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!

How Is Gastric Bypass Surgery Performed?
Forever Clinica Uncategorized

How Is Gastric Bypass Surgery Performed?

Gastric Bypass Surgery: Your Path to a Healthier Life with Forever Clinica in Istanbul, Turkey

Obesity, a chronic disease that affects the quality of life for many individuals today, poses significant health risks. Gastric bypass surgery offers an effective and permanent solution for those who haven’t been able to lose weight through diet and exercise alone. At Forever Clinica, located in Istanbul, Turkey, we share all the details about how this surgery is performed, who it’s suitable for, and what the process entails.

What is Gastric Bypass Surgery and How Does It Work?

Gastric Bypass (Roux-en-Y gastric bypass) is a bariatric surgery method based on the principle of reducing the stomach’s size and bypassing a portion of the small intestine. This effectively restricts food intake and reduces nutrient absorption, leading to significant weight loss. Imagine your stomach becoming a small pouch, roughly the size of an egg (30-50 ml). This drastically limits how much you can eat, making you feel full with very little food. Additionally, by rerouting the small intestine, food bypasses a significant part of your stomach and the first section of your small intestine (duodenum). This bypass reduces the absorption of calories and fats, making your body absorb fewer nutrients from what you eat. This double-action mechanism is key to rapid and lasting weight loss. Beyond just weight loss, this surgery can also significantly improve or resolve obesity-related conditions like Type 2 diabetes, high blood pressure, and sleep apnea, dramatically enhancing your quality of life and boosting your self-confidence.

Who Can Benefit from Gastric Bypass Surgery?

Gastric Bypass surgery isn’t for everyone. It’s a significant decision, and at Forever Clinica, we meticulously evaluate each patient to ensure it’s the right path for them. Here’s who might be a suitable candidate:

  • Individuals with a Body Mass Index (BMI) of 40 and above (Morbidly Obese): If your BMI is 40 or higher, gastric bypass is often a strong option due to the severe health risks associated with morbid obesity.
  • Individuals with a BMI of 35-40 who have obesity-related co-morbidities: If your BMI is between 35 and 40 and you suffer from conditions like Type 2 diabetes, hypertension (high blood pressure), sleep apnea, joint problems, or high cholesterol, gastric bypass can offer substantial benefits in managing or resolving these issues.
  • Those who have attempted diet and exercise for at least 6 months without success: This surgery is typically considered after conservative weight loss methods have proven ineffective. It’s not a quick fix but a powerful tool for those committed to significant change.
  • Patients aged 18-65 who do not pose high surgical risks: While this age range is general, the most crucial factor is your overall health and ability to safely undergo surgery. A comprehensive health assessment is vital for this determination.
  • Individuals without alcohol or substance dependency: A disciplined lifestyle change is crucial post-surgery, making a clean bill of health regarding dependencies preferable.
  • Psychologically prepared individuals: This journey involves significant lifestyle changes, and psychological readiness is key to long-term success. Forever Clinica offers psychological support and counseling as an integral part of the process.

Remember, these are general guidelines. A thorough consultation with our specialists at Forever Clinica in Istanbul will determine the best course of action for your unique situation.

Pre-Surgical Preparation: Your Journey to Health Begins

Undergoing gastric bypass surgery at Forever Clinica in Istanbul involves a detailed and meticulous preparation process to ensure your safety and the best possible outcomes.

1. Detailed Consultations and Comprehensive Examinations

This process extends beyond just meeting your surgeon. You’ll be evaluated by a multidisciplinary team:

  • Endocrinology Consultation: To assess your hormonal balance and diabetes risk.
  • Cardiology Consultation: To evaluate your heart health, crucial for determining surgical risks.
  • Psychiatry Consultation: To assess your psychological readiness and offer support for post-surgical lifestyle changes.
  • Anesthesia Consultation: To create a personalized anesthesia plan based on your health history.
  • Nutritionist Evaluation: To plan your pre and post-surgical dietary regimen.

2. Laboratory Tests and Imaging

A full picture of your health is gathered through various tests:

  • Blood Tests: Comprehensive blood count, liver and kidney function tests, blood sugar, cholesterol levels, and vitamin/mineral levels (especially D, B12, iron).
  • Ultrasound: To examine abdominal organs like the liver and gallbladder.
  • Endoscopy: To inspect your esophagus and stomach lining for any underlying issues like ulcers or reflux.
  • CT Scans or MRI (if needed): For more detailed insights into internal organs.
  • Pulmonary Function Tests: To assess lung capacity, particularly important for those with respiratory issues.

3. Special Dietary Regimen

You may be placed on a special, often low-calorie, protein-rich diet before surgery. This helps reduce liver size and makes the surgical area safer, facilitating a smoother operation and quicker recovery.

4. Quitting Smoking and Alcohol

It’s crucial to stop smoking and alcohol consumption at least a few weeks before surgery. Smoking impairs wound healing and increases infection risk, while alcohol adds strain on your liver. Adhering to this is vital for a successful recovery.

How is Gastric Bypass Surgery Performed at Forever Clinica in Istanbul?

At Forever Clinica in Istanbul, we primarily perform Gastric Bypass surgery using the laparoscopic (keyhole) method. This minimally invasive technique means smaller incisions, less pain, faster recovery, and minimal scarring compared to traditional open surgery.

1. Anesthesia and Incisions

Under general anesthesia, your surgeon makes 5-6 small incisions (typically 1-2 cm) in your abdomen. Through these, specialized surgical instruments and a laparoscope (a thin tube with a camera) are inserted, allowing the surgeon to view the surgical area on a high-definition monitor.

2. Stomach Reduction: A New Beginning

Using laparoscopic tools, a small section of your stomach, about the size of an egg, is separated to create a new stomach pouch (30-50 ml). The remaining, larger part of the stomach is left in place but no longer serves as the primary pathway for food. This tiny new pouch dramatically limits food intake, making you feel full quickly.

3. Intestine Rerouting: The Bypass Effect

This is the “bypass” part of the procedure. Approximately 50-150 cm of your small intestine (from the duodenum and a section of the jejunum) is cut and directly connected to the newly created small stomach pouch. This ensures that food bypasses a significant portion of your stomach and the duodenum, leading to:

  • Reduced Absorption: Less absorption of calories and fats as food bypasses the initial sections of the small intestine where much of the digestion and nutrient absorption normally occurs.
  • Hormonal Changes: Early contact of food with the lower parts of the small intestine triggers beneficial hormonal changes that promote feelings of fullness and help regulate blood sugar levels, particularly impactful for Type 2 diabetes remission.

4. Completion of Surgery

Once all connections are secure, the laparoscopic instruments are removed, and the small incisions are closed with stitches or surgical tape. The procedure typically takes 2-3 hours. After surgery, you’ll be monitored in a recovery room as the anesthesia wears off. At Forever Clinica in Istanbul, we use state-of-the-art equipment, and our highly experienced surgeons adhere to the highest standards of hygiene and safety throughout the entire process.

Post-Surgical Recovery: Welcome to Your New Life!

Gastric Bypass surgery marks the beginning of a new chapter, requiring careful recovery and adaptation. At Forever Clinica in Istanbul, we’re dedicated to guiding and supporting you through every step of this journey.

Hospital Stay

You’ll typically stay in the hospital for 3-5 days. During this time, your pain will be managed, incision sites monitored, and your adaptation to the new digestive system closely observed. You’ll be encouraged to start light walking on the first day to promote circulation and aid recovery.

Gradual Dietary Progression

Post-surgery nutrition is crucial for healing and adaptation. It involves a phased transition to solid foods, usually in four stages:

  1. Liquid Diet (First 2 Weeks): Only clear liquids like water, clear broths, sugar-free drinks, and protein supplements. Sip slowly and in small amounts.
  2. Pureed Diet (Weeks 3 & 4): Gradually introduce easily digestible pureed foods like mashed vegetables, yogurt, and soft cheeses.
  3. Soft Solid Foods (Weeks 5 & 6): Begin adding soft, easy-to-chew solid foods such as cooked vegetables, soft fruits, and boiled chicken or fish. Introduce new foods cautiously.
  4. Normal Diet (After Week 6): Transition to a more varied, normal diet. However, “normal” will be different from your pre-surgery habits. Portion control, slow eating, hydration, and healthy, balanced nutrition will be lifelong principles. Our nutritionists at Forever Clinica will provide personalized meal plans and guidance.

Exercise and Physical Activity

Physical activity is vital for recovery:

  • In Hospital: Light walking encouraged from day one.
  • At Home: Continue light walks to boost circulation and bowel function.
  • Gradual Increase: Avoid heavy lifting and strenuous exercise for 4-6 weeks. With your surgeon’s approval, gradually increase activity levels, incorporating activities like swimming, cycling, or brisk walking. Regular exercise supports weight loss, preserves muscle mass, and boosts metabolism.

Psychological and Social Adjustment

Weight loss is not just physical; it’s also a significant psychological and social transformation. Our psychological counseling and support groups at Forever Clinica help you adapt to changes in body image, increased self-confidence, and enhanced social engagement.

Advantages of Gastric Bypass Surgery: A Life-Changing Transformation

Gastric Bypass surgery is a revolutionary solution in the fight against obesity, offering benefits that extend far beyond just weight loss. This procedure brings numerous significant advantages that can fundamentally change your quality of life, leading to a healthier and more fulfilling existence.

