What is Sleeve Gastrectomy?
Forever Clinica Uncategorized

What is Sleeve Gastrectomy?

Say Goodbye to Obesity: Sleeve Gastrectomy (Gastric Sleeve Surgery) with Forever Clinica in Istanbul

 

Obesity is a chronic disease that affects millions worldwide, significantly reducing quality of life and leading to a host of serious health problems. If you’ve tried diets, exercise, and medical treatments without success, Sleeve Gastrectomy, commonly known as Gastric Sleeve Surgery, might be the effective solution you’ve been searching for. At Forever Clinica in Istanbul, Turkey, we are committed to helping you on your journey to a healthier and happier life. In this article, we’ll walk you through everything you need to know about gastric sleeve surgery, from the procedure itself to the incredible life changes that follow.

 

Understanding Obesity: A Modern Epidemic

 

Obesity is more than just a matter of appearance; it’s a complex medical condition characterized by an excessive accumulation of body fat. The World Health Organization (WHO) recognizes it as a global epidemic, linking it to a range of severe health issues, including heart disease, type 2 diabetes, high blood pressure, and sleep apnea. Beyond the physical toll, obesity can also take a heavy toll on mental and emotional well-being, leading to low self-esteem, depression, and social isolation.

When traditional weight loss methods fall short, bariatric surgery becomes a powerful tool to break this cycle. It’s a proven and lasting solution for those who are unable to achieve significant weight loss through conventional means.

 

What is Sleeve Gastrectomy (Gastric Sleeve Surgery)?

 

Sleeve Gastrectomy is one of the most widely performed and effective bariatric procedures today. The surgery involves removing a large portion of the stomach, leaving behind a small, tube-shaped “sleeve” that dramatically reduces the amount of food you can consume.

During the surgery, approximately 75-80% of the stomach is permanently removed. This procedure achieves weight loss in two main ways:

  1. Physical Restriction: The smaller stomach size means you feel full much faster, limiting your food intake.
  2. Hormonal Change: The part of the stomach that produces the hunger hormone, Ghrelin, is removed. This significantly reduces your appetite and helps control cravings.

This dual-action approach is the key to the procedure’s high success rate, making it an excellent option for long-term weight management.

 

Why Choose Gastric Sleeve Surgery? The Key Advantages

 

Gastric sleeve surgery offers numerous benefits that make it a highly popular choice for bariatric patients:

  • Significant and Sustained Weight Loss: Patients typically lose 60-70% of their excess weight within the first year. The initial weight loss is rapid and motivating, helping you stay on track with your new lifestyle.
  • Appetite Control: By removing the ghrelin-producing part of the stomach, the surgery drastically reduces feelings of hunger, making it easier to stick to smaller portion sizes.
  • Improvement in Health Conditions: The majority of patients see a remarkable improvement or complete remission of obesity-related conditions such as type 2 diabetes, high blood pressure, high cholesterol, and sleep apnea.
  • Simpler and Safer Procedure: Compared to more complex surgeries like gastric bypass, the gastric sleeve is a technically simpler procedure. It focuses solely on the stomach, leaving the intestines untouched, which minimizes the risk of malabsorption issues.
  • Quicker Recovery: The surgery is performed laparoscopically (keyhole surgery), which means smaller incisions, less pain, and a faster recovery time.
  • No Intestinal Rerouting: Since the small intestine is not altered, nutrient absorption is less affected, which makes managing your vitamin and mineral levels much easier in the long term.

 

Who is a Candidate for Gastric Sleeve Surgery?

 

Gastric sleeve surgery is not for everyone. A detailed and personalized medical evaluation is crucial to determine if you are a suitable candidate. Generally, good candidates meet the following criteria:

  • BMI of 40 or higher (morbid obesity), or a BMI of 35-40 with at least one obesity-related comorbidity such as diabetes, hypertension, or sleep apnea.
  • Aged between 18 and 65, although these limits can be flexible based on a doctor’s assessment.
  • Individuals who have failed to achieve sustainable weight loss through other methods like diet and exercise.
  • Those who are not struggling with substance abuse and are mentally and physically prepared to commit to significant lifestyle changes.
  • Patients who are ready to follow a strict post-operative diet and long-term follow-up plan.

 

The Gastric Sleeve Journey at Forever Clinica in Istanbul

 

Your weight loss journey with Forever Clinica is a comprehensive process that begins long before your surgery. We are here to support you at every stage, right here in the beautiful city of Istanbul, Turkey.

 

1. Pre-Operative Consultation and Preparation

 

Your first step is a thorough evaluation with our expert surgeons and dietitians. We will perform various tests, including blood work, ultrasounds, and endoscopy, to ensure you are a safe candidate for the procedure. Our team will also provide psychological and nutritional counseling to prepare you for the lifestyle changes ahead.

 

2. The Day of Surgery in Istanbul

 

The surgery is performed under general anesthesia using the laparoscopic (keyhole) method. Our skilled surgeons will make a few small incisions in your abdomen to insert a camera and specialized surgical instruments. The camera provides a clear view on a monitor, allowing for precision. The stomach is then stapled and divided, with the larger portion being permanently removed. The procedure typically takes about 1.5 hours.

 

3. Post-Operative Hospital Stay

 

After surgery, you will stay in our modern and comfortable clinic for 2-3 days. Our dedicated medical staff will closely monitor you for any potential complications and manage your pain. You will begin to consume clear liquids as your stomach starts to heal.

 

4. Recovery at Home and Post-Op Diet

 

Once you are discharged, your recovery at home begins. The first few weeks are crucial, focusing on a liquid and then pureed diet to allow your new stomach to heal properly. Our dietitians will provide a personalized meal plan, and following it diligently is vital for a successful recovery and weight loss.

 

5. Long-Term Success and Follow-up

 

The gastric sleeve is a tool, not a magic bullet. Your long-term success depends on your commitment to a new lifestyle. Forever Clinica provides ongoing support with regular check-ups, nutritional counseling, and psychological support to help you adapt and thrive. Our team is always here for you.

 

Life After Surgery: Your New Diet and Lifestyle

 

The post-operative diet is the cornerstone of your new life. It’s designed to help you heal and learn to eat with your smaller stomach.

 

Phase 1: The Liquid Diet (First 2 Weeks)

 

Immediately after surgery, you will consume only clear liquids like water, broth, and sugar-free juice to prevent any stress on the stomach.

 

Phase 2: The Pureed Diet (Weeks 3-4)

 

You will gradually transition to pureed foods such as yogurt, blended soups, and soft cheese. These foods are easy to digest and gentle on your healing stomach.

 

Phase 3: Transition to Solid Foods (Starting Week 4)

 

You will begin to introduce soft solid foods in very small portions. Key rules to follow are:

  • Eat Slowly and Chew Thoroughly: Chew each bite at least 20-30 times to aid digestion.
  • Drink Liquids Separately: Avoid drinking liquids with your meals. Wait 30 minutes before or after eating.
  • Prioritize Protein: Focus on high-protein foods like chicken, fish, and eggs to maintain muscle mass.
  • Take Supplements: Consistent use of vitamin and mineral supplements (B12, Vitamin D, iron, calcium) is essential to prevent deficiencies.

 

Potential Risks and Complications

 

Like any surgical procedure, gastric sleeve surgery carries some risks. However, with an experienced surgical team and a state-of-the-art facility like Forever Clinica, these risks are minimized.

  • Staple Line Leak: A rare but serious complication where a leak occurs from the staple line of the stomach. This is why a hospital stay for close monitoring is crucial.
  • Bleeding and Infection: These are risks with any surgery but are well-managed with modern surgical techniques and sterile environments.
  • Acid Reflux: Some patients may experience increased acid reflux, which can usually be managed with medication.
  • Vitamin Deficiencies: Due to reduced food intake, vitamin and mineral deficiencies can occur. Regular supplementation is key to preventing this.
  • Excess Skin: Rapid weight loss can lead to loose skin. Regular exercise and a protein-rich diet can help, and some patients may opt for cosmetic surgery later on.

 

Frequently Asked Questions (FAQ)

 

1. Is gastric sleeve surgery reversible? No, this is a permanent procedure. The portion of the stomach that is removed cannot be reattached.

2. Can I gain the weight back after surgery? Yes, it is possible. The surgery is a tool, and its long-term success relies on your commitment to a healthy diet and regular exercise. If you revert to unhealthy habits, you may regain weight.

3. Can I get pregnant after the surgery? Yes, you can. However, it is highly recommended to wait at least 12-18 months after the surgery to ensure your weight has stabilized and your body has fully recovered.

4. What is the difference between gastric sleeve and gastric bypass? Gastric sleeve only reduces the size of the stomach, while gastric bypass both reduces the stomach and reroutes the small intestine to limit calorie absorption. Gastric sleeve is a simpler procedure with fewer long-term nutritional complications.

5. When should I stop smoking and drinking alcohol? Smoking must be stopped at least one month before surgery as it can hinder healing. Alcohol consumption is strictly prohibited for at least three months after the surgery due to increased stomach sensitivity and changes in absorption.

 

Start Your New Life with Forever Clinica in Istanbul

 

At Forever Clinica, our experienced team and advanced facilities in Istanbul, Turkey, are dedicated to providing a safe and supportive environment for your weight loss journey. We don’t just perform the surgery; we partner with you every step of the way, from your initial consultation to your long-term success.

If you are tired of struggling with obesity and are ready to take a life-changing step towards a healthier future, we are here to help. Contact us today to learn more and schedule your consultation.

📞 Book Your Appointment and Start Your New Life!

What Are the Surgical Methods Used in Gastric Bypass Surgery?
Forever Clinica Uncategorized

What Are the Surgical Methods Used in Gastric Bypass Surgery?

A Lasting Solution for Obesity: Gastric Bypass Surgery and Surgical Methods Used

Hello dear readers,

Obesity, one of the most significant health issues of our time, is unfortunately not just a matter of aesthetic concern. It is a complex disease that can lead to many serious health problems, from diabetes to heart disease, joint issues, and psychological distress. In cases of morbid obesity, where diet and exercise fail to provide a solution, surgical methods offer a permanent and effective answer. At Forever Clinica, we are here to equip you with accurate and up-to-date information so you can confidently take the first step toward a new and healthy life. All our procedures are performed in our state-of-the-art facilities in Istanbul, Turkey.

What is Gastric Bypass and Why is It So Effective?

So, what exactly does gastric bypass mean? This procedure, often known as “stomach reduction” surgery, is a more comprehensive surgical intervention than the name suggests. Medically referred to as Roux-en-Y gastric bypass, this operation works through two main mechanisms:

  1. Restriction of Food Intake: A new, small stomach pouch, about the size of a walnut, is created from the upper part of the stomach. This small pouch significantly reduces the amount of food you can consume at one time. You begin to feel full with much smaller portions, which naturally restricts food intake and facilitates weight loss.
  2. Reduced Nutrient Absorption and Hormonal Changes: The new stomach pouch is directly connected to a section of the small intestine. This connection causes food to bypass a large portion of the stomach and the first part of the small intestine. This bypass not only reduces nutrient absorption but also triggers the release of hormones that support weight loss. Specifically, it lowers the level of ghrelin, the hunger hormone, and increases the release of hormones like GLP-1 which promote a feeling of fullness. These hormonal changes significantly boost the surgery’s success in weight loss and contribute to the improvement of obesity-related conditions like type 2 diabetes.

Thanks to this dual-action mechanism, gastric bypass surgery provides a higher and more permanent weight loss success compared to other bariatric surgery methods. Patients find it easier to manage their weight loss journey, both by eating less and by benefiting from a rebalanced hormonal system.

Surgical Methods Used in Gastric Bypass Surgery: Which Method is Right for You?

While the basic principles of the surgery are the same, advances in surgical technology have led to different procedural techniques. At Forever Clinica, determining the most suitable method for our patients’ needs and health status is our top priority. Our experienced surgeons in Istanbul, Turkey, utilize the following key surgical methods:

1. Open Gastric Bypass

This is the oldest and most traditional form of gastric bypass surgery. The surgeon makes a large incision (typically 15-20 cm) in the abdomen to directly access the stomach and intestines. This method may be preferred in complex cases, such as patients with significant adhesions from previous abdominal surgeries, or in situations where laparoscopic surgery is not feasible.

  • Advantages: The surgeon has a wider operating field, allowing for a clear view of every detail. This provides a safer operating environment in challenging or complex situations. Technically, it is a more familiar and easier method for many surgeons.
  • Disadvantages: The large incision leads to a longer recovery period and hospital stay. The risk of wound infection, hernia formation at the incision site, and post-operative pain is higher compared to closed methods. Additionally, a more visible scar remains on the abdominal wall.

2. Laparoscopic Gastric Bypass (Closed Method)

The laparoscopic method is the most commonly performed and is considered the gold standard today. It involves making a few small incisions (typically 4-6, each about 1-2 cm) in the abdomen. A camera (laparoscope) is inserted through one of these incisions to display the internal organs on a monitor. The surgeon performs the entire operation with precision using long, thin surgical instruments inserted through the other small incisions.

  • Advantages: The biggest advantage for patients is the very fast recovery period due to the smaller incisions. Post-operative pain is significantly less. The hospital stay is shorter (usually 2-3 days). The risk of wound infection and hernia is much lower than with the open method. From an aesthetic perspective, there are minimal scars.
  • Disadvantages: Laparoscopic surgery requires a high level of surgical expertise. The surgeon’s skill and command of the technology are crucial for the success of the operation. In rare complex cases, a laparoscopically started surgery may need to be converted to an open procedure for safety reasons.

3. Robotic Gastric Bypass

Robotic surgery is an advanced version of the laparoscopic method and is becoming increasingly popular in bariatric surgery. In this procedure, the surgeon sits at a console next to the operating table and controls robotic arms. These arms replicate the surgeon’s hand movements with millimeter-level precision. The flexibility and 360-degree rotation of the robotic arms provide the surgeon with superior control, even in tight and hard-to-reach areas.

  • Advantages: The robotic system provides the surgeon with a magnified, three-dimensional view, allowing for a clear view of even the smallest vessels and nerves. Its tremor-eliminating feature enables stitching and tissue manipulation with a level of precision that a human hand cannot achieve. This can shorten the operation time, reduce blood loss, and minimize the risk of complications. The precision it provides in creating anastomoses (connections) is particularly important for reducing the risk of leaks.
  • Disadvantages: The cost of robotic surgical systems is quite high, which can increase the overall cost of the surgery. Additionally, this technology is not available in every hospital, and surgeons must undergo specialized training to use these systems.

4. Mini Gastric Bypass (Single Anastomosis Gastric Bypass)

The Mini Gastric Bypass is a simpler procedure compared to the Roux-en-Y technique. It involves creating a long, narrow stomach tube and connecting it with a single anastomosis to a loop of the small intestine, about 150-200 cm down. The single connection makes the surgery shorter and technically simpler than the Roux-en-Y technique, which requires two connections.

  • Advantages: The operation time is shorter than a standard Roux-en-Y gastric bypass. The single anastomosis reduces the potential risk of leaks and hernias. Mini gastric bypass provides highly effective weight loss and is very successful in treating obesity-related type 2 diabetes.
  • Disadvantages: The single anastomosis increases the risk of bile reflux (bile flowing back into the stomach) compared to the standard bypass. This can cause discomfort and, in the long term, lead to stomach inflammation in some patients. Also, there is less long-term scientific data on its potential side effects compared to the standard bypass. However, recent studies show that this method is also safe and effective in the long run.

Which Method is Right for You?

The answer to this question is not a one-size-fits-all solution. At Forever Clinica in Istanbul, Turkey, we adopt a personalized approach for each patient. Before the surgery, we conduct a detailed evaluation of each patient’s general health, Body Mass Index (BMI), obesity-related co-morbidities (diabetes, hypertension, etc.), previous surgeries, and even their social life.

Our experienced team reviews the test results and our candid conversations with you to determine the safest and most successful surgical method for your specific situation. Transparency is very important to us. We explain all the options, their advantages, and potential risks in detail, and answer all your questions. Remember, making the right decision together is the first step toward success.

Life After Gastric Bypass Surgery: A New Beginning

Surgery is the first step toward a new, healthy life, but it’s not the only one. The post-gastric bypass journey is just as important as the surgery itself for long-term success. We will not leave you alone during this process; we will be with you every step of the way. Our team of experts in Istanbul will provide you with:

  • Nutrition: In the first 1-2 weeks after surgery, you will start with a liquid-based diet to allow your new stomach to heal. You will then gradually transition to pureed and soft foods, and eventually to solid foods. Our dietitian will create a customized plan and monitor your progress. You will need to adopt new habits such as eating small portions, eating slowly, and drinking plenty of water.
  • Vitamin and Mineral Supplements: Due to reduced nutrient absorption after gastric bypass, vitamin and mineral deficiencies (especially B12, vitamin D, iron, and calcium) can occur. To prevent these deficiencies and maintain your health, you will need to take regular vitamin supplements for life.
  • Exercise: An exercise program that starts with light walks in the first few weeks after surgery will gradually increase to help you reach and maintain your ideal weight. Exercise speeds up your metabolism, preserves muscle mass, and improves your overall health.
  • Psychological Support: This process is not only a physical change but also a psychological transformation. We believe that receiving psychological support can be very helpful during this period as your eating habits, social life, and even your self-perception change.

Frequently Asked Questions (FAQ)

We have compiled a list of the most frequently asked questions about gastric bypass surgery:

1. Who is a suitable candidate for gastric bypass surgery?

Generally, it is suitable for morbidly obese patients with a Body Mass Index (BMI) of 40 or higher, or those with a BMI between 35 and 40 who have at least one co-morbidity like diabetes, hypertension, or sleep apnea.

2. How long does it take to lose weight after the surgery?

The rate of weight loss varies from person to person, but you can expect to lose 60-70% of your excess weight in the first 6 months and 70-80% in 12-18 months.

3. What are the risks of gastric bypass surgery?

Like any surgical procedure, gastric bypass has potential risks. These include infection, bleeding, anastomotic leak (leakage at the connection site), vitamin deficiencies, and intestinal obstruction. However, with an experienced team like Forever Clinica and modern surgical techniques, these risks are minimized.

4. Is it possible to get pregnant after the surgery?

Yes, it is possible to get pregnant after surgery, and the obesity-related infertility issues may even resolve. However, it is recommended to wait until you reach your ideal weight (usually 12-18 months after the surgery) before conceiving.

5. Is it possible to regain weight?

Unfortunately, weight regain is a risk for all bariatric surgeries. However, this typically happens to patients who do not adhere to the post-operative diet and lifestyle changes. For those who view the surgery as a tool and adopt new habits for life, the success rate of weight maintenance is very high.

