Obesity and Metabolic Surgery

Obesity and Metabolic Surgery Department

For every patient who applies to the Hisar Hospital Intercontinental Obesity and Metabolic Surgery Department, we create a treatment program through multidisciplinary evaluations involving an endocrinologist, a psychiatrist, a dietitian and specialists from other relevant branches.

In our Obesity and Metabolic Surgery Department, all recommended treatment methods are always shared with the patient following multidisciplinary evaluations tailored to each individual. With our patient-centred treatment approach, we involve our patients throughout the entire process so that the results achieved are long-lasting and obtained with the fewest possible complications.

Thanks to our specialists' more than 15 years of experience and our department's high standard of quality, the Hisar Hospital Intercontinental Obesity and Metabolic Surgery Department is recognised as a reference department for its success in obesity treatment, not only in Turkey but also on international platforms. In particular, patients experiencing problems related to a previous operation are referred to our center for revision surgery or endoscopic treatment.

JOINT COMMISSION

With its compliance with internationally recognised standards, our hospital is one of the rare hospitals in the world to have taken its place among the leading healthcare organisations holding JCI accreditation.

How Is Obesity Calculated?

It is a calculation method that indicates the estimated proportion of fat in the body. It is calculated by dividing body weight (kg) by the square of height in metres.

Body Mass Index Classification

• 18.5 and below Underweight

• 18.5 - 24.9 Normal Weight

• 25-29.9 Overweight

• 30-35 Obese

• 35-40 Severely Obese

• 40-50 Morbidly Obese

• 50-60 Super Obese

Which Patients Is Obesity Surgery Suitable For?

A decision to operate is not made immediately for every patient who applies to the clinic. Patients first need to undergo a series of evaluations. Based on the results of these evaluations, surgery is decided for suitable patients.

Criteria evaluated when deciding on obesity surgery:

• Those who have tried other weight-loss methods without success

• Those with a body mass index above 40

• Those with a body mass index between 35 and 40 who also have weight-related comorbidities (hypertension, diabetes, sleep apnea, heart failure, etc.)

Treatment Methods We Offer

Sleeve Gastrectomy

In Sleeve Gastrectomy surgery, the greater curvature of the stomach is cut and removed to create a tube-shaped stomach. With this method, both the volume of the stomach and the amount of food consumed are reduced. In addition, the level of the hormone 'Ghrelin', known as the hunger hormone and secreted by the removed part of the stomach, also decreases, which creates a feeling of fullness. As a result, patients have been observed to lose weight quickly while the integrity of their normal digestive system is preserved.

Gastric Balloon

A gastric balloon is a soft, silicone, balloon-like sphere placed in the stomach endoscopically. It partially fills the stomach. By making it easier to follow a diet, the gastric balloon creates a feeling of fullness and satiety. After placement, the balloon remains in the patient's stomach for a minimum of 6 and a maximum of 12 months, and it is removed within 15-20 minutes using the same endoscopic method.

Gastric Bypass and Mini Gastric Bypass

The stomach is stapled just below the point where it joins the oesophagus and divided into two parts, leaving a volume of approximately 30-40 ml. Then, a new outlet is created by connecting the small intestine to this newly formed stomach pouch so that approximately 100 cm of the small intestine is bypassed from digestion. The section at the beginning of the stomach is separated from the rest, leaving approximately 100 cc. In this way, the amount of food the stomach can take in is limited and the absorptive surface of the intestine is reduced by approximately 35 percent. When the food consumed fills the small pouch, a feeling of fullness occurs more quickly.