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Approach to Weight Gain After Gastric Sleeve Surgery

Bariatric surgery is the most effective and long lasting treatment method in the fight against obesity and obesity-related co-morbidities. Gastric sleeve surgery is one of these surgical methods. Many successful gastric sleeve surgeries were performed by Op.Dr.Volkan Arayıcı to people coming from Turkey and all over Europe, who were struggling with obesity.

After gastric sleeve surgery, approximately 15% to 25% of the operated patients can regain weight. Weight regain usually occurs after two to five years.

Eld age, diabetes, multiple psychiatric disorders are indications that there may be less weight loss before surgery or that there may be regained weight after surgery. Such patients should be well evaluated and informed in detail before surgery.

Nutritional incompatibilities, nutritional disorders, hormonal and metabolic imbalances, lack of physical activity and psychiatric disorders are the leading indicators of regaining weight after surgery. Such patients should be evaluated well before the operation and informed accordingly for the postoperative period.

Treatment of regained weight after gastric sleeve surgery begins with a comprehensive evaluation of the patient by a multidisciplinary team. The patient's detailed blood picture, nutritional habits, psychological evaluation, physical activity and the first surgery should be evaluated. If there is a hormonal disorder (hypothyroidism), this should be corrected first. If the person's physical activity is low, this should be increased.

A person who regains weight after gastric sleeve surgery should be evaluated for a detailed psychiatric evaluation. Underlying psychiatric problems should be identified and behavioral & psychopharmacological therapies should be performed. These therapies can make the person lose weight again.

If these interventions do not work in people who have regained weight after gastric sleeve surgery, Revision Surgery comes to the fore. The first operation performed will be evaluated with endoscopy and passage graphy, and the second operation will be decided.

It should not be forgotten that if we do not adopt healthy eating habits after gastric sleeve surgery, do not increase our physical activity and try to maintain our old unhealthy habits, it is very possible to gain weight again. Gastric sleeve surgery is a chance given to obese individuals to start over. It is up to the person who had gastric sleeve surgery to use this chance or not.

I wish everyone a healthy and happy day.

Op.Dr.Volkan Arayıcı

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