Op. Dr. Ulvi Isgandarov – Obesity Surgery Treatment

OP. DR. ULVI ISGANDAROV

General Surgery Specialist

Meet with the experience of Operator Doctor Ulvi Isgandarov who touching the lives of many patients with numerous operation practices in the treatment of obesity surgery…

Obesity Surgery

Obesity surgery is the most effective, most successful, fastest and permanent weight loss treatment method all over the world.

Stomach Botox

Botox works by stopping the contraction of the muscles in the area where it is applied for about 6 months.

Gastric Balloon

Gastric Balloon; It consists of a soft, expandable balloon, an insertion tube and a filling system.

Sleeve Gastrectomy

Gastric sleeve surgery is the process of removing a large part of the stomach that acts as a depot.

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    TREATMENT PROCEDURES

    OBESITY SURGERY

    Obesity can simply be defined as abnormal and excessive fat accumulation in the body. Another definition is that body fat tissue is over 25% in men and over 30% in women.

    GASTRIC BYPASS

    Gastric bypass surgery, which is a common method in obesity surgery, is a restrictive and combined method that causes malabsorption.

    STOMACH BOTOX

    Botox is a protein produced from the bacterium Clostridium botulinum. Botox works by stopping the contraction of the muscles in the area where it is applied for about 6 months.

    GASTRIC BALLOON

    Gastric balloon; consists of a soft expandable balloon, an insertion tube and a filling system.

    SLEEVE GASTRECTOMY

    Gastric sleeve surgery is the process of removing a large part of the stomach that acts as a depot.

    BEFORE AND AFTER

    FREQUENTLY ASKED QUESTIONS

    WHAT IS GASTRIC BYPASS?

    Gastric bypass surgery, which is a common method in obesity surgery, is a restrictive and combined method that causes malabsorption. Gastric Bypass surgery is technically created by reducing the stomach to a small pouch and connecting the small intestine to the shrunken stomach from a certain segment and connecting it upwards. The rest of the stomach is not removed like sleeve gastrectomy surgery. However, there is no food entry into the remaining stomach. Gastric juices and enzymes continue to be produced from the remaining part of the stomach for the digestion and absorption of nutrients. Thus, patients with Gastric Bypass both eat less food and take fewer calories due to the reduction of the stomach, and because there is a direct transition from the remaining small stomach to the small intestine, a decrease in the absorption of high-calorie foods is created and thus weight loss is achieved. Therefore, weight loss is achieved in obesity problems with two different mechanisms.

    WHAT ARE THE ADVANTAGES OF GASTRIC BYPASS SURGERY?

    Gastric Bypass surgery is an excellent tool to provide individuals with long-term weight control in small portions without the old sense of appetite. For most patients, long-term weight loss and weight maintenance is successful. Depending on weight loss, it creates a permanent solution for type 2 diabetes and concomitant diseases caused by excess weight. After the surgery, patients experience physical and psychological satisfaction.

    HOW SHOULD NUTRITION BE AFTER GASTRIC BYPASS SURGERY?

    On the 2nd day after gastric bypass surgery, patients are tested for leakage and then we start a 15-day liquid diet period. Following the 15-day liquid diet period, 15 days of puree and then solid nutrition are started. Diet periods are carefully explained by your dietitian. The role of the dietitian in the postoperative period is extremely important for every patient. Compliance of patients with these diet periods is the most important factor in preventing complications.
    Patients need to master the habit of eating with small bites, chewing very well and slowly. Another rule in nutrition is to distinguish between solid and liquid. There should be a minimum of 30 minutes between foods and drinks. Thus, nutrient deficiencies are prevented and gastric expansion is prevented. After the surgery, it is important to comply with a well-adjusted carbohydrate, protein and fat ratio and fiber-rich nutrition programs. Approximately 60-80 g of daily protein is recommended for nutritional adequacy and postoperative wound healing. Food sources to meet this amount of protein may vary according to the tolerance of the person. Over time, tolerance increases and consumption of protein-containing food sources expands. In addition, deficiencies of minerals such as iron, calcium and B vitamins are frequently seen after this surgery and may cause iron deficiency anemia and osteoporosis. In addition to a nutritious diet, supplementation with B complex and multivitamins may be necessary to prevent potential deficiencies. In order to prevent symptoms such as cramps and diarrhea caused by dumping syndrome, and to prevent weight gain, patients should give up old habits such as consuming sugary and high-calorie foods frequently and acquire new healthy eating habits for themselves.

    HOW DOES TUBE STOMACH- SLEEVE GASTRECTOMY SURGERY EFFECT?

    Since approximately 2/3 of the stomach is removed in sleeve gastrectomy surgery, the amount of food eaten decreases significantly and a feeling of fullness arises earlier. Another effect of the surgery is that the removed part of the stomach is the place where the hormone Ghrelin, which triggers hunger, is produced. Thus, the hormone that triggers appetite decreases in the blood and appetite is suppressed. Since the natural flow of the digestive system is not interfered with, digestion and absorption continue normally after sleeve gastrectomy surgery. Therefore, there is a much lower risk of vitamin and mineral deficiencies than in surgeries that interfere with absorption.

    HOW MUCH WEIGHT LOSE WITH TUBE STOMACH SURGERY?

    When supported with a healthy nutrition system and exercise, you can lose 60-80% of your excess weight within one year after surgery. Of course, there is a risk of not losing enough weight or even gaining weight again when the rules are not followed and old bad habits are returned.

    HOW IS TUBE STOMACH SURGERY DONE?

    Gastric sleeve gastrectomy surgery is performed with the laparoscopic method, that is, by making 5 small incisions in the abdomen. The operation takes an average of 45-60 minutes. Of course, this is also related to previous surgeries or anatomy. Generally, the hospital stay is 3 or 4 days.

    IN WHICH SITUATIONS TUBE STOMACH SURGERY MAY NOT BE SUITABLE FOR ME?

    Since reflux complaints increase in 20% of the patients after sleeve surgery, care should be taken when making a sleeve decision in patients with reflux. A condition called Barett’s esophagus associated with chronic reflux is an absolute contraindication for sleeve gastrectomy. In other words, sleeve gastrectomy should not be performed in patients with Barett’s esophagus, bypass should be preferred.

    WHO CAN BE APPLIED TO THE GASTRIC BALLOON?

    Gastric balloon is an aid to diet. It can be applied to overweight people with a body mass index above 25 kg/m2, who have tried diet and exercise before but could not lose the targeted weight, have lost their diet motivation or do not prefer surgical interventions. In addition, the gastric balloon procedure can be particularly helpful for people who are deemed overweight to undergo vital surgery. Using the balloon to successfully reduce weight prior to surgery also helps reduce the risks associated with surgical procedures in overweight patients.

    HOW IS THE GASTRIC BALLOON APPLIED?

    Gastric balloon is applied by endoscopy method. Processing time is about 20 minutes. First of all, using an endoscopic camera, your abdomen is checked for any discomfort, such as an ulcer, that prevents the procedure. If no abnormalities are observed, the balloon made of a soft, flexible silicone elastomer material is deflated and placed in the stomach. When the balloon enters your stomach, it is filled with blue liquid through a small filling tube (catheter) attached to the balloon and the procedure is finished. The balloon begins to float freely in the stomach.

    It is applied under sedation for a comfortable procedure and the patient is awakened immediately after the procedure. After being kept under observation for 2 hours in the service, the patients are discharged.

    HOW LONG DOES THE GASTRIC BALLOON STAY IN THE STOMACH?

    Gastric balloon is divided into two types, which are preferred according to the amount of weight to be lost and can stay in the stomach for 6 and 12 months depending on the type of balloon. 6 and 12 month balloons are different from each other. While 12-month-old balloons can be inflated in 3-month periods to prevent adaptation of the stomach to the balloon, 6-month-old balloons are not suitable for inflation.
    Staying longer than required increases the risk of balloon bursting. Timely removal of the expired incoming balloon is recommended. For patients who cannot lose enough weight, repeating the balloon procedure may be considered.

    HOW IS THE GASTRIC BALLOON APPLIED?

    Gastric balloon is applied by endoscopy method. Processing time is approximately 20 minutes.
    First of all, using an endoscopic camera, your abdomen is checked for any discomfort, such as an ulcer, that prevents the procedure. If no abnormalities are observed, the balloon made of a soft, flexible silicone elastomer material is deflated and placed in the stomach. When the balloon enters your stomach, it is filled with blue liquid through a small filling tube (catheter) attached to the balloon and the procedure is finished. The balloon begins to float freely in the stomach.
    It is applied under sedation for a comfortable procedure and the patient is awakened immediately after the procedure. After being kept under observation for 2 hours in the service, the patients are discharged.

    WHAT ARE THE ADVANTAGES OF GASTRIC BALLOON?

    The major advantage of the gastric balloon is that it is minimally invasive, does not involve surgery, and can be performed as an outpatient procedure. Long-term weight loss is achieved by adapting a healthy eating pattern to their lives. It provides long-term weight loss, improvement of health problems such as obesity-related diabetes, hypertension, sleep apnea, and an increase in self-esteem and self-confidence.

    WHO IS APPLICABLE TO STOMACH BOTOX?

    Stomach Botox is applied to the obesity group that is not suitable for surgery. It is applied to patients whose BMI is below 35 kg/m2. It increases the resistance to diet in patients who have tried and failed to lose weight with diet and exercise. After the stomach botox application, it is definitely recommended to continue the diet. It is a successful method when applied with diet. It is applied to people between the ages of 18-65. The complication rate is very low.

    ABOUT OP. DR. ULVI ISGANDAROV

    I was born in Azerbaijan in 1987, I completed my primary, secondary and high school education in Azerbaijan and continued my education at Istanbul University Istanbul Faculty of Medicine between 2004-2010.

    After his medical education, he passed the medical specialization exam in 2011 and graduated from Ankara Dışkapı Yıldırım Beyazıt Eğt. Res. I started my general surgery specialization in the General Surgery Clinic of the Hospital.

    I became a General Surgery Specialist in 2016.

    During my specialization, I had the opportunity to work in the fields of my special interest such as Obesity and Metabolic Surgery, Hiatal Hernia Surgery, Advanced Laparoscopic Surgery, Thyroid Surgery and Emergency, Trauma Surgery.

    By completing my Endoscopy training period during my assistant training period, I gained experience in Gastoroscopy, Colonoscopy, Colonoscopic Polypectomy, PEG applications and got a Certificate in this field.

    I am still working in the private sector mainly on Obesity surgery, Hiatal Hernia surgery, Thyroid Surgery, and endoscopic interventions.

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      Our Address
      Bağlarçeşme mahallesi, 19 Mayıs Bulvarı
      No: 18 Istanbul, Esenyurt

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      +905416949896
      info@opdrulvi.com

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