1. Rapid and Sustained Weight Loss

The most obvious benefit is undoubtedly rapid and sustained weight loss. Patients typically lose 60% to 80% of their excess weight within the first 1-2 years. This is often a higher percentage compared to other bariatric surgical methods. Weight loss isn’t just about aesthetics; it reduces the strain on your body, alleviates joint pain, and significantly improves overall physical performance. This lasting weight loss forms the foundation for lifelong healthy habits.

2. Improvement or Remission of Conditions like Diabetes and Hypertension

Gastric Bypass is incredibly effective, especially for obesity-related chronic conditions like Type 2 diabetes and hypertension (high blood pressure). A large majority of patients see Type 2 diabetes go into remission post-surgery, meaning they can significantly reduce or even completely stop their medication. This highlights that the surgery isn’t just a weight loss method but also a metabolic healing tool. Similarly, conditions like high blood pressure and high cholesterol often improve, significantly reducing the risk of heart attack and stroke.

3. Accelerated Metabolism and Hormonal Regulation

Post-surgery changes in your digestive system accelerate your body’s metabolism and positively influence hormones that regulate hunger and satiety. Specifically, there’s a decrease in Ghrelin (the hunger hormone) and an increase in GLP-1 (a satiety hormone). These hormonal shifts help control your appetite and make it easier to maintain healthy eating habits long-term. Additionally, insulin sensitivity improves, leading to better blood sugar control.

4. Significant Improvement in Quality of Life

Weight loss profoundly impacts not just physical health but overall quality of life:

  • Physical Comfort: Reduced joint pain, resolution of shortness of breath, and easier physical activities. Sleep disorders like sleep apnea improve, leading to more restful sleep.
  • Psychological Well-being: Increased self-confidence, reduced symptoms of depression and anxiety. You’ll feel more comfortable and happier in social settings, with increased energy, vitality, and motivation.
  • Social Life: You’ll experience a more active social life, finding enjoyable activities like travel, sports, or hobbies that were once challenging.
  • Longevity: With the reduction in obesity-related disease risks, your overall lifespan and quality of life improve.

Gastric Bypass surgery, performed at Forever Clinica in Istanbul with modern techniques and our experienced team, offers not just weight loss but a whole new, healthy, and happy life.

Risks and Potential Complications: Making an Informed Decision

Like any surgical procedure, Gastric Bypass surgery carries potential risks and complications. However, at Forever Clinica in Istanbul, our expert surgeons, modern medical infrastructure, and meticulous patient follow-up ensure all precautions are taken to minimize these risks. It’s crucial to be aware of these possibilities to make an informed decision.

General Surgical Risks:

  • Bleeding: Risk of internal bleeding during or after surgery.
  • Infection: Risk of infection at the surgical site or within the abdomen.
  • Anesthesia Complications: Rare allergic reactions or respiratory issues related to anesthesia.
  • Thrombosis (Blood Clot): Risk of blood clots in leg veins or lungs; mitigated by early mobilization and blood thinners.

Gastric Bypass Specific Risks:

  • Leakage at the Suture Line: A rare but serious complication where leakage occurs at the stomach or bowel connection points, potentially leading to abdominal infection and requiring further intervention.
  • Vitamin and Mineral Deficiencies: Due to intestinal bypass, absorption of certain vitamins and minerals (B12, iron, D, calcium, folic acid) can be reduced, often requiring lifelong supplementation.
  • Dumping Syndrome: Uncomfortable symptoms (palpitations, sweating, cramps, diarrhea, dizziness) after rapidly consuming sugary or fatty foods, due to their quick passage into the small intestine. Preventable with proper diet.
  • Ulcer Development: Risk of ulcers near the new stomach pouch or connection points, especially for smokers.
  • Bowel Obstruction or Stricture: Narrowing at connection points (stenosis) or twisting of the bowel (internal hernia), requiring surgical intervention.
  • Gallstones: Rapid weight loss increases the risk of gallstone formation.
  • Insufficient Weight Loss or Weight Regain: If post-surgical dietary rules and lifestyle changes are not followed, desired weight loss may not be achieved, or weight may be regained over time.

At Forever Clinica in Istanbul, we thoroughly discuss all potential risks with you before surgery. Our post-operative care and multidisciplinary follow-up help manage these risks, ensuring a safe and healthy recovery. With an experienced surgeon and good patient compliance, these risks are significantly minimized.

Frequently Asked Questions (FAQs): All Your Answers

Making an important decision like Gastric Bypass surgery naturally brings many questions. At Forever Clinica in Istanbul, we aim to provide full transparency by answering the most common queries:

1. Will I regain weight after gastric bypass surgery?

Yes, if dietary rules are not followed, weight regain can occur over time. Gastric Bypass provides a powerful tool for healthy weight loss, but it’s not a magic wand. The post-surgery period demands adopting a new lifestyle. Eating small, regular, healthy meals, staying hydrated, focusing on protein, and avoiding sugary drinks and processed foods are crucial. Regular exercise is also vital for weight management. Forever Clinica’s team is here to guide you through this journey.

2. Are vitamin supplements necessary after surgery?

Absolutely! Because a part of the intestine is bypassed, the absorption of essential vitamins and minerals (especially Vitamin B12, iron, Vitamin D, and calcium) is reduced. Therefore, you may need to take these supplements for life after surgery. Regular blood tests will monitor your levels, and your doctor will adjust dosages as needed.

3. When can I return to my normal life?

Recovery varies by individual, but generally:

  • Light Work: You can usually return to light, sedentary work after 1-2 weeks.
  • Heavy Physical Activity: Avoid heavy lifting and strenuous activities for 4-6 weeks to allow for complete internal healing. Your surgeon will provide personalized guidance.

4. What’s the difference between Gastric Bypass and Sleeve Gastrectomy?

While both are bariatric procedures, key differences are:

  • Sleeve Gastrectomy: Most of the stomach (approx. 80%) is removed, creating a tube-shaped stomach. Only stomach volume is reduced; no intestinal bypass, thus no change in nutrient absorption.
  • Gastric Bypass: Both stomach volume is reduced (creating a small pouch) and a portion of the small intestine is bypassed, leading to both food restriction and reduced nutrient absorption.

Key Differences:

  • Weight Loss: Gastric Bypass generally leads to more significant weight loss, especially long-term.
  • Diabetes Impact: Gastric Bypass often has a more pronounced positive effect on Type 2 diabetes due to metabolic changes.
  • Vitamin Deficiency Risk: Gastric Bypass has a higher risk of vitamin and mineral deficiencies requiring lifelong supplementation due to the intestinal bypass.
  • Reversibility: Sleeve Gastrectomy is irreversible. While Gastric Bypass is technically reversible, it’s rarely done and is a complex procedure.

Your doctor will determine the most suitable surgery after a comprehensive evaluation.

5. What is the cost of the surgery?

The cost of Gastric Bypass surgery varies based on factors like the patient’s health, hospital stay, materials used, surgeon’s experience, and additional services (nutrition counseling, psychological support, etc.). Exchange rates can also influence pricing in Istanbul, Turkey. Therefore, a precise quote is not possible without a consultation. We recommend contacting Forever Clinica consultants for detailed information and a personalized price estimate. Investing in your health this way can significantly improve your quality of life in the long run.

Take the First Step to a Healthier Future with Forever Clinica in Istanbul!

Fighting obesity is not just about losing weight; it’s a journey of adopting a healthy lifestyle and investing in yourself. Gastric Bypass surgery offers a powerful starting point on this path, and at Forever Clinica, we aim to be your strongest supporter throughout this critical process.

With our expert surgeons, experienced medical team, and state-of-the-art medical infrastructure in Istanbul, Turkey, we provide not only a safe surgical experience but also comprehensive pre- and post-operative follow-up and support. From nutritional counseling to psychological support, we are by your side at every stage, helping you seamlessly adapt to this significant change.

Remember, a healthy life is a choice, and you are ready to make that choice. If you’re looking to shed excess weight, overcome obesity-related health issues, and reconnect with life, Forever Clinica in Istanbul welcomes you.

Contact us today to take the first step towards a healthy, happy, and confident life! Our expert team is ready to provide detailed information about our personalized solutions.

🌟 Ready to achieve the life you’ve dreamed of?

The Harms of Obesity
Forever Clinica Uncategorized

The Harms of Obesity

More Than Just Numbers: The Hidden and Overt Impacts of Obesity on Your Health

Dear Health Enthusiasts, Welcome to the Forever Clinica Family!

Today, when we look in the mirror, what we see in terms of physical appearance is important, but perhaps even more so is what is happening within us, in our bodies… One of the most critical steps underlying a healthy and happy life is taking good care of our bodies. However, unfortunately, the demands of modern life, our fast pace, stress, and eating habits can, inadvertently, distance us from our health. One of the most obvious signs of this distance is the increasing weight problems and, sadly, obesity.

At Forever Clinica, we don’t just address your aesthetic concerns; your healthy and quality life is our greatest desire. One of the most serious obstacles we face on this journey is obesity, and we want to discuss it in detail, provide you with accurate information about it, and most importantly, let you know that we are by your side on your journey to overcome this challenge. Located in Istanbul, Turkey, Forever Clinica offers the most current and effective methods in the fight against obesity, including comprehensive surgical treatment options for suitable candidates.

