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Should I Have a Sleeve Gastrectomy Surgery
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Should I Have a Sleeve Gastrectomy Surgery
EN
About Us
About Us
About Antalya
Hospitals
Why Clinic Ways
Doctors
News
Tests
Should I Have a Sleeve Gastrectomy Surgery
Situation Analysis
Should I Have a Sleeve Gastrectomy Surgery
1.
Name Surname
2.
Weight (kg)
Height (cm)
3.
Sex
Female
Male
4.
Age
5.
Telephone No.
5.
Please check your diseases
Diabetes Typ 1
Diabetes Typ 2
Insulin Resistance
Heart Disease
Hypertension
Lumbar Disk Disease
Cancer
6.
Please check your other diseases
Reflux
Gastritis
Joint Disorders
High Colesterol
Dislipidemi (High Cholesterol)
Menstrual disorders
Psychological Disorders
Sexual Problems
Asthma
7.
Do you have any psychiatric diagnosis related to drug and alcohol addiction?
Yes
No
8.
Do you have any psychiatric diagnosis related to an eating disorder?
Yes
No
9.
Please check chronic or hereditary diseases that your family has (father, mother, brother or sister etc.)
Diabetes Type 1
Diabetes Type 2
Insulin Resistance
Blood Pressure
Heart Disease
Cancer
10.
If you take any medicine regularly, please write them below
11.
Do you smoke? (Please consider last 3 months)
Yes, I smoke 1/2 package a day.
Yes, I smoke one package a day
Yes, more than a package a day
No I don’t smoke
12.
Have you ever tried to lose weight before?
Yes
No
13.
How was your weight during your adolescence? (The ages between 10 and 19 years old)
I was overweight
I was overweight
I was normal weight.
I was thin.
14.
If you want to solve your obesity problem via an operation, what your family and your close circle of friends’ reaction would be?
They will support me
Even if they don't support, they respect my decision
They don't support this decision
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