Forever Clinica: Your Trusted Partner for a Healthy Life in Istanbul, Turkey

At Forever Clinica, we do more than just perform a surgery; we build a bridge that leads you to a healthy and happy life. We combine the latest surgical technology with our experienced surgeons and expert dietitians to provide you with the most reliable service. All our procedures are performed in Istanbul, Turkey.

If you are ready to start a new chapter in your fight against obesity and would like to find out if gastric bypass surgery is the right option for you, please contact us for detailed information and to schedule an appointment. We would be happy to accompany you on your journey toward a healthy future.

We wish you healthy days.

What is Bariatric Surgery
Forever Clinica Uncategorized

What is Bariatric Surgery?

Take a Healthy Step Towards a New Life with Forever Clinica: A Deep Dive into Bariatric Surgery in Istanbul, Turkey

Hello dear readers! Today, we’re diving deep into one of the most significant health challenges of our time: obesity. We’ll explore bariatric surgery, a revolutionary solution in the fight against this condition. At Forever Clinica, located in the vibrant city of Istanbul, Turkey, we aim to provide you with the most current, accurate, and heartfelt information on this topic. Remember, a healthy life is a choice, and we are here to support you on this journey.

A Lasting Solution for Obesity: What is Bariatric Surgery?

Obesity, a chronic health issue, significantly lowers the quality of life for millions today, bringing with it numerous serious conditions like diabetes, high blood pressure (hypertension), and sleep apnea. It’s no longer just a cosmetic concern but a full-blown medical condition. When diet and regular exercise aren’t enough to achieve the desired results, bariatric surgery, also known as weight loss surgery, stands out as an effective and permanent solution.

So, what exactly is bariatric surgery? Essentially, it’s a general term for surgical procedures that promote weight loss by making anatomical changes to the stomach and small intestines. The goal isn’t just to lose weight but also to treat obesity-related comorbidities. Imagine losing your excess weight while also having the chance to stop your diabetes medication or regulate your blood pressure! This is why bariatric surgery marks a turning point, a new beginning for many.

At Forever Clinica in Istanbul, your greatest assurance throughout this process is our modern surgical techniques, applied in accordance with international standards, and our team of expert, experienced surgeons. Knowing that we are by your side every step of the way will bring you peace of mind when making this crucial decision.

Who is a Suitable Candidate for Bariatric Surgery?

Bariatric surgery isn’t for every obese patient. As it’s a significant surgical procedure, it’s considered the most suitable solution for patients who meet specific criteria. Remember, at Forever Clinica, every patient is unique, and treatment plans are meticulously tailored.

So, who might be a suitable candidate for this surgery? Let’s take a closer look at the criteria:

  • Individuals with a Body Mass Index (BMI) of 40 or higher: This category includes patients classified as “morbidly obese,” representing the most advanced stage of obesity, often accompanied by severe health issues.
  • Individuals with a BMI between 35-40 who have obesity-related comorbidities: For patients in this BMI range with chronic conditions linked to obesity, such as diabetes, hypertension, sleep apnea, or joint problems, bariatric surgery is a crucial treatment option.
  • Individuals who have tried diet and regular exercise for at least 6 months without success: This means that before a surgical decision is made, lifestyle changes must have been attempted and proven insufficient. For us, surgery isn’t a last resort but an effective solution applied at the right time.
  • Generally, patients between 18-65 years old: While this age range is a general guideline, in special circumstances (e.g., adolescent obesity or in older age), the age limit may be extended after a detailed evaluation by our surgeons.

At Forever Clinica in Istanbul, before making a surgical decision, a detailed evaluation is conducted using a multidisciplinary approach, involving doctors from various specialties (endocrinologists, psychiatrists, dietitians, etc.). Our aim is to determine the safest and most effective path for you.

Types of Bariatric Surgery: Which Method is Right for You?

Bariatric surgery isn’t a single type of operation; it encompasses various methods applied with different techniques. Each method has its unique advantages and disadvantages. At Forever Clinica, in our Istanbul clinic, the most suitable surgical method is determined based on the patient’s health status, comorbidities, eating habits, and lifestyle. Let’s delve deeper into the most common bariatric surgery methods:

1. Sleeve Gastrectomy (Gastric Sleeve)

Sleeve gastrectomy is one of the most commonly preferred and popular bariatric surgery methods today. In this procedure, approximately 80% of the stomach is surgically removed, leaving a slender, tube-shaped stomach similar to a banana.

So, how does this surgery lead to weight loss? The mechanism is quite simple yet incredibly effective:

  • Restriction of Food Intake: Since the stomach’s volume is significantly reduced, the amount of food you can consume in one sitting decreases substantially. This naturally leads to lower calorie intake. You’ll start feeling full even with smaller portions.
  • Reduction of Hunger Hormones: The removed part of the stomach produces a hormone called “ghrelin,” which stimulates appetite. With the removal of this portion of the stomach, ghrelin production decreases. This significantly reduces your appetite and hunger pangs after surgery.
  • Metabolic Changes: Sleeve gastrectomy doesn’t just provide mechanical restriction; it also positively influences metabolic processes. This plays a significant role in improving blood sugar control, especially in patients with type 2 diabetes.

What are the advantages of sleeve gastrectomy?

  • Shorter operation time and recovery period.
  • Preservation of intestinal anatomy (meaning fewer issues with vitamin and mineral absorption).
  • Effective weight loss and improvement of obesity-related diseases.
  • Performed using a minimally invasive (laparoscopic) method, leading to less pain and smaller incisions.

At Forever Clinica in Istanbul, sleeve gastrectomy procedures are performed laparoscopically (keyhole surgery). This allows our patients to recover faster and return to their daily lives more quickly.

2. Gastric Bypass (Roux-en-Y Gastric Bypass)

Gastric Bypass is considered the “gold standard” of bariatric surgery, a more complex yet equally effective method. Two main changes are made in this surgery:

  • Stomach Reduction: A small stomach pouch (about 30-50 ml) is created in the upper part of the stomach. The remaining larger part of the stomach is rendered non-functional but remains in the body.
  • Small Intestine Rerouting (Bypass): The created small stomach pouch is directly connected to a more advanced part of the small intestine. This way, food bypasses the large part of the stomach and the first part of the small intestine (duodenum and a portion of the jejunum) and goes directly to the connected section.

So, how does gastric bypass lead to weight loss?

  • Restriction of Food Intake: Similar to sleeve gastrectomy, the reduced stomach volume ensures you eat less.
  • Restriction of Nutrient Absorption: When food bypasses the initial parts of the small intestine and goes directly to a more advanced section, the absorption of nutrients and calories is somewhat reduced.
  • Hormonal Changes: Hormonal changes occurring in the small intestine help control appetite and have a powerful curative effect, especially on type 2 diabetes.

What are the advantages of gastric bypass?

  • Very effective and long-lasting weight loss.
  • Superior success rates, especially in the treatment of type 2 diabetes.
  • Can also be beneficial for patients with stomach issues like reflux.

Although gastric bypass surgery is a bit longer and more complex than sleeve gastrectomy, it can yield incredible results in suitable patients. Our experienced surgeons at Forever Clinica in Istanbul use the most modern techniques to successfully perform this intricate surgery.

3. Duodenal Switch (Biliopancreatic Diversion with Duodenal Switch – BPD/DS)

Duodenal Switch is one of the most comprehensive and powerful bariatric surgical methods. It is generally preferred for patients with a very high BMI (50 or higher) or those who haven’t achieved sufficient results from other surgeries. This surgery is performed in two stages:

  • Creation of a Sleeve Stomach: In the first stage, similar to sleeve gastrectomy, a large portion of the stomach is removed, and a tube-shaped stomach is created.
  • Intestinal Rerouting and Absorption Restriction: In the second stage, a very large part of the small intestine is bypassed, and the section of the intestine where nutrients are absorbed is significantly shortened. This dramatically reduces nutrient and calorie absorption.

What makes Duodenal Switch different?

  • Very Powerful Weight Loss: It leads to much greater weight loss compared to other methods.
  • Metabolic Effect: It’s one of the most effective methods for improving type 2 diabetes.

However, be cautious! Due to its powerful absorption restriction, Duodenal Switch requires more careful monitoring for vitamin and mineral deficiencies. At Forever Clinica in Istanbul, we emphasize that post-operative follow-up and supplement use are vital in such surgeries.

4. Gastric Banding (Adjustable Gastric Band)

Gastric banding operates on the principle of reducing stomach volume by placing an adjustable silicone band around the upper part of the stomach. This band can be inflated or deflated via an external port.

Why is it less preferred today?

  • Lower Weight Loss Rates: Generally provides less weight loss compared to other methods.
  • Need for Revision: Complications such as band slippage, erosion, or infection can more frequently lead to the need for revision surgery.
  • Difficulty Eating: Some patients may experience difficulty with food passage and vomiting.

For these reasons, Forever Clinica in Istanbul rarely opts for gastric banding. However, it can still be considered an option after a patient-specific evaluation, especially when other methods are not suitable.

Post-Bariatric Surgery Journey: Welcome to Your New Life!

Surgery is only the first step in your weight loss journey. The real key to lasting success lies in adapting to and maintaining lifestyle changes during the post-operative period. At Forever Clinica, in our Istanbul facility, we offer comprehensive support to help our patients lose weight in a healthy and sustainable way and adapt to their new lives.

Here’s what to expect in the post-operative process:

  • Regular Check-ups and Medical Monitoring: You’ll have regular doctor appointments, more frequently in the initial post-operative period. During these check-ups, your general health, weight loss progress, potential complications, and vitamin/mineral levels will be monitored.
  • Personalized Nutrition Program: Your diet will completely change after surgery. This process begins with liquid foods, gradually progresses to pureed, then soft, and finally solid foods. Our experienced dietitians at Forever Clinica in Istanbul will create a personalized, balanced, and nutrient-rich eating plan for you, guiding you through this process. Learning what to eat, when to eat, and how much to eat is key to this new phase.
  • Exercise Planning: Regular physical activity is crucial for sustainable weight loss and improving your body composition. Your doctor and dietitian will recommend an exercise program suitable for your health status and physical capacity. You can start with light activities like walking and gradually increase your pace over time.
  • Psychological Support: The weight loss journey involves not only a physical but also a mental transformation. You might experience changes in your relationship with food, adaptation to a new body, social reactions, and emotional challenges. When necessary, we can arrange consultations with psychologists to support your mental well-being throughout this process.
  • Supplement Use: Especially after malabsorptive surgeries like gastric bypass and duodenal switch, you may need to take vitamin and mineral supplements for life to prevent deficiencies. Your doctor will determine the appropriate supplements and dosages for you. Regular use of these supplements is vital for maintaining your health.

Remember, bariatric surgery is not a “magic wand”; it requires a lifestyle change. The surgery provides you with a tool, but it’s up to you to use this tool correctly and adopt new habits to achieve lasting and healthy results. Proper nutrition and regular physical activity will become an integral part of your new life.

Frequently Asked Questions (FAQs)

We understand that you may have many questions about bariatric surgery. Here are the most frequently asked questions and our answers at Forever Clinica in Istanbul:

1. Is bariatric surgery risky?

Like any surgical procedure, bariatric surgery carries some risks. These include infection, bleeding, leaks (leakage from the stomach staple line), anesthesia-related risks, and rarely, blood clot formation. However, these risks are minimized with modern medical techniques, an experienced surgical team, and a fully equipped hospital environment. At Forever Clinica, we prioritize patient safety and meticulously implement all precautions. All potential risks will be explained to you in detail before the surgery, and all your questions will be answered.

2. How much weight is lost after surgery?

Weight loss varies significantly depending on the type of surgery, the patient’s starting weight, metabolism, and most importantly, their adherence to post-operative lifestyle changes. However, generally, patients lose 60% to 80% of their excess weight within the first 1-2 years. For example, if your excess weight is 100 kg (approx. 220 lbs), you could expect to lose between 60 to 80 kg (approx. 132-176 lbs). This is an impressive rate and a significant step towards achieving a healthy weight.

3. Can one get pregnant after bariatric surgery?

Yes, pregnancy is possible after bariatric surgery, and for many women experiencing infertility due to obesity, it can even increase the chance of conception. However, it’s recommended to wait at least 12-18 months after surgery for the body to adapt to the new state and for weight loss to stabilize. This waiting period is crucial for both the mother’s health and the baby’s development. Pregnant patients considering this must discuss it with their doctors and be under regular supervision. A healthy pregnancy journey under medical supervision is possible.

4. Is it possible to regain weight after surgery?

This is a very important question! Unfortunately, if post-operative dietary and lifestyle changes are not adhered to, weight regain can occur. Bariatric surgery is not a miracle; it offers you a new beginning. But it is up to you to make this beginning sustainable. Weight regain can be prevented through regular follow-ups, adherence to the nutrition program, physical activity, and psychological support when needed. At Forever Clinica in Istanbul, we do not leave our patients alone in this process; we support them with regular check-ups and educational programs. Adopting healthy habits is the key to lasting success.

5. What are the prices for bariatric surgery?

Bariatric surgery prices vary depending on the surgical method used (sleeve gastrectomy, gastric bypass, etc.), the patient’s specific condition, and the experience of the hospital and surgical team. Transparency is important to us, but it would not be accurate to give a general price as each patient’s situation is unique. For detailed information and a personalized quote, we kindly ask you to contact our Forever Clinica consultants in Istanbul. Our consultants will answer all your questions and provide you with a tailored evaluation.

Step Towards a Healthy Future with Forever Clinica in Istanbul!

Dear readers, fighting obesity can be a challenging journey, but you are never alone. Bariatric surgery, when performed in the right hands and with the right approach, is an effective and lasting solution in the fight against obesity. These surgeries not only improve your physical health but also enhance your quality of life psychologically and socially, offering you a brand new beginning.

At Forever Clinica in Istanbul, Turkey, we are by your side throughout this process with our expert physicians, modern medical infrastructure, patient-focused approach, and comprehensive post-operative support programs. We look forward to taking this important step towards a healthy future together. Remember, change requires courage, and we are here to support your bravery.

Wishing you healthy and happy days!

Obesity Test
Forever Clinica Uncategorized

Obesity Test

Obesity Test: The First and Most Crucial Step Towards Taking Control of Your Health

Hello! At Forever Clinica, we know that living a healthy life is a shared dream for all of us. However, one of the biggest obstacles we face in today’s world is, unfortunately, obesity. Perhaps as you’re reading these lines, you’re thinking, “Am I at risk too?” This is precisely where the Obesity Test comes in, allowing you to get a closer look at your health. Let’s delve into what obesity is, why it’s so important, and how Forever Clinica, located right here in Istanbul, Turkey, can support you, all in a friendly and detailed manner. Remember, knowledge is power, and having accurate information about your health will be the strongest foundation for the steps you take.

What is Obesity and Why is It So Important?

Obesity, simply put, is the condition where our body accumulates far more fat than it should. You might think, “What’s the big deal if I’m a little overweight?” But the situation is much more serious than that. This excessive fat in the body can trigger a series of chain reactions that deeply affect our health. Diabetes, cardiovascular diseases, high blood pressure, joint problems, sleep apnea, and even some types of cancer… The list, unfortunately, goes on. Obesity is not just an aesthetic concern; it’s a serious public health problem that diminishes our quality of life and shortens our lifespan.

So, how do we define obesity? One of the most commonly used methods is the Body Mass Index (BMI) calculation. BMI is a number obtained by dividing your weight (in kilograms) by the square of your height (in meters). This number gives us a general idea:

  • Below 18.5: Underweight. This can also carry its own health risks.
  • 18.5 – 24.9: Normal weight. Congratulations, you’re in the ideal range!
  • 25 – 29.9: Overweight. This could be the first step towards obesity and is a warning sign to pay attention to.
  • 30 and above: Obese. At this point, your health risks have increased, and professional help is important.

However, BMI alone is not always a sufficient indicator. A muscular person might fall into the “overweight” category according to BMI, but actually have a low body fat percentage. That’s why at Forever Clinica, we don’t just look at BMI; we conduct a much more comprehensive assessment. We consider many factors such as waist circumference measurement (over 94 cm for men and 80 cm for women is considered risky), body fat percentage determination, and even your metabolic values. Because what matters is not just your weight, but how much of that weight is fat and where that fat is stored in your body. Abdominal fat, in particular, carries extra significance as it increases the risk of metabolic syndrome.

Forever Clinica Obesity Test: A Comprehensive Look at Your Health

At Forever Clinica, we offer a comprehensive Obesity Test to accurately determine your obesity risk and draw up a personalized roadmap for you. This test means much more than just stepping on a scale. Let’s take a look at the steps together:

1. Body Mass Index (BMI) Calculation: Your Starting Point

As a first step, your height and weight are accurately measured, and your BMI value is calculated. This gives us the first clue for a general classification. Thanks to our modern, digital scales and height measurers, these measurements are both fast and highly accurate.

2. Waist Circumference Measurement: Chasing the Hidden Danger

Waist circumference measurement is a critical step for assessing abdominal fat. Abdominal fat, also known as “apple-shaped” obesity, is directly linked to serious health problems such as heart disease, diabetes, and metabolic syndrome. A waist circumference over 94 cm for men and 80 cm for women is a significant indicator of increased risk. At Forever Clinica, we perform this measurement according to international standards, obtaining important information about fat distribution in your body. This is not just a number, but a potential health risk warning.

3. Body Fat Analysis: A Detailed Inner View

Just looking at weight can be misleading; what’s important is your body fat percentage. Therefore, at Forever Clinica, we perform body fat analysis. Two main methods are generally used for this:

  • Bioelectrical Impedance Analysis (BIA): This method works by sending a very weak and harmless electrical current through your body. Since fat, muscle, and water tissues have different electrical conductivities, changes in the current’s passage rate provide detailed information about your body composition. Forever Clinica’s BIA devices provide reliable and fast results, determining values such as total body fat, muscle mass, water percentage, and even your basal metabolic rate. This provides vital data for us to create personalized nutrition and exercise plans for you. For example, the higher your muscle mass, the more calories your body burns, which accelerates the weight loss process.
  • Skinfold Thickness Measurement: Using special calipers, skinfold thicknesses at specific areas of the body (arm, back, abdomen, etc.) are measured. Your body fat percentage is calculated from the sum of these measurements. This method can yield highly reliable results when performed by an experienced specialist. At Forever Clinica, our expert team ensures you get the most accurate results by determining the most suitable method for you.