In this comprehensive article, we will delve beyond superficial definitions to understand what obesity is, examine the devastating effects of excess weight on our bodies in a scientific and understandable language, discuss in depth the diseases caused or triggered by obesity, and most importantly, talk about the steps you can take in this challenging battle and how Forever Clinica, with its expert team and modern treatment methods, can support you right here in Istanbul, Turkey.

Remember, knowledge is power. Fully understanding the impact of obesity on your health will be your greatest motivation to act. Let’s shed light on this important topic together.

What is Obesity? Is It Just About the Numbers on the Scale?

Let’s first clarify what the word “obesity” means. For many of us, it might be reduced to a simple definition like “being too heavy.” However, the medical and scientific dimension is much deeper. Obesity is a condition where there is an excessive accumulation of fat in the body to an extent that impairs health. Yes, the numbers on the scale are important, but they are not sufficient on their own. Obesity is a chronic and progressive disease resulting from a long-term imbalance in the body’s energy balance (taking in more calories than are expended).

The most frequently used measure in the definition of obesity is the Body Mass Index (BMI). BMI is calculated by dividing a person’s weight (in kilograms) by the square of their height (in meters). So, .

According to BMI values, obesity is classified as follows:

  • BMI 18.5 – 24.9: Normal weight
  • BMI 25 – 29.9: Overweight (Pre-obese)
  • BMI 30 – 34.9: Obesity Class I
  • BMI 35 – 39.9: Obesity Class II (Severe Obesity)
  • BMI 40 and above: Obesity Class III (Morbid Obesity or Extreme Obesity)

However, it is important to note here: BMI can be misleading in athletes with high muscle mass (BMI may be high due to muscle density) or in elderly individuals who have lost muscle mass (BMI may be low despite high body fat). Therefore, in the diagnosis of obesity, not only BMI but also waist circumference measurement is vital. Abdominal fat accumulation (greater than 102 cm in men, greater than 88 cm in women), referred to as “visceral fat,” is considered much riskier for metabolic problems such as cardiovascular diseases and diabetes. Measuring body fat percentage (generally considered obese above 25% for men, above 30% for women) and body composition are also additional valuable methods used in the definition of obesity.

So, why does this excessive fat accumulation occur? Contrary to popular belief, obesity is not a one-dimensional problem like “eating too much and moving too little.” Of course, an imbalance in energy balance (consuming more calories than are burned) is the primary cause, but there are many complex factors contributing to this imbalance, and these factors are often interactive:

  • Genetic Predisposition: Individuals with a family history of obesity have a higher risk of developing obesity. Genes can affect our metabolic rate, tendency to store fat, the secretion of hormones regulating appetite, and even our feeling of fullness. However, genetic predisposition is not destiny; this risk can be largely managed through lifestyle choices and professional support.
  • Environmental Factors: The “obesogenic environment,” which includes easy access to unhealthy, high-calorie, low-nutrient foods (prevalence of fast-food restaurants, processed foods in supermarkets), increasingly large portion sizes, urbanization structures that restrict physical activity (dependence on cars, lack of safe walking areas), and technology use (devices encouraging sedentary life) all trigger and exacerbate obesity.
  • Sedentary Lifestyle: Modern people move significantly less than previous generations. Long hours spent in front of screens (computers, televisions, phones), sedentary jobs, commuting by car or public transport have dramatically reduced our energy expenditure. This creates a fertile ground for consumed calories to easily turn into fat.
  • Unbalanced and Excessive Diet: A diet high in calories from sugary drinks, sweets, pastries, fried foods, processed meats, and other nutrient-poor but calorie-rich foods quickly leads to weight gain. Particularly refined carbohydrates and sugars cause rapid increases in blood sugar, leading to increased insulin secretion and promoting fat storage. A diet poor in fiber also reduces the feeling of fullness.
  • Psychological Factors: Emotional states such as stress, depression, anxiety, or boredom can lead to disordered eating behaviors in some people, such as “emotional eating” (eating due to stress or sadness) or “Binge Eating Disorder.” These conditions cause uncontrolled and excessive calorie intake, contributing to obesity. Low self-esteem and body image issues can also fuel a vicious cycle.
  • Hormonal Imbalances: Certain endocrine disorders, such as an underactive thyroid gland (hypothyroidism), Polycystic Ovary Syndrome (PCOS – especially in women), or excessive cortisol secretion from the adrenal glands (Cushing’s syndrome), can cause weight gain by affecting metabolic rate or disrupting hormonal balance. Imbalances in hormones regulating appetite and metabolism, such as leptin and ghrelin, also play a role in obesity.
  • Certain Medications: Various medications, such as antidepressants, some diabetes medications (insulin and sulfonylureas), corticosteroids (cortisone), antipsychotics, and some blood pressure medications, can cause weight gain as a side effect by increasing appetite, slowing metabolism, or causing fluid retention.
  • Sleep Disturbances: Insufficient sleep (generally less than 7 hours) or poor quality sleep disrupts the balance of hormones that regulate appetite (ghrelin – increases appetite, leptin – provides a feeling of fullness). Insufficient sleep increases ghrelin levels and decreases leptin levels, leading to increased appetite, especially a craving for high-carbohydrate and fatty foods. Furthermore, fatigue reduces the desire for physical activity.
  • Age Factor: As we age, the metabolic rate naturally slows down to some extent, and muscle mass tends to decrease. If lifestyle changes are not made, the same eating habits and activity level can lead to weight gain.

As you can see, obesity is a complex condition often resulting from a combination of multiple factors. Therefore, its treatment requires a personalized, multidisciplinary, and multifaceted approach.

The Harms of Obesity to the Body: A Domino Effect

Now let’s get to the crucial point: the effects of excess weight and obesity on our health… Obesity is not just a “weight problem”; it is a serious health issue that can affect every system in our body, open the door to many chronic diseases, worsen existing conditions, and shorten lifespan. You can think of it like a domino effect; when one stone falls, it knocks down the others. Let’s examine this devastating chain reaction initiated by obesity together:

1. Cardiovascular Health: The Burden on Your Heart Increases

Perhaps one of the most well-known and feared effects of obesity is on the cardiovascular system. Excessive fat tissue, especially visceral fat around the abdomen, triggers chronic inflammation in the body and causes the secretion of various substances (adipokines) that increase blood pressure, increase insulin resistance, and disrupt lipid metabolism.

  • High Blood Pressure (Hypertension): Excess weight increases blood volume and leads to hardening and narrowing of blood vessel walls. Furthermore, it causes hormonal and mechanical changes that increase blood pressure by increasing sodium retention by the kidneys and activating the nervous system. Hypertension is a major cause of serious problems such as heart attack, stroke, kidney failure, and vision loss.
  • High Cholesterol and Triglycerides (Dyslipidemia): Obesity increases the production of cholesterol and triglycerides in the liver. Generally, “bad” cholesterol (LDL) and triglyceride levels rise, while the level of “good” cholesterol (HDL), which helps clear arteries, decreases. This imbalance significantly increases the risk of plaque (atheroma) buildup in artery walls.
  • Atherosclerosis (Hardening of the Arteries): High blood pressure, high blood sugar, and unhealthy blood lipids damage the inner lining of the blood vessels (endothelium). This damage, along with the inflammatory process, leads to the accumulation of fat, cholesterol, and calcium in the artery walls (plaque formation). Arteries gradually narrow and harden.
  • Heart Attack (Myocardial Infarction) and Stroke: When plaques in narrowed arteries rupture, the body forms a clot in that area to repair the damage. If this clot completely blocks the artery, blood flow to the affected tissue stops. A clot in the coronary arteries causes a heart attack, and a clot in the brain arteries causes a stroke. Obesity significantly increases these vital risks by both accelerating plaque formation and increasing the tendency for blood clotting.
  • Heart Failure: Pumping excess weight constantly burdens the heart. Over time, the heart muscle thickens, enlarges, and weakens. This leads to the heart being unable to pump enough oxygenated blood to the body (heart failure). Obesity also increases the risk of heart rhythm disorders (arrhythmias), particularly atrial fibrillation.

2. Type 2 Diabetes: The Metabolic Disorder of Sugar

It is now definitively known that obesity is the strongest risk factor for Type 2 diabetes. Excessive fat tissue in the body, especially visceral fat around the abdomen, reduces the sensitivity of body cells, including muscle, liver, and fat cells, to insulin. This condition is called insulin resistance. Insulin is a vital hormone that transports blood sugar into cells for use as energy. When cells become resistant to insulin, blood sugar begins to rise in the blood. Initially, the pancreas tries to compensate by producing more insulin (hyperinsulinemia). However, over time, the insulin-producing beta cells of the pancreas become fatigued and damaged, becoming unable to produce enough insulin. The result: persistently high blood sugar levels and the onset of Type 2 diabetes.

Diabetes is a chronic and progressive disease that, on its own, leads to many serious complications such as kidney failure (diabetic nephropathy), vision loss (diabetic retinopathy), nerve damage (diabetic neuropathy), foot ulcers and infections. The combination of obesity and diabetes (which is very common) exponentially increases the risk and severity of these complications. Weight loss can prevent the development of Type 2 diabetes by reducing insulin resistance, or help bring existing diabetes under control, and in some cases, even contribute to the disease going into remission. Bariatric surgery is highly effective in controlling or achieving remission of diabetes, especially in morbidly obese diabetic patients.

3. Respiratory Problems: Breathing Can Become Difficult

Excess weight doesn’t just cause shortness of breath during physical activity; it can also impair the function of the respiratory system.

