ARE PROCEDURE
SAFE

In order for the muscles in our solutions to work, the nerves must transmit signals to our muscles. The connection of the signals sent by the nerves with the muscle is called the “nerve-muscle junction”. Botolinum toxin, a “neuro-toxin” (obtained from the bacterium Clostridium botolinum) blocks the operation at this “nerve-muscle junction” where nerve impulses are transmitted to the muscles.
Btx; “IT IS LOCAL-EFFECTIVE ONLY IN THE AREA APPLIED” stops “temporarily” from the beginnings of the “muscles to which it is applied” (temporary paralysis).
Btx is extremely safe to use and medical applications such as applications, cosmotic applications, muscle applications, ANAL fissure are performed.

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WHAT IS STOMACH BTX PROCEDURE IN OBESITY TREATMENT?
Op. Dr. Ersun Topal

Endoscopic gastric btx procedures have been performed safely since 2003 in the treatment of obesity (Dr. Rollnik, Germany, 2003). Dr. In Rollnik’s study, in the 4-month follow-up of people who applied endoscopic gastric btx and applied endoscopic gastric btx to people with a BMI of 30-35; reported that they lost 8.9% of their current weight and that people with stomach btx had a 32.5% reduction in their daily calorie intake.
In the study of İtilyan researcher Dr. Gui, he reported that all people who underwent endoscopic stomach btx had a ‘decreased appetite’. (2007)
In almost all of the studies, it has been reported that there is a slowdown in the ’emptying of food from the stomach’ after gastric btx procedure.

HOW DOES GASTRIC BTX PROCEDURE WORK?
Op. Dr. Ersun Topal

With endoscopic stomach btx procedure;
1- Decreased appetite
2- Reduction in daily calorie intake
3- Slowing down the emptying of food from the stomach
It is known to provide ‘weight loss’ with these three basic mechanisms.

HOW LONG DOES THE EFFECT OF GASTRIC BTX LAST?
Op. Dr. Ersun Topal

Btx is only effective in the area where it is applied and only for 4-4.5 months. The effect of gastric btx procedure will ‘completely’ end after 4-4.5 months.

HOW IS STOMACH BTX DONE?
Op. Dr. Ersun Topal

Gastric btx procedure is done with “endoscopy-assisted”. During the endoscopy, you will be put to sleep with a light sedation, we will reach your stomach with the endoscope and ‘first of all, your stomach will be evaluated endoscopically’ for the safety of the procedure.
In the endoscopic evaluation of your stomach, if there is no ‘condition that prevents the application of btx to your stomach’, the procedure will continue and botolinum will be applied to your stomach from 24-30 points from the entrance of your stomach.

HOW MANY UNITS BTX SHOULD BE APPLIED IN GASTRIC BTX PROCEDURE?
Op. Dr. Ersun Topal

A “clear dose” has not been determined in stomach btx procedures. However, as Istanbul Bariatric Clinic, we apply 500 units of “original Allergan” brand btx in all endoscopic btx applications. The rule that less effect will be obtained by using less btx should not be forgotten, and it should not be forgotten that “the lower the dose of btx is used, the cheaper it will be”.
IT MEANS “LESS BTX IS USED IF IT IS CHEAP”, which reduces the success of the procedure.

Frequently Asked Questions
Questions

Sleeve Gastrectomy Bursa Diabetes And Obesity Surgery Clinic
WILL I HAVE PAIN DURING THE ENDOSCOPIC GASTRIC BTX PROCEDURE?

Botolinum injection applied to the inner wall of our stomach is “absolutely painless”.

CAN ENDOSCOPIC STOMACH BTX OPERATION BE DONE AWAKEN?

During the endoscopic stomach btx procedure, “sacation anesthesia” will be performed by our Anesthesiologist and you will not feel any pain during the procedure and you will not remember the moment of the procedure.

SHOULD I GET HELP FROM A DIETICIAN AFTER STOMACH BTX?

After both endoscopic and surgical procedures of obesity, you should definitely get the help of an expert dietitian.
A member of our Istanbul Bariatric Clinic team, our “Expert Bariatric Dietitian” will visit you in your room after the procedure, and will explain your diet program that is “completely tailored for you” and “suitable for your eating habits” after the stomach btx application, and will give you a “free-of-charge” diet and follow-up program for 5-6 months.”

WHEN CAN I RETURN TO WORK AFTER ENDOSCOPIC GASTRIC BTX OPERATION?

Endoscopic stomach btx procedure is a “day-to-day” operation. You can return to your daily life or work a few hours after the procedure.

WHEN CAN I START SPORTS AFTER GASTRIC BTX PROCEDURE?

After the stomach btx procedure, there is no obstacle to returning to your daily routine, including sports.

WHEN CAN I GET PREGNANT AFTER GASTRIC BTX OPERATION?

After bariatric surgery, you will be discharged from the hospital after 48 hours under routine conditions.

CAN THE STOMACH BTX OPERATION BE PERFORMED AGAIN?

Another advantage of stomach btx application is that it is “repeatable”. Re-applications can be made in people who benefit from endoscopic stomach btx.

Op. Dr. Ersun Topal
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