Who is Kiss. Dr. Hüseyin Akyol?

I was born in Adapazarı in 1973. I graduated from Uludag Faculty of Medicine in 1998. I became a general surgeon in 2004. I have been working at Bahçelievler Medical park hospital since 2007. In 2015, I moved to the academic staff as a doctor lecturer at Altınbaş University Faculty of Medicine. I have been working as the vice dean of the medical faculty since 2018. My interests; bariatric surgery, oncologic surgery and proctology.

What is obesity? is it a disease?

Obesity is one of the most important health problems in developed societies. Obesity is a disease that negatively affects the quality and duration of life.
Obesity is generally referred to as an increase in body fat mass. Adipose tissue constitutes 15-18% of body weight in adult men and 20-25% in women. If this rate is over 25% in men and over 30% in women, obesity constitutes.

What are the causes of obesity?

Decreased physical activity, excessive consumption of high-calorie foods, hormonal disorders, genetic reasons.

What are the health problems caused by obesity?

Cardiovascular diseases, hypertension, type 2 diabetes, sleep apnea, joint diseases, increased risk of cancer, etc.

Why is the prevalence of obesity increasing all over the world?

Especially the increase in the consumption of refined and ready-made foods and the decrease in physical activity during the day.
Especially during the pandemic period, the closure of people at home has reduced physical activity and caused an increase in obesity all over the world.

Do we see obesity in children too?

Obesity in children is increasing rapidly. The probability of obese parents' children being obese is 80 percent.
Obesity in children is caused by the consumption of high-calorie foods and the lack of physical activity by spending long periods in front of tablets and TV.

What should be the approach to the treatment of obesity?

Changing the lifestyle is essential. Appropriate healthy foods should be fed and physical activity should be increased.
There is no chance of success with shock diets without changing the lifestyle. In the morbidly obese group, patients can get rid of their excess weight with bariatric surgery.

What is Obesity and Metabolic Surgery? What operations does it cover?

Obesity surgery is surgery that aims to lose weight. Metabolic surgery is a term used for weight loss treatments and interventions, especially for the treatment of Type-2 diabetes.
Are these surgeries so diverse? It is divided into three groups.
- Restrictive surgeries, the most widely known sleeve gastrectomy, are in this group.
- Absorption-reducing surgeries
- Combined (both restrictive and absorption-reducing) most commonly known gastric bypass

Which diseases can be cured with obesity and metabolic surgery?

Metabolic surgery, popularly known as diabetes surgery, is also a method used in the treatment of diseases such as hypertension, obesity, type 2 diabetes and high cholesterol.

What is Gastric Sleeve Surgery?

Today, approximately 70 percent of bariatric surgery is sleeve gastrectomy surgery. It is a restrictive method that reduces the person's food intake. In sleeve gastrectomy surgery, approximately 80 percent of the stomach is cut and removed. The remaining stomach is turned into a thin long tube like a banana. It is applied laparoscopically, that is, with the closed surgery method.
Since it is removed from the part of the stomach where the ghrelin hormone, called the hunger hormone, is secreted, the appetite of the people decreases after the surgery.

Who are suitable candidates for sleeve gastrectomy surgery?

Patients with a body mass index higher than 40,
Those with a body mass index between 35 and 40 with hypertension, type 2 diabetes, high cholesterol, fatty liver, and co-morbidities such as sleep apnea.

When and how much weight can be lost with sleeve gastrectomy surgery?

In an average of 1 year, patients can lose 60-70 percent of their excess weight. This can vary from person to person.

What is the process before and after sleeve gastrectomy?

In patients who decide to have sleeve gastrectomy surgery, routine blood tests are performed before the operation, the patient is evaluated by the cardiology chest diseases anesthesia psychiatry and endocrinology physician, and the patient is prepared for surgery by performing gastric endoscopy in order to reveal the existing pathologies in the stomach.

The operation is performed laparoscopically, that is, in the form of closed surgery, through 4-5 small holes. The duration of the operation is 45 minutes on average. After the operation, the patient stays in the hospital for two nights. 6 hours after the operation, the patient starts to drink water and starts a diet with liquid food the next day. During the first week after the surgery, there is a liquid diet period, and the patient consumes only liquid foods. In the second week, it switches to a puree-like diet. As of the third week, normal foods are started.

What is Gastric Bypass?

Gastric bypass surgery has been used in bariatric surgery for more than 20 years. It is a method that restricts nutrient intake and also reduces nutrient absorption by causing changes in intestinal functions.

Who are suitable candidates for Gastric Bypass surgery?

Apart from morbid obesity (defined as a body mass index greater than 40), this surgical method is also used to treat type 2 diabetes, hypertension, sleep apnea, and other comorbid conditions. Thanks to the gastric bypass method, it has been observed that the long-term mortality rate of the patients is reduced by up to 40%.

Is it possible to get rid of insulin with metabolic surgery?

If the patient's insulin reserves are sufficient, patients can avoid using insulin injections after this surgery.

Is there a lot of pain after the surgery? When can patients return to their normal life?

There is mild pain associated with the operation for 1-2 days after the operation. Those who work in light jobs can start work 1 week-10 days after the surgery. Those who work in heavy jobs can return to work after 3-4 weeks.