  • Sleep Apnea Syndrome: This is the most common respiratory problem observed in obese individuals and carries a significant risk to life. Excessive fat tissue around the neck and upper airway, along with the tongue shifting backward, narrows or completely blocks the airway during sleep. This causes repeated pauses in breathing (apnea) or shallow breathing (hypopnea) during sleep, often accompanied by snoring. The brain detects the drop in oxygen levels and briefly awakens the person (though the person usually doesn’t remember it), disrupting the sleep cycle. Sleep apnea leads to symptoms such as excessive daytime sleepiness, fatigue, difficulty concentrating, memory problems, headaches, and most importantly, significantly increases the risk of heart attack, stroke, high blood pressure, heart rhythm disorders, and Type 2 diabetes. Weight loss can significantly improve sleep apnea symptoms or completely resolve the condition. Bariatric surgery is extremely successful in the treatment of sleep apnea.
  • Obesity Hypoventilation Syndrome (OHS): A condition seen in severely obese individuals characterized by high carbon dioxide levels in the blood. Excessive abdominal fat pressing on the diaphragm and weakening of respiratory muscles prevent the lungs from ventilating properly. This can lead to chronic fatigue, shortness of breath, and severe respiratory failure.
  • Asthma: Obesity can increase the risk of developing asthma and worsen existing asthma symptoms. Both the restrictive effect of fat tissue around the lungs and the chronic inflammation caused by obesity can increase the frequency and severity of asthma attacks.
  • Shortness of Breath (Dyspnea): Fat tissue around the lungs and excessive abdominal fat pressing on the diaphragm prevent the lungs from fully expanding and respiratory muscles from working effectively, causing shortness of breath, especially during physical activity.

4. Joint and Skeletal System Problems: Your Load Gets Heavier

Our joints are designed to bear our weight, allow us to move, and absorb shocks. However, when this weight significantly exceeds normal limits, our joints, especially weight-bearing joints like knees, hips, ankles, and the lower back, are placed under excessive stress and begin to wear down.

  • Osteoarthritis: The wearing down and damage of the protective cartilage tissue in the joints over time. Obesity accelerates cartilage damage by increasing mechanical stress on the joints and through inflammatory molecules (pro-inflammatory cytokines) secreted by fat tissue, which contribute to joint inflammation and cartilage damage. The result is pain, stiffness, swelling, and restricted movement in the joints. Weight loss can relieve pain and slow the progression of the disease by reducing the load on the joints.
  • Lower Back and Neck Pain and Herniated Discs: Excessive weight on the spine increases the pressure on the discs (cushions that act as shock absorbers) between the vertebrae. This can lead to the discs wearing down, bulging outwards, or completely displacing (herniating), causing compression on nerve roots. The result can be severe lower back and leg pain (sciatica) or neck and arm pain. Excessive abdominal fat accumulation can also contribute to lower back pain by altering the natural curvature of the spine.
  • Gout: A disease characterized by abnormally high levels of uric acid in the body, resulting in the accumulation of uric acid crystals in the joints, causing sudden, severe inflammation and painful attacks. Obesity increases the risk of gout by both increasing uric acid production and decreasing its excretion by the kidneys.

5. Digestive System and Metabolic Problems: Your Internal Organs Are Also Affected

Obesity also has significant negative effects on the digestive system organs and overall metabolism.

  • Non-alcoholic Fatty Liver Disease (NAFLD): Excessive accumulation of fat in liver cells not caused by alcohol. It is very closely related to obesity (especially abdominal fat) and is the most common cause of liver disease today. NAFLD can start as simple fatty liver (steatosis) but can progress to liver inflammation (Non-alcoholic Steatohepatitis – NASH), scar tissue formation (fibrosis), cirrhosis (liver failure), and even liver cancer. NASH has become one of the most common causes of liver transplantation today. Weight loss is the most effective method in reversing fatty liver disease. Bariatric surgery can significantly improve fatty liver disease.
  • Gallbladder Diseases: Obese individuals have a higher risk of developing gallstones. Rapid weight loss diets can also trigger gallstone formation, which is why the weight loss process should be professionally managed.
  • Gastroesophageal Reflux Disease (GERD): The backflow of stomach acid into the esophagus due to the sphincter between the stomach and esophagus not working properly. Excessive abdominal fat pressing on the stomach and diaphragm can facilitate the backflow of stomach contents into the esophagus, triggering or worsening reflux symptoms (heartburn, bitter taste in the mouth). Weight loss usually significantly alleviates reflux symptoms.
  • Metabolic Syndrome: A condition where at least three risk factors are present together: abdominal obesity (waist circumference), high blood sugar (or insulin resistance), high blood pressure, high triglycerides, and low HDL cholesterol. Metabolic syndrome exponentially increases the risk of heart disease, stroke, Type 2 diabetes, and fatty liver disease much more than the sum of individual risk factors. One of the primary goals of obesity treatment is to correct the risk factors contributing to metabolic syndrome.

6. Hormonal and Reproductive Health: Balances are Disrupted

Fat tissue is not just an energy store; it is also an endocrine (hormone-secreting) active organ that produces hormones and signaling molecules such as leptin, adiponectin, estrogen, and various cytokines. Excessive fat tissue can disrupt the body’s delicate hormonal balance.

  • Polycystic Ovary Syndrome (PCOS): A common hormonal disorder seen in women characterized by irregular periods, ovulation problems, excessive hair growth (hirsutism), acne, hair loss, cyst formation in the ovaries, and insulin resistance. Obesity increases the development and severity of PCOS symptoms and deepens insulin resistance. Weight loss is one of the most effective methods in improving PCOS symptoms and increasing fertility.
  • Infertility: In both men and women, obesity can negatively affect fertility through hormonal imbalances, ovulation problems (in women), impaired sperm quality (in men), and sexual dysfunction. Obesity also increases the risk of pregnancy complications (gestational diabetes, high blood pressure, need for Cesarean section).
  • Erectile Dysfunction: In men, obesity can lead to erectile dysfunction by impairing cardiovascular health (narrowing of blood vessels), lowering testosterone levels, and affecting hormonal balance.
  • Other Hormonal Effects: Obesity can lower growth hormone levels and affect cortisol metabolism.

7. Kidney Health:

High blood pressure and diabetes, which we mentioned earlier, are the biggest enemies of the kidneys. Obesity indirectly increases the risk of chronic kidney disease and kidney failure by predisposing individuals to these two diseases. High blood sugar and high blood pressure damage the small blood vessels and filtering units (glomeruli) in the kidneys over time. Furthermore, some research indicates that obesity can directly impair kidney function (obesity-related glomerulopathy) through substances secreted by fat tissue or due to increased workload on the kidneys.

8. Skin Problems:

Excess weight leads to increased skin folds (in areas like the neck, armpits, groin, under the breasts), creating a favorable environment for moisture accumulation and fungal, bacterial, and yeast infections. Irritation due to friction is also common. Furthermore, skin problems related to insulin resistance, such as acanthosis nigricans (darkening, thickening, and velvety appearance of the skin, especially in areas like the neck, armpits, and groin), are frequently seen in obese individuals. The risk of lymphedema (swelling caused by impaired lymphatic fluid drainage, usually seen in the arms or legs) also increases.

9. Increased Cancer Risk: The Role of Chronic Inflammation in the Body

Research has clearly shown that obesity increases the risk of developing various types of cancer. According to the American Cancer Society, obesity is the second most common preventable cause of cancer after smoking. These cancer types include breast (postmenopausal), colon, rectum, uterus (endometrium), ovary, kidney, liver, gallbladder, pancreas, gastric cardia (entrance of the stomach), thyroid, multiple myeloma, and meningioma, among others. Although the mechanisms by which obesity increases cancer risk are not fully understood, factors such as chronic low-grade inflammation, hormonal changes (especially high levels of estrogen, insulin, and insulin-like growth factor-1 (IGF-1)), adipokines secreted by fat tissue, and effects on the immune system are thought to play a role. Weight loss can be effective in reducing obesity-related cancer risk.

10. Psychological and Social Effects: The Unseen Wounds

As much as the physical effects, and sometimes even more devastating, are the psychological and social consequences of obesity.

  • Low Self-Esteem and Body Image Issues: Societal pressure for an “ideal” body image and negative comments about weight can lead obese individuals to feel inadequate, worthless, or unattractive and to be ashamed of their bodies. This leads to significant low self-esteem.
  • Depression and Anxiety: There is a strong bidirectional relationship between obesity and depression/anxiety. Obesity can trigger depression and anxiety due to reduced quality of life, health problems, pain, limited mobility, social exclusion, and discrimination. Similarly, people with depression or anxiety may develop disordered eating behaviors (overeating, poor food choices) to cope with their emotions, contributing to weight gain.
  • Social Isolation and Stigma: Unfortunately, obese individuals may face discrimination, prejudice, and stigma in the workplace, school, healthcare settings, and social circles. This can lead to serious psychological and social problems such as shame, feelings of exclusion, avoidance of social activities, and consequently, social isolation.
  • Eating Disorders: Some eating disorders, such as Binge Eating Disorder, cause or are associated with obesity. These disorders are characterized by recurrent and uncontrollable episodes of eating a large amount of food, often accompanied by feelings of shame, guilt, and regret. Such conditions require professional psychiatric and psychological support.

As you can see, the effects of obesity on the body are quite extensive, and often multiple problems coexist. These problems not only reduce the quality of life but also increase treatment costs and, most importantly, can shorten lifespan.

