Our hospital works meticulously in all cases that require surgical intervention, accompanied by its experienced staff. The work we have carried out in order to provide good service to our patients and to contribute to the increase of their quality of life by providing them with a healthy life.
In our General Surgery Department, we provide 24-hour service with applications that include the latest technological innovations and an expert and experienced staff. Our department; It works in cooperation with many disciplines due to its wide scope of interest. Thanks to its expert staff and advanced infrastructure, it also provides services in various sub-branches, each of which requires separate expertise. Advanced technological and modern laboratories, Radiology unit, pre-operative diagnosis and advanced examination studies, and post-operative control and follow-up processes are successfully carried out in our hospital. Our emergency surgery team consisting of specialist physicians is on duty 24 hours a day for all kinds of soft tissue trauma, appendicitis, gall bladder, inflammatory diseases of the stomach and intestines.
Acute and chronic pancreatitis Post-operative hernias Anorectal diseases (tumors, hemorrhoids, anal fissure-fistula) Intestinal obstructions, colon-rectal tumors and inflammatory diseases Various soft tissue infections Spleen diseases Small intestine diseases Benign and malignant tumors and cysts of the liver Abdominal wall and inguinal hernias Breast cancer and benign tumors of the breast Stomach cancer Pancreatic cysts and tumors Stones and tumors in the gallbladder and tract Obstructive jaundice Thyroid gland diseases (Goiter, Hyperthyroidism) Traumas and emergency surgery (appendicitis etc.) Biopsies Burn treatment and surgery Some other surgical interventions
Gastric By-Pass non-bypass was first introduced in 1966 by Dr. Made by Masson. In gastric bypass, the stomach is first divided into a small upper section and a larger lower section. Then, the connections of both pouches with the small intestine are rearranged.
HOW DOES GASTRIC BY-PASS LOSE WEIGHT? Gastric bypass reduces stomach size by more than 90%. The gastric bypass pouch is 15 ml in size. The gastric bypass pouch is usually formed in the least stretchy upper part of the stomach. Thus, a significant change in pouch volume is prevented in the long term. The diameter of the connection between the stomach and the intestine that changes over time and the ability of the small intestine to hold increasing amounts of food is. When the patient takes a small amount of food, the first response is to stretch the wall of the stomach pouch and stimulate the nerves that inform the brain that the stomach is full. Although the patient eats less, he feels satiated as if he has eaten a large meal. Patients learn very quickly that they need to eat their next bite very slowly and carefully to avoid increased discomfort or vomiting.
In order to get maximum benefit from this physiology, the patient should only eat at meals, take 2-3 meals a day, and avoid snacking between meals. In short, this surgery requires changing the eating habits acquired over a long period of time. In almost all cases where weight gain was observed again in the late stages of the surgery, there was no increase in meal capacity. The reason for regaining weight is especially high-calorie snacks between meals.
WHO CAN GASTRIC BYPASS BE DONE? This surgery can be tried on obese people who are 50 kilos over their ideal weight and do not benefit from other treatment methods. Especially the results obtained from this surgery for patients over 150 kilos are more successful than other surgeries.
SURGICAL METHOD It is based on the principle of creating a small pouch of 15-30 ml in the upper part of the stomach and ensuring that the remaining stomach of approximately 400 ml is bypassed. There are many surgical techniques available.
The most commonly used gastric bypass technique is the Roux-en-Y gastric bypass technique. It is the most applied bariatric surgery technique in the USA. It is the operation that causes the least nutritional problem. The small intestine is divided at a distance of 45 cm from the lower stomach outlet. It is then reattached with a small intestine piece to allow food flow through the upper small stomach pouch. By keeping the small intestine part between 80-150 cm, most of the absorption functions of the small intestine are preserved. The patient feels stomach fullness, a feeling of fullness or intolerance to food very soon after starting to eat.
WHAT ARE THE PROBLEMS THAT CAN BE FACED AFTER GASTRIC BYPASS?
Infection at the wound site
Post-operative bleeding
Intra-abdominal abscess
Hernia development at the wound site
Reflux in the esophagus
Intestinal obstruction due to abdominal adhesions
Clot in the lungs, clot formation in the leg veins
Leakage from the stomach and intestine suture
Stenosis in stomach-intestine continuity
Enlarged stomach pouch
Stomach ulcer
Dumping syndrome: The pylorus valve, normally located at the lower end of the stomach, regulates the passage of food to the small intestine. When patients eat carbohydrate foods, sugar quickly passes into the intestine, leading to a physiological condition called Dumping syndrome. Acceleration of heartbeats, cold sweating and anxiety develop. The patient usually lies down and becomes very uncomfortable for 30-45 minutes. This condition is usually followed by diarrhea. Dumping syndrome is not a life-threatening condition but a temporary condition.
Nutrient deficiencies (iron, calcium, vitamin B12, protein deficiencies) can be seen.
HOW MUCH WEIGHT LOSE GASTRIC BYPASS It has been reported that 65-80% of excess weight is lost in all versions of gastric bypass. Comorbid diseases also improve rapidly.