4. Blood Tests: Details from Your Inner World

Blood tests are essential for identifying metabolic problems and risk factors associated with obesity. Blood tests performed at Forever Clinica include:

  • Fasting Blood Sugar: High blood sugar indicates a risk of diabetes or insulin resistance. Obesity can trigger insulin resistance, leading to elevated blood sugar.
  • Cholesterol and Triglyceride Levels: High LDL (“bad” cholesterol) and triglyceride levels increase the risk of cardiovascular diseases. Obesity often leads to an increase in these values. Low HDL (“good” cholesterol) levels are also a risk factor.
  • Hormone Levels (Thyroid, Insulin Resistance, etc.): Thyroid hormones directly affect your metabolic rate. Hypothyroidism (underactive thyroid gland) can lead to weight gain. Insulin resistance is a condition intertwined with obesity and makes blood sugar control difficult. Our doctors, if deemed necessary, can also evaluate other appetite and metabolism-regulating hormones such as leptin and ghrelin to provide a more comprehensive picture.
  • Liver Enzymes: Obesity can lead to fat accumulation in the liver (non-alcoholic fatty liver disease). Elevated liver enzymes (ALT, AST, GGT) can be an indicator of this condition.
  • Inflammation Markers (CRP): Chronic low-grade inflammation in the body is associated with obesity and can increase risks such as heart disease. CRP (C-reactive protein) levels can be an indicator of this inflammation.

These tests provide valuable information about your body’s internal workings and allow us to detect potential health problems that may develop due to obesity at an early stage.

5. Lifestyle Assessment: A Personalized Profile for You

In addition to numerical data, your daily habits also directly affect your obesity risk. At Forever Clinica, our experts conduct a detailed lifestyle assessment with you:

  • Eating Habits: What do you eat, how much do you eat, how often do you eat? Issues like processed foods, sugary drinks, and portion sizes are examined in depth. A consultation with our dietitian will review your food diary and offer personalized tips.
  • Physical Activity Level: How much do you move? How much exercise is in your daily routine? A sedentary lifestyle is one of the biggest triggers of obesity. Our experts evaluate your physical activity level and offer suitable exercise recommendations.
  • Sleep Quality: Do you get enough quality sleep? Irregular sleep can disrupt hormone balance, increasing appetite and leading to weight gain. Obesity-related issues like sleep apnea are also evaluated.
  • Stress Level: Stress is a significant factor that can lead to overeating for many people. Your stress management skills and coping mechanisms are also evaluated, and we provide support in this area as well.
  • Medical History and Medication Use: Your past illnesses, medications you use (some medications can cause weight gain), and family history of obesity also play an important role in risk assessment.

This detailed assessment allows us to understand not only your physical condition but also the lifestyle factors contributing to obesity. Thus, we can create a personalized plan specifically for you.

Obesity Risk Factors: Why Are Some of Us More At Risk?

Obesity is rarely caused by a single factor; it often arises from a combination of many factors. Here are the key risk factors you should be aware of:

  • Genetic Predisposition: If there’s a history of obesity in your family, you might have a higher chance of becoming obese yourself. Genes can affect our metabolic rate, appetite control, and tendency to store fat. However, genetic predisposition is not your destiny; you can significantly reduce this risk through lifestyle changes.
  • Sedentary Lifestyle: One of the biggest problems in today’s modern world. Sitting at a desk for hours, using public transport or cars, leads to a lack of physical activity. As our energy expenditure decreases, the calories we consume are stored as fat in our bodies.
  • Unbalanced Eating Habits: Fast food, processed foods, sugary drinks, high-calorie snacks… These have unfortunately become an inseparable part of modern diets. Foods high in saturated fat, refined sugar, and low in fiber accelerate weight gain.
  • Sleep Disturbances: Not getting enough sleep or poor-quality sleep can disrupt appetite-regulating hormones (leptin and ghrelin). This leads to increased hunger and a greater desire to eat.
  • Stress and Psychological Factors: Emotional states such as stress, sadness, and boredom can lead to “emotional eating” in some people. When the body releases the stress hormone cortisol, this can also increase abdominal fat accumulation. Conditions like depression and anxiety can also trigger weight gain.
  • Hormonal Disorders: Some hormonal problems can directly lead to weight gain. Conditions like hypothyroidism (underactive thyroid gland), polycystic ovary syndrome (PCOS), and Cushing’s syndrome can make weight control difficult. Insulin resistance is also closely linked to obesity.
  • Certain Medications: Various medications, such as antidepressants, some diabetes medications, corticosteroids, and some blood pressure medications, can cause weight gain as a side effect.
  • Age Factor: As we age, our metabolic rate tends to slow down. Additionally, muscle mass may decrease while fat mass increases with age. This makes weight control more challenging.
  • Socioeconomic Factors: Limited access to healthy foods, lack of information about healthy eating and exercise, can increase the risk of obesity in lower-income groups.

Knowing these risk factors is the first step in combating obesity. At Forever Clinica, we thoroughly evaluate these factors for you and create a personalized plan.

What to Do to Prevent or Manage Obesity? Forever Clinica Solutions in Istanbul!

Combating obesity is not a one-time solution but a lifelong journey. But you are not alone on this journey! At Forever Clinica, we are here to guide you. Here are the basic steps you can take to prevent or manage obesity, and how Forever Clinica, located in Istanbul, can support you:

✅ Balanced Nutrition: A New Start in the Kitchen Nutrition is the cornerstone of obesity management. Our dietitians at Forever Clinica create personalized nutrition plans for you:

  • Fiber-Rich Foods: Whole grains (brown rice, oats, whole wheat bread), vegetables (broccoli, spinach, cabbage), fruits (apples, pears, strawberries), and legumes (lentils, chickpeas, beans) are rich in fiber. Fiber increases satiety, regulates digestion, and helps stabilize blood sugar.
  • Protein-Rich Diet: Chicken, fish, eggs, lean meat, yogurt, cheese, and plant-based protein sources (lentils, tofu) are rich in protein. Protein helps preserve muscle mass and keep metabolism high. It also increases satiety.
  • Avoiding Processed Foods: It’s important to stay away from packaged foods, fast food, sugary drinks, and foods containing trans fats. These are often high in calories, low in nutrients, and contain addictive substances.
  • Portion Control: How much you eat is as important as what you eat. Reducing your portions and eating slowly will help you consume fewer calories.
  • Healthy Fats: Include healthy fat sources like olive oil, avocado, nuts, and fatty fish in your diet. These fats increase satiety and are essential for body functions.
  • Water Consumption: Drinking plenty of water increases your metabolic rate, supports satiety, and helps flush out toxins.

Forever Clinica dietitians in Istanbul help you develop sustainable and healthy eating habits, considering your personal preferences, lifestyle, and health status. We develop long-term eating strategies that you can maintain, rather than crash diets.

✅ Regular Exercise: It’s Time to Get Moving! Physical activity is as important as nutrition in combating obesity. Forever Clinica also provides support for suitable exercise plans:

  • At Least 150 Minutes of Moderate-Intensity Activity Per Week: Activities like walking, light jogging, swimming, cycling, or dancing fall into this category. This improves your cardiovascular health and increases calorie burning.
  • Muscle-Strengthening Exercises: Lifting weights, working with resistance bands, or bodyweight exercises (push-ups, squats) 2-3 days a week will increase your muscle mass. More muscle means a faster metabolism!
  • Increase Daily Movement: Use stairs instead of elevators, walk short distances, and get up and move frequently at your desk. Even small changes can make a big difference over time.
  • Make Exercise Fun: Find a sport or activity you enjoy. You can join a gym, participate in walking groups with a friend, or take dance classes.

Our experts at Forever Clinica help you determine an exercise program suitable for your physical condition and goals. If necessary, you can also collaborate with a physiotherapist or exercise specialist.

✅ Sleep Schedule: Rest and Rejuvenate Sleep is an often-overlooked but very important factor in weight management.

  • 7-9 Hours of Quality Sleep Per Day: Adequate and regular sleep ensures that appetite-regulating hormones (leptin and ghrelin) remain balanced. Lack of sleep can increase hunger and trigger cravings for unhealthy snacks.
  • Improve Your Sleep Environment: A dark, quiet, and cool bedroom improves your sleep quality. Avoiding electronic devices before bed is also important.
  • Regular Sleep Times: Trying to go to bed and wake up at the same time every day regulates your body’s biological rhythm.

Forever Clinica experts evaluate your sleep habits and provide recommendations on sleep hygiene if necessary. We can also provide referrals for obesity-related issues such as sleep apnea.

✅ Stress Management: Nourishing Your Soul Stress can contribute to weight gain and act as a barrier to weight loss.

  • Meditation and Yoga: These techniques, which help calm your mind and reduce stress, can help you break emotional eating habits.
  • Breathing Exercises: Deep breathing exercises can provide immediate relief and lower your stress levels.
  • Hobbies and Social Activities: Spending time on things you enjoy and with friends and family is an effective way to reduce stress.
  • Professional Support: If you’re struggling to cope with stress, getting support from a psychologist or therapist can be very beneficial.

At Forever Clinica, we take a holistic approach, emphasizing the role of your mental health in weight control and guiding you in this regard.

✅ Professional Support: You Are Not Alone on This Journey! At Forever Clinica, we believe that fighting obesity is not just an individual effort, but a collaborative team effort.

  • Dietitian Support: Our dietitians work one-on-one with you to review your eating habits, create a personalized nutrition plan, and keep your motivation high.
  • Endocrinologist: If hormonal imbalances, insulin resistance, or thyroid problems are making weight control difficult, our endocrinologists provide medical treatment and support.
  • Psychological Support: Getting support from a psychologist or counselor for issues like emotional eating, stress management, or lack of motivation can be a very important part of this process.
  • Surgical Support When Necessary: In cases of severe obesity where other treatment methods have not been successful, bariatric surgery (obesity surgery) may be an option. At Forever Clinica, we also inform you about surgical options and collaborate with expert surgeons.

Remember, obesity is a disease, and its treatment requires a professional approach. As Forever Clinica, we stand by you on this challenging journey by offering a personalized, multidisciplinary treatment plan.

FAQs – Frequently Asked Questions About the Obesity Test

At Forever Clinica, we’re here to answer all your questions. Here are the most common questions we receive about the obesity test:

1. Who is the obesity test suitable for?

It’s actually suitable for everyone! Especially those who feel overweight, have a family history of obesity or diabetes, have metabolic complaints (constant fatigue, uncontrolled appetite, insulin resistance), or simply those curious about their health can have this test done. Remember, early diagnosis saves lives and is the first step to taking the right actions. At Forever Clinica, we listen to you and evaluate your situation to decide if the test is suitable for you.

2. Is the obesity test painful?

Absolutely not! The obesity test is performed using completely painless and non-invasive methods. None of the steps, such as height and weight measurement, waist circumference measurement, or body fat analysis, cause any discomfort. During blood tests, you might feel a brief needle prick, but that only lasts a few seconds. All procedures are carried out in a comfortable environment, with your comfort in mind.

3. What should I do if the test result indicates obesity?

No need to panic! If your obesity test result comes back “obese,” this is a starting point, not an end. Forever Clinica experts will provide you with full support throughout this process. After your test results are thoroughly evaluated, a personalized treatment and lifestyle change plan will be created. This plan may include different components such as nutritional adjustments with a dietitian, exercise programs suitable for you, hormone therapies or medications if necessary, and psychological support. Our goal is not just to help you lose weight, but also to help you gain healthy habits and maintain your weight in the long term.

4. How often should the obesity test be performed?

Generally, it is recommended that everyone have an obesity test once a year for regular check-ups. However, if you have risk factors (family history of obesity, diabetes, heart disease, sedentary lifestyle, etc.) or already have weight problems, it can be repeated every 6 months, upon your doctor’s recommendation. Regular check-ups allow us to track changes in your health and detect potential risks at an early stage.

5. Is the obesity test performed on children?

Yes, absolutely! Unfortunately, the risk of obesity in children is also increasing steadily today. Fast food habits, sedentary lifestyles, and long hours spent in front of screens contribute to weight problems in children. At Forever Clinica, we perform special pediatric assessments for the diagnosis and management of obesity in children. We offer personalized, gentle, and understanding approaches to nutrition and lifestyle recommendations, considering their growth and development. Remember, childhood obesity can predispose to more serious health problems in adulthood, so early intervention is very important.

Step Towards a Healthy Future with Forever Clinica in Istanbul!

Dear visitor, one of the most important steps you can take to live a healthy life is to get to know your own body and identify potential risks in advance. The Obesity Test is a powerful tool that will illuminate your path and help you find the right direction on this journey.

At Forever Clinica, we know that you are not alone in the fight against obesity. With our expert team, modern equipment, and personalized treatment plans, we are here to help you achieve a healthy life. Taking control of your health, improving your quality of life, and looking forward to the future with more hope is in your hands.

Do not hesitate to contact us for more information, to ask your questions, or to make an appointment for an Obesity Test at our clinic in Istanbul, Turkey. We are just a phone call away and eagerly await you to take the first step on the road to a healthy future! Remember, your health is your most valuable asset, and investing in it is the greatest favor you can do for yourself.

We wish you healthy days! The Forever Clinica Family

What is Morbid Obesity?
Forever Clinica Uncategorized

What is Morbid Obesity?

What is Morbid Obesity? Your Journey to a Healthier Future with Forever Clinica in Istanbul, Turkey!

Hello, dear readers! Here at Forever Clinica, our goal is to bring you the most current and accurate information. Today, we’re tackling a topic that holds significant importance in many lives but often isn’t taken as seriously as it should be: morbid obesity. This condition is far more than just a “weight problem”; it’s a chronic disease that can lead to severe health issues, drastically impact quality of life, and absolutely requires professional support. As Forever Clinica, we are ready to walk this challenging journey with you, offering you the most precise and personalized solutions right here in Istanbul, Turkey.

So, what exactly is morbid obesity? Why is it so crucial? Let’s dive into this complex yet vital topic together.

Morbid Obesity: More Than Just Weight, It’s a Health Concern!

It’s hard not to notice the increasing number of overweight individuals around us these days. But is everyone who is overweight morbidly obese? Of course not. Morbid obesity is a term used for individuals with a Body Mass Index (BMI) of 40 or higher. Simply put, it means carrying significantly more weight than your ideal weight for your height. This isn’t just about aesthetic concerns; it can open the door to numerous serious health problems like diabetes, heart disease, joint issues, sleep apnea, and unfortunately, even increase the risk of premature death.

At Forever Clinica, we understand the complex nature of morbid obesity, which is why we adopt a multidisciplinary approach to treatment. This means we don’t just offer diet or surgery. Instead, we provide a holistic treatment process where many different specialists – from nutritionists to psychologists, physiotherapists to surgeons – come together to create a personalized roadmap just for you. Our aim is not only to help you lose weight but also to assist you in adopting a healthy lifestyle and permanently improving your quality of life. All these comprehensive treatments are available at our state-of-the-art facility in Istanbul, Turkey.

Body Mass Index (BMI) and Obesity Stages: Where Do You See Yourself?

BMI is a number obtained by dividing your weight by the square of your height, and it’s the most widely used measure to determine the degree of obesity. Let’s look at the obesity stages based on these values:

  • 25-29.9: Overweight: While you’re not yet in the obesity category, being in this range indicates a risk of moving towards obesity in the future. Small lifestyle changes can often prevent this.
  • 30-34.9: Class 1 Obesity: You are now categorized as “obese.” Health risks slowly begin to increase. Seeking professional help at this stage can prevent serious problems.
  • 35-39.9: Class 2 Obesity: We can also call this stage “severe obesity.” Health issues become more pronounced, and treatment options should be considered more comprehensively.
  • 40 and above: Morbid Obesity (Class 3 Obesity): This is our main topic today! At this stage, quality of life significantly declines, and health risks are very high. More radical solutions, such as surgical intervention, may often need to be evaluated.
  • 50 and above: Super Obesity: Beyond morbid obesity, this is the most advanced stage. Health risks reach their peak, and the treatment process becomes even more complex.

Morbid obesity isn’t just about excess weight visible from the outside. The accumulation of excessive fat in the body adversely affects all organ systems, disrupts metabolism, and creates a domino effect leading to a series of health problems.

Behind Morbid Obesity: Why Is It Becoming So Widespread?

So, why do some people struggle with morbid obesity while others don’t? Morbid obesity is not a simple condition that can be attributed to a single cause. It typically arises from a combination of many factors. Let’s take a closer look at these factors:

1. Genetic Factors: Destiny or Predisposition?

The influence of genes on weight is undeniable. If there’s a history of obesity in your family, your risk of becoming obese, unfortunately, increases. This means your genes can affect your metabolism, your tendency to store fat, and even your appetite. However, genetic predisposition is not your destiny! It’s just a risk, and managing this risk through the right lifestyle choices is entirely within your control. Remember, genetic predisposition is a starting point, not a destination.

2. Poor Eating Habits: How We Eat Matters as Much as What We Eat!

One of the biggest problems brought by modern life is the deterioration of our eating habits. Sugary drinks, fast food, processed foods, and high-calorie snacks have, unfortunately, become an indispensable part of our lives.

  • Fast Food and Processed Foods: High calories, low nutritional value! These foods are often loaded with salt, sugar, and unhealthy fats, don’t provide a feeling of fullness, and make you constantly crave more.
  • Lack of Portion Control: Does our eyes fill up more than our stomachs? Large portions served in restaurants, our habit of filling our plates at home, can unknowingly lead us to consume far more calories.
  • High-Calorie Diet: Consistently consuming more calories than our daily energy needs causes the body to store this excess energy as fat.

At Forever Clinica, we guide you not only on “what not to eat” but also on “how to eat.” We support you in conscious eating, portion control, and making healthy food choices.

3. Sedentary Lifestyle: The Scourge of the Modern Age!

With technological advancements, our lives have become easier, but also more sedentary. Office jobs, long screen times, public transport, and car usage have minimized our physical activity.

  • Slowed Metabolism: As physical activity decreases, our body’s calorie-burning rate also drops. This makes weight gain easier.
  • Muscle Mass Loss: Muscles are one of the body’s most calorie-burning tissues. A sedentary lifestyle can lead to muscle mass loss and thus a further slowdown of metabolism.

Remember, “movement brings prosperity!” Regular physical activity not only helps you lose weight but also positively affects your overall health and mood.