Battling Obesity: A Lifestyle Journey and Professional Support

The widespread prevalence and harmfulness of obesity can seem discouraging. However, the good news is that it is possible to fight obesity, prevent it, and even reverse or improve obesity-related health problems! This is not a quest for a “quick fix” or “miracle diet,” but a lifestyle journey pursued with determination, accurate information, patience, and most importantly, professional support.

Key Steps to Take on This Journey:

  1. Set Realistic and Sustainable Goals: Don’t be swayed by promises of rapid weight loss. Healthy weight loss is slow and steady. Losing even 5-10% of your total body weight (e.g., 5-10 kg for a 100 kg individual) can provide significant health benefits, such as improvements in blood sugar, blood pressure, cholesterol, and sleep apnea. Your goals should be achievable, measurable, relevant, time-bound, and most importantly, sustainable.
  2. Permanently Change Eating Habits: This is perhaps the most critical and challenging step, but it is the key to success.
    • Focus on Quality Foods: Fill half your plate with fresh vegetables and fruits. Choose whole grains (whole wheat, oats, brown rice). Consume lean protein sources (chicken breast, fish, legumes) and healthy fats (olive oil, avocado, raw nuts).
    • Avoid Processed Foods, Sugar, and Unhealthy Fats: Minimize the consumption of high-calorie but low-nutrient foods such as sugary drinks (including fruit juices), fast food, fried foods, packaged snacks, pastries, and white bread.
    • Portion Control: How much you eat is as important as what you eat. Be mindful of your portion sizes. Using smaller plates, visualizing or measuring your portions can be helpful.
    • Mindful Eating: Focus on your meal, chew slowly, and savor your food. Listen to your body’s hunger and fullness cues. Avoid distractions like television or phones while eating.
    • Water Consumption: Drinking at least 2-3 liters (about 8-12 glasses) of water per day helps metabolism function properly, provides a feeling of fullness, which can reduce unnecessary snacking, and supports the body in cleansing toxins. Drinking water before meals can help you eat less.
  3. Increase Physical Activity and Make It a Regular Part of Your Life: Don’t let “exercising” intimidate you. Moving your body is beneficial in every way for burning calories and building muscle mass.
    • Regular Exercise: The World Health Organization (WHO) recommends that adults get at least 150 minutes of moderate-intensity aerobic exercise (brisk walking, cycling, swimming) or 75 minutes of vigorous-intensity exercise (running, fast swimming) per week, plus muscle-strengthening exercises (weight training, bodyweight exercises like squats, push-ups) at least 2 days per week.
    • Increase Daily Activity: Incorporate more movement into your daily routine. Use stairs instead of the elevator, walk short distances, take short breaks to move around at work or home. Aim to increase your step count (e.g., 10,000 steps per day).
    • Find an Activity You Enjoy: Don’t see exercise as a chore. Dancing, hiking, gardening, team sports… If you find an activity you enjoy, it will be easier to stick with it.
    • Start Small: If you have been sedentary for a long time, start slowly (e.g., 10-15 minutes of walking per day) and gradually increase the duration and intensity.
  4. Get Quality and Sufficient Sleep: As mentioned earlier, sleep affects hormones that regulate appetite. Aim for 7-9 hours of uninterrupted, quality sleep each night, appropriate for your age. Try to keep your sleep schedule regular (“sleep hygiene”).
  5. Develop Stress Management Techniques: Chronic stress can raise cortisol hormone levels, promoting fat storage, especially in the abdominal area, and increasing the tendency for emotional eating. Developing stress coping methods such as yoga, meditation, deep breathing exercises, hobbies, seeking social support, or professional therapy is important for both weight control and overall health.
  6. Seek Professional Support: Since obesity is a complex disease, being supported by a team of experts in this field significantly increases your chances of success. Fighting alone can be difficult, but with the right guidance, the journey becomes much easier and more effective.

Forever Clinica Is With You: Your Comprehensive Obesity Treatment Center in Istanbul, Turkey

At Forever Clinica, we understand that the fight against obesity is more than just a diet or exercise plan. It is a comprehensive process that requires fundamentally changing a person’s physical and mental health, lifestyle, and habits. Our approach is multidisciplinary; meaning, physicians and health professionals from different specialties (general surgeons, internal medicine specialists, dietitians, psychologists/psychiatrists, physical therapists) specialized in obesity treatment work together to create and implement the most suitable treatment plan for you.

Your Obesity Treatment Journey at Forever Clinica in Istanbul, Turkey:

  1. Detailed Health Evaluation and Consultation: The process begins with a comprehensive initial evaluation by our experienced general surgeons and obesity team. Your medical history is taken, a physical examination is performed, and detailed blood tests and imaging may be requested to understand the causes of your obesity (genetic, hormonal, metabolic, etc.). Any accompanying conditions (diabetes, hypertension, sleep apnea, etc.) are meticulously evaluated. This evaluation plays a critical role in determining the most appropriate treatment method for you. Our dietitian, psychologist, and internal medicine specialist are also included in the evaluation process to create a profile specifically tailored to your situation. All these initial evaluations and consultations take place right here at our state-of-the-art facility in Istanbul, Turkey.

  2. Creation of a Personalized Treatment Plan: Based on the detailed evaluations, the team convenes to create the most suitable treatment plan specifically for your unique situation. This plan may include one or more options from lifestyle changes (diet and exercise), medical treatment (medication use), or surgical treatment (bariatric surgery). The treatment plan is tailored to your health goals, lifestyle, and preferences.

  3. Surgical Treatment Options (Bariatric Surgery): Forever Clinica Expertise in Istanbul If bariatric surgery is determined to be a suitable and necessary option for you, Forever Clinica offers its expertise and modern infrastructure in this field. At Forever Clinica in Istanbul, Turkey, obesity surgeries are successfully performed using minimally invasive methods (laparoscopic – closed surgery) by our experienced general surgeons specializing in obesity surgery.

    The most commonly performed and proven effective bariatric surgery methods we offer include:

    • Laparoscopic Sleeve Gastrectomy: This procedure involves surgically removing 75-80% of the stomach. The stomach volume is reduced, and appetite is decreased because the portion of the stomach that secretes a large amount of the appetite hormone ghrelin is removed. This surgery promotes weight loss by both restricting food intake and causing hormonal changes. It is one of the most frequently performed obesity surgery methods at Forever Clinica.
    • Laparoscopic Gastric Bypass (Roux-en-Y Gastric Bypass): A small stomach pouch is created from the upper part of the stomach, and a section of the small intestine is connected to this pouch. This surgery promotes weight loss by both reducing stomach volume (restrictive effect) and reducing the absorption of nutrients by bypassing a portion of the small intestine (malabsorptive effect). Furthermore, it has a very strong curative effect on diabetes and other metabolic diseases through hormonal changes.

    The multidisciplinary team, based on your health status, accompanying conditions, eating habits, and the surgeon’s assessment, will determine which surgical method is most suitable for you. All these advanced surgical procedures are performed with the highest standards of care at Forever Clinica in Istanbul.

  4. Pre-operative Preparation and Support in Istanbul: If surgery is decided upon, detailed tests are conducted before the operation to minimize potential risks. Physicians from various specialties, such as anesthesiologists, cardiologists, and pulmonologists, perform the necessary assessments. Our dietitian will provide detailed information and prepare you for your pre- and post-operative nutrition plan. Psychological support is important for the post-operative adaptation process and preparation for lifestyle changes. This entire process is closely monitored by the Forever Clinica team in Istanbul.

  5. Post-operative Care and Follow-up: During your hospital stay after the surgery, you will be closely monitored by our experienced team. After discharge, Forever Clinica’s long-term follow-up program begins. You will have regular appointments with your dietitian to help you adapt to your new eating habits and ensure you take your vitamin and mineral supplements regularly. Regular check-ups with your internal medicine specialist and surgeon monitor your weight loss, evaluate the improvement in your obesity-related conditions (diabetes, hypertension, etc.), and adjust your medication regimens as needed. Psychological support continues throughout this long-term process to help you maintain your motivation and adapt to your new lifestyle. All post-operative care and follow-ups are provided at Forever Clinica in Istanbul, Turkey.

  6. Long-Term Lifestyle Change and Weight Maintenance: Bariatric surgery is a powerful tool in the weight loss process, but it is not a stand-alone, permanent solution. For successful results and lasting weight maintenance after surgery, it is vital to maintain healthy eating habits, regular physical activity, and ongoing medical follow-ups throughout life. At Forever Clinica, we don’t leave you alone in the post-operative period; we continue to provide continuous support to help you maintain your healthy lifestyle habits and keep the weight off.

Frequently Asked Questions (FAQ)

You may have many questions about obesity and the weight loss process. Here are some of the most frequently asked questions and their answers:

1. Is obesity only caused by overeating? Or are there other reasons? Absolutely not. As we explained in detail earlier, overeating and inactivity contribute to the energy imbalance that forms the basis of obesity, but behind this imbalance lie many complex reasons such as genetic predisposition, hormonal disorders (thyroid, PCOS, etc.), psychological factors (stress, depression, eating disorders), certain medications used, sleep disturbances, and environmental factors. Obesity is a multifactorial disease and therefore its treatment must also be multifaceted.

