OBESITY


Obesity

ANO Group’s Bariatric Surgery Center is designed to help people who are severely overweight when traditional weight loss methods have been unsuccessful. ANO Group is recognized for providing high-quality, complete bariatric surgical care and has a high-volume practice that can manage the most challenging and complex patients. Our bariatric program takes a multidisciplinary approach and truly partners with patients for the best long-term outcomes – we offer everything from pre-surgical education, to nutrition and lifestyle counseling, to post-surgical support. Through every phase of the program, our patients are treated with compassion and respect in a comfortable and reassuring atmosphere. We are committed to helping you reach your weight loss goals and are here for you every step of the way.

Robotic Obesity Surgery

Obesity Surgeries with Robotic Surgery

The Da Vinci robot largely facilitates the difficulties in laparoscopic surgery. The robot provides three-dimensional high definition images and is designed to precisely replicate every movement the surgeon makes.

 

The surgeon sits at the console and performs procedures easily. Robotic surgery offers various advantages to obese patients and the patients who have undergone a surgery before. Hand-shaking is electronically eliminated with this method to achieve more stable and clear images. With recently developed single-incision robotic surgery, it will be possible to operate obese patients without leaving a scar.

Obesity Surgery Center

Patients who seek information on the Internet are exposed to an information overload. It should be kept in mind that the information on the Internet may include mistakes or ignorances unless they are provided by a reliable source.

Patients can obtain the most accurate and updated information from fully equipped centers, which have been specialized in obesity surgery. One of the most common mistakes is to make head-to-head comparisons of different methods or equate technical differences of the same method.

A successful obesity surgery can be defined in various ways. It can be seen as a certain loss of weight in a short period of time for the patient, however, the success, in fact, can only be achieved with a method as universally accepted by the medical community, which maintains the weight loss over the years with minimum side effects, and minimum complications in the long-term.

There are a few institutions which deal with obesity and associated diseases in our country. Further centers which have an academic approach, working in compliance with international standards are needed.

History of Our Florence Nightingale Morbid Obesity and Metabolic Surgical Center

Objectives:

To raise level of awareness and education regarding obesity disease,

To ensure that preventive and protective measures are taken,

To make scientific studies about obesity and publish them,

To implement, improve, and extend the available modern treatment methods, and give training

Structure of the Obesity Center

Our unit provides services with a staff specialized in the field. Our organizational structure and groups are as follows:

  • Endoscopic and Laparoscopic Obesity Surgery Unit
  • Anesthesiology and Reanimation Department
  • Endocrinology
  • Psychiatry
  • Exercise and Nutritional Physiology Unit
  • Dietetics
  • Plastic and Reconstructive Surgery

Long-term maintenance of treatments such as diet, sports, and medications etc. which can be called conventional methods varies from 5 to 8%. These methods are inefficient although they are very expensive.

It has been repeatedly demonstrated that surgical methods used since the beginning of the last century provide successful outcomes.

Surgical treatment of obesity is not a new phenomenon. Since the beginning of the past century, obesity has been treated with various surgical techniques. However, we can consider 1990s as the period such surgeries became widely used, which can be associated with widespread of laparoscopic procedures.

Widely used modern surgical treatments of obesity have been carried out by laparoscopy, which makes the procedures easier and painless for the patients who are difficult to operate due to their obesity.

Unlike many conservative centers, surgical procedures should not be considered as the last alternative. Patients should be informed of this alternative and should benefit from it as early as possible.

Patients present to our clinic as the last resort since they usually try all other options except surgery. One of the main objectives is to provide the patient with an integrated consultation service.

A traditional approach of center experienced in the treatment of obesity should include developing an obesity profile of the patient, analyzing underlying endocrinological and psychiatric disorders, preparing a diet program, organizing pre- and post-operative physical therapy and exercise programs, and close follow-up of the patient.

The answer to the question “Who should undergo surgery and when?” can only be given with a pre-interview and examination.

According to the international criteria:

Obesity surgery is recommended for people with a body mass index of 40 and above. In case of any concomitant disease (cardiovascular disease, diabetes, particular problems, etc.),patients with a BMI between 35 and 40 are also recommended to undergo such surgery.

New Obesity Treatments

Surgery is the most satisfying method among obesity treatments. The surgical procedures have a higher chance of success. Obesity surgery, as in other surgeries tends to be less damaging for the patient. These methods that we will start to implement soon are as follows:

Endoscopic Methods

These are obesity treatment methods where patients are made sleep or sedated and treated with the help of an endoscope without any need for an incision. These methods can be categorized in several groups.

1. Endosleeve Method: It is a method where a thin plastic impermeable hose is placed inside the stomach, the duodenum and the small intestine. It is experimental since there is no reliable clinical study yet.

2. Endoscopic Stapling Methods: These are methods where the stomach is reduced by incision without any drilling by stapler-like devices used in laparoscopic operations. Available methods become popular in addition to Stomaphyx and TOGA.

3. Endoscopic Sewing Techniques: Many companies make research on these techniques. The stomach space is reduced endoscopically without any for operation. New products by Bard Endocinch, Olympus Eagleclaw, Ethicon are very promising.

Laparoscopic Methods

Single-hole obesity surgeries are becoming popular. At present, sleeve gastrectomy operations are carried out through a single hole. Another type of surgery, which is at the experimental stage, gastric sleeve plication (sleeve operation without gastric resection by suturing folds).

Electrical Methods

Methods such as electrical stimulation of stomach (pacemaker),vagal nerve stimulation etc. demonstrated a feeling of satiety.

Drugs:

The idea of using next-generation medicines becomes more popular as mechanisms of appetite are elucidated. Next-generation drugs target hormones involved in the mechanism of fullness and central nervous system.

THESE METHODS WHICH MAY BECOME ALTERNATIVES TO SURGERY ARE CLOSELY FOLLOWED-UP. SUCH PROCEDURES WILL BE INITIATED VERY SOON.