4. Hormonal and Metabolic Disorders: Hidden Enemies!

Certain hormonal imbalances and metabolic disorders can also pave the way for weight gain:

  • Hypothyroidism (Underactive Thyroid Gland): Thyroid hormones regulate metabolism. If they are underactive, metabolism slows down, and weight gain becomes easier.
  • Insulin Resistance: A condition where body cells do not respond properly to insulin. This causes blood sugar to rise and the body to produce more insulin, which can increase fat storage.
  • Polycystic Ovary Syndrome (PCOS): A hormonal disorder seen in women. Weight gain, insulin resistance, and hormonal imbalances are common symptoms of PCOS.

Such conditions must be diagnosed and treated with professional medical support. At Forever Clinica, we meticulously investigate these underlying medical reasons for weight gain.

5. Psychological Factors: The Cost of Emotional Eating and Stress

Psychological factors like stress, depression, and anxiety can deeply affect our eating habits:

  • Emotional Eating: Many people turn to food to cope with negative emotions like stress, sadness, or boredom. While this provides short-term relief, it leads to weight gain and more regret in the long run.
  • Depression: Depression can lower energy levels, reduce physical activity, and lead to appetite changes.
  • Sleep Disorders: Insufficient or poor-quality sleep can affect appetite-regulating hormones and lead to a greater desire to eat the next day.

At Forever Clinica, we are aware of how crucial psychological support is in the weight loss process. Our psychologists and counselors help you cope with emotional eating habits, develop stress management techniques, and adapt to the process with a healthy mindset.

Health Problems Caused by Morbid Obesity: A Domino Effect

Morbid obesity is a complex condition affecting every system in the body. Excessive fat accumulation doesn’t just impact your appearance; it also negatively affects how all your internal organs function. Here are the main health problems caused by morbid obesity:

  • ✅ Cardiovascular Diseases: High blood pressure (hypertension), high cholesterol, heart attack, and stroke risks increase significantly in morbidly obese individuals. The heart has to work harder to supply the body, which can lead to the heart enlarging and weakening over time.
  • ✅ Type 2 Diabetes: Morbid obesity is one of the most important risk factors for Type 2 diabetes by triggering insulin resistance. Even if your body produces enough insulin, your cells become unresponsive to it, causing your blood sugar to rise uncontrollably.
  • ✅ Sleep Apnea: Excess weight can lead to narrowing of the tissues around the throat, causing breathing pauses (apnea) during sleep. This results in poor quality sleep, daytime fatigue, concentration problems, and more importantly, an increased risk of heart attack.
  • ✅ Joint and Skeletal Problems: The excessive weight the body has to carry puts enormous pressure on joints like the knees, hips, and lower back. This leads to problems like osteoarthritis (joint calcification), chronic back and knee pain, limiting a person’s mobility and reducing their quality of life.
  • ✅ Fatty Liver (NAFLD/NASH): Excessive fat accumulation in the liver can progress from simple fatty liver (NAFLD) to liver inflammation and damage (NASH – Non-alcoholic Steatohepatitis). If left untreated, it can lead to cirrhosis and even liver failure.
  • ✅ Increased Cancer Risk: Research shows that morbid obesity increases the risk of many types of cancer, including breast, colon, uterine, kidney, pancreatic, and prostate cancer.
  • ✅ Gastroesophageal Reflux Disease (GERD): A condition where stomach contents flow back into the esophagus. Obesity increases intra-abdominal pressure, predisposing to this condition.
  • ✅ Gallbladder Diseases: Obesity increases the risk of gallstone formation.
  • ✅ Infertility and Reproductive Issues: In women, it can lead to hormonal imbalances, irregular periods, and infertility, while in men, it can affect testosterone levels and cause reproductive problems.
  • ✅ Psychosocial Problems: Depression, anxiety, low self-esteem, social isolation, and discrimination are significant psychological and social burdens brought by morbid obesity.

As you can see, morbid obesity is not just an aesthetic problem but a serious health condition that affects your entire body and is potentially life-threatening. However, there’s no need to panic! At Forever Clinica, located in the heart of Istanbul, Turkey, we are here to offer you the best support in battling these issues.

Morbid Obesity Treatment Methods: A Personalized Journey with Forever Clinica in Istanbul

At Forever Clinica, we adhere to the principle of offering personalized solutions for morbid obesity treatment. Every individual’s situation is unique, and therefore, the treatment plan must be tailored to that individual’s needs, health status, and lifestyle. Our treatment options cover a wide spectrum and may include:

1. Medical (Non-Surgical) Treatment: Starting with the Right Steps

In the early stages of morbid obesity, or before surgical intervention, medical treatment methods play a significant role. At this stage, doctor-supervised diet and exercise programs, along with medication for obesity, can be evaluated.

  • Doctor-Supervised Diet and Exercise Programs: Our expert dietitians create personalized meal plans for you, while our physiotherapists design exercise programs suitable for your body. These programs aim not only for weight loss but also for you to adopt healthy habits and preserve your muscle mass.
  • Obesity Medications: In some cases, medications that suppress appetite or reduce fat absorption can be included in the treatment process under a doctor’s supervision. However, these medications are never a standalone solution and must always be supported by lifestyle changes.

Remember, at Forever Clinica, we don’t just provide a list; we offer an expert team that will guide you, keep your motivation high, and be by your side every step of the way, right here in Istanbul.

2. Surgical Treatment (Bariatric Surgery): A Turning Point

When medical treatments are insufficient or in advanced stages of morbid obesity, bariatric surgery (obesity surgery) emerges as the most effective treatment option. Bariatric surgery can provide permanent and effective weight loss, significantly improving or completely eliminating obesity-related health problems. At Forever Clinica in Istanbul, Turkey, our expert surgeons and state-of-the-art equipment ensure safe and successful bariatric surgical operations.

The most common bariatric surgical methods include:

  • Sleeve Gastrectomy (Tube Stomach Surgery): In this surgery, approximately 80% of the stomach is surgically removed, and the stomach takes on a tube-like shape. This both restricts food intake and reduces the secretion of ghrelin, the hunger hormone, increasing the feeling of fullness. It is a very popular and effective method.
  • Gastric Bypass (Roux-en-Y Gastric Bypass): In this operation, a small part of the stomach is separated, and a section of the intestines is connected to this small stomach. It both restricts food intake and reduces the absorption of nutrients. Although it is a more complex operation, it can yield very successful results, especially in patients with Type 2 diabetes.
  • Gastric Balloon (Endoscopic Method): This is a non-surgical method. A silicone balloon is endoscopically placed into the stomach and then inflated with a certain amount of liquid, taking up space in the stomach and creating a feeling of fullness. It is generally a temporary solution and may be preferred for patients who are not suitable for surgery or have less weight to lose. The balloon is removed after a specific period.

Each surgical method has its unique advantages, risks, and recovery processes. To decide which method is most suitable for you, it is crucial to have a detailed consultation with our surgeons and ask all your questions. Forever Clinica is committed to providing you with the most accurate information to help you make an informed decision, all from our conveniently located clinic in Istanbul.

3. Lifestyle Changes: The Secret to Lasting Success!

Remember, no treatment method is a miracle cure. Lasting success depends on your commitment to lifestyle changes. At Forever Clinica, we support these changes at every stage of your treatment process:

  • Regular Physical Activity: Exercising at moderate intensity for at least 30 minutes daily not only helps you lose weight but also improves your heart health, increases muscle mass, and boosts your mood. You can choose an activity you enjoy, such as walking, swimming, cycling, or dancing.
  • Healthy and Balanced Nutrition: To reiterate, permanently changing your eating habits is vital. Avoiding processed foods, consuming plenty of fruits and vegetables, preferring whole grain products, and getting enough protein are the cornerstones of a healthy life. Our dietitians will guide you by creating personalized plans.
  • Psychological Support and Behavioral Therapies: The weight loss journey is as much a mental journey as it is physical. Receiving psychological support to recognize emotional eating triggers, develop stress coping mechanisms, and form healthy thought patterns is very beneficial. Behavioral therapies help you change your habits and achieve long-term success.

At Forever Clinica, we don’t just offer treatment options; we provide all the tools and support necessary to help you adapt to this new lifestyle, right here in Istanbul. Success begins with you!

Frequently Asked Questions (FAQs): We’re Here for Everything on Your Mind!

We know you might have many questions about morbid obesity and its treatment options. Here are some of the most frequently asked questions and answers from Forever Clinica:

1. At what ages is morbid obesity seen? Morbid obesity can occur at any age. While childhood obesity is on the rise, it is generally diagnosed more frequently in the 30-50 age range. However, people of all ages can battle morbid obesity with the right treatment. At Forever Clinica, we work to find the most suitable solution for you, regardless of your age, here in Istanbul.

2. Can morbid obesity be treated without surgery? Yes, in its early stages, it can be controlled with diet, exercise, and in some cases, medication. These methods can be successful, especially in individuals with lower BMI values. However, for advanced cases of morbid obesity (BMI 40 and above) or those with serious obesity-related comorbidities, surgical intervention is usually the most effective and permanent solution. Remember, surgical treatment is not an end but a strong starting step towards a healthy life.

3. Who is eligible for bariatric surgery? Bariatric surgery is generally applied to patients who meet the following criteria:

  • Individuals with a BMI of 40 or higher.
  • Individuals with a BMI between 35-40 who have at least one obesity-related comorbidity (e.g., Type 2 diabetes, hypertension, sleep apnea, severe joint problems).
  • Individuals who have tried other weight loss methods and failed.
  • Those with a general health status that can tolerate the risks of surgery.
  • Those committed to adapting to lifestyle changes after surgery. Our expert team at Forever Clinica in Istanbul will conduct a comprehensive evaluation to determine if surgery is appropriate for you.

4. Is weight loss guaranteed after surgery? Bariatric surgery is a highly effective method for weight loss, but it is not a standalone miracle. The success of weight loss after surgery largely depends on the patient’s adherence to diet and lifestyle changes. Surgery provides you with a “tool” for weight loss. How you use this tool will determine whether you reach your goal. At Forever Clinica, we ensure your lasting success by providing continuous support and guidance during the post-operative period.

5. Can morbid obesity be prevented? Absolutely! Morbid obesity, even with genetic predisposition, is largely a preventable disease through lifestyle choices. Regular exercise, a healthy and balanced diet, stress management, adequate sleep, and professional intervention in the early stages of weight gain can significantly reduce the risk of morbid obesity. Remember, early diagnosis and intervention, as with any disease, are vital in obesity.

Forever Clinica: Hand in Hand for a Healthy and Happy Future in Istanbul!

Dear readers, fighting morbid obesity can be a tough battle, but you are not alone on this journey. At Forever Clinica, we understand all the challenges this disease brings, and we are here to offer you the best, most modern, and most personalized treatment approaches. With our experienced team of expert doctors, dietitians, psychologists, and physiotherapists, we are ready to provide all the support you need to take steps towards a healthy life.

Our goal is not just to help you lose weight, but also to improve your quality of life, reduce your risks of chronic diseases, and most importantly, help you regain your self-confidence and self-esteem. A healthy life means a happier life.

Remember, the most important investment is in yourself. Don’t postpone your health!

Feel free to contact us for more information, to discuss your treatment options, and for a personalized assessment. Forever Clinica, conveniently located in Istanbul, Turkey, is ready to walk with you on the path to a healthy future!

Remember, we’re just a call away. We wish you healthy days!

What Are the Possible Complications During Gastric Bypass Surgery?
Forever Clinica Uncategorized

What Are the Possible Complications During Gastric Bypass Surgery?

Gastric Bypass Surgery: Possible Complications During and After the Process

Hello, dear Forever Clinica family!

Today, we want to talk to you in a friendly and open manner about one of the most important topics on the minds of many people looking to open a brand new chapter in their lives: Gastric Bypass surgery and the potential situations you might encounter during this process. Our goal is to make you feel supported and informed every step of the way, both before and after this significant decision. Remember, knowledge is power, and being well-informed will make your journey much more comfortable and secure.

Gastric Bypass: A Step Towards a New Beginning

First, let’s take a look at what Gastric Bypass surgery is. Also commonly known as “stomach reduction surgery,” Gastric Bypass (technically called Roux-en-Y Gastric Bypass) is one of the most effective and widely used surgical methods in the fight against obesity. During this surgery, a large portion of your stomach is bypassed, and a new, small stomach pouch, about the size of an egg, is created. Then, a section of your small intestine is connected to this new stomach pouch, allowing food to directly pass into the lower part of the small intestine.

So, what does this mean for you? Two fundamental mechanisms come into play:

  1. Restriction of Food Intake: Thanks to your smaller stomach pouch, you’ll feel full with much less food. This naturally helps with portion control, significantly reducing your calorie intake.
  2. Reduced Nutrient Absorption: Because a portion of your small intestine is bypassed, the amount of calories and nutrients absorbed from the food you eat decreases. This is a crucial factor in accelerating weight loss.

The combination of these two mechanisms provides a strong foundation for sustainable and healthy weight loss. However, like any surgical procedure, Gastric Bypass carries some risks. Our mission at Forever Clinica, located in Istanbul, Turkey, is to minimize these risks and provide you with full support in managing any potential complications.

Possible Complications of Gastric Bypass Surgery: Being Prepared is Key

We can examine the situations you might encounter after Gastric Bypass surgery under two main headings: those that might appear immediately after the surgery (early complications) and those that might emerge in the longer term (late complications). There’s no need to panic; while these complications are rare, knowing about them and understanding how to manage them will empower you.

A. Early Complications (First 30 Days Post-Surgery): Rapid and Effective Intervention

The first month after surgery is a critical period as your body adapts to its new state. The main situations to be aware of during this time include:

  1. Bleeding (Hemorrhage): As with any surgical procedure, there’s a risk of bleeding after Gastric Bypass. This can occur from the stomach or bowel suture lines or as a leak from small blood vessels in the surgical area. It’s usually mild and stops on its own. However, in rare cases, severe bleeding may occur, which might require blood transfusions or an additional surgical intervention. At Forever Clinica in Istanbul, Turkey, we use the most advanced techniques during and after surgery to minimize bleeding risk and are equipped to intervene quickly if necessary.
  2. Infection: There’s a risk of developing an infection at the surgical incision site or within the abdominal cavity. This can manifest with symptoms like redness, swelling, pain, and fever. Antibiotic treatment is administered before and after surgery to reduce the risk of infection. If an infection develops, it’s treated with appropriate antibiotics, and sometimes drainage may be necessary to remove accumulated fluid. We meticulously adhere to hygiene rules and maintain a sterile environment to minimize this risk.
  3. Leak (Anastomotic Leak): This is one of the most serious, yet rarest, complications of Gastric Bypass. It’s a small leak that occurs at the surgical connections (anastomosis lines) where the stomach or bowel is joined. This leak can lead to an infection in the abdominal cavity (peritonitis) and requires immediate surgical intervention. Symptoms include severe abdominal pain, fever, rapid heart rate, and a general deterioration in health. Our experienced surgeons at Forever Clinica in Istanbul perform special tests during surgery to check the integrity of the suture line and use the latest techniques to minimize the risk of leakage.
  4. Pulmonary Complications (Lung Problems): Remaining immobile for extended periods after surgery or not taking deep enough breaths can increase the risk of lung infections (pneumonia) or blood clots in the lungs (pulmonary embolism). Therefore, it’s crucial to get up and move as soon as possible after surgery and perform deep breathing exercises. Our nurses and physiotherapists will assist and continuously encourage you in this regard.
  5. Thromboembolism (Blood Clot Formation): The formation of blood clots in the deep veins of the legs (deep vein thrombosis – DVT) and these clots traveling to the lungs, causing pulmonary embolism, is a serious risk. To prevent this, blood-thinning medications are used before and after surgery, and our patients are advised to wear compression stockings. Furthermore, early mobilization and leg exercises play a critical role in reducing this risk.

B. Late Complications (Months-Years Post-Surgery): Long-Term Follow-Up and Lifestyle Changes

After Gastric Bypass, significant changes will occur in your life. As you adapt to these changes, some situations may arise in the long term that you need to be aware of:

  1. Dumping Syndrome: This is one of the most common, yet manageable, conditions after Gastric Bypass. It typically occurs when you eat too quickly or consume sugary, fatty foods. Symptoms include nausea, vomiting, sweating, palpitations, abdominal cramps, diarrhea, and dizziness. This happens because food passes into the small intestine too rapidly. To prevent dumping syndrome, you should eat slowly, prefer small portions, and avoid sugary-fatty foods. Our dietitian will provide you with a detailed nutritional plan for this.
  2. Nutrient Deficiencies: Due to reduced nutrient absorption after surgery, deficiencies in important nutrients like iron, Vitamin B12, Vitamin D, calcium, and protein can develop. These deficiencies can lead to health problems such as anemia, bone thinning (osteoporosis), fatigue, and nervous system issues. Therefore, it’s vitally important to regularly take the multivitamin and mineral supplements recommended by your doctor. Your deficiencies will be regularly monitored with blood tests, and dosages will be adjusted as needed.
  3. Bowel Obstruction (Intestinal Blockage): Intestinal obstruction can occur due to adhesions (scar tissue) formed in the abdomen after surgery or the herniation (internal hernia) of the intestines. This condition manifests with symptoms like severe abdominal pain, nausea, vomiting, and inability to pass gas or stool. Bowel obstruction is an emergency and usually requires surgical intervention.
  4. Ulcer (Stomach-Bowel Ulcer): There is a risk of ulcer development in the stomach pouch or at the intestinal connection site. This can be triggered by increased acid production, smoking, alcohol consumption, or the use of certain medications (e.g., pain relievers). An ulcer can lead to stomach pain, indigestion, and bleeding. It can be prevented and treated with stomach-protecting medications.
  5. Weight Regain: Gastric Bypass is an effective tool for weight loss, but it’s not enough on its own. If dietary and lifestyle changes are not adhered to, weight can be regained over time. This is one of the most significant factors affecting the success of the surgery. Regular dietitian check-ups, consistent exercise, and adopting healthy eating habits are key to maintaining the weight you’ve lost.

What Can You Do to Prevent Complications? Your Active Role is Invaluable!

Playing an active role in your Gastric Bypass journey is crucial for preventing potential complications and successfully completing the process. Here’s what you should pay attention to:

  • Strictly Follow Your Doctor’s and Dietitian’s Recommendations: This is the golden rule for success. Stick to your nutrition plan and don’t miss your exercise program. If you have any questions or concerns, always contact us at Forever Clinica in Istanbul.
  • Never Miss Regular Check-ups: Post-surgery blood tests and doctor check-ups at regular intervals allow us to detect potential nutrient deficiencies or other problems early. These check-ups are vital for your healthy progress.
  • Regularly Use Vitamin and Mineral Supplements: To prevent nutrient deficiencies, do not neglect to take the supplements recommended by your doctor regularly. This should be a lifelong habit.
  • Avoid Smoking and Alcohol Consumption: Smoking increases the risk of ulcers and slows down healing. Alcohol, besides being a source of empty calories, can be absorbed faster after surgery, leading to quicker intoxication and potentially harming your liver. Completely avoiding these substances is the best step for your health.
  • Start Moving Early After Surgery: With the guidance of your doctor and nurses, get up and start walking as soon as possible after surgery. This will significantly reduce the risk of blood clots and lung problems.

