Frequently Asked Questions
When a person decides to have bariatric surgery, they make a decision that will affect their lives and those around them. When we think that the feelings of obese patients are often left out or ignored, this event can sometimes become complicated. After the surgery, the personalities of the patients change and their desire to do different activities increases. The key ingredient in adapting to the important emotional changes you are going through is communication. Discuss your concerns with friends and family and accept their support.
Adhesions are adhesions in the abdomen that occur due to surgical wounds. Performing these surgeries with laparoscopic or robotic methods also reduces the risk of surgery-related trauma and thus the risk of adhesions. In this sense, it is important that the tissues are less traumatized thanks to robotic surgery.
The period from the first six months to one year after the obesity surgery is the honeymoon period for these surgeries. This is because people are very focused on their surgery and more willing to follow the rules. However, some patients have problems in adapting to the anatomical and functional effects of this surgery for a lifetime. These patients may find themselves returning to their old habits over time. Eating healthy, learning to listen to your body, and taking responsibility for your choices and regular exercise is a lifelong commitment. You can think of surgery as a tool to implement the changes you need to make to be healthy for life.
In the first weeks after surgery, it is difficult to get the necessary nutrients in sufficient quantities. It is important to take a vitamin/mineral supplement regularly to maintain body stores of critical nutrients. You will receive your protein intake in the first weeks after surgery. For this purpose, we give nutritional solutions containing both multivitamins and amino acids to the patients after the surgery. New hair growth is usually seen within 6-8 weeks after surgery and correction of any nutritional deficiencies.
Phlebitis is an unwanted blood clotting condition in the veins of the calf and pelvis. It is not completely preventable, but the risk is considerably reduced after preventive measures are taken. These are special pneumatic stockings used during surgery, blood thinners and early mobilization. We routinely apply phlebitis preventive protocols to all our patients in our surgeries.
A patient undergoing obesity surgery is limited due to the frequently seen adverse effects of drugs used in the treatment of pain. Paracetamol (parol) is an effective analgesic and is the drug of choice as it has minimal adverse effects on the gastric and intestinal mucosa. 2-3 tbs per day can be used. Aspirin and NSAIDs should be avoided because of gastrointestinal (GI) side effects
The medications you use for blood pressure and diabetes will not be needed frequently, as these diseases will improve after bariatric surgery. The vast majority of medications that need to be taken can be swallowed or absorbed. Usually no dose changes are required. Two drug groups should be considered after bariatric surgery. The first of these is painkillers, and the other is diuretic drugs. Pain relievers can cause ulcers in the stomach or intestines. Most of the diuretic drugs, which we call diuretics, lose potassium from the kidneys. When potassium levels are too low, it can cause significant heart problems.
We strongly recommend that women wait at least one year after bariatric surgery to get pregnant. About a year after surgery, your body becomes fairly stable in terms of weight and nutrition, so you can get the nutrients that can meet a fetus' needs. That's why you should consult your surgeon when planning pregnancy.
Obesity is one of the important causes of infertility. There is a decrease in the number and quality of eggs in the ovaries with obesity. Pregnancy, delivery and postpartum periods of an obese person are more troublesome than those of normal weight. For these reasons, obese people have a higher chance of getting pregnant after surgery. With the disappearance of obesity, the follow-up of the person during pregnancy is healthier
Because of the restriction of the new anatomy created after obesity, fewer calories are taken than the current need of the person. The body has to make up for the difference by burning reserves or unused tissue. Your body will tend to burn off unused muscle before it starts burning fat. If you don't exercise every day, your body will break down unused muscles and you will lose muscle mass and strength. 20 minutes of daily aerobic exercise helps your body protect your muscles and thus burn fat.
Follow simple and easy ground rules;
Immediately after the surgery, you will begin the dietary guidelines given to you before the surgery. You will need to follow these guidelines closely. You'll start with a liquid diet, move on to semi-solid foods, and then add solid foods that you can tolerate without risking surgery. The new stomach created in your surgery needs time to heal properly.
When you can eat solid foods, eat 3 meals a day, no more. Protein from lean meat (chicken, turkey, and fish) and other low-fat sources should be eaten first. These should make up at least half of the volume of the meal eaten. Food should be cooked with little or no oil. Avoid foods such as sauces, butter, margarine, mayonnaise.
Never eat between meals.
Drink lots of water. Consume water slowly, due to the restrictive effect of the surgery.
Exercise for at least 20 minutes every day (like walking 1.5-2 km, cycling, climbing stairs). Weight / resistance exercises can be added 3-4 days a week within the knowledge of your doctor.





