In Antalya, stomach surgery is performed by an English-speaking doctor using laparoscopy. This procedure involves removing a significant portion of the stomach, leaving only a small tube connecting the esophagus and intestine. This results in reduced stomach volume and affects the hunger hormone, ghrelin, which plays a role in appetite regulation.
Ghrelin is primarily produced in the stomach fundus and influences food intake and growth hormone secretion. When fasting, ghrelin levels rise, and they decrease after eating. Insufficient sleep can lead to increased ghrelin secretion and potentially contribute to obesity.
Compared to gastric bypass, gastric reduction is performed more frequently. It offers advantages for patients with conditions like Crohn's disease or intestinal adhesions as it doesn't involve intestinal diversion and preserves drug absorption. However, a drawback is the irreversible loss of a significant portion of the stomach.
After bariatric surgery, patients must adopt a specific balanced diet, which can lead to improved overall health and the alleviation of related conditions.
Gastric sleeve surgery is a restrictive procedure resulting in smaller food portions. Approximately 30% of patients lose 60% of their excess weight, with many experiencing improvements in concomitant diseases. Some individuals may not achieve this level of weight loss due to factors like unchanged eating habits, insufficient physical activity, or gradual stomach dilation from overeating.
Complications such as gastric tube narrowing can occur, which may require treatments like dilation with a balloon or the insertion of a stent. Heartburn can also arise or worsen post-surgery, often treatable with acid-blocking drugs, but in severe cases, corrective surgery may be necessary.
For cases of insufficient weight loss and a significantly expanded tubular stomach, a re-reduction of the stomach combined with a bypass operation may be recommended.
Laparoscopic surgery is minimally invasive and involves gas filling the abdomen for better visibility. A leak test is crucial to ensure tight sutures and reduce complications.
Wound drainage is used after major surgeries to remove fluids and promote wound healing. It involves a drainage tube connected to a container under negative pressure, which helps drain blood and serous fluid from the wound and aids in wound surface healing.
In summary, stomach surgery in Antalya involves laparoscopy to reduce stomach size, impacting the hunger hormone ghrelin. The procedure can lead to weight loss and improved health but may have complications that require further treatment. Wound drainage is used post-surgery to aid healing.