Forever Clinica’s Approach to the Gastric Bypass Process: We Are With You with Trust and Experience

At Forever Clinica, located in the vibrant city of Istanbul, Turkey, we are with you every step of your Gastric Bypass journey. With our experienced surgeons and our multidisciplinary team of expert dietitians, psychologists, and nurses, we offer comprehensive support not only during the surgery itself but also before and after. To minimize the risk of complications and help you step into a healthy future, we provide:

  • Detailed Pre-Op Evaluation: Before surgery, we thoroughly assess your general health, medical history, and psychological state. This allows us to create the most suitable treatment plan for you and identify any potential risk factors.
  • Personalized Nutrition Plan: Our dietitian creates a customized nutrition plan for you, both before and after surgery. This plan helps you adapt to your new lifestyle, prevent nutrient deficiencies, and achieve your healthy weight loss goals.
  • Regular Post-Op Controls: We closely monitor your progress with regular post-surgery check-ups. Through blood tests, weight tracking, and general health assessments, we detect any signs of complications at an early stage and intervene immediately.
  • Psychological Support: Obesity surgery is a journey of significant change, not just physically but also psychologically. We provide psychological support during this process to help you cope with emotional challenges and facilitate your adaptation to your new lifestyle.

F.A.Q. (Frequently Asked Questions): We’re Here for Everything on Your Mind

We know you might have some questions. Here are the most frequently asked questions about Gastric Bypass and their answers:

  1. Is there a risk of death after Gastric Bypass surgery? Thanks to modern surgical techniques and experienced teams at Forever Clinica in Istanbul, the risk of death from Gastric Bypass surgery is quite low, generally ranging from 0.1% to 0.5%. We take every precaution to minimize this risk with internationally standardized equipment and expertise.
  2. When can I return to normal life after surgery? The hospital stay is typically 3 to 5 days. You can usually return to light work and daily activities after about 2 weeks. For more strenuous physical activities and exercise, it’s generally recommended to wait 6-8 weeks. These times may vary from person to person and depending on your healing rate.
  3. Is dumping syndrome permanent? No, dumping syndrome is not permanent. You can largely control this condition by adjusting your eating habits and following our dietitian’s recommendations. As your body adapts to the new eating routine over time, your symptoms will decrease.
  4. How can nutrient deficiency be prevented? The most effective way to prevent nutrient deficiencies is to regularly take the multivitamin and mineral supplements recommended by your doctor. Additionally, your deficiencies will be monitored through regular blood tests, and your supplement dosages will be adjusted according to your needs.
  5. Can one get pregnant after Gastric Bypass? Yes, it is possible to get pregnant after Gastric Bypass. However, it is ideally recommended to wait at least 12-18 months after surgery and to reach your target weight before becoming pregnant. This period is important for your body to adapt to the new nutritional regimen and for vitamin-mineral balance to be established. It is crucial to be in close contact with your doctor before and during pregnancy.

Dear Forever Clinica family, we are proud to be by your side on your journey to a healthy life. Gastric Bypass surgery offers you a powerful tool in the fight against obesity. But remember, this is a journey, and we are your biggest supporters every step of the way, right here in Istanbul, Turkey.

Do not hesitate to contact us to get more detailed information about Gastric Bypass and other obesity surgery methods, ask any questions you may have, or schedule a consultation. Let’s step into a healthy and happy future together!

Wishing you healthy days!

The Forever Clinica Team

Obesity Surgery | Bariatric Surgery | Obesity Treatment
Forever Clinica Uncategorized

Obesity Surgery | Bariatric Surgery | Obesity Treatment

Bariatric Surgery: A Life-Changing Step Towards Health | Forever Clinica

Hello dear Forever Clinica family! Today, we want to talk to you about the effective, reliable, and permanent solutions we offer in the fight against obesity, one of the most significant health issues of our time. Obesity is not just an aesthetic concern; it’s a chronic disease that lowers our quality of life and leads to serious health problems. But don’t worry, with the right treatment methods and an expert team, you can overcome obesity and achieve the healthy life you’ve always dreamed of.

In this article, we at Forever Clinica will explain everything you need to know about bariatric surgery, obesity surgery, and general obesity treatment in detail. You’ll find answers to frequently asked questions, learn about the process transparently, and clear up any doubts you might have. If you’re ready, let’s embark on this important health journey together! All our procedures are performed in our state-of-the-art facility in Istanbul, Turkey.

What is Obesity? Why Is It So Important?

First, let’s get to know obesity better. Obesity is a chronic health problem that arises from the excessive and abnormal accumulation of fat in the body, negatively affecting life expectancy and quality, and requiring treatment. Simply put, when we consume more calories than we burn, our body stores this excess energy as fat, and over time, this accumulation can reach serious proportions.

When diagnosing obesity, one of the most commonly used and accepted methods in modern medicine is the Body Mass Index (BMI) calculation. BMI is a value obtained by dividing your weight by the square of your height, indicating which category you fall into:

  • 18.5 – 24.9: Congratulations, you’re at a normal weight! Maintain your healthy lifestyle.
  • 25 – 29.9: You are overweight. While not yet in the obesity category, it’s beneficial to take precautions for your health.
  • 30 and above: You are now in the obesity class. At this point, health risks begin to increase, and consulting a specialist is of great importance.
  • 40 and above: This condition is called morbid obesity. It signifies severe obesity and can be accompanied by serious health problems. It often requires surgical intervention.

So, why is obesity so important? Because obesity, beyond being a disease itself, invites many serious health problems. It can be the primary cause or trigger for numerous conditions such as Type 2 diabetes, high blood pressure (hypertension), heart disease, stroke, sleep apnea, joint problems (arthritis), certain types of cancer, fatty liver, and even psychological disorders. Therefore, taking obesity seriously and taking the necessary steps means not only losing weight but also living a longer, healthier, and higher-quality life.

Obesity Treatment Methods: Personalized Solutions

At Forever Clinica, we understand that every individual is different when it comes to obesity treatment. Therefore, we conduct a detailed assessment to determine the most suitable treatment method for you. In obesity treatment, surgical and non-surgical methods are primarily applied. The best approach for you is decided in consultation with your doctor after a comprehensive examination and discussion.

1. Non-Surgical Obesity Treatments: The First Steps

In cases of mild to moderate obesity, or when surgery is not suitable, non-surgical methods come into play. These methods aim to achieve weight loss through lifestyle changes and medical interventions:

  • Diet and Nutritional Counseling: Healthy eating is the cornerstone of weight management. Personalized nutrition programs are created with the guidance of a dietitian, aiming to develop balanced and adequate eating habits. Portion control, proper food selection, and regular meals are of great importance during this process. At Forever Clinica, our nutrition specialists guide you by preparing sustainable diet programs tailored to your taste and lifestyle.
  • Exercise Programs: Regular physical activity accelerates metabolism, supports fat burning, and increases muscle mass. Various programs such as cardio, strength training, or flexibility exercises can be applied according to individual needs and physical condition. Remember, the best exercise is the one you can do regularly! At Forever Clinica, we also provide support in determining the most suitable exercises for you.
  • Medication Treatments: Under the supervision of a doctor, certain medications that suppress appetite or reduce fat absorption may be used. However, these medications are usually not sufficient on their own and should be used short-term, in conjunction with other treatment methods, and always under medical supervision. It should be remembered that every medication can have side effects.
  • Endoscopic Methods (Gastric Balloon, Gastric Botox, etc.): These methods, which are less invasive than surgery, involve intervention in the stomach with the help of an endoscope (a tube with a camera):
    • Gastric Balloon: A silicone balloon is endoscopically placed into the stomach, reducing stomach volume and creating a feeling of fullness, thus decreasing the need to eat less. It usually remains in the stomach for a specific period (e.g., 6-12 months) and is then removed endoscopically. This method can serve as a bridge for patients who are not suitable for surgery or need to lose weight before surgery.
    • Gastric Botox: Botox is injected into specific areas of the stomach to reduce the contraction strength of the stomach muscles and prolong stomach emptying time. This provides a longer feeling of fullness and reduces the desire to eat. Its effect is temporary (usually 4-6 months) and may need to be repeated.

These non-surgical methods can be effective, especially in mild to moderate obesity. However, for individuals with severe obesity and those with serious obesity-related health problems, bariatric surgery offers more permanent and significant results and is often the preferred option.

2. Bariatric Surgery (Obesity Surgery): Permanent and Effective Solutions

Bariatric surgery, popularly known as stomach surgery or weight loss surgery, aims to restrict food intake or reduce nutrient absorption through surgical procedures on the stomach and intestinal system. This allows patients to feel full with less food, absorb fewer calories from the foods they eat, and consequently achieve permanent weight loss. At Forever Clinica, located in Istanbul, Turkey, we use the latest and most reliable surgical techniques to provide our patients with a comfortable and successful process.

The most common and effective bariatric surgeries performed today include:

  • a) Sleeve Gastrectomy (Tube Stomach Surgery): This surgery has been the most preferred obesity surgery method worldwide and in Turkey in recent years. During the procedure, a large portion of the stomach (approximately 80%, usually including the fundus region where the hunger hormone ghrelin is secreted) is permanently removed, and the stomach is transformed into a thin, tube-like shape, resembling a banana.
    • How It Works: Since the stomach volume is reduced, patients feel full with less food. Additionally, because the region where the ghrelin hormone is secreted is removed, appetite decreases. This not only allows for less physical eating but also psychologically suppresses the desire to eat.
    • Advantages: It’s a relatively shorter surgery. Since the intestinal anatomy does not change, the risk of vitamin and mineral deficiency is lower compared to gastric bypass. It provides effective and permanent weight loss. Significant improvement is observed in co-morbidities like diabetes.
    • Forever Clinica Approach: Sleeve gastrectomy is performed using a laparoscopic (keyhole) method, meaning several small incisions are made in the abdominal area. This reduces post-operative pain, speeds up the recovery process, and provides better cosmetic results. Our surgeons, specializing in this field in Istanbul, Turkey, are among the most experienced.
  • b) Gastric Bypass (Roux-en-Y Gastric Bypass): Gastric bypass is a combined surgery that both reduces stomach volume and decreases nutrient absorption. During the procedure, a small upper portion of the stomach (approximately 30-50 ml) is separated to form a new stomach pouch. Then, a part of the small intestine is connected to this new stomach pouch. The remaining larger part of the intestines is connected further down the new path that handles nutrient absorption.
    • How It Works: The small stomach pouch allows for feeling full with less food. Additionally, since food bypasses a portion of the small intestine and goes directly to later sections, nutrient absorption is reduced. This particularly restricts the absorption of sugary and fatty foods.
    • Advantages: Weight loss can be faster and greater than with sleeve gastrectomy. It is very effective in treating Type 2 diabetes; in fact, cases where diabetes regresses or completely disappears shortly after surgery are common. It is also a suitable option for patients experiencing reflux symptoms.
    • Forever Clinica Approach: Gastric bypass is also typically performed using the laparoscopic method. Since this surgery requires more complex procedures, the surgeon’s experience is of great importance. At Forever Clinica in Istanbul, Turkey, our specialized surgeons perform this surgery safely and effectively.
  • c) Gastric Banding: This method involves placing a silicone band around the upper part of the stomach to restrict food intake. The band can be tightened or loosened via an adjustable port placed externally.
    • Why It’s Less Preferred Now: Although popular in the past, it is less preferred today compared to other methods. Reasons include complications such as band slippage, erosion, infection risk, and insufficient long-term weight loss. Additionally, the patient needs to visit the doctor regularly for band adjustments.
    • Forever Clinica Approach: At Forever Clinica, we generally prioritize methods like sleeve gastrectomy or gastric bypass due to their more permanent and reliable results. However, this method is not entirely disregarded and may be considered in rare cases depending on the patient’s specific condition.
  • d) Transit Bipartition (Metabolic Surgery for Diabetes): Transit bipartition is a metabolic surgery method developed specifically for patients with uncontrollable Type 2 diabetes alongside obesity. In this surgery, the stomach is made into a tube (sleeve gastrectomy part), and the last part of the small intestine (ileum) is connected to the last part of the stomach (antrum) to allow food to pass through both the normal path and the newly created path.
    • How It Works: It aids in weight loss by reducing stomach volume and also improves blood sugar control by regulating the secretion of intestinal hormones. Thanks to the newly created path, food reaches the last part of the intestine faster, and hormones like GLP-1 secreted there increase insulin release.
    • Advantages: It provides both effective weight loss and is highly successful in the treatment of Type 2 diabetes. The risk of vitamin and mineral deficiency is lower compared to gastric bypass.
    • Forever Clinica Approach: In cases of morbid obesity accompanied by diabetes, transit bipartition is a powerful option that significantly improves the patient’s quality of life and reduces the need for medication. Our team follows the latest approaches in this field to offer our patients the most suitable surgical solution, all performed in our Istanbul, Turkey clinic.

Who is Bariatric Surgery Suitable For? Eligibility Criteria

Bariatric surgery is not a one-size-fits-all solution. These surgeries are a serious treatment option for patients who meet specific criteria and have not benefited from other treatment methods. At Forever Clinica, located in Istanbul, Turkey, we apply a meticulous evaluation process to ensure our patients’ safety and the success of the surgery. Generally, suitable candidates for bariatric surgery should meet the following criteria:

✅ BMI (Body Mass Index) of 40 and above (Morbidly Obese): This is one of the most fundamental criteria. For individuals who are in the severe obesity class and carry associated health risks, surgery may be the most effective solution.

✅ BMI between 35-40 with co-morbidities: If your BMI is in this range and you have serious obesity-related health problems such as Type 2 diabetes, high blood pressure, sleep apnea, severe joint problems, or heart conditions, bariatric surgery might be a suitable option for you. In such cases, surgery plays a critical role in controlling or improving these co-morbidities.

✅ Individuals who have tried non-surgical methods like diet and exercise for at least 6 months without success: Bariatric surgery should be considered a last resort. Surgical options are evaluated when sufficient and permanent weight loss cannot be achieved with non-surgical methods. This also indicates the patient’s potential to adapt to lifestyle changes after surgery.

✅ Patients between 18-65 years of age: Generally, this age range is preferred. However, in special circumstances (e.g., very severe obesity in adolescents or significant co-morbidities in older patients), the age limit can be relaxed with a doctor’s evaluation. Our Forever Clinica team in Istanbul, Turkey, thoroughly assesses each patient’s individual situation.

✅ Individuals without alcohol or substance dependency: It is important that the person does not have a dependency issue for successful adaptation to post-operative lifestyle changes and recovery.

✅ Psychiatrically suitable for surgery: Motivation, dietary discipline, and psychological adaptation are crucial in the post-operative period. Therefore, it must be confirmed that patients are psychiatrically suitable for surgery, meaning they do not have a severe psychiatric illness or that it is under control. If necessary, a pre-operative psychologist or psychiatrist evaluation is conducted.

Advantages of Bariatric Surgery: How Will Your Life Change?

Bariatric surgery does not just lead to weight loss; it brings about noticeable improvements in many areas of your life. The main advantages of this surgery include:

  • ✔ Rapid and Permanent Weight Loss: Patients are expected to lose 60-80% of their excess weight within the first 12-18 months after surgery. Most importantly, this weight loss can be maintained in the long term.
  • ✔ Improvement or Complete Resolution of Conditions Like Type 2 Diabetes, Hypertension: Bariatric surgery is incredibly effective, especially for metabolic diseases like Type 2 diabetes and high blood pressure, which are related to obesity. Most patients can stop or significantly reduce their medication use shortly after surgery. This increases their quality of life and life expectancy.
  • ✔ Reduction in Sleep Apnea and Joint Pain: Excess weight is a primary cause of sleep apnea and joint problems. With weight loss, sleep apnea symptoms significantly decrease, or may even disappear completely. As the load on the joints is reduced, pain in the knees, hips, and back also significantly lessens.
  • ✔ Significant Improvement in Quality of Life: The ability to move more comfortably, participate in social activities, and have freedom in clothing choices increases patients’ overall quality of life and freedom.
  • ✔ Improved Self-Confidence and Psychological Well-being: Weight loss boosts patients’ self-confidence and helps reduce psychological problems such as depression and anxiety. Having a new, healthier body positively impacts an individual’s mental health.
  • ✔ Extended Lifespan: Studies have shown that individuals who undergo bariatric surgery have a significantly reduced risk of death from obesity-related diseases and an extended lifespan.

Post-Bariatric Surgery Process: The Key to Success

The success of the surgery is not limited to the surgical procedure itself. Post-operative dietary habits, exercise routine, and regular doctor check-ups are vital for the permanent success of the treatment. At Forever Clinica, located in Istanbul, Turkey, we continue to be by your side throughout this process:

  • First Week: Liquid-Based Diet: In the first few days after surgery, only sips of water and clear liquids are consumed as the stomach is still in the healing process. Afterward, patients transition to protein-supplemented, sugar-free, and particle-free liquids. During this period, the goal is adaptation to the new stomach volume and protection of the sutures.
  • Gradual Transition to Solid Foods: After the liquid phase, patients gradually transition to pureed, then soft, and finally solid foods. These transitions are made slowly and gradually, under the supervision of a doctor and dietitian, according to a specific program. Adaptation and tolerance to new foods are carefully monitored at each stage.
  • Regular Vitamin and Mineral Supplements: Especially after absorption-limiting surgeries like gastric bypass and transit bipartition, regular lifelong supplementation is required to prevent vitamin and mineral deficiencies. Supplements are also recommended in the initial period after sleeve gastrectomy. These supplements include essential nutrients like iron, Vitamin B12, Vitamin D, and calcium.
  • Regular Exercise and Doctor Check-ups: After the post-operative recovery period is complete, regular physical activity should be integrated into your life, starting with light walks as recommended by your doctor. Furthermore, it is crucial to attend regular doctor check-ups frequently in the first year after surgery (monthly or quarterly), and then annually in subsequent years. During these check-ups, blood tests are performed, weight loss is monitored, and potential problems are addressed early.
  • Psychological Support (If Needed): Weight loss is not just a physical but also a psychological transformation. Some patients may need emotional or psychological support during this process. At Forever Clinica, we are also by your side in this process by providing psychological counseling or referring to support groups when necessary.

