Bariatric Surgery


Bariatric surgery is a surgical treatment for obesity that involves reducing the stomach's size or rerouting parts of the digestive tract to limit food intake and calorie absorption. This approach helps individuals consume less food, leading to weight loss. Obesity is a serious health condition that not only causes physical discomfort but also affects the functioning of various organs and, if left untreated, can lead to severe health complications.

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Indications for Bariatric Surgery

Bariatric surgery is considered when other weight loss methods, such as diet and exercise, have failed, or when obesity severely impacts daily activities. The primary criterion for determining the need for bariatric surgery is the individual's body mass index (BMI). BMI is calculated by dividing weight (kg) by height (m²), with normal values not exceeding 25 kg/m². Based on BMI, obesity is classified as follows:Cleveland Clinic

Bariatric surgery is typically indicated for:

  • Class II obesity (BMI >35 kg/m²)
  • Class I obesity (BMI >30 kg/m²) with associated conditions like type 2 diabetes
  • Ineffectiveness of other weight loss methods
  • Severe comorbidities related to obesity (e.g., hypertension, sleep apnea, osteoarthritis)
  • Need to reduce weight prior to orthopedic surgeries (e.g., joint replacement)
  • Preparation for assisted reproductive technologies (e.g., IVF)Cleveland Clinic+1Guideline Central+1Verywell Health+4PMC+4Cleveland Clinic+4Medscape+1NCBI+1

Stages of Bariatric Surgery

The process begins with a comprehensive health evaluation, including consultations with specialists such as dietitians, cardiologists, endocrinologists, and gastroenterologists. Additional tests may include:

  • Blood and urine tests
  • Biochemical blood analyses
  • Coagulation profile
  • Ultrasound of the heart and abdominal organs
  • Gastroscopy (EGD)
  • Electrocardiogram (ECG)
  • Doppler ultrasound of veins
  • Hormonal panel
  • Radiography, if necessary WIRED+15PMC+15PMC+15Time+1PMC+1

After completing these assessments, the medical team selects the most appropriate surgical method. Anesthesia specialists also review health data to determine the correct anesthesia dosage.

Surgical Methods at Helyos Clinic

Helyos Clinic's surgeons specialize in:

  • Sleeve Gastrectomy: Involves removing a large portion of the stomach, leaving a tube-like structure. This procedure reduces stomach volume and decreases hunger.Verywell Health
  • Gastric Bypass (Roux-en-Y): Creates a small stomach pouch and reroutes the small intestine, bypassing a significant portion of the stomach and upper intestine. This reduces calorie absorption and promotes weight loss.Verywell Health

The choice of procedure depends on individual health assessments and specific needs.Verywell Health+1Verywell Health+1

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Postoperative Rehabilitation

Recovery time varies based on the surgical method and the patient's overall health. Laparoscopic techniques typically shorten recovery periods and minimize complications. Patients usually stay in the clinic for 2–5 days under medical supervision.

On the first day post-surgery, patients are allowed small sips of water, and nutrition is provided parenterally. From the second day, patients begin consuming small portions of semi-liquid food 4–5 times daily, gradually expanding the diet.

After discharge, patients receive guidelines for home recovery. The rehabilitation period lasts 1–3 months and includes:

  • Limiting excessive physical activity
  • Regularly changing antibacterial dressings
  • Avoiding harmful habits
  • Consuming the daily recommended amount of water
  • Following the prescribed diet
  • Taking recommended medications
  • Attending regular medical check-ups

It's essential to understand that the success of bariatric surgery is significantly influenced by the patient's commitment to lifestyle changes. Adhering to medical advice, maintaining an active lifestyle, and possibly using specialized utensils to control portion sizes are crucial for achieving and sustaining weight loss.

Advantages of Bariatric Surgery at Helyos Clinic

Helyos Clinic is equipped with state-of-the-art medical technology for performing complex surgical procedures. Our team comprises highly qualified surgeons, including those with advanced degrees and extensive experience in bariatric surgery.We employ a personalized, comprehensive approach to each patient, ensuring thorough diagnostics and the selection of the most effective treatment methods. Our clinic offers comfortable accommodations with all necessary amenities for patients before and after surgery.

For more information or to schedule a consultation, please contact Helyos Clinic.

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