#09. The Evolution of Obesity Surgery

Basically, the goal of obesity surgery is weight control. Blood sugar control is, in this case, a mere side effect. For patients who are not obese, the situation is quite different and more difficult. While in obese patients there is insulin resistance due to adipose tissue, in normal weight patients, the dysregulation in the hormone balance of the pancreas, small intestine and liver remains at the forefront. In these patients, it is not possible to control blood sugar levels by weight reduction. These patients must undergo a more extensive surgery, leading to substantial changes in the digestive tract. The operation methods that are designed to achieve this goal include the İleale Interposition or Transit Bipartision Surgery. Following these surgeries, the patients will only need to take vitamin and mineral supplements for about one year.

The first 3-4 weeks after surgery constitute an adjustment period. During this time, the body is gradually getting used to its completely new metabolism. There are fluctuations in blood sugar levels and blood pressure. It should be emphasized that just as the course of diabetes is peculiar to an individual, the phase of recovery is also dependent on individual factors. For example: male patients tend to recover faster than female patients, and younger patients recover faster than the older. After the adjustment period is completed, the patient begins to feel more comfortable. Following 2 to 2.5 months after surgery, a new life truly begins for the patient. He will have more energy for the daily activities, and his sleep pattern takes on a rhythm. He begins to wake up rested and refreshed. For that period, we recommend monitoring programs.