Frequently Asked Questions (FAQ) – Answers to All Your Questions

We’ve compiled answers to other important questions you might have about bariatric surgery:

1. Is bariatric surgery risky?

Like any surgical procedure, bariatric surgeries carry some potential risks. These include infection, bleeding, leaks (leakage from the staple line), anesthesia-related complications, and nutrient deficiencies. However, at Forever Clinica, we want to state clearly: With experienced surgeons, modern techniques (especially laparoscopic/keyhole methods), advanced medical equipment, and careful post-operative follow-up, these risks are minimized. Our team takes all precautions to reduce risks and ensure a safe surgical process. The potential benefits of surgery far outweigh its risks in carefully selected patients. All our surgical procedures are performed in our high-standard facilities in Istanbul, Turkey.

2. Will I regain the weight after surgery?

This is one of the most frequently asked questions. To be honest: Yes, if the patient does not adhere to the post-operative nutrition and lifestyle recommendations, weight gain can start again. Bariatric surgery is not a magic wand. It’s a tool, and the effectiveness of this tool depends on how you use it. The surgery reduces your stomach size and decreases your appetite, but returning to old bad eating habits, consuming excessive portions, or opting for unhealthy foods can lead to weight gain. Therefore, post-operative dietary discipline, regular exercise, and doctor check-ups are of great importance. At Forever Clinica, we provide all the necessary support and education to help you adapt to this new lifestyle.

3. How long does bariatric surgery take?

The duration of the surgery can vary depending on the method applied and the patient’s general condition. However, generally:

  • Sleeve Gastrectomy: Average 1-2 hours
  • Gastric Bypass and Transit Bipartition: Average 2-3 hours

These durations may vary slightly depending on the surgical team’s experience and the course of the surgery.

4. Will the surgery leave scars?

At Forever Clinica, we perform the vast majority of bariatric surgeries using the laparoscopic (keyhole) method. In this method, only a few small incisions (typically 0.5-1 cm in size) are made in the abdominal area. Since these incisions are much smaller than in open surgery, post-operative pain is reduced, the recovery process is faster, and scars are minimal. Over time, these small scars fade and become small enough not to bother you cosmetically.

5. Is bariatric surgery covered by health insurance or private insurance?

This is one of the most frequently asked questions by our patients. In Turkey, some private insurance companies and the Social Security Institution (SGK) may cover bariatric surgeries under certain conditions. SGK coverage usually involves strict criteria such as BMI, co-morbidities, and having tried non-surgical methods. Each insurance company also has its own differing policy terms.

To get the most accurate and up-to-date information on this matter, simply contact Forever Clinica. Our experienced team will assist you in evaluating your insurance situation and making the necessary applications.

Forever Clinica: Your Partner for a Healthy Life in Istanbul, Turkey!

Dear friends, fighting obesity might seem like a challenging journey, but you are not alone. At Forever Clinica, we are proud to be by your side in this important transformation. Our experienced team, consisting of expert surgeons, dietitians, psychologists, and nurses, is here to determine the most suitable treatment method for you and help you take a step towards a healthy life.

Remember, improving your quality of life, getting rid of chronic diseases, and living a longer, happier life is in your hands. By contacting us, you can take this important step and invest in your future.

📞 Book an appointment now and take that first life-changing step today! Say hello to a healthy and happy future with Forever Clinica in Istanbul, Turkey!

Gastric Reduction Methods
Forever Clinica Uncategorized

Gastric Reduction Methods

Gastric Reduction Methods: A New Chapter in Healthy and Permanent Weight Control

Hello dear friends, cherished readers of Forever Clinica! Today, I want to talk to you about a very important topic that profoundly affects the quality of life for many people and perhaps is on your mind as well: gastric reduction methods. As the Forever Clinica family, we consider it our duty to shed light on your journey towards a healthy life and to provide you with the most accurate information in the warmest possible tone. If you’re ready, let’s take a closer look at some of our strongest weapons against obesity and excess weight, namely gastric reduction surgeries and their non-surgical alternatives. Remember, what you’ll read here isn’t just medical information, but also the first steps towards a healthy and happy future for you, right here in Istanbul, Turkey!

The Reality of Obesity and the Importance of Gastric Reduction Methods

Obesity, one of the biggest health problems of our time, is much more than just an aesthetic concern; it’s a insidious enemy that opens the door to many serious illnesses. From diabetes to heart disease, joint problems to sleep apnea, it can trigger numerous ailments. Years of diets and exercise programs sometimes aren’t enough or don’t yield lasting results. This is precisely where gastric reduction methods offer a powerful and permanent solution in the fight against obesity. These methods reduce the volume of the stomach or alter the functioning of the digestive system, thereby limiting food intake and increasing feelings of fullness, aiding in appetite control. This makes it possible for you to make a new start, both physically and mentally.

So, with so many different methods available, which one is right for you? At Forever Clinica, we know that every individual is different, and we adopt a personalized approach to determine the most suitable method for you. Let’s delve into these methods one by one.

1. Gastric Reduction Surgeries (Bariatric Surgery): Radical Solutions Against Obesity

Bariatric surgery, or gastric reduction surgeries, is one of the most scientifically proven and effective treatment methods for patients with advanced obesity problems who haven’t found success with other treatment approaches. These operations permanently alter the structure of the stomach to achieve weight loss. At Forever Clinica, we perform these surgeries using state-of-the-art equipment and with our expert surgeons, adhering to the highest safety standards, right here in Istanbul, Turkey.

a) Sleeve Gastrectomy: A Rapid and Effective Transformation

Perhaps one of the most commonly heard and popular bariatric surgery methods, sleeve gastrectomy involves surgically removing approximately 80% of the stomach. The remaining stomach takes the shape of a thin, long tube. This operation not only reduces stomach volume but also removes the portion of the stomach that secretes ghrelin, the hormone that triggers hunger, making the weight loss process even easier. When ghrelin levels decrease, your appetite naturally diminishes, and you feel full more quickly.

Technical Details and Advantages:

  • Laparoscopic Method: Sleeve gastrectomy is typically performed using the laparoscopic method. This is a minimally invasive surgery performed through several small incisions in the abdomen, rather than large cuts, using specialized instruments. This results in a faster recovery period, less pain, and minimal post-operative scarring.
  • Stomach Shrinkage: The stomach volume is reduced to about 100-150 ml. This naturally leads to you eating much less.
  • Hormonal Changes: The reduction in ghrelin hormone not only curbs appetite but also has positive effects on metabolic diseases like type 2 diabetes.
  • Less Malabsorption: The effect on nutrient absorption is less pronounced compared to gastric bypass, which reduces the risk of vitamin and mineral deficiencies.
  • Permanent Weight Loss: The vast majority of patients undergoing sleeve gastrectomy lose 60-80% of their excess weight and can maintain this weight loss for a long time.

Sleeve gastrectomy is a highly effective option, particularly for individuals who struggle with weight loss, have a high Body Mass Index (BMI), and suffer from metabolic diseases.

b) Gastric Bypass (Roux-en-Y Gastric Bypass): Stronger Impact on Metabolic Diseases

Gastric bypass is a complex bariatric surgical method aimed at both reducing stomach volume and decreasing nutrient absorption. In this operation, a small pouch is created in the upper part of the stomach, and this pouch is directly connected to a more distal part of the small intestine. This way, food bypasses a large portion of the stomach and the first part of the small intestine, reaching the more distal parts of the intestine directly.

Technical Details and Advantages:

  • Stomach Reduction and Reduced Absorption: It limits the amount of food consumed and also reduces the surface area where nutrients are absorbed, thereby supporting weight loss.
  • Impact on Metabolic Diseases: It provides a very strong and rapid improvement in insulin resistance, especially in type 2 diabetes patients. Bypassing a portion of the stomach and duodenum from contact with food alters the secretion of intestinal hormones, improving blood sugar control.
  • Longer-Term Weight Control: Weight loss is generally greater and more permanent compared to sleeve gastrectomy.
  • Dumping Syndrome Risk: There is a risk of “Dumping Syndrome,” which manifests with symptoms like nausea, vomiting, and palpitations, especially when consuming sugary and fatty foods rapidly. This can also be seen as a side effect that encourages patients to eat healthier.
  • Malabsorption Risk: Due to reduced nutrient absorption, the risk of vitamin (especially B12) and mineral (iron, calcium) deficiencies is higher. Therefore, lifelong vitamin and mineral supplement use is crucial.

Gastric bypass is the preferred method for individuals with serious co-existing metabolic diseases such as diabetes, or those who need to lose a significant amount of weight.

c) Gastric Banding: A Less Preferred Method Today

Gastric banding involves placing an adjustable silicone band around the upper part of the stomach. This band is inflated to create a small pouch at the entrance of the stomach, restricting food intake. Although the surgical risk is lower compared to other methods, it is less preferred today due to the more effective and permanent results offered by other bariatric surgical methods.

Why is it Less Preferred?

  • Less Weight Loss: Weight loss is generally less than with other surgeries, and long-term success rates are lower.
  • Need for Revision: Complications such as band slippage, erosion, or infection may necessitate revision surgeries.
  • Requires Frequent Follow-up: The band needs regular adjustments, which requires patients to attend more frequent check-ups.
  • Difficulty Eating: Some patients may experience difficulty eating and vomiting.

At Forever Clinica, as we aim to offer our patients the most current and effective treatment methods, we rarely recommend gastric banding anymore. However, it can be considered as an alternative depending on the patient’s overall health and preferences.

2. Non-Surgical Gastric Reduction Methods: Ameliyatsız Solutions

For individuals who do not wish to undergo surgery or do not meet the criteria for surgery, non-invasive (non-surgical) gastric reduction techniques are also available. These methods are typically performed endoscopically and can aid in weight loss without carrying surgical risks. At Forever Clinica, we safely apply these methods with our experienced gastroenterology specialists in Istanbul, Turkey.

a) Gastric Botox: A Temporary Aid in Appetite Control

Gastric botox is a procedure where botulinum toxin is endoscopically injected into specific muscles of the stomach. This toxin slows down the contractions of the stomach muscles, extending the stomach’s emptying time. Since the stomach remains full for longer, the person feels satiated for a longer period and eats less. Additionally, the secretion of ghrelin, the hormone that triggers appetite, may also decrease to some extent.

Technical Details and Advantages:

  • Endoscopic Application: It does not require surgery. It is performed endoscopically through the mouth, under sedation (a light sleep state) rather than general anesthesia.
  • Rapid Recovery: Patients can return to their daily lives quickly after the procedure.
  • Few Side Effects: Serious side effects are extremely rare. Temporary nausea and mild cramps may occur.
  • Weight Loss: Depending on the individual and adherence to lifestyle changes, an average weight loss of 8-15 kg is aimed for. This is less than with surgical methods.
  • Temporary Effect: The effect of gastric botox typically lasts for 4-6 months. It is not a permanent solution, and the procedure may need to be repeated for the effect to continue.

Gastric botox can be a good starting point for individuals who are overweight (BMI between 27-35) but do not meet the criteria for obesity surgery or do not wish to undergo surgery. It is also a supportive method for those who struggle with portion control and have a high appetite.

b) Gastric Balloon: A Practical Solution that Fills the Stomach

The gastric balloon is a procedure where a silicone or polyurethane balloon is endoscopically placed into the stomach and then inflated with a sterile liquid (usually saline solution). The balloon, by occupying space within the stomach, causes the person to eat less and increases feelings of fullness.

Technical Details and Advantages:

  • Endoscopic Application: Like gastric botox, it does not require surgery and is performed under sedation.
  • Different Types: Various types are available, including swallowable balloons (swallowed and inflated in the stomach without the need for endoscopy) and endoscopically placed balloons.
  • Temporary Solution: Depending on the type, the gastric balloon remains in the stomach for 6 months to 1 year and must be endoscopically removed after this period.
  • Weight Loss: An average weight loss of 15-25 kg is aimed for. Weight loss depends on the individual’s adaptation to the balloon and lifestyle changes.
  • Undesirable Side Effects: Nausea, vomiting, and abdominal cramps may occur during the first few days. This condition can usually be controlled with medication.
  • Suitable Candidates: It is suitable for individuals with a BMI between 27-35, who have high surgical risks, or do not wish to undergo surgery.

The gastric balloon can be an effective method for individuals who want to lose weight without surgery and are ready to change their eating habits through a controlled process. However, adherence to lifestyle changes afterwards is crucial for its permanence.

c) Endoscopic Sleeve Gastroplasty (APOLLO Method): Non-Surgical Sleeve Gastrectomy

Endoscopic Sleeve Gastroplasty, also known as the APOLLO method, is a non-surgical method that reduces the stomach with sutures. Using a special endoscopic device, sutures are placed from the inside of the stomach, reducing its volume. This method creates a similar effect to sleeve gastrectomy but is performed without any incisions or external sutures.

Technical Details and Advantages:

  • Non-Surgical Method: Does not require laparoscopic or open surgery. It is applied endoscopically.
  • No Incisions, No Scars: No incisions or scars are formed on the body.
  • Rapid Recovery: The hospital stay is short, and the recovery period is much faster.
  • Potential for Permanent Weight Loss: Since it reduces stomach volume similarly to sleeve gastrectomy, it can provide significant and permanent weight loss when supported by lifestyle changes.
  • Lower Risk: Surgical risks (bleeding, infection, etc.) are lower compared to open or laparoscopic surgeries.
  • Revision Possibilities: If necessary, the procedure can be repeated, or bariatric surgery can be considered afterwards.

Endoscopic Sleeve Gastroplasty is becoming an increasingly popular option for individuals with a BMI between 30-40 who do not wish to undergo surgery but aim for more permanent weight loss.

3. Lifestyle Changes After Gastric Reduction: The Key to Success is in Your Hands!

Gastric reduction procedures, whether surgical or non-surgical, are never a “magic wand” on their own. These procedures provide you with significant support and advantages on your weight loss journey, but the key to success is in your hands! To achieve permanent and healthy results, making fundamental lifestyle changes after the procedure is vital. At Forever Clinica, we never leave you alone in the post-operative period and stand by you with a multidisciplinary approach.

Essentials for a Healthy Life:

  • Protein-Rich Diet: In the post-operative period, consuming a protein-rich diet is crucial to preserve muscle mass and support the healing process. Lean meat, chicken, fish, eggs, dairy products, and legumes should form the basis of your diet.
  • Small Portions and Slow Eating: Since your stomach volume has decreased, you will need to get used to feeling full with much smaller portions. Eating your meals slowly and chewing thoroughly facilitates digestion and helps you better understand the feeling of fullness. Eating too quickly can lead to nausea, vomiting, and discomfort.
  • Fluid Intake Rules: Avoid consuming liquids with meals. Drink liquids 30 minutes before or 30 minutes after meals. This is important to avoid affecting your stomach’s emptying rate and to stay full longer. Make sure to drink at least 2-2.5 liters of water daily. Water is critical for both your metabolic rate and to prevent dehydration.
  • Regular Exercise: Regular exercise is essential to accelerate the weight loss process, preserve muscle mass, minimize skin sagging, and improve your overall health. You can start with light-paced walks and gradually increase the intensity and duration of your exercise over time. Seeking support from a physiotherapist or exercise specialist will be beneficial.
  • Vitamin and Mineral Supplements: Especially after operations that affect absorption, such as gastric bypass, vitamin and mineral deficiencies may occur in the body. Regularly taking vitamin and mineral supplements as recommended by your doctor is indispensable for maintaining your health. These supplements usually continue for life.
  • Regular Follow-up and Check-ups: After a gastric reduction procedure, regular check-ups with our expert team at Forever Clinica are crucial to monitor your weight loss progress, diagnose potential complications early, and receive personalized nutrition and lifestyle advice.

Remember, working with a team consisting of a nutritionist, psychologist, and exercise specialist will increase your chances of success in this process. At Forever Clinica, we are proud to offer you this multidisciplinary team.

Frequently Asked Questions (FAQ): Answers to All Your Questions!

We know you have many questions about gastric reduction methods. Here are the most frequently asked questions and answers from Forever Clinica specialists:

1. Who is eligible for gastric reduction surgery?

Gastric reduction surgeries are generally applied to individuals who meet specific criteria:

  • Those with a Body Mass Index (BMI) of 40 or higher: This is defined as “morbid obesity.”
  • Those with a BMI between 35-40 and co-existing serious obesity-related diseases such as diabetes, hypertension, sleep apnea, or joint problems.
  • When deciding on surgery, the patient’s general health status, previous weight loss attempts, and psychological state are also taken into consideration.

2. Is gastric reduction surgery risky?

Like any surgical procedure, gastric reduction surgeries have some potential risks. These can include bleeding, infection, leakage, anesthesia-related complications, and nutritional deficiencies. However, at Forever Clinica, thanks to our experienced and expert surgeons, modern operating room conditions, and advanced technological equipment, these risks are minimized. A detailed pre-operative evaluation and risk briefing are provided. All these procedures are performed in Istanbul, Turkey, adhering to international safety standards.

3. How much weight can be lost with gastric botox?

The amount of weight that can be lost with gastric botox varies from person to person and depends on the individual’s adherence to lifestyle changes. Generally, an average weight loss of 8-15 kg is aimed for. This method provides less weight loss than surgical methods and is more often used for appetite control and portion reduction.

4. Will there be skin sagging after gastric reduction?

Yes, skin sagging can occur in individuals who experience rapid and significant weight loss. This can be particularly noticeable in the abdomen, arms, legs, and chest areas. Regular exercise (especially muscle-strengthening exercises) and moisturizing your skin can reduce sagging to some extent. However, in cases of severe skin sagging, aesthetic surgery (body lift, arm lift, etc.) may be considered. At Forever Clinica, we can guide you in this regard if needed.

5. Does the gastric balloon cause pain?

During the first few days after gastric balloon placement, mild nausea, vomiting, and abdominal cramps may occur due to a foreign object entering the stomach. This condition is usually temporary and can be controlled with medication recommended by your doctor. If you experience severe or persistent pain, you should definitely contact your doctor. The adaptation period to the balloon can vary from person to person.

Step Towards a Healthy and Confident Future with Forever Clinica!

Dear readers, fighting obesity and achieving a healthy body and mind can be a long and sometimes challenging journey. However, at Forever Clinica, we are with you on this journey. With our team of expert doctors, experienced nurses, nutritionists, and psychologists, we guide you every step of the way, from determining the most suitable gastric reduction method for you to adopting a healthy lifestyle after the operation. All these services are provided in our state-of-the-art facilities in Istanbul, Turkey.

Remember, a healthy life is not just about losing weight; it also boosts your self-confidence, increases your life energy, and helps you look to the future with more hope. Forever Clinica is here to experience this change with you.

If you would like to get more information, consult with our specialists, or have a personalized evaluation, please do not hesitate to contact us. We wish you healthy and happy days!

💙 A healthy life, a confident future! 💙

World Obesity Ranking
Forever Clinica Uncategorized

World Obesity Ranking

Global Obesity Ranking: Fighting This Worldwide Crisis, Right Here in Istanbul!

Obesity: The Silent Pandemic of Our Time and Forever Clinica’s Expertise

Hello dear reader,

In today’s world, we face a health crisis that is often discussed but still not fully understood: Obesity! Perhaps some of you might think, “I’m just a little overweight, what’s the big deal?” But believe me, obesity is not just an aesthetic concern; it’s a colossal problem sweeping across the globe, threatening the health of billions. Data from the World Health Organization (WHO) starkly reveals this reality: obesity rates have nearly tripled in the last 50 years! This increase brings with it numerous insidious diseases, from diabetes to cardiovascular diseases, high blood pressure, and even certain types of cancer.

This is precisely where we, at Forever Clinica, step in. For years, we have given a new lease on life to thousands of individuals battling obesity who couldn’t achieve their desired results with diet and exercise alone. With our expert surgeons and experienced team, we are truly a benchmark in surgical solutions for obesity. In this article, we will delve into the global obesity ranking, examining which countries are at risk, exploring the causes of obesity, and discussing how surgical weight loss methods provide effective results. And remember, all our transformative procedures are performed with the highest standards, right here in Istanbul, Turkey! You are not alone in this fight; with the right information and the right steps, winning this battle is entirely possible!

Global Obesity Map: Which Countries Are Alarming?

While obesity is a problem that knows no geographical boundaries, countries’ lifestyles, dietary habits, and health policies significantly shape this picture. Let’s take a look at the countries at the top of the obesity list as of 2024 and try to understand why they are in this situation.

Pacific Islands: The Epicenter of the Crisis

Countries that top the obesity rankings are often small island nations in the Pacific Ocean. The underlying reasons for this situation are not very complex:

  1. Nauru (61% Obesity Rate): This tiny island nation leads the list, with over 60% of its population struggling with obesity. The abandonment of traditional eating habits in favor of imported high-calorie fast-food products and a sedentary lifestyle have trapped Nauru in this grim situation. Just imagine, more than half of the population lives with obesity!

  2. Cook Islands (55.9%): Following closely behind Nauru, the Cook Islands are battling similar issues. The widespread consumption of processed foods, replacing traditional diets with fast food and junk food, has driven obesity rates to incredible levels.

  3. Palau (55.3%): Palau is experiencing the same scenario. The shift from traditional fishing and farming cultures to ready-made, high-calorie Western-style diets seriously threatens public health.

  4. Marshall Islands (52.9%): Excessive consumption of sugary drinks, high-fat foods, and processed items is increasing obesity in the Marshall Islands. These island nations are living examples of how drastic changes in dietary habits can lead to devastating consequences.

  5. Tuvalu (51.6%): Even in a fishing community, the widespread availability of convenience foods has propelled Tuvalu to the top of this list. The deterioration of their traditionally healthy diets has, unfortunately, resulted in obesity.

The Situation in Major Countries: USA and Mexico Lead the Way!

Beyond small countries like the Pacific islands, obesity rates are also remarkably high in some of the world’s largest economies.

  • USA (36.2%): The United States is one of the largest countries struggling with obesity globally. Fast-food culture, giant portions, high-sugar beverages, and a sedentary lifestyle have caused obesity to spread like an epidemic in the US. The prevalence of fast-food restaurants on every corner, portion sizes far exceeding European standards, and a high reliance on cars are among the most significant reasons for this picture.

  • Mexico (32.4%): The US’s neighbor, Mexico, is also seriously fighting obesity. High consumption of sugary drinks, increased demand for processed foods, and the abandonment of traditional diets are driving up obesity rates in the country.

The Situation in Turkey: At the Top in Europe!

And now, let’s talk about our home… Unfortunately, Turkey cannot remain outside this global crisis. With an obesity rate of 32.1%, Turkey has one of the highest obesity rates in Europe. This means that one out of every three adults is struggling with obesity. So, why is the situation like this for us?

  • Rapid Urbanization and Sedentary Lifestyle: The rapid increase in urbanization, people working more at desks, reduced walking habits due to public transportation or car use, all contribute to a lack of physical activity.
  • Unhealthy Eating Habits: The replacement of our traditional and healthy eating habits with fast food, ready-made meals, sugary drinks, and high-calorie snacks is one of the biggest factors in the spread of obesity. Unhealthy habits such as consuming packaged products in front of the TV after dinner, skipping meals, and irregular eating are unfortunately very common.
  • Psychological Factors: Intense work pace, stress, economic anxieties, and other psychological factors can trigger emotional eating disorders, paving the way for weight gain.

Why Is Obesity So Prevalent? A Deeper Look

The alarming increase in obesity rates is not due to a single cause. It’s a complex equation formed by a combination of many factors. Let’s take a closer look at the primary reasons leading to obesity:

  1. The Reign of Fast Food and Processed Foods: One of the biggest nutritional problems of our time. These high-calorie, high-trans fat and saturated fat, sugar-laden, and nutrient-poor foods act almost like a weight-gain machine. Their affordability, easy accessibility, and quick consumption make them particularly appealing in busy urban life. When you consider the calories and saturated fat in a single fast-food meal, you can better understand how dangerous regular consumption can be.

  2. Sedentary Lifestyle: The Curse of Modern Life: In the past, people were much more active. They worked in fields, walked long distances, and performed physically demanding jobs. Today, the situation is very different. Spending long hours sitting in offices, time spent in front of computers, watching television, driving everywhere… All of these dramatically reduce our energy expenditure. Lack of exercise leads to unburned calories being stored as fat. Just think about how much difference even a 30-minute brisk walk a day can make!

  3. Genetic Factors: Destiny or Just a Predisposition? You’ve probably often heard the phrase, “Everyone in my family is overweight, so am I.” Yes, genetic factors can increase the risk of obesity. Certain genes can affect metabolic rate, appetite, and fat storage tendencies. However, genetics alone are not destiny. If there’s a history of obesity in your family, it simply means you need to be more careful. You can largely counteract genetic predispositions with healthy eating and regular exercise.

  4. Psychological Factors: Emotional Eating and Stress: Eating isn’t just about satisfying physical hunger; it can also be a source of emotional comfort. Emotional states like stress, depression, anxiety, or boredom can lead to “emotional eating” in some people. In such cases, individuals turn to food to feel better, even when they’re not physically hungry. Sugary and fatty foods, in particular, provide a short-term sense of relief but lead to weight gain and larger problems in the long run. Seeking professional support is crucial in battling such eating disorders.

  5. Socioeconomic Status: Is Healthy Eating a Luxury? It might sound surprising, but socioeconomic status also has an impact on obesity. Individuals with lower incomes can generally access cheaper and less nutritious processed foods more easily. Fresh fruits, vegetables, and quality protein sources are often more expensive. This situation can lead to unhealthy eating habits being more prevalent among lower-income groups. Additionally, their opportunities for physical activity might be limited due to safety concerns or transportation difficulties.

Obesity Surgery: A New Beginning with Forever Clinica in Istanbul!

So, what should individuals do who are unable to lose weight with diet and exercise, are tired of battling obesity, and need a permanent solution? This is where obesity surgery, when performed with the right patient selection and an experienced team, becomes a life-saving solution. At Forever Clinica, we combine the most current techniques and the most experienced surgeons in obesity surgery to offer our patients safe and effective treatment options. All these crucial procedures are performed by our expert team right here in Istanbul, Turkey, ensuring you receive world-class care in a city renowned for medical excellence. Remember, these surgeries not only help with weight loss but also improve or completely resolve many health problems associated with obesity.

Let’s take a closer look at the main obesity surgery methods we perform at Forever Clinica:

1. Sleeve Gastrectomy: The Most Popular Method

Sleeve gastrectomy is one of the most commonly performed obesity surgery methods today and is generally performed using a laparoscopic (minimally invasive) approach. This means it’s done through small incisions rather than a large cut.

  • How Is It Performed? Approximately 80% of the stomach (the fundus and corpus parts) is surgically removed, and the stomach is transformed into a thin, tube-shaped structure, resembling a banana. The remaining stomach volume is approximately 100-150 ml.
  • How Does It Work?
    • Volume Restriction: This is its most prominent effect. Since the stomach volume is reduced, you feel full with much less food. Your portions naturally become smaller.
    • Decreased Hunger Hormone: The removed part of the stomach produces a hunger hormone called “ghrelin.” Removing this section lowers ghrelin levels, thus reducing your appetite and making you feel less hungry.
    • Metabolic Improvement: Sleeve gastrectomy also leads to positive changes in gut hormones, playing a significant role in controlling or completely resolving type 2 diabetes.
  • Who Is It Suitable For? It is a suitable option for individuals with a BMI of 40 or higher, or those with a BMI of 35-40 who have co-existing conditions (diabetes, hypertension, sleep apnea, etc.).
  • Advantages: Relatively shorter surgery time, no major changes to bowel anatomy, fewer vitamin and mineral absorption issues compared to gastric bypass.

2. Gastric Bypass (Roux-en-Y): One of the Gold Standards

Gastric bypass has been performed for many years in obesity surgery, and its effectiveness is well-proven. It can be preferred, especially for patients with high BMI and those with metabolic problems like diabetes.

  • How Is It Performed? This method involves a two-stage change:
    1. Stomach Pouch Creation: A small pouch (approximately 30-50 ml) is created in the upper part of the stomach. This becomes your new stomach. The rest of the stomach is bypassed but remains within the body.
    2. Intestinal Rerouting: A section of the small intestine is cut and reconnected to the newly created stomach pouch. This way, food bypasses a large part of the stomach and the first part of the small intestine, going directly from the new stomach pouch to the lower part of the small intestine.
  • How Does It Work?
    • Restricting Food Intake: Food intake is restricted because the stomach volume is reduced.
    • Reducing Absorption: Bypassing the first part of the small intestine reduces the absorption of nutrients and calories.
    • Hormonal Changes: Similar to sleeve gastrectomy, positive changes occur in gut hormones. It has a very strong effect on diabetes, in particular.
  • Who Is It Suitable For? It can be suitable for individuals with very high BMI, severe type 2 diabetes, and those experiencing stomach problems like reflux.
  • Advantages: Very powerful weight loss, high success rate in treating obesity-related diseases (especially diabetes).
  • Disadvantages: A more complex surgery than sleeve gastrectomy, requiring lifelong vitamin and mineral supplementation (such as iron, B12, calcium, vitamin D).

3. Gastric Balloon (Non-Surgical Method): An Incision-Free Solution

The gastric balloon offers a temporary solution for patients who do not want to take surgical risks or are not suitable for surgery. This method is used as part of a comprehensive weight loss program.

  • How Is It Performed? The balloon is placed into the stomach using an endoscopic method (through a tube inserted orally) and then inflated with a special liquid (usually saline). This procedure takes about 15-20 minutes and is typically performed under sedation.
  • How Does It Work? It takes up space in the stomach, creating a feeling of fullness and reducing food intake. This helps with portion control.
  • Who Is It Suitable For? It is suitable for individuals with a BMI between 27-35 or those who do not want/cannot undergo surgery and aim for short-term weight loss. It usually remains in the stomach for 6 to 12 months before being removed.
  • Advantages: Non-surgical procedure, relatively less risky, quick to perform.
  • Disadvantages: Weight loss may not be as permanent as with sleeve gastrectomy or gastric bypass, side effects like nausea and vomiting can occur, and there is a risk of weight regain after the balloon is removed.

4. Duodenal Switch: For Severely Obese Patients

Duodenal switch is one of the most complex and effective methods of obesity surgery. It is typically preferred for patients with very high BMIs (50 and above) or those who have not achieved sufficient weight loss with other methods.

  • How Is It Performed? This surgery involves both stomach reduction (similar to sleeve gastrectomy) and creating a significant malabsorption in the intestines. A large part of the small intestine is bypassed, ensuring that food and digestive enzymes meet in a much shorter intestinal segment.
  • How Does It Work? It provides very powerful weight loss and has the strongest curative effect on metabolic diseases like type 2 diabetes.
  • Who Is It Suitable For? It is a last-resort option for severely obese patients.
  • Advantages: Most powerful weight loss and metabolic improvement.
  • Disadvantages: The most complex surgery, carries the highest risk for vitamin and mineral deficiencies, requires very strict lifelong supplementation and follow-up.

At Forever Clinica, all these surgeries are performed by our experienced and expert surgeons using the most modern technological equipment, safely and meticulously. Detailed pre-operative assessment, utmost attention during surgery, and comprehensive post-operative follow-up are indispensable for us. And again, all these procedures are conducted with the highest medical standards right here in Istanbul, Turkey, ensuring you receive top-tier care in a convenient and globally accessible location.

Frequently Asked Questions (FAQ): All Your Questions Answered!

It’s completely natural to have many questions if you’re considering obesity surgery. Here are the most frequently asked questions and Forever Clinica’s approach to them:

1. Who is eligible for obesity surgery?

Obesity surgery is not applied to every obese patient. Patient selection is made based on specific criteria:

  • Body Mass Index (BMI) of 40 or higher: Individuals in this category are considered “morbidly obese” and are generally suitable candidates for surgery.
  • BMI between 35-40 with co-existing conditions (comorbidities): Individuals with serious health problems associated with obesity, such as diabetes, hypertension (high blood pressure), sleep apnea, joint problems, or reflux, are also evaluated for surgery.
  • Failure to lose weight with diet and exercise: Patients who have tried physician-supervised diet and exercise programs for at least 6 months without success are suitable candidates for surgery.
  • Psychological suitability: Individuals who can adapt to lifestyle changes after surgery and are psychologically ready for the procedure are preferred.

Remember, at Forever Clinica, every patient undergoes a detailed evaluation process. With a multidisciplinary approach involving doctors from various specialties like internal medicine, psychiatry, and dietetics, we decide whether the surgery is suitable for you. This comprehensive assessment is performed by our dedicated team in Istanbul, Turkey, ensuring a holistic approach to your health.

2. How much weight can be lost after surgery?

This is one of the most frequently asked questions! Patients who undergo obesity surgery typically lose 60% to 80% of their excess weight. However, this is not solely the success of the surgery itself. The process is directly related to how well the patient adheres to diet and lifestyle changes after the operation. Regular exercise, following the dietitian’s recommendations, consuming a protein-rich diet, and drinking plenty of water accelerate weight loss and ensure its permanence. Weight loss is fastest in the first year, followed by weight stabilization in subsequent years.

3. Are there any risks associated with obesity surgery?

Like all surgical procedures, obesity surgeries have potential risks. However, thanks to modern surgical techniques, laparoscopic approaches, and experienced surgical teams, complication rates are quite low. Potential risks include bleeding, infection, leakage (from the intestinal or stomach connection site), anesthesia-related complications, and embolism (blood clot).

At Forever Clinica, we prioritize our patients’ safety above all else. Detailed examinations are performed before surgery, risk factors are identified, and transparent information about possible complications is provided. With an experienced team and proper patient selection, these risks are minimized.

4. How should nutrition be after surgery?

Post-operative nutrition is vital for the permanence of weight loss and your overall health. Support from a dietitian is essential during this process. Generally:

  • Initial Weeks (Liquid and Pureed Phase): For the first few days after surgery, only clear liquids are consumed, followed by protein-rich pureed foods. The goal is to allow the new stomach to heal and adapt to the system.
  • Gradual Transition to Solid Foods: After about 3-4 weeks, a transition to soft solid foods is made. Portions should be small, and food should be eaten very slowly.
  • Protein-Rich Diet: Protein intake is prioritized to prevent muscle loss and increase satiety.
  • Plenty of Water Intake: Sufficient water should be consumed between meals to prevent dehydration.
  • Vitamin and Mineral Supplements: Especially in surgeries that cause malabsorption, such as gastric bypass and duodenal switch, lifelong vitamin (like B12, vitamin D) and mineral (like iron, calcium) supplementation may be necessary.

Our dietitian will create a personalized nutrition plan for you and support you step-by-step throughout this process.

5. How much does obesity surgery cost in Turkey?

The cost of obesity surgery varies depending on the method used (sleeve gastrectomy, gastric bypass, etc.), the hospital where the surgery will be performed, the surgeon’s experience, the post-operative follow-up program, and the patient’s overall health condition. Therefore, it is not appropriate to give a definitive price.

At Forever Clinica, we offer affordable solutions without compromising on quality and safe service. During our pre-operative consultation, we transparently explain your personalized treatment plan and pricing details. Remember, your health is paramount, and making the right investment directly impacts your quality of life. We are proud to offer these services at our state-of-the-art facility in Istanbul, Turkey, providing a cost-effective yet high-quality option for international patients.

Forever Clinica: Your Trusted Partner in the Fight Against Obesity, in Istanbul!

Obesity is a serious disease that diminishes your quality of life, shakes your self-confidence, and shortens your lifespan. But this is not your destiny! For those who haven’t found a solution with diet and exercise, obesity surgery, when performed by the right hands, can truly be a life-saving option. This isn’t just a weight loss surgery; it’s a beginning that opens the doors to a healthier, more energetic, and happier life.

At Forever Clinica, we know you’re not alone in your fight against obesity. Our expert surgeons, experienced dietitians, psychologists, and entire medical team are by your side every step of the way, creating personalized treatment plans. We provide services that meet international standards, using the most modern techniques, to secure your health and future. All our operations take place in our cutting-edge facility in Istanbul, Turkey, offering you the peace of mind that comes with world-class medical care in a vibrant city.

If you are struggling with weight problems, are tired of constant diet cycles, and are looking for a permanent solution, don’t delay any longer! Remember, a healthy life is a choice, and having a team to guide you correctly when making that choice is invaluable.

Contact us today for a free initial consultation and discover the Forever Clinica difference! Let’s take the first step towards a healthier and happier you, together, right here in Istanbul.

What is Sleeve Gastrectomy? Sleeve Gastrectomy Surgery
Forever Clinica Uncategorized

What is Sleeve Gastrectomy? Sleeve Gastrectomy Surgery

A New Beginning: Embracing a Healthy Life with Gastric Sleeve Surgery at Forever Clinica, Istanbul, Turkey!

Obesity… It’s one of today’s most insidious and widespread health problems. For many of us, it’s not just an aesthetic concern, but also the key to serious ailments ranging from diabetes to high blood pressure, sleep apnea to heart disease. Years of diets, endless exercise, and a lack of lasting solutions… If you feel lost in this vicious cycle, you’re not alone. But there’s no need to despair anymore, because at Forever Clinica in Istanbul, Turkey, we offer you the opportunity to make a brand new start with gastric sleeve surgery (sleeve gastrectomy).

So, what exactly is “gastric sleeve surgery”? Who is it a suitable solution for? Don’t worry, in this article, we’ll cover all your curiosities in the most sincere and understandable language, with all the details. If you’re ready, let’s take the first step towards a healthy and happy life!

What is Gastric Sleeve Surgery (Sleeve Gastrectomy)? The New State of Our Stomach

Now, let’s take a closer look at the technical side. Gastric sleeve surgery, as its name suggests, is a surgical procedure that transforms the shape of the stomach into a tube. The goal is to reduce the volume of the stomach and thus limit the amount of food you can eat.

Imagine: Our stomach normally resembles a large J-shaped pouch. In gastric sleeve surgery, approximately 70% to 80% of this large pouch is permanently removed. The remaining part takes on the shape of a thin, long banana or tube. This will be the “new state” of your stomach.

So, why is such a large portion removed? Is it just about reducing volume? Actually, no! There’s also a hormonal aspect to it, which is quite important. In the removed part of the stomach, especially in the upper part called the fundus, a hormone called ghrelin is produced. Ghrelin is commonly known as the “hunger hormone.” This hormone sends “time to eat!” signals to our brain and increases our appetite. Since this area is removed in gastric sleeve surgery, ghrelin hormone production is significantly reduced. The result? You’ll feel much less hungry, get full faster, and your portions will naturally shrink!

While all these procedures might sound intimidating, today, this surgery is performed using a laparoscopic method (keyhole surgery). This means that instead of large incisions in your abdomen, a few small holes are made. Through these holes, the surgery is performed with the help of special instruments and a camera. This makes the recovery process much faster and more comfortable.

Who is a Candidate for Gastric Sleeve Surgery? Are You the Right Person?

Gastric sleeve surgery is not an operation that just anyone can undergo. It’s a serious decision and offers the most effective solution for individuals who meet specific criteria. At Forever Clinica in Istanbul, we thoroughly evaluate each patient to determine if they are suitable for surgery. So, in general, who can be considered suitable for gastric sleeve surgery?

  • Individuals with a Body Mass Index (BMI) of 40 or higher (Morbid Obesity): If your BMI is over 40, meaning you are severely obese, gastric sleeve surgery could be a strong option for you. In this case, surgery is considered appropriate even if you don’t have any additional illnesses related to obesity.

  • Individuals with a BMI between 35-40 with additional health problems: If your BMI is between 35 and 40, and you have additional health problems related to obesity such as Type 2 diabetes, high blood pressure (hypertension), sleep apnea, joint problems, or high cholesterol, gastric sleeve surgery can be an ideal solution for both losing weight and getting rid of or alleviating the symptoms of these diseases.

  • Those who have struggled to lose weight for a long time and have not achieved results with diet and exercise: Have you tried various diets for years, joined gyms, tried to change your lifestyle, but haven’t been able to achieve significant and lasting weight loss? For some individuals, obesity can be too complex to manage with diet and exercise alone due to hormonal and metabolic imbalances. In this case, gastric sleeve surgery can provide the momentum you need.

  • Individuals between 18-65 years of age: Generally, gastric sleeve surgery is not recommended for individuals under 18 or over 65, except in special circumstances. However, flexibility regarding age can be determined after a doctor’s evaluation.

  • Individuals without serious health problems that would prevent surgery: You should not have any serious heart, lung, or kidney problems that would increase the surgical risk. Furthermore, it’s very important that you are psychologically prepared for the surgical process and the subsequent lifestyle changes.

Important Note: At Forever Clinica in Istanbul, the decision for surgery is not made solely based on your BMI. Our expert team determines the most suitable treatment method for you after comprehensive health checks, psychological evaluations, and a detailed consultation process. Before the surgery, you will definitely need to consult an endocrinologist, a psychologist, and a dietitian. This multidisciplinary approach ensures the safest and most successful outcome for you.

Advantages of Gastric Sleeve Surgery: Why Should You Choose This Surgery?

Gastric sleeve surgery not only helps you lose weight but also offers numerous advantages that significantly improve your quality of life:

  • Rapid and Permanent Weight Loss: This surgery generally enables you to lose a significant portion of your excess weight (typically 60-70%) within the first 1-2 years. This quick start boosts your motivation and facilitates your transition to a healthy lifestyle. Most importantly, it offers a permanent solution.

  • Appetite Control by Reducing Hunger Hormone: As mentioned earlier, the reduction in ghrelin hormone significantly suppresses your appetite. This way, you eat less naturally without the stress of “dieting,” and your craving for snacks decreases. This is a dream for many dietitians and weight loss experts!

  • Improvement or Complete Remission of Metabolic Diseases: After gastric sleeve surgery, there are incredibly positive effects on obesity-related diseases such as Type 2 diabetes, high blood pressure, sleep apnea, high cholesterol, joint pain, and some types of cancer. Many patients can stop their diabetes medication or normalize their blood pressure shortly after surgery. This is not solely due to weight loss; it is also related to the positive metabolic effects of the surgery.

  • Fast Recovery Thanks to Keyhole Surgery Technique: This surgery, performed using the laparoscopic method, is much less invasive than open surgery. This means less pain, a shorter hospital stay (usually 2-3 days), and a faster recovery. It’s easier to return to your daily life after surgery.

  • No Foreign Material Placed in the Stomach: Unlike some other bariatric surgery methods like gastric banding, gastric sleeve surgery does not involve permanently placing a foreign object in your body. This eliminates the risk of infection or complications related to a foreign body.

  • No Malabsorption in the Intestines: In some surgeries like gastric bypass, a part of the intestines is bypassed to reduce nutrient absorption. In gastric sleeve, there is no change in the structure of the intestines; only the stomach volume is reduced. This allows for natural nutrient absorption, and the risk of vitamin and mineral deficiencies is lower. Of course, you may still need supplements, but your likelihood of experiencing severe deficiencies due to malabsorption is reduced.

  • Psychological and Social Improvement: Losing weight is not just a physical change; it also positively affects your psychology and social life. It provides numerous psychological benefits such as increased self-confidence, easier participation in social activities, and feeling more energetic. The change you see when you look in the mirror will motivate and make you happy.

Surgical Process and Recovery Period: We Are With You Every Step of the Way

Gastric sleeve surgery is a comprehensive process, and at Forever Clinica in Istanbul, Turkey, we are proud to be by your side every step of the way. Here are the stages of this exciting journey:

1. Pre-Surgery Preparation: Step by Step to a Healthy Future

The pre-operative period is one of the keys to success. During this process, we work diligently to ensure your health and the safety of the surgery:

  • Detailed Medical Evaluation: First, your general health condition is thoroughly evaluated with comprehensive blood tests, electrocardiography (ECG), chest X-ray, endoscopy (stomach examination), and imaging methods such as ultrasound. Your heart, lung, and liver functions are checked. All additional diseases developed due to obesity are meticulously examined.

  • Multidisciplinary Approach: Before the decision for surgery is made, evaluations from a team of specialists are obtained. You will be asked to consult with an internal medicine specialist, an endocrinologist, a cardiologist, a pulmonologist, a psychologist, and a dietitian. This team assesses your suitability for surgery and how prepared you are for the post-operative period. Psychological counseling is critically important for preparing you for potential emotional changes after surgery.

  • Nutritional Counseling: Our dietitian plans your pre-operative diet. Generally, you will be asked to start a liquid or very low-calorie diet a few weeks before the surgery. This helps to shrink your liver and make the surgical field safer during the operation.

  • Lifestyle Changes: It’s essential to completely stop smoking and alcohol consumption before surgery. Smoking negatively affects wound healing and increases the risk of complications. Alcohol also poses a risk to liver health. It’s very important to strictly follow all lifestyle changes recommended by your doctor.

  • Information and Consent: All details of the surgery, its potential risks, and benefits are explained to you in detail. All your questions are answered, and any uncertainties you have are resolved. The process is completed with your signing of the informed consent form.

2. Surgery Day: A New Beginning

When surgery day arrives, it’s perfectly normal to feel excited and perhaps a little nervous. But as the Forever Clinica team in Istanbul, Turkey, we are here to make you feel safe and the process as comfortable as possible:

  • Preparations: Final pre-operative checks are performed. The anesthesiologist evaluates you and prepares you for surgery.
  • General Anesthesia: The surgery is performed under general anesthesia, meaning you are completely asleep during the operation and feel nothing.
  • Laparoscopic Method: Our surgeon makes small incisions (typically 4-5 incisions, 0.5-1 cm in size) in the abdominal area and inserts special instruments and a camera. The abdomen is inflated with carbon dioxide gas to provide the surgeon with working space.
  • Stomach Reduction: Under camera guidance, a large portion of the stomach is removed using special stapling devices. The remaining stomach takes on the shape of a thin tube. The removed stomach tissue is taken out of the body.
  • Duration: The surgery itself usually takes 1 to 1.5 hours. However, with pre-operative preparation and post-operative waking, it spans a longer time frame.
  • Post-Operative Monitoring: At the end of the surgery, you are taken to the recovery room and closely monitored for the first few hours. Your pain is managed, and necessary medications are administered.

3. Recovery and Nutrition Process: Building New Habits

The post-operative period is a critical time for you to adopt new habits. Your diet will gradually change, and you will need to strictly follow your doctor’s and dietitian’s instructions:

  • Hospital Stay: You usually stay in the hospital for 2-3 days after surgery. During this time, your pain is managed, the safety of the surgery is confirmed with necessary checks like a leak test, and initial fluid intake begins.

  • First 1-2 Weeks: Liquid Diet Period: For the first 1-2 weeks after surgery, you can only consume clear liquids. Water, sugar-free compote, strained soup, broth, herbal teas, and buttermilk are your main sources of nutrition during this period. This time allows your stomach to heal and adapt to its new volume.

  • 2-4 Weeks: Transition to Pureed and Soft Foods: From the second week onwards, with your dietitian’s approval, you can transition to pureed and very soft foods. For example, pureed vegetables, yogurt, cottage cheese, well-cooked and mashed fish or chicken are suitable for this period. Your portions will still be very small.

  • From 1st Month Onwards: Gradual Transition to Solid Foods: Approximately one month after surgery, under the guidance of your dietitian, you will gradually start adding solid foods to your diet in small portions. However, these “solid foods” will be different from your normal foods. You will need to avoid hard-to-chew and difficult-to-digest foods like nuts and red meat for a while. Chewing every bite thoroughly, eating slowly, and not drinking liquids with meals are vitally important during this period.

  • Regular Check-ups: You will need to attend regular check-ups with your doctor and dietitian for the first year after surgery (typically at the first month, third month, sixth month, and first year). During these check-ups, your weight loss, vitamin and mineral levels, and overall health status will be evaluated.

  • Physical Activity: You should avoid strenuous exercise for the first few weeks. However, light activities like walking will support your recovery and weight loss. You can gradually increase your physical activity level with your doctor’s approval.

  • Vitamin and Mineral Supplements: After gastric sleeve surgery, some vitamin and mineral deficiencies may occur. Therefore, it is very important to regularly use supplements such as multivitamins, B12, Vitamin D, iron, and calcium as recommended by your doctor. These supplements play a vital role in keeping you healthy and maintaining your energy levels.

Risks of Gastric Sleeve Surgery and Things to Consider: Transparent Information

As with any surgical operation, gastric sleeve surgery also has some potential risks and points to consider. At Forever Clinica in Istanbul, Turkey, we consider it our duty to inform you transparently about this:

  • Infection, Bleeding, Leakage: As with any surgical procedure, there is a risk of infection and bleeding, but with modern surgical techniques and sterilization methods, these risks are minimal. One of the most important and rare risks is leakage. This is when there is a leak from the stapled line of the stomach. Although very rare, this condition can be treated with early diagnosis and intervention. A part of your hospital stay is dedicated to monitoring this leakage risk and taking necessary precautions.

  • Anesthesia Risks: Risks associated with general anesthesia exist in every surgery. However, our anesthesiologists meticulously evaluate your general health status to minimize these risks.

  • Vitamin and Mineral Deficiencies: After gastric sleeve surgery, your stomach volume is reduced, so you will consume less nutrients. This can lead to deficiencies, especially in vitamins and minerals like B12, Vitamin D, iron, folic acid, and calcium. Therefore, it is vitally important to regularly use the supplements recommended by your doctor and dietitian for life. These deficiencies should be monitored with regular blood tests.

  • Insufficient Weight Loss or Regain: Gastric sleeve surgery is not a “magic wand.” After surgery, you must follow the diet plan recommended by your dietitian, engage in regular physical activity, and maintain lifestyle changes. If you revert to your old unhealthy eating habits after surgery, the stomach can stretch a bit, and unfortunately, you may regain weight. Therefore, commitment and discipline are very important in the post-operative period. At Forever Clinica, we continue to provide you with psychological and nutritional support throughout this process.

  • Gastric Reflux: Some patients may experience reflux (heartburn) complaints after surgery. This condition can usually be controlled with medication.

  • Dumping Syndrome (Rare): This syndrome can occur, especially with the rapid consumption of very sugary or fatty foods. It manifests with symptoms such as nausea, dizziness, palpitations, and sweating. Although it is rarer in gastric sleeve than in gastric bypass, it can be prevented by paying attention to your eating habits.

Remember, at Forever Clinica in Istanbul, Turkey, we use the most modern techniques to minimize these risks, and our experienced surgeons and healthcare team meticulously follow you before, during, and after surgery. When the balance of surgical risks and benefits is well evaluated, the risks of obesity-related health problems can be much higher than the risks of surgery.

Frequently Asked Questions (FAQ): Answers for Everything on Your Mind!

We’ve compiled and answered the most frequently asked questions about gastric sleeve surgery for you:

1. How much weight does gastric sleeve surgery help you lose?

Weight loss after surgery varies from person to person, but you are generally expected to lose 60% to 70% of your excess weight. For example, an individual weighing 150 kg with an ideal weight of 70 kg has 80 kg of excess weight. In this case, the goal is to lose approximately 48 kg to 56 kg. Remember, this is just an average, and your weight loss rate may vary depending on your metabolism, eating habits, and physical activity level. The largest and fastest weight loss usually occurs within the first 12-18 months after surgery.

2. Can I exercise after surgery?

Absolutely yes! Exercise is an important part of supporting weight loss and adopting a healthy lifestyle after surgery. However, you should avoid strenuous exercise for the first month after surgery. During this period, it’s important for your wound healing to be complete. With your doctor’s approval, you can start light walks and low-intensity exercises. After the first month, you can gradually increase your exercise intensity and transition to activities like Pilates, swimming, and cycling, according to your doctor’s recommendations. Remember, exercise is important not only for weight loss but also for preserving muscle mass, boosting metabolism, and improving your overall health.

3. Does the stomach stretch again?

This is one of the most frequently asked questions. Yes, the stomach can stretch a bit with excessive and irregular eating. However, this usually does not mean it will return to its pre-surgery size. The stomach is an elastic organ, and with continuous overeating, it can stretch over time. Therefore, it is very important to strictly follow the diet plan recommended by your doctor and dietitian, control portions, eat slowly, and not skip meals. Maintaining the new eating habits you gain after surgery is key to long-term success. Remember, gastric sleeve surgery gives you a “tool,” but how you use that tool is entirely up to you.

4. Is gastric sleeve surgery reversible?

No, gastric sleeve surgery is an irreversible operation. This is because a large portion of the stomach is physically removed and taken out of the body during the surgery. Therefore, a very well-considered and conscious decision must be made before the surgery. Being an irreversible procedure further emphasizes the importance of adapting to lifestyle changes after surgery and long-term follow-up.

5. When should I stop smoking and alcohol consumption?

It is critically important to completely stop smoking and alcohol consumption at least 1 month before surgery. Smoking slows down wound healing, increases the risk of infection, and can lead to anesthesia complications. Alcohol can irritate the stomach lining and negatively affect post-operative healing. It is also recommended to avoid alcohol and smoking for a long period (usually the first year) after surgery. Your doctor will give you detailed information on this. Adhering to this rule is very important for healthy recovery and long-term success.

6. Can pregnancy be considered after surgery?

Yes, pregnancy can be considered after gastric sleeve surgery, but it is recommended to wait at least 12-18 months after surgery. During this time, it is important for your weight loss to stabilize and for your body’s vitamin and mineral balance to be established. When considering pregnancy, you must consult your doctor, and a special monitoring and nutrition plan should be created during pregnancy. These precautions are vitally important for a healthy pregnancy.

7. Does hair loss occur after surgery?

Yes, some patients may experience temporary hair loss in the first few months after surgery. This is usually associated with rapid weight loss, changes in protein intake, and vitamin and mineral deficiencies. However, don’t worry, this is usually temporary and can be controlled with proper nutrition and supplements. Your dietitian will help you increase your protein intake and regularly use the necessary supplements.

8. When can I return to my normal life?

Even after being discharged from the hospital, it’s important to rest at home for the first few days. The time it takes to return to work and daily activities varies depending on the physical intensity of your job and your personal recovery speed. Generally, you can return to a desk job within 1-2 weeks. For jobs requiring heavy physical activity, this period may be longer. Your doctor will determine a specific return-to-activity schedule for you.

Step Towards a Healthy Life with the Forever Clinica Difference in Istanbul, Turkey!

The fight against obesity is a journey you don’t have to face alone. At Forever Clinica in Istanbul, Turkey, we are here to be your biggest supporter on this journey. With our expert surgeons, experienced dietitians, psychologists, and our entire healthcare team, we are by your side every step of the way, from pre-operative preparation to long-term post-operative follow-up.

With our customized treatment plans, modern medical infrastructure, and sincere approach, we ensure you progress confidently on the path to a healthy future. Our goal is not just for you to lose weight, but also to live a happier, more energetic, and freer life by getting rid of your obesity-related health problems.

Remember, change requires courage, but the results are worth it! Don’t hesitate to contact Forever Clinica in Istanbul, Turkey, to get more detailed information about gastric sleeve surgery, ask all your questions, and schedule a personalized consultation appointment. Let’s take the first step towards a healthy and happy life together!

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