– Sibel Ozdemir / Mynet – We received expert opinions about Dumping Syndrome, which has become one of the most curious diseases in recent days. General Surgery Specialist Op. Dr. Mehmet Hakan Tekelioğlu, what you need to know about dumping syndrome, Aesthetic Surgery Specialist Prof. Dr. Akın Yücel said that such surgeries should not be performed for aesthetic purposes, Psychiatrist Specialist. Dr. Hülya Yanbay also talked about the effects of social media on body image.
General Surgery Specialist Op. Dr. Mehmet Hakan Tekelioglu
Dumping syndrome is a problem characterized by nausea, diarrhea and postprandial fatigue caused by rapid emptying of the stomach. Oral food normally goes to the duodenum after the stomach, if this passage accelerates and if the food taken passes quickly to the small intestine, dumping syndrome occurs. All kinds of surgical procedures that accelerate this transition, and especially in patients who have undergone gastric bypass surgery, are frequently seen in this condition. Patients younger than 35-40 years of age and BMI less than 25 have more complaints than older and more obese patients.
ATTENTION TO THESE SYMPTOMS!
Symptoms of dumping syndrome; It is divided into early symptoms that occur ten to 30 minutes after a meal and late symptoms that appear one to three hours after a meal. Early symptoms can be listed as cramping abdominal pain, diarrhea, bloating, dizziness, weakness and tachycardia.
Late symptoms can be listed as tachycardia, dizziness, sweating, rashes in the body, loss of concentration and fainting.
IT IS MOST SEEN AFTER GASTRIC BYPASS SURGERY
Dumping syndrome can be caused by eating habits, especially when taking high levels of simple carbohydrates or in patients who have had gastrointestinal surgery. Gastric bypass is the most common surgery for this problem. The most common procedure in weight loss surgeries is sleeve gastrectomy surgery. Dumping syndrome is almost never seen in sleeve gastrectomy surgeries.
Gastric bypass surgery, which is one of the surgeries performed for weight loss, is one of the surgical operations in which dumping syndrome is most common.
IT COULD GROW WITH TIME BUT…
Dumping syndrome can resolve spontaneously within three months, if there is no improvement, it requires treatment. These treatments are primarily diet and drugs used to slow the passage of food into the gut. If these are not successful, surgical treatment may be required.
Plastic, Reconstructive and Aesthetic Surgery Specialist Prof. Dr. Akin Yucel
Surgical interventions applied to patients whose weight is well above the ideal rate and who have problems losing weight are called Bariatric Surgery, and procedures that treat sagging, accumulation and depressions in the skin after this surgery are called Post Bariatric Surgery. Plastic surgeons undertake the post-bariatric part of these procedures. Recovery can be achieved without the need for post-bariatric surgery in young patients with high skin quality who do not experience significant weight loss, but this is rare.
PHYSICIANS SHOULD REJECT PEOPLE UNDER A SPECIFIC WEIGHT
Gastric reduction surgeries, which we call bariatric surgery; However, it should be applied to people who have serious problems in losing weight, this procedure should not be done to look thinner, to stay thin, that is, for aesthetic purposes. As with any surgery, this surgery has its own risks. Physicians should also reject claims under a certain weight.
Psychiatrist Specialist Dr. Hulya Yanbay
Being overweight is a health problem, but nowadays, in people’s minds, it can be perceived together with concepts such as worthlessness, failure, not being worthy of being loved, and similar concepts. Social media, advertisements, TV series and movies can be effective in these distortions. There is a provocative side to all of this.
SOCIAL MEDIA AND BODY PERCEPTION
This excessive preoccupation with external appearance may appear in the clinic as anorexia nervosa or sometimes body dysmorphic disorder. In fact, if you look, social media provokes this situation, but there are also factors such as low self-esteem, early childhood traumas, depression and anxiety disorders. In treatment, besides the medical approach, psychotherapy has a place. Psychotherapy is preferred according to the patient’s condition. Cognitive-behavioral approaches, improvement of self-esteem, improvement of coping skills, traumas, if any, should be addressed. We should use social media as much as possible to get information, have fun, and make life easier.