Problems to be experienced after surgery can be classified as early and late problems. Early problems are those that will occur in the first 30 days after surgery.   The majority of these problems, if they are to develop, appear within the first 7 days. We can divide the early complications that may occur as complications related to bariatric surgery and complications that can be seen in all surgical procedures in general:

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1. The most important complications of obesity surgery are the leaks that develop from the stitches and staple lines created in the stomach or intestines. If this situation is detected early, the problem can be prevented and treated with endoscopic methods before it gets too big. However, sometimes the detection of leaks may be delayed, in this case, radiological interventions or new surgeries may be required for the treatment of accumulations or abscesses that may develop in the abdomen. The patient will most likely spend some of this process in the intensive care unit.

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   2. One of the complications that can be seen in all surgical procedures is bleeding. It is usually seen in the early period of surgery, within the first 48 hours.      _cc783119_1365cdecde- -3194-bb3b-136bad5cf58d_     _cc781905-5cde-3194-bb3b-bb3b-136bad5cf58d_ _cc-cde-3194-bb3b-136bad5cf58d_  _ccde-cc-383194_ _cdeb-cc383194 136bad5cf58d_    Although it is mostly treated with supportive care and blood donation, sometimes a second surgery may be required.

 

After the surgery, patients avoid deep breathing due to pain. Therefore, the lungs tend to close. If patients do not perform effective breathing exercises, the lungs are not well ventilated and this can lead to serious lung infection (pneumonia). It is very important to do breathing exercises after surgery.

 

Since the patients remain immobile for a while during and after the surgery, the possibility of developing a blood clot in the leg veins increases. Being obese also increases this risk. If a clot develops, there is a risk that a piece of the clot will break off and block the pulmonary vessels. This condition is called pulmonary embolism and  can be fatal. As a precaution, all patients are dressed in tight stockings resembling varicose stockings before the operation, blood thinners are administered continuously from 12 hours before the operation until the 30th day of the operation, and the patient is awakened at the earliest time after the operation (approximately 6 hours). In addition, it is recommended to move a lot while in the hospital and at home during the postoperative period.  

Late problems are those that may occur after the first month of the surgery. These problems can be listed as nutrient and vitamin deficiencies, changes in bowel habits, mechanical or functional strictures in the gastrointestinal tract due to surgery, reflux, and surgical site hernias. Since these problems develop over time, it may take time to be treated, and sometimes the need for surgery may arise.    _cc781905-5cde-3194-bb3b-136bad5cf1365cd1363594-bb3b-136bad5cf5cf5cfc-136bad5cf1365cf5835941cf781905cf58d__cc781905-5cde-3194-bb3b-136bad-136bad5cf3b-136bad5cf136557835941

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Can weight be regained after morbid obesity surgeries?

 

As with all treatment methods, the chance of success in the surgical treatment of obesity is not 100%. Most patients benefit greatly from treatment. The most important factor in the success of the treatment is the cooperation of the patient. Surgery for obesity is not magic. With these surgeries, patients are given the chance to get down to their ideal weight for once. Almost all of the patients lose weight significantly in the first 2 years.  

 

During this two-year period, patients need to adopt appropriate eating habits and adopt a healthy lifestyle in order not to gain weight. Failure is inevitable if this opportunity is not used well and old habits continue.

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If patients gain weight, can they be operated again?

 

If patients who have surgery gain weight, there is no standard treatment approach. Each patient needs to be individually decided. The amount of weight the patient has gained, the type of surgery he has undergone, the problems he has experienced afterward, and the patient's compliance with the treatment are the variables that determine the details of this process. In such a case, although it is desirable to solve the problem with non-operative methods, some patients may need to be operated again.