2. Is Body Mass Index (BMI) sufficient for diagnosing obesity alone? BMI is a widely used practical tool for classifying obesity, but it is not sufficient on its own. It can be misleading in individuals with high muscle mass (athletes) or in elderly individuals experiencing muscle loss. Therefore, in addition to BMI, other factors such as waist circumference measurement, body fat percentage, and the person’s overall health status and accompanying diseases should also be evaluated. Abdominal obesity (central obesity) is particularly indicative of metabolic risks.

3. Who is a suitable candidate for obesity surgery (bariatric surgery)? Who undergoes obesity surgery at Forever Clinica? Obesity surgery is a treatment option for individuals with severe obesity who have not achieved sufficient weight loss with lifestyle changes and other medical treatments. Generally, individuals with a BMI of 40 or higher, or those with a BMI of 35-40 who have serious accompanying conditions related to obesity such as Type 2 diabetes, high blood pressure, sleep apnea, or severe joint problems, may be suitable candidates for surgery. At Forever Clinica, the suitability evaluation for obesity surgery is meticulously performed by our experienced general surgeons and the multidisciplinary obesity team. Every candidate undergoes a detailed evaluation of the potential benefits and risks of surgery. Surgery is an effective tool for appropriate candidates but requires lifelong changes in diet and lifestyle. Among the principal bariatric surgery methods performed at Forever Clinica in Istanbul are Laparoscopic Sleeve Gastrectomy and Laparoscopic Gastric Bypass.

4. What is the most effective type of exercise for weight loss? There is no single “most effective” type of exercise. The most effective approach is a regular program that combines different types of exercise and can be sustained with enjoyment. Aerobic exercises (walking, running, swimming) increase calorie expenditure. Resistance exercises (weight training) increase muscle mass, which in turn helps you burn more calories even at rest and speeds up metabolism. The ideal is to create a balanced program that includes both aerobic and resistance exercises. Most importantly, doing any exercise is better than none, and consistency is key.

5. Is medication always necessary in obesity treatment? Medication use in obesity treatment may be considered under the supervision of a doctor and for patients who meet specific criteria (generally BMI > 30 or BMI > 27 with accompanying diseases). Medications can help with weight loss by suppressing appetite or reducing fat absorption. However, medications alone are not sufficient; they must always be used in conjunction with healthy eating and exercise programs. Medication treatment can be an option for patients whose lifestyle changes have not been effective or who are not suitable for surgery.

6. Why is it so difficult to maintain weight after losing it? Maintaining weight after losing it is as, if not more, challenging than the weight loss process itself. The reasons for this include a slowdown in metabolism, changes in hormones that regulate appetite, and most importantly, the inability to make newly acquired healthy lifestyle habits permanent. For successful weight maintenance, it is vital to continue the healthy eating and regular exercise principles learned during the weight loss process for life, receive regular medical and psychological follow-ups, and develop strategies to cope with potential challenges. Weight maintenance is not about returning to the old life when the “diet” is over, but about adopting a new lifestyle.

7. What is the follow-up process after obesity surgery at Forever Clinica? The follow-up process after obesity surgery at Forever Clinica is as important as the surgery itself and plays a vital role in success. During your hospital stay after the surgery, you will be closely monitored by our surgical team and nurses. After discharge, Forever Clinica’s long-term follow-up program begins. You will have regular appointments with our dietitian to help you adapt to your new post-operative eating plan (stages of liquid, puree, soft, solid transitions) and ensure you take your vitamin and mineral supplements regularly. Regular check-ups (at 1 week, 1 month, 3 months, 6 months, 1 year post-op, and annually thereafter) with your surgeon, internal medicine specialist, and dietitian monitor your weight loss, evaluate the improvement in your obesity-related conditions (diabetes, hypertension, etc.), and adjust your medication regimens as needed. Psychological support also continues throughout this long-term process to help you maintain motivation and adapt to your new lifestyle. All post-operative care and follow-ups are provided at Forever Clinica in Istanbul, Turkey.

Don’t Postpone Your Health, Forever Clinica Is With You!

Obesity is a serious disease that restricts your life, threatens your health, and reduces your quality of life. However, with the right steps, determination, and most importantly, the support of a team specialized in this field, it is possible to fight obesity and overcome it.

At Forever Clinica, we are here to accompany you on this challenging but rewarding journey. With our multidisciplinary approach, from lifestyle changes to advanced obesity surgery methods, we work to offer you the most effective treatment plan tailored to your needs. Our team of experienced surgeons, internal medicine specialists, dietitians, and psychologists will guide you, support you, and help you maintain your motivation every step of the way. All our consultations, treatments, and surgical procedures are performed with the highest standards of care right here in Istanbul, Turkey.

Your health is your most valuable asset, and there is no reason to postpone taking care of it. Take the first step today to free yourself from the burden of excess weight, improve or reduce the risks of obesity-related health problems, and step into a much more energetic, healthy, and happy life.

Childhood Obesity
Forever Clinica Uncategorized

Childhood Obesity

Childhood Obesity: The Heavy Burden on Little Bodies and Steps Towards a Healthy Future

At Forever Clinica, we value the health of every individual who walks through our doors. However, when it comes to our children, we know our responsibility multiplies. In recent years, both globally and in our country, there has been a silently growing, significant burden placed on our little bodies: Childhood Obesity. One of the most important reasons why many health problems we once considered “adult diseases” are now being seen in our children is precisely this issue of obesity.

The pace of modern life, the fascination with technology, the allure of packaged foods, and unfortunately, steadily decreasing physical activity, are pushing our children towards the center of this problem. At Forever Clinica, we wanted to draw attention to this important topic, detailing its causes, consequences, and most importantly, what we can do. Remember, healthy children mean happy tomorrows, and we can walk this path together.

So, What Exactly is Childhood Obesity and Why is it So Important?

Defining obesity simply as “excess weight” is incomplete. Obesity is a chronic disease characterized by excessive and abnormal accumulation of fat in the body to a degree that impairs health. As most of us know, obesity in adults is typically defined using the Body Mass Index (BMI). However, the situation is slightly different for children. Because a child’s growth and development are ongoing, BMI assessment is conducted using age- and gender-specific percentile curves.

  • What is Body Mass Index (BMI) and How is it Used in Children? BMI is a simple ratio calculated by dividing a person’s weight in kilograms by the square of their height in meters (). However, this value has no meaning on its own, especially for children. Children are constantly growing, and their body composition changes significantly with age and gender. Therefore, in children, BMI is evaluated using age- and gender-specific growth charts (percentile graphs).
    • If your child’s BMI is greater than 85% of other children in their age and gender group (above the 85th percentile) but does not exceed 95%, they are considered overweight.
    • If your child’s BMI is greater than 95% of other children in their age and gender group (above the 95th percentile), they are considered obese.
    • These percentile values help us position the relationship between the child’s weight and height relative to the healthy child population of the same age and gender.

At Forever Clinica, our pediatricians and nutrition specialists carefully evaluate your child’s BMI and growth curve to analyze their development and potential risks most accurately. This assessment is more than just a number; it is a starting point for understanding the child’s overall health status.

Data from the World Health Organization (WHO) also reveals how alarming this picture is: In the last 40 years, childhood obesity has increased a staggering 10-fold! This is not just a statistic; it’s a signal of a much larger population that will struggle with chronic diseases in the future. This is why, at Forever Clinica, we are putting this issue under the microscope.

The Reasons Behind the Heavy Burden on Little Bodies: Why Are Our Children Gaining Weight?

Childhood obesity is not a condition that appears suddenly, as if by magic. It is usually the result of a complex chain of causes. Attributing it to a single factor would be unfair. It occurs through the combination of both biological and environmental factors. As Forever Clinica specialists, we believe that understanding these reasons is the first step towards finding solutions:

  1. Poor Nutrition Habits: Our Eyes Are Full, Not Our Stomachs!

    • Fast Food and Junk Food Invasion: Packaged snacks, chips, candies, chocolates… These are typically sources of “empty calories.” That is, they are high in energy (calories) but very low in nutritional value like vitamins, minerals, and fiber. While they entice children with their taste and appealing packaging, they rapidly lead to weight gain.
    • The Insidiousness of Sugary Drinks: Cola, sodas, ready-made fruit juices, iced teas… These drinks cause you to consume incredible amounts of added sugar without realizing it. Calories in liquid form enter the body quickly without creating a feeling of fullness and are stored as fat. The amount of sugar in a single can of soda is well over the daily recommended intake.
    • Loss of Portion Control: Portions are getting larger in restaurants, and even at home. Putting more food on our children’s plates than necessary and insisting they “finish their plate” prevents them from listening to their natural satiety signals. Consuming large portions of high-calorie, fatty, and sugary foods inevitably leads to weight gain.
    • Low-Fiber, Processed Foods: Refined products instead of whole grains, the fruit itself instead of fruit juice, lean protein sources instead of processed meats… Processed foods generally contain less fiber, which leads to getting hungry sooner and eating more. Fibrous foods provide a feeling of fullness and regulate the digestive system.
    • Eating Out Culture: The decrease in the habit of families eating meals at home together increases the tendency towards uncontrolled and unhealthy choices when eating out.

