The widespread use of laparoscopic obesity surgery has left both emergency physicians and general surgeons faced with acute and chronic complications of bariatric surgery. Patients who have undergone bariatric surgery should take a phased approach should they encounter any emergency. Resuscitation attempts are the same as for patients who have not undergone bariatric surgery. Therefore, […]

Gastric sleeve surgery is one of the most frequently performed procedures in obesity surgery. Gastric sleeve surgery, which reduces obesity-related risks by providing a strong weight loss, also improves the patient’s quality of life in a short time. What is Gastric Sleeve Surgery? Gastric Sleeve Surgery, medically known as ‘Sleeve Gastrectomy’, is popularly known as […]

Definition and classification of obesity: The World Health Organization (WHO) defines obesity as a state of excessive fat accumulation in the body to the extent that it negatively affects health and well-being.1  If the amount of body fat exceeds normal physiological values, a person is obese. Physiologically, the normal amount of body fat varies widely between […]

Gastric band, popularly known as gastric band, is one of the surgical methods used in the treatment of morbid obesity. This method, also known as gastric banding; It is the process of placing a band around the stomach, approximately 200 mm below the junction of the esophagus and stomach. The band placed in the stomach […]

If you have done research on the internet about obesity and surgical treatments of obesity, or talked to your acquaintances or people around you who have received medical services on these issues, you are likely to have heard the term “metabolic surgery” as well as the terms bariatric surgery and obesity surgery. Surgeons who specialize […]

Insulin resistance is a condition in which normal concentrations of insulin produce less than normal biological response. Or it can also be called a state of resistance to the metabolic effects of insulin. The metabolic effects of insulin are the suppression of endogenously produced glucose, stimulation of peripheral glucose retention (predominantly in muscles) and gluconeogenesis, […]

The coexistence of various risk factors that play a role in the development of cardiovascular diseases and are thought to share a common etiopathogenesis is called metabolic syndrome. Metabolic syndrome is among the most important and common causes of atherosclerotic diseases and type 2 diabetes. For the first time in 1988, Reaven drew attention to […]

Metabolic syndrome is a bundle of cardiometabolic risk factors that develop in common genetic and environmental environments and are characterized by waist circumference, high blood pressure, qualitative and quantitative disorders in blood lipids, and high blood sugar. In people with metabolic syndrome, the risk of developing type 2 diabetes in the future is 5 times […]

In order for insulin to have its effect, after it is secreted from the pancreas, it must go to the cells where it will act and bind. These points in the cells to which insulin binds are called receptors. Three main mechanisms play a role in the development of insulin resistance. The first is the […]

Two mechanisms are used in obesity surgery. The first of these is a volume restricting mechanism, and the second is a mechanism that both restricts and impairs absorption from the small intestines. Adjustable gastric banding (clamp), one of the volume restricting methods, is rarely used today due to the complications it creates. Today, we most […]

Sleeve gastrectomy surgery, commonly known as sleeve gastrectomy, aims to reduce the stomach volume. That’s why its other name is stomach reduction. However, the known and most commonly thought to be this mechanism cannot alone explain weight loss and improved type 2 diabetes. There must be other mechanisms. As a result of the studies, it […]

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 […]

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 […]

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 […]

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 […]

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 […]

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 […]

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 […]

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 […]

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 […]