The Changsha man underwent minimally invasive metabolic bariatric surgery, and the weight loss lowered his blood pressure

Surgical scene.

RedNet Moment, January 26 (Correspondent Liu Li) At present, there are more and more patients with hypertension around the world. Increased blood pressure can cause lesions of important organs such as the human heart, brain and kidneys, and is also the most important risk factor for stroke, coronary heart disease, heart and kidney failure. Overweight and obesity are one of the important causes of increased blood pressure, and data show that people with a BMI of ≥ 24 kg/m2 have a 3-4 times higher risk of developing high blood pressure than people of normal weight. Therefore, weight loss has become one of the important measures to reduce blood pressure.

"However, what we usually call weight loss measures such as dieting and exercise is difficult for some people to work, or the effect is limited, and may bring some adverse effects to the body." Professor Zhang Haitao, director of the Department of Endocrinology of the Second People's Hospital of Hunan Province, said that for example, excessive dieting caused by unbalanced human nutrition, human joint damage caused by improper exercise, etc. So, is there a better way to achieve fast, safe, effective, and lasting weight loss? "In fact, in recent years, under the joint evaluation of multidisciplinary MDT such as endocrinology, gastroenterology, minimally invasive surgery in hospitals, we have carried out a number of cases of laparoscopic metabolic bariatric surgery, which has become a good treatment for patients with metabolic syndromes such as obesity, hypertension, diabetes, polycystic ovary syndrome and so on." Professor He Hengzheng, chief of minimally invasive surgery at the Second People's Hospital of Hunan Province, introduced it.

Mr. Li (pseudonym), a 48-year-old man in Changsha, has been taking oral medications to lower blood pressure for many years, but his blood pressure is always not well controlled, and he even uses four or five drugs in the most serious cases. In the past two years, Mr. Li has taken more and more antihypertensive drugs, and the dose is getting larger and larger, but the blood pressure is still like a "stubborn molecule", and the highest systolic blood pressure is more than 200 mm Hg, and the diastolic blood pressure is also above 110 mm Hg.

Mr. Li heard that excessive blood pressure is easy to cause cerebral hemorrhage, cerebral infarction, cardiovascular disease, etc., coupled with the weight in the past two years has begun to grow, so he is very worried, accompanied by his family, he came to the endocrinology department of the Second People's Hospital of Hunan Province for treatment.

Professor Xia Cui of the Department of Endocrinology received the consultation and conducted a detailed physical examination for Mr. Li. She found that Mr. Li currently has a systolic blood pressure of more than 200 mm Hg and a diastolic blood pressure of more than 110 mm Hg, and several antihypertensive drugs have been used at the same time. Moreover, he is 1 meter 73 tall and weighs 200 pounds, which belongs to the category of obesity. After asking about the medical history, it was learned that Mr. Li had previously tried to control diet, exercise and weight loss and other methods without obvious results, and the long-term use of a large number of drugs can cause damage to the function of related organs of the body. After evaluation, Professor Xia Cui and Professor Zhang Haitao, the director of the department, decided to recommend surgical treatment for Mr. Li, and invited the multidisciplinary MDT team such as Professor He Hengzheng, the director of the department of gastroenterology, and Professor Zhou Yan, the director of the Department of Gastroenterology, to consult with Mr. Li.

After the experts' comprehensive understanding and comprehensive evaluation of Mr. Li's medical history and previous treatment, Professor He Hengzheng, the head of minimally invasive surgery, performed laparoscopic metabolic bariatric surgery for him, which is the safest, most effective and most suitable treatment method for Mr. Li at present.

After full surgical preparation, Professor He Hengzheng led the efficient and Cheng Fahui team to perform laparoscopic metabolic weight reduction surgery for Mr. Li. Fortunately, on the third day after the operation, Mr. Li's weight has been reduced by 14 pounds, and the blood pressure that has been "high" for many years has gradually declined; five days after the operation, the systolic blood pressure has dropped to 150 mm Hg, the diastolic blood pressure has been lower than 100 mm Hg, and the blood pressure has basically reached normal levels by the time of discharge. Under the guidance of the doctor, Mr. Li gradually got rid of drug treatment.

"There are hormones on the stomach wall that can regulate the body's metabolism, and the minimally invasive metabolic weight loss surgery we implement can promote the changes in these hormones produced by the stomach wall, thus playing a role in regulating blood pressure." Professor He Hengzheng said that the Department of Minimally Invasive Surgery of the Second People's Hospital of Hunan Province has successfully carried out a number of cases of minimally invasive metabolic bariatric surgery in recent years. "According to the data and our clinical practice, bariatric surgery can not only reduce the weight of obese patients, treat diabetes, polycystic ovary syndrome and other diseases, but also treat hypertension, and has become an effective means of treating hypertension." Professor He Hengzheng introduced.