  2. Lack of Physical Activity: Children Who Stand, Not Run!

    • Technology Bondage: Tablets, smartphones, computers, and game consoles… These may be indispensable in our era, but they severely restrict our children’s movement space and time. Staying inactive in front of screens for hours means the calories consumed are not burned.
    • Decreasing Activity Space in Schools: Insufficient physical education classes, shorter recess times, or a lack of safe areas for children to play outdoors make it difficult for school-aged children to meet their daily need for movement.
    • The End of Street Games: There used to be children who ran in the streets all day, skipped rope, and played hide-and-seek. Today, our children often live as if under house arrest. Safety concerns, residential complex living, and lack of planned activities eliminate natural spaces for movement.
    • Family Inactivity: If parents also have a sedentary lifestyle, it’s likely that children won’t find enough encouragement or opportunities to be active. Children model their parents.

  3. Genetic and Family Factors: Fate or Habit?

    • Genetic Predisposition: Yes, some children may be genetically more predisposed to gaining weight. Genetic differences related to metabolism speed, fat storage tendencies, or appetite regulation can play a role. However, genetic predisposition alone does not necessarily cause obesity. The risk increases when genetic factors combine with an unsuitable environment and lifestyle. As Forever Clinica specialists, while we accept genetic predisposition as a factor, we emphasize that lifestyle changes can counteract this predisposition.
    • Family Habits: Family eating habits, food culture (what is eaten, how much is eaten, how often), physical activity levels, and even stress coping methods directly affect the child. If high-calorie, unhealthy foods are common in the family and inactivity is the norm, the child’s risk of becoming obese significantly increases. At this point, “family factor” often refers more to shared lifestyle habits than genetics.

  4. Psychological and Environmental Factors: Emotional Hunger and the Stress of Modern Life

    • Stress, Anxiety, and Emotional Eating: Just like adults, children may turn to food to cope with emotions like stress, sadness, boredom, or anxiety. Especially sugary and fatty foods can create a short-term feeling of “feeling good” (comfort eating). This can become a cycle and contribute to weight gain. School stress, family problems, or social pressures can be triggers.
    • Sleep Irregularities and Insufficient Sleep: Not getting enough quality sleep negatively affects the body’s hormones that regulate appetite and metabolism (leptin and ghrelin). Children who don’t get enough sleep tend to crave more junk food, are less energetic, and are more prone to weight gain. Sleep is critically important for growth and development as well as weight management.
    • Environmental Stigma and Discrimination: Peer bullying and societal prejudice directed at overweight children can cause serious psychological problems in children. This can lead to social isolation, low self-esteem, and depression, making healthy lifestyle changes even more difficult.
    • The Impact of Marketing and Advertising: Most food advertisements targeting children focus on high-sugar, high-fat, and high-salt products. These advertisements have a strong influence on children’s food preferences and can lead them towards unhealthy choices.

At Forever Clinica, we understand this complex web of causes and evaluate each child’s situation individually. This is because the fight against obesity is not just about what they eat and how much they move, but also closely related to the emotional, social, and environmental factors experienced by the child and the family.

Health Problems Caused by Obesity in Children: Not Just Weight, Future Health is at Risk!

Childhood obesity, unfortunately, is not just a condition that affects physical appearance. It lays the groundwork for serious health problems in a developing body, and these problems often continue into adulthood, even worsening. At Forever Clinica, we believe it is important for families to be fully aware of the health risks that obesity can cause:

  1. Physical Health Problems: The Excessive Load on a Growing Body

    • Type 2 Diabetes: Perhaps one of the most concerning consequences of childhood obesity. This disease, once seen only in adults (high blood sugar due to insulin resistance), is now being diagnosed in an increasing number of children. If not controlled, it can lead to permanent and serious complications like nerve damage, kidney problems, and eye problems. The fact that tiny bodies encounter a disease expected in adulthood at such an early age increases the future health burden.
    • High Blood Pressure and Heart Disease Risk: Excess fat tissue in the body increases blood pressure and places an additional burden on the cardiovascular system. Having high blood pressure or high cholesterol in childhood significantly increases the risk of serious heart diseases like heart attack and stroke in adulthood. The heart has to work extra hard to carry excess weight.
    • Fatty Liver (Non-Alcoholic Fatty Liver Disease – NAFLD): As the name suggests, fatty liver not related to alcohol consumption is a common consequence of childhood obesity. It often shows no symptoms but can lead to inflammation in the liver over time, and even serious and irreversible damage like cirrhosis. This condition can even lead to liver failure in the long run.
    • Sleep Apnea and Respiratory Problems: Excess weight can increase soft tissue around the neck, causing narrowing or complete blockage of the airways during sleep. This condition leads to sleep apnea, characterized by pauses in breathing during sleep. Sleep apnea can cause insufficient oxygen intake throughout the night, excessive daytime fatigue, difficulty concentrating, poor school performance, and even additional strain on the heart.
    • Early Puberty: In girls, excessive body fat can affect the production of hormones like estrogen, leading to early puberty (precocious puberty). This can result in consequences such as the child not being psychologically ready and affecting bone development, leading to shorter final adult height.
    • Orthopedic Issues: Excessive body weight places abnormal stress on joints (knees, hips, ankles) and bones that are still developing. This can lead to pain in the knees and hips, flat feet, leg bowing (like Blount’s disease), and difficulty walking.
    • Other Physical Problems: Obese children may also be more prone to issues like gallstones, acid reflux, and skin infections (especially in skin folds).

  2. Psychological and Social Effects: Not Just the Body, Mental Health is Affected Too

    • Low Self-Esteem and Depression: Negative perceptions of body image, feeling different from peers, and constant exposure to weight-focused comments lead to serious self-esteem problems in children. This can result in social withdrawal, unhappiness, and even depression.
    • Peer Bullying and Social Isolation: Unfortunately, overweight children are more frequently subjected to peer bullying at school or in their social environment. Being teased, excluded, and physical abuse have devastating effects on a child’s psychology. This can cause the child to avoid social situations and become isolated.
    • Decreased School Performance: Physical discomfort (fatigue, attention deficit caused by sleep apnea), psychological problems (anxiety, depression), and social difficulties can prevent a child from concentrating in school and fully realizing their academic potential.

At Forever Clinica, we know that obesity is not just a “weight” issue; it is a whole that encompasses physical, psychological, and social health. Therefore, our approach, instead of just focusing on weight loss, is aimed at improving the overall well-being of the child and the family.

Fighting Childhood Obesity: Forever Clinica is With You! What Can We Do for a Healthy Future?

Combating childhood obesity requires much more than individual effort. It is a family journey and even requires a holistic approach that includes support from school and society. At Forever Clinica, we aim to be the biggest supporter of families on this challenging path. Here are the concrete steps we can take and Forever Clinica’s role in this process:

  1. Instill Healthy Eating Habits: Start a Kitchen Revolution!

    • Return to Home Cooking: Prioritize meals prepared at home with fresh and natural ingredients instead of packaged and processed foods. Preparing meals as a family is both a fun activity and increases children’s awareness of what they eat.
    • The Contents of the Plate Matter: Half the plate should consist of fruits and vegetables, a quarter from whole grains (bulgur, whole wheat bread, brown rice), and a quarter from lean protein sources (chicken, fish, legumes, eggs, yogurt). This is the basic rule for a balanced plate.
    • Limit Sugar and Processed Foods: Minimize the consumption of “empty calorie” sources like sugary drinks (sodas, ready-made fruit juices), candies, chocolates, chips, and cookies. Instead of completely banning them, you can save them for special occasions or rare treats. Keep healthy snack options at home (fruit slices, vegetable sticks, yogurt, etc.).
    • Pay Attention to Portions: Do not give children adult portions. Adjust portions according to the child’s age and needs. Do not insist on finishing the plate; allow your child to listen to their satiety signals.
    • Drink Plenty of Water: Make sure children drink enough water throughout the day. Water is important for metabolism and is a healthy alternative to sugary drinks.
    • Don’t Skip Breakfast: Starting the day with a balanced breakfast reduces the need for junk food during the day and boosts metabolism.
    • Be a Role Model: Your eating habits as a parent directly influence your child’s habits. If you eat healthily, your child will be more inclined to eat healthily too.

  2. Encourage Physical Activity: Step Away From the Screen, Engage With Life!

    • Plan an Active Day: Aim for children to do at least 60 minutes of moderate-to-vigorous physical activity per day. This doesn’t have to be all at once; it can be spread throughout the day (playing at school, walking home, sports activities, evening family walks, etc.).
    • Make Activity Fun: Encourage activities the child enjoys. Soccer, basketball, swimming, dancing, cycling, skipping rope… Whatever it is, let it be something the child enjoys.
    • Be Active as a Family: Plan activities like going for a walk together as a family, going to the park, cycling, or exercising at home on certain days of the week. This both strengthens family bonds and makes you a good role model for the child.
    • Limit Screen Time: Restrict the time spent in front of the television, tablet, phone, and computer according to age. For children over 2 years old, a maximum of 1-2 hours of screen time per day is generally recommended. Encourage replacing screen time with active time.
    • Take Opportunities: Small changes in daily life, such as taking the stairs instead of the elevator or walking short distances, can increase overall activity levels.

  3. Manage Technology Use Consciously: The Real Body of the Virtual World

    • Screen time management is critical not only for the lack of physical activity but also for eye health, sleep patterns, and social development.
    • Set rules with your children about the amount of time they can spend in front of screens and what content can be watched/played, and stick to these rules consistently.
    • Avoid keeping screens in bedrooms. The blue light emitted by screens inhibits the secretion of the sleep hormone melatonin, reducing sleep quality.

