In addition to the two known basic pathologies, increased insulin resistance and impaired insulin secretion, it has recently been understood that a decrease in incretin hormone secretion also plays an important role in the formation of type 2 diabetes. The word incretin is derived from the words “Intestinal Secretion of Insulin”. Basically, GLP-1 and GIP […]

In gastric bypass surgery, a large part of the stomach is bypassed, a small volume stomach section is prepared and connected to the lower part of the small intestines, which are divided into two. In this surgery, a restrictive surgery is performed by reducing the stomach volume and disabling a part of the intestines, as […]

The mechanism known and most thought to be like this in vertical sleeve gastrectomy (VSG); is the reduction of stomach capacity. This is actually one of the reasons why it is called “stomach tube”. But the main balance is achieved by regulating ghrelin secretion. In fact, when the stomach is empty, ghrelin secretion increases and […]

Gastric balloon is an alternative to obesity surgery in patients who are overweight and are not suitable for surgery.In some cases, they are used in the preparation process of super obese patients by losing weight until the surgery.Most patients can lose 15-35% of their total body weight, depending on their initial weight.How is a gastric […]

Adjustable gastric band is a method of placing an inflatable band on the upper part of the stomach and creating a small stomach pouch at the end of the band. Mechanical effects of this method in weight loss are more prominent than its effect on hormonal balance, and limited food intake and malabsorption are effective […]

Who can undergo obesity surgery? We need to pay attention to a number of criteria in patients for whom we will perform obesity surgery. The most important among these criteria is body mass index (BMI). BMI is a value formed by dividing our body weight (kg) by the square of our height in meters. If […]

The classic treatment for metabolic syndrome is diet, exercise and lifestyle change. In cases where these are not sufficient, some medications and insulin therapy come into play. However, medication use along with diet, exercise and lifestyle changes achieve treatment goals in only 15-20% of type 2 diabetics. The rate of patients who can control their […]

What is the hunger hormone that induces eating? Ghrelin is released both centrally (brain) and peripherally (stomach). It increases gastrointestinal motility. It reduces insulin secretion. Energy intake is the primary regulator of plasma ghrelin level. Circulating ghrelin levels; While it increases in hunger, it decreases in satiety. This mechanism is thought to be a protective […]

This complaint may be a sign of intestinal vascular occlusion disease. Does your stomach hurt all the time? Do you think it’s due to stress? Do you have gas pains? These complaints may be a sign of a much more fatal disease: intestinal vascular occlusion! To explain the disease better, we can call it an […]