Ms. Li (pseudonym), who is only 40 years old, has been unable to control her weight since giving birth, and is facing problems such as "immobility", "body anxiety" and "low self-esteem and depression". Excessive obesity has had a great impact on Ms. Li's various organs, and she was labeled as hyperlipidemia, fatty liver, abnormal liver function, anemia, and metabolic syndrome in the company's physical examination.
In order to solve the problem of obesity, Ms. Li tried dieting, exercise, weight loss drugs, traditional Chinese medicine, acupuncture, cupping and other ways to lose weight, but none of them worked. By chance, Ms. Li saw the popular science film of bariatric surgery on the short video platform by Professor Gu Yan's team from East China Hospital, so she came to the hospital for help.
At the obesity and bariatric multidisciplinary clinic of Huadong Hospital affiliated to Fudan University, Director Gu Yan arranged for day bariatric surgery considering that Ms. Li's work was too busy to spare a long time to stay in the hospital. After completing various preoperative examinations in the outpatient clinic, health education is carried out after multidisciplinary evaluation, and at the same time, the combined metabolic disorders are treated, and the organ function is improved, and the surgery is performed immediately on the day of hospitalization. During the operation, anesthesia and other operations follow the concept of "rapid recovery surgery", and truly achieve "tubeless", that is, there is no indwelling gastric tube, drainage tube, and urinary catheter, and there is almost no pain after surgery. On the day of the operation, Ms. Li was able to get out of bed and was discharged from the hospital the next day.
Obesity has been recognized by the World Health Organization as a chronic disease, a chronic metabolic disease caused by abnormal or excessive fat accumulation that can damage health, and is caused by multiple factors such as genetics and environment. Obesity can lead to diabetes, heart disease, high