  4. Ensure Sleep Patterns: A Rested Body, a Happy Soul

    • Make sure your child gets enough sleep appropriate for their age. Preschoolers generally need 10-13 hours, school-aged children 9-11 hours, and adolescents 8-10 hours of sleep.
    • Consistency in sleep times on weekdays and weekends is important.
    • Finish screen use at least 1 hour before bedtime.
    • Ensure the bedroom is dark, quiet, and cool.

  5. Support Emotional Well-being: Find Ways Other Than Eating to Cope With Stress

    • Provide a safe environment for your child to express their feelings. Help them develop other coping mechanisms when they are stressed or sad, instead of turning to food (like drawing, listening to music, playing games, talking).
    • Never make negative or shaming comments about your child’s eating habits or weight. Use supportive and positive language.
    • If you notice signs of an eating disorder, excessive anxiety, or depression in your child, do not hesitate to seek support from a child psychologist. At Forever Clinica, we can also provide guidance and support in this area.

  6. Seek Professional Support: Forever Clinica is With You! Managing childhood obesity may require a multidisciplinary team approach consisting of a pediatrician, a pediatric endocrinologist (to rule out and manage underlying medical causes, if any), a dietitian/nutrition specialist, an exercise physiologist, and potentially a psychologist when needed.

    At Forever Clinica, with our team of experts in child health, we are the biggest supporters of families in this process:

    • Detailed Assessment: We conduct a comprehensive medical history, physical examination, and necessary blood tests (blood sugar, cholesterol, liver enzymes, thyroid hormones, etc.) to determine the causes of your child’s obesity. We diagnose rare underlying hormonal or genetic causes if they exist.
    • Individualized Nutrition Plans: Our nutrition specialists create sustainable and nutrient-rich meal plans suitable for the child’s age, gender, physical activity level, taste preferences, and family lifestyle. Our goal is not to diet, but to instill healthy eating habits.
    • Physical Activity Guidance: We offer suggestions for activities the child enjoys and can do, and develop practical solutions to increase their daily movement.
    • Psychological Support and Family Counseling: We provide support to both the child and the family in coping with the emotional and social dimensions of obesity. We help strengthen family communication, increase motivation, and develop a positive body image.
    • Regular Follow-up: Throughout the treatment process, we regularly monitor the child’s development, health parameters (blood sugar, blood pressure, etc.), and weight status, and update the plan as needed.
    • Education and Awareness: We provide families with detailed information about obesity and its effects, and empower them regarding a healthy lifestyle.

Time to Take Action for a Healthy Future!

Fighting childhood obesity can be challenging, but it is not impossible. It is a marathon, a journey of lifestyle change. Instead of looking for quick fixes or miracle diets, it is important to be patient, consistent, and determined.

At Forever Clinica, we believe that raising a healthy generation is the biggest investment, not only for today but also for our tomorrows. We understand the concerns of families in this process and offer them scientific knowledge, expert support, and companionship.

Remember, healthy children are individuals who are physically and mentally happier, more successful, and better able to realize their potential. It is in our hands to lighten the heavy burden on little bodies and grant them a healthy future.

You are not alone on this journey. Forever Clinica is with you. The health of our children is our priority!

Forever Clinica – Take Action Today for Healthy Tomorrows!

What Are the Types of Gastric Bypass
Forever Clinica Uncategorized

What Are the Types of Gastric Bypass?

Gastric bypass is one of the most effective surgical methods in combating obesity and metabolic diseases. At Forever Clinica, we provide detailed information about the different types of gastric bypass procedures and explain which method is suitable for specific conditions.

What Is Gastric Bypass?

Gastric bypass is a surgical procedure that involves reducing the size of the stomach and connecting it to a section of the small intestine. This restricts food intake and reduces nutrient absorption, leading to weight loss. The procedure is also effective in treating obesity-related conditions such as type 2 diabetes, hypertension, and sleep apnea.

Types of Gastric Bypass

1. Roux-en-Y Gastric Bypass (RYGB)

This is the most commonly performed gastric bypass technique. The procedure consists of two main steps:

  • Stomach Reduction: A small pouch (30-50 ml) is created from the upper part of the stomach.

  • Intestinal Rerouting: A portion of the small intestine is connected to the new stomach pouch, allowing food to bypass part of the digestive tract.

Advantages:

  • Rapid and sustained weight loss

  • High effectiveness against type 2 diabetes

  • Controlled malabsorption

Who Is It For?

  • Patients with a BMI of 40 or higher

  • Patients with a BMI of 35-40 and obesity-related comorbidities

2. Mini Gastric Bypass (MGB)

A simpler alternative to RYGB, this procedure uses a single anastomosis (connection).

Advantages:

  • Shorter surgery time

  • Lower risk of malabsorption complications

  • Reduced complication risk compared to RYGB

Who Is It For?

  • Patients seeking a lower-risk option

  • Those with prior stomach surgeries (as an alternative)

3. Biliopancreatic Diversion (BPD) & Duodenal Switch (DS)

A more advanced form of gastric bypass, this method combines stomach reduction with significant malabsorption.

Advantages:

  • Highest weight loss results

  • Very low long-term weight regain

Who Is It For?

  • Super obese patients (BMI >50)

  • Patients who can manage strict nutritional follow-ups

Which Gastric Bypass Method Is Right for You?

The best technique depends on:

  • Your BMI

  • Metabolic conditions (diabetes, hypertension, etc.)

  • Post-surgery dietary compliance

At Forever Clinica, our expert surgeons and multidisciplinary team tailor the procedure to your needs, ensuring a safe and effective weight loss journey.

Life After Gastric Bypass

  • Rapid weight loss in the first 6-12 months

  • Essential vitamin/mineral supplementation

  • Guided nutrition and exercise plans

Begin Your Healthy Journey with Forever Clinica

Gastric bypass is a proven solution for obesity and related diseases. With the right technique and expert care, long-term success is achievable.

What is Gastric Bypass
Forever Clinica Uncategorized

What is Gastric Bypass?

Obesity is one of today’s most common and serious health problems. For individuals who cannot lose weight through diet and exercise, Gastric Bypass (Roux-en-Y Gastric Bypass) offers an effective and permanent solution. At Forever Clinica, with our expert physicians and modern medical technology, we are by your side throughout this process.

But what exactly is Gastric Bypass? Who is it suitable for? What are its advantages and how does the process work? We have prepared detailed answers to all these questions for you.

1. What is Gastric Bypass Surgery?

Gastric Bypass (Roux-en-Y Gastric Bypass) is one of the most commonly performed surgical methods for obesity treatment. In this procedure, the stomach is reduced to limit food intake, and a portion of the small intestine is bypassed to reduce nutrient absorption. Thus, patients both feel the need to eat less and absorb fewer calories from the food they consume.

Two Main Stages:

  • Stomach Reduction: A small pouch of about 30-50 ml is created from the upper part of the stomach. This new pouch provides rapid satiety.
  • Intestinal Rerouting: A portion of the small intestine is connected to the new stomach pouch, allowing some food to pass without being fully absorbed.

2. Who is Suitable for Gastric Bypass?

This surgery is not recommended for every obesity patient. There are specific criteria for suitable candidates:

✅ Body Mass Index (BMI) of 40 or above (Morbid obesity)
✅ BMI between 35-40 with obesity-related comorbidities (e.g., diabetes, hypertension, sleep apnea)
✅ Individuals who have failed to lose weight through diet and exercise for at least 6-12 months
✅ Aged 18-65 (Age limits may be flexible in special cases)
✅ Patients who understand and accept the surgical risks and can comply with post-op requirements

Note: At Forever Clinica, psychiatric evaluation and detailed tests are carefully conducted to determine patient suitability.

3. Advantages of Gastric Bypass Surgery

  • Rapid and Long-Term Weight Loss: Patients typically lose 60-80% of excess weight within the first 1-2 years.
  • Effective Against Type 2 Diabetes: Especially beneficial for patients with insulin resistance.
  • Improvement in Hypertension and Sleep Apnea
  • Reversal of Metabolic Syndrome
  • Significant Enhancement in Quality of Life

4. How is Gastric Bypass Surgery Performed?

At Forever Clinica, Gastric Bypass surgeries are performed using minimally invasive (laparoscopic) techniques.

Surgical Process:

  1. Under general anesthesia, small incisions are made in the abdomen.
  2. The stomach and intestines are modified using laparoscopic instruments.
  3. The procedure takes about 2-3 hours, with a hospital stay of 3-4 days for monitoring.
  4. Patients typically return to normal activities within 1-2 weeks.

5. Recovery After Gastric Bypass

The post-operative period is crucial for successful weight loss.

Diet Plan:

  • First 2 Weeks: Liquid-based diet
  • Weeks 2-4: Pureed and soft foods
  • After 1 Month: Gradual transition to solid foods (under doctor’s supervision)

Important Considerations:

✔ Regular use of vitamin and mineral supplements is essential.
✔ Follow-up appointments should not be missed.
✔ Exercise is vital for weight maintenance and overall health.

6. A Safe and Comfortable Process with Forever Clinica

At Forever Clinica, we provide the highest standard of care with experienced surgeons, personalized treatment plans, and patient-centered approaches.

We support you throughout the journey with nutrition counseling, psychological support, and physical activity programs.

Start Your Weight Loss Journey with Forever Clinica!

If you’d like more information about Gastric Bypass or wish to schedule a consultation, contact our expert team today. A healthier future is just one step away!

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