The most important step to combat obesity is to decide to have this surgery. Obesity requires many important changes in your life before and after surgery, especially in nutrition and diet. A ”special diet öncesi before obesity surgery will reduce the risks of surgery and will help you to improve the postoperative recovery period. During the interviews with the nutritionist before the surgery, a special nutrition program is organized considering the patient’s lifestyle, feeding habits, weight and co-morbidities. This program is purely for surgery preparation. Although the program prepares the patient for surgery, it also has positive effects on motivating this process.
Your obesity surgery will affect what you eat in your meal, how much you eat, and how you eat it. Before the surgery to accelerate the healing process, prepare your body for surgery and increase your weight loss rate to change your nutritional system is required. The first weight given by the diet to be done before surgery is to reduce the fat and thus the size of the liver. In this way, both the operation time is shortened and the possible complications are minimized.
Thanks to this diet, your body fat ratio is reduced. Muscle loss in the body is reduced. Some of the risks and difficulties associated with surgery are lessened. Your physical functions and mobility increase. It also makes it easy for you to adapt to your diet for post-surgery.
Prior to the obesity surgery, patients should undergo nutritional control 2 weeks before surgery if possible. Preoperative diet; protein-rich, low fat and low calories.
This diet plan, where you can get an average of 1100-1300 calories per day, should be rich in protein, vitamins and minerals and lack fat, refined sugar and carbohydrates. In the preoperative period; fatty foods, fries, pastries, all kinds of nuts, sugary foods and acidic beverages should be avoided.
In general, preparation procedures before obesity surgery are as follows .
- Firstly, you will learn about your history of obesity and the reasons that may cause it.
- A physical examination is then performed. Your health history is examined in detail and a comprehensive evaluation process begins. Height and weight are measured. Belly circumference and blood pressure are measured. The tests are started with a wide blood analysis. Complete blood count, blood glucose tests, serum lipid profile, kidney functions, liver functions, iron and other vitamin and mineral tests are performed. In blood tests, possible endocrinological causes of obesity are further investigated (suppressed cortisol value and thyroid hormones) and, if necessary, contact the endocrinologist. The presence of obesity-related diseases is investigated. Diabetes, hypertension, dyslipidemia, hyperlipidemia, cardiovascular and respiratory system problems, joint problems, fatty liver, sleep disorders are evaluated. Pulmonary capacity is examined by pulmonary function specialist by pulmonary function test. ECO cardiography is performed by the cardiologist and cardiac functions are evaluated.
- The endoscopy is performed before the surgery and the inside of the stomach is evaluated. If a possible ulcer or polyp is detected in the gastric incision line, their treatment is performed first and the surgery is postponed until after treatment.
- After the completion of all tests, the patient is evaluated by the anesthesiologist and prepared for surgery.
- Immediately prior to the day of surgery, a blood thinner needle is administered at night and hospitalization is performed with a fasting of at least 8 hours.