methods for the person should be applied for treatment. The diseases treated in the obesity and metabolic surgery center are as follows:

What are the procedures and examinations performed at the Obesity and Metabolic Surgery Center?

The procedures performed at the obesity and metabolic surgery center, in addition to diagnostic methods, allow the patient to determine which treatment is more suitable. The most appropriate treatment can be decided as a result of the procedures and examinations performed by specialist doctors. If there is a metabolic disease causing obesity, this disease is also included in the treatment program. The methods used for examination are as follows:

  • Laboratuvar Testleri: Hastadan alınan kan tahlili sonucunda laboratuvar ortamında şeker, yağ, protein, hormon seviyeleri kontrol edilir. Tespit edilen değerler ile birlikte hastanın ameliyatsız veya cerrahi yöntemlerden hangisine uygun olduğuna karar verilebilir. Ayrıca ameliyat öncesi hazırlık sürecinde kan tahlili yapılarak kişinin anesteziye uygunluğu kontrol edilebilir.
  • Radiologic Imaging: Radiologic methods such as magnetic resonance imaging, computed tomography, x-ray and ultrasound can be useful in diagnosing obesity. They can also be used in the treatment decision-making process and for detailed evaluation of the operation area when planning surgery. These imaging methods can also be used during the postoperative recovery and control process.
  • Endoscopic Evaluation: In cases where preliminary examination and radiological imaging are insufficient, endoscopic methods can be used. A definitive diagnosis of the disease can be made according to the biopsy result obtained with endoscopy. In addition to being used for diagnosis, endoscopy can also be used for treatment in obesity surgery.

What are the Treatment Methods and Florence's Approach at the Obesity and Metabolic Surgery Center?

In obesity and metabolic surgery centers, both obesity treatment and treatments for various metabolic diseases can be performed. Thanks to these treatments, the person's eating level can be controlled and weight loss can be achieved. Florence Hospitals have obesity and metabolic surgery centers with specialist doctors in their fields. The healthcare team, which closely follows all developments in the field of medicine, offers positive results to obesity patients with state-of-the-art devices and treatment methods. It is in constant communication with you before, during and after surgical operations. The treatment methods offered in our hospitals' Obesity and Metabolic Surgery Centers are as follows:

  • Gastric Band Surgery: An inflatable ring is placed at the entrance of the stomach. The patient can consume a limited amount of food because the stomach is narrowed by this ring. The ring can be expanded and narrowed by a thin tube under the skin.
  • Sleeve Gastrectomy: It is a method that aims to reduce the size of the stomach by removing a portion of the stomach. The stomach returns to a tube shape.
  • Sleeve Gastric Plication Surgery: Holes opened at some points of the stomach are folded and stitched onto the stomach. In this way, the volume of the stomach can be reduced.
  • Gastric Balloon: A balloon is placed inside the stomach. Since there is a balloon inside the stomach, there may be a decrease in stomach volume and eating.
  • Gastric Bypass Surgery: The stomach is reduced in size and connected to the intestine by bypassing a section of the intestine. Since food is not digested in the bypassed section of the intestine, less digestion is achieved and weight gain may decrease.
  • Mini Gastric Bypass Surgery: Unlike gastric bypass, the reduced stomach is connected to the intestine from a lower section after bypassing two meters of the intestine. Thus, the absorption of nutrients can be reduced.
  • Duodenal Switch Surgery: The stomach is reduced in size and made into a tube similar to the intestine. The stomach is then connected to the intestine from below. In this way, the patient's food intake and digestion can be reduced.
  • Sadi-S Surgical Method: It is a metabolic surgical operation method. The stomach volume of the patients is reduced and the absorption of food in the body can be limited.

What are the Health Technologies (Devices) Used in the Obesity and Metabolic Surgery Center?

With the advancements in medicine and technology, robotic systems have begun to be used in obesity and metabolic surgery operations. Florence Hospitals have obesity and metabolic surgery centers that incorporate state-of-the-art surgical health systems. The surgical systems used in our centers are as follows:

  • Da Vinci Robotic Surgery System: This system, which provides three-dimensional high resolution in small areas, can increase the doctor's skills during surgical operations. In addition, more successful results can be obtained from surgeries as vision and application sensitivity are increased.
  • Robotic Sleeve Gastrectomy: Sleeve gastrectomy surgery can be performed more successfully with robotic systems. It stands out due to its superior freedom of movement and precise suturing.
  • Robotic Gastric Bypass Surgery: Gastric bypass surgery is a complex surgery due to the narrowness of the area being operated on. Working in narrow areas and applying stitches may be easier with robotic methods.

What are the Florence Obesity and Metabolic Surgery Center Team's Specialties and Areas of Interest?

The Florence Obesity and Metabolic Surgery Center team includes specialist surgeons, obesity doctors, dietitians, physical therapy doctors, laboratory technicians, anesthesiologists, nurses, physiotherapists, assistants and technicians. This expert team works together as a multidisciplinary team and aims to provide a comfortable environment for patients before and after obesity and metabolic surgery procedures.

What is the Relationship of the Obesity and Metabolic Surgery Center with Other Units from a Multidisciplinary Perspective?

The Obesity and Metabolic Surgery Center works multidisciplinary together with many medical units. In order to achieve a successful result from surgery, it is important for an expert team to determine the patient's obesity diagnosis, reveal the underlying causes and provide the correct treatment. The units that work multidisciplinary together with the Obesity and Metabolic Surgery Center are as follows:

  • Anesthesiology: Local or general anesthesia is used to prevent pain and suffering during surgical operations. Anesthesiology specialists must be present at the surgery to apply anesthesia methods.
  • Beslenme ve Diyetetik: Obezitenin sebebi fazla yeme sonucu kilo alımı ve yağlanmadaki aşırı artış olabilir. Obezite cerrahisi operasyonlarından önce ve sonra diyetisyen kontrolü altında sağlıklı beslenme düzenine geçmek ve diyete dikkat etmek önemlidir.
  • Diabetes Center: One of the causes of obesity is diabetes. In addition, diabetes can occur due to obesity. When planning obesity and metabolic surgery, support should be obtained from specialist doctors within the diabetes center.
  • Endocrinology and Metabolic Diseases: Metabolic diseases can be one of the main causes of obesity. Controlling these diseases can affect the success of obesity surgery.
  • Physical Therapy and Rehabilitation: An exercise program should be implemented with the recommendation of a physiotherapist in order to maintain the fitness of patients before and after bariatric surgery.
  • Internal Medicine: Support can be obtained from the internal medicine unit in the diagnosis and treatment of metabolic diseases caused by obesity.
  • Cardiology: Since cardiovascular diseases may occur due to obesity, the cardiology department may be consulted in order to avoid any problems during and after surgery.
  • Radiology: Radiological imaging methods may be used for the diagnosis and treatment of obesity surgery.
  • Robotic Surgery Center: Robotic surgery has many advantages in the treatment of obesity. Therefore, it may be necessary to work together with a robotic surgery center in obesity surgery operations.
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