The first obesity surgery was performed by Victor Henrikson, a Swedish surgeon. Dr. Henrikson operated on a morbidly obese woman to lose weight and removed 105 cm of her small intestine. What part of the small intestine was removed and why 105 cm does not specify in your article. He reported that the patient began to lose weight in the early stages, but at 6 months of follow-up, he weighed 2 kg more than before surgery. The removal of a small part of the small intestine was tolerated by the remaining parts and no absorption disorder developed. Later, in 1954, Dr. Kremen developed the first Jejeno-ileal bypass, the first 25 cm of the small intestine and the last 10-15 cm of the small intestine, which interconnected almost 90-95% of the small intestine.
Although this surgery was very successful in losing weight, it was abandoned in the early 1970s due to the fatal disorder of vitamins, minerals and energy absorption it created. In 1967, Dr. Mason developed a gastric bypass surgery. In this operation, both the stomach was reduced and caused an absorption disorder much less easy to tolerate than yeyenoileal bypass surgery. In 1976, the Italian surgeon, Dr. Scopinaro, developed biliopancreatic bypass surgery, which interrupted the small intestine more than the gastric bypass and caused more absorption disorders. It was later transformed into a duodenal switch operation, which has recently gained popularity and is preserved with the natural valve at the stomach outlet. In the early 1980s, surgeries emerged that could be effective only by reducing the volume of the stomach without altering absorption. Kuzmak presented known gastric band surgery c
In the following years, an adjustable band for surgery was modified. In the early 2000s, sleeve gastrectomy (stomach tube) was described as the initial operation for patients with a very high body mass index. This is a first procedure before gastric bypass, and it has become an increasingly common procedure, since it is observed that postoperative patients lose weight more than expected and are close to the ideal. At the moment, sleeve gastrectomy is the most common bariatric procedure in our country. Obesity surgery causes weight loss in 3 ways.
- 1) Reduce stomach volume to reduce food intake.
- 2) Avoid a portion of the small intestine to avoid contact with food.
- 3) Apply both effects in a single procedure. As a stomach clip.