Bariatric Surgery

Liv Hospital Obesity Surgery Center Receives Certificiate of Excellence

Liv Hospital was co-authorized by completing the redit Center of Excellence ite in the field of obesity surgery by passing the rigorous inspection by an international neutral commission, Surgical Review Corporation (SRC). Center of Excellence Accreditation, which can be taken by a few institutions in the world, was given to an institution by the related institution for the first time outside the USA.



 

Why the Center of Excellence?

First of all, the adequacy of the physician in the relevant fields, specific studies, treatment of the number of patients equivalent to and with the world criteria, complications, re-hospitalization, analysis of clinical data and functional results are equivalent to accredited institutions, should be proved by the supervisory board.

In addition, in the audit, patient treatment protocols are determined by joint meetings with other disciplines. Institutionalization and treatment outputs to be above a certain quality is also one of the basic application criteria.

Liv Hospital surgeons' number of cases and complication rates, re-hospitalization, re-operation, complication rates, education and qualifications, regular symposiums and trainings, evaluation of the duties, authorities and responsibilities of physicians, nurse, floor attendant and assistant health personnel, and accurate consultation and equipment, anesthesia and surgical procedures safety, infection control, safe drug use, patient rooms, emergency services, examination rooms, clinical care standard protocols, consent forms, corporate commitment and support groups and building safety. audited.
 

Why Liv Hospital Obesity Surgery?

In obesity surgery, the adequacy of the relevant physicians is documented, the number of surgeries performed, complication rates, survival rates, infection rates must be at international standards or better.

Obesity is the accumulation of excess fat tissue in the body and is one of the most important diseases of our age. Obesity is an important public health problem that causes both chronic diseases and loss of life comfort. Obesity surgery is an important option for people who try every way and cannot weaken. Obesity surgery is now the most effective method in the treatment of obesity and its results are very successful in the long term. The results of obesity surgery in Liv Hospital are very satisfactory in terms of patient comfort and complications.

Who can have obesity surgery?

• 18-65 years old
• Body mass index over 40
• Body mass index is between 35 and 40 and additionally weight-bearing disease (hypertension, diabetes, sleep apnea, heart failure, etc.)
• Those who have tried other methods of weight loss and failed
• Those who can handle surgery and anesthesia

 

Who cannot have surgery?

• Patients with psychiatric problems who are not under serious treatment
• People with substance or alcohol addiction
• Patients who cannot make the necessary life style change after the surgery
• Those who have the disease to prevent anesthesia

 

Categories of Body Mass Index

• 18.5-25 ....... Normally overweight
• 25-30 ......... Overweight
• 30-35 ......... Obese (class 1)
• 35-40 ......... Obese (class 2)
• 40-50 ......... Morbid obese
• > 50 ............ Super obese

 

Obesity Surgery

All obesity operations are performed by laparoscopic means, ie, instruments placed in small holes through the abdomen without opening the abdomen. Obesity surgeries are divided into two groups according to the mechanism of action:

1. Restrictive operations
a. Laparoscopic adjustable stomach band
b. Tubular stomach (sleeve gastrectomy) surgery
2. Absorbtion-preventive surgeries
a. Gastric bypass, mini gastric bypass
b. Duodenal switch, SADI-S
 

Laparoscopic Adjustable Stomach Band

In this method, a silicone stomach band is placed in the upper part of the stomach in the form of a clamp. The band is connected to a port under the skin and the width of the band is adjusted with the help of this port. Technically simpler and less side effects. But weight reduction is less than other methods. It can be converted into other operations.
 

Tube Stomach (Sleeve Gastrectomy)

In this method, 75 percent of the stomach is removed and there is a tubular stomach. Weight reduction is better than the stomach band. Since the anatomy is not impaired, vitamin and mineral deficiency rarely develops and lifelong vitamin-mineral supplementation is not necessary.
 

Gastric Bypass, Mini-Gastric Bypass

It is a restrictive and at the same time preventive absorption. The effect of weight loss and recovery from obesity are better than other methods. Type 2 diabetic patients recover 85-90 percent of their diabetes. The rate of side effects is higher than other methods. Lifelong vitamin-mineral supplements may be required. Mini gastric bypass is a simplified form of gastric bypass surgery. It is easier to practice and has been shown to be as effective as gastric bypass.
 

Duodenal Switch, SADI-S

Duodenal switch surgery is more disturbed in absorption. Tube gastric surgery is performed and the location of the small intestine to be used last 75-100 cm 75i change is made. It is the best correction of obesity related diseases. But the side effect is higher than other operations. Lifelong vitamins and minerals may be required. Patients may have diarrhea, protein deficiency. SADI-S surgery is a simplified form of duodenal switch surgery. The operation time is shorter.

To monitor the stories of our patients with tube gastric surgery;