Obesity Treatment

Obesity Treatment

Medoptions aims to improve the quality of medical care for obese patients in order to better organize their course if they are a candidate for surgery, or if the patient requires medical and dietary monitoring. Obesity is a multifactorial disease due to its genetic, behavioral and psychological causes and it has psychological, medical and physical consequences.

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Obesity and Overweight

Obesity

Overweight and obesity is defined as an abnormal or excessive accumulation of fat that can be harmful to health.

The Body Mass Index (BMI) is a simple weight-for-height index that is commonly used to classify overweight and obesity in adults. It is defined as a person's weight in kilograms divided by the square of their height in meters (kg / m2).

Obesity is declared for a BMI greater than 30.

 

Bariatric Surgeries and Treatment in Istanbul

The Gastric Balloon

Weight loss is targeted with a balloon filled with fluid placed endoscopically in the stomach. This method is at the top of the most preferred list with its practicality.

The gastric balloon is strictly speaking a balloon that is installed without surgery in the stomach to occupy part of it and allow weight loss through satiety and slowing down the transit of food. Food can thus be re-evaluated, reduced and re-educated in order to modify eating habits, and thus significantly reduce overweight. "The gastric balloon is a way to help a person lose weight, by eating less, but it must be integrated into a complete program including nutritional advice, physical activity, psychological support, otherwise when you go. remove, the person will regain their weight. " It is therefore essential, for the success of the treatment "to go to centers (for digestive surgery) which manage the overall obesity care program with a psychologist and nutritionist."

There are two types of balloons:

The polyurethane balloon, in place in the stomach for 4 to 6 months.
The soft silicone balloon, installed for one year.

 

Endoscopic Gastroplasty

Endoscopic gastroplasty is a new type of weight loss procedure. Sleeve gastroplasty reduces the size of your stomach using an endoscopic suturing device without surgery. This procedure may be an option if you are significantly overweight - a body mass index of 30 or more - and diet and exercise haven't worked for you.

Like other weight loss procedures, endoscopic sleeve gastroplasty requires a commitment to a healthier lifestyle. You need to make permanent healthy changes to your diet and exercise regularly to help ensure long-term success with endoscopic gastric bypass surgery.

 

Laparoscopic Gastrectomy Sleeve

Sleeve gastrectomy removes a large part of the stomach to form a narrow tube calibrated with a probe during the procedure. With this technique, the stomach volume which is normally 2 liters is reduced to 150 ml.

Food is slowed down as it passes through the tube, and then passes through the small intestine. Indeed, it forces you to eat in small quantities and slowly. In addition, this operation lowers the level of ghrelin (the hormone that causes appetite) which is secreted in the part of the stomach that is removed. As a result, satiety comes very quickly during a meal.

Sleeve gastrectomy

Gastric Bypass

The gastric bypass is a short circuit assembly of the digestive system.

The upper part of the stomach is severed by a staple, which creates a small pocket. To the latter is connected a loop of the small intestine cut 1m or 1.5m after the pyloric antrum (exit of the stomach).

Gastric bypass is a restrictive mechanism. Indeed, like a gastric ring, the stomach is reduced (small upper pocket) but the rest of the stomach is no longer usable (no longer in circuit). In addition, part of the small intestine and the entire duodenum are also excluded from the food circuit. This is how the absorption of food through the digestive system is limited. This surgery is therefore often indicated for patients suffering from diabetes. Depending on the length of the mounted shackle and the associated shackle, the absorption is more or less important. In addition, discomfort can occur due to the rapid passage of food between the stomach and the small intestine, especially with sugary foods. This is is the dumping syndrome.

 

gastric-bypass

Gastric Botox

Botox isn't just the enemy of wrinkles. Botox may help with weight loss, according to new research presented during Digestive Illness Week.

Botox injections into the stomach may help reduce hunger pangs and help overweight patients lose weight.

This is a small study of 20 obese adults with BMIs ranging from 35 to 44. Norwegian researchers injected Botox into each participant's lower stomach through an endoscope. This is to block the vagal nerve, which transmits a feeling of hunger to the brain.

The patients received a first injection and then another six months later. One year later and two Botox injections, 70% of the participants had lost weight, on average 17% of their overweight. (for a BMI greater than 25). After 18 months and three Botox injections, 75% of the participants had lost weight, on average 28% of their overweight.

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Gastric Band

The gastric band is inflatable and adjustable. It is connected by tubing to an injection box which is located under the skin of the abdominal wall that the surgeon punctures to introduce a specific liquid. This process is not painful.

The ring turns the stomach into an hourglass. Indeed, being placed on the upper part of the stomach it acts as such. As soon as the meal begins, the small stomach pouch fills up. As a result, the patient then feels an impression of satiety. Hence the importance of chewing well during your meals. In fact, after a few bites, you have to wait a little while for the food to pass the gastric ring to continue eating peacefully. If not, there is a risk of regurgitation, and accumulation in the esophagus due to the full pouch.

 

Gastric Band

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