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Obesity and Metabolic Surgery / Op. Dr. Kadir DİCLE

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Obesity and Metabolic Surgery / Op. Dr. Kadir DİCLE

What is Obesity?

Obesity is a condition characterized by excessive fat accumulation in individuals with a body mass index (BMI) of 30 or higher. Obesity can lead to many health issues, including serious complications such as heart disease, diabetes, hypertension, sleep apnea, respiratory problems, and joint pain.

What Are the Risks Associated with Obesity?

Obesity is a serious condition that can lead to many health problems. Here are some examples of the risks associated with obesity:

  • Heart Disease: Obesity increases the risk of heart disease. Excess weight is associated with high blood pressure, high cholesterol, and elevated blood sugar levels. These factors increase the risk of heart disease, heart attacks, and strokes.
  • Diabetes: Obesity increases the risk of type 2 diabetes. Overweight individuals tend to develop insulin resistance due to their bodies' inability to use insulin hormone effectively.
  • High Blood Pressure: Excess weight increases the risk of hypertension. High blood pressure can lead to serious health issues such as heart disease, stroke, and kidney disease.
  • Sleep Apnea: Obesity raises the risk of a respiratory disorder known as sleep apnea. This condition can lead to serious health complications due to interrupted or reduced breathing during sleep.
  • Osteoarthritis: Obesity increases the risk of joint pain and osteoarthritis. Excess weight puts added stress on joints such as the knees, hips, and ankles, which can cause joint damage.
  • Depression: Obesity can increase the risk of depression, leading to issues such as social isolation, low self-esteem, and self-worth problems.

Due to the serious health problems associated with obesity, many individuals should aim to lose weight and adopt a healthy lifestyle.

What Are Metabolic Diseases?

Metabolic diseases are a group of conditions that arise from metabolic disorders in the body, often related to hereditary factors or lifestyle choices. Metabolism refers to how the body converts, stores, and utilizes food for energy. These diseases can trigger other health issues, such as high blood sugar, high blood pressure, high cholesterol, obesity, heart disease, and diabetes.

Common metabolic diseases include:

  • Diabetes: A disease characterized by uncontrolled elevation of blood sugar. There are three types: Type 1, Type 2, and gestational diabetes.
  • Obesity: A condition resulting from excessive fat accumulation in the body. It can lead to high blood pressure, heart disease, type 2 diabetes, sleep apnea, and other health issues.
  • Hypertension: A condition of high blood pressure that can increase the risk of heart disease, kidney disease, and stroke.
  • Hyperlipidemia: A condition characterized by high levels of cholesterol or triglycerides in the blood, increasing the risk of heart disease.
  • Metabolic Syndrome: A condition where several metabolic issues, such as diabetes, high blood pressure, and obesity, coexist, increasing the risk of heart disease.

Causes of metabolic diseases may include lifestyle factors (eating habits, level of physical activity), genetic predisposition, and hormonal imbalances. Treatment depends on the type and severity of the disease. Healthy lifestyle choices (regular exercise, healthy eating), medication, and sometimes surgical interventions are among the treatment methods used for managing metabolic diseases.

What Are the Risks Associated with Metabolic Diseases?

Metabolic diseases are significant risk factors for many health issues, including heart disease, stroke, kidney disease, neurological disorders, and even cancer. The following risks encompass potential health problems caused by metabolic diseases:

  • Heart Disease: High blood pressure, high cholesterol, and obesity increase the risk of heart disease, which includes various conditions that impair heart function, such as coronary artery disease, heart attacks, angina, and heart failure.
  • Stroke: High blood pressure can lead to narrowing and blockage of blood vessels, interrupting blood flow to the brain and increasing the risk of stroke.
  • Kidney Disease: High blood pressure and diabetes can impair kidney function and lead to kidney disease, which can progress to chronic kidney disease characterized by gradual loss of kidney function.
  • Neurological Disorders: High blood pressure and diabetes can lead to nerve system disorders, including Alzheimer's, Parkinson's, cerebral palsy, multiple sclerosis, and epilepsy.
  • Cancer: Some metabolic diseases, especially obesity, can increase cancer risk, characterized by uncontrolled growth and reproduction of cells.

The risks associated with metabolic diseases can be reduced or prevented with early diagnosis and treatment. Therefore, adopting a healthy lifestyle, undergoing regular medical check-ups, and receiving appropriate treatments for metabolic diseases is crucial.

What is Obesity Surgery?

Obesity surgery encompasses a series of surgical procedures performed to improve the health of overweight or obese individuals. Obesity surgery helps individuals reduce their weight and regulate their metabolic systems. It is also used when traditional methods like diet and exercise are insufficient for weight loss.

Obesity surgery may involve different techniques, such as reducing stomach volume, altering gastrointestinal connections, or both. These procedures include gastric bypass, gastric balloon, gastric banding, sleeve gastrectomy, and biliopancreatic diversion.

Obesity surgery is generally recommended for individuals with obesity-related health issues who have not had success with other weight loss methods. These issues may include type 2 diabetes, hypertension, sleep apnea, heart disease, joint pain, liver disease, and depression.

Due to the serious nature of obesity surgery, it requires careful monitoring by a specialist surgeon and medical team to determine the appropriate candidates and methods. Factors such as overall health status, duration of obesity, age, weight, and other health conditions should be considered before surgery.

What is Metabolic Surgery?

Metabolic surgery refers to surgical procedures performed on obese patients with a BMI of 35 or higher, aimed at treating not only weight loss but also diabetes, hypertension, and other metabolic issues. These procedures work by reducing stomach volume or rearranging the intestines to decrease nutrient absorption.

Metabolic surgery is distinct from bariatric surgery performed solely for weight loss. It is regarded as a surgical intervention for treating metabolic issues related to obesity, addressing insulin resistance and blood sugar levels as well.

The most common types of metabolic surgery include:

  • Gastric Bypass Surgery: This procedure reduces stomach volume and bypasses a portion of the intestine to decrease nutrient absorption, recommended for treating type 2 diabetes and hypertension.
  • Gastric Sleeve Surgery: This procedure reduces stomach volume and leads to weight loss by decreasing food intake, recommended for controlling insulin resistance and type 2 diabetes.
  • Biliopancreatic Diversion: This procedure reduces stomach volume and bypasses part of the intestines, potentially treating type 2 diabetes in 95% of severely obese patients.

Due to its effectiveness in combating obesity, metabolic surgery is becoming increasingly popular. However, such surgeries require serious consideration and careful candidate selection. Along with potential benefits, metabolic surgery also carries risks and complications. Before deciding on any metabolic surgical procedure, it is essential to consult with a surgeon and discuss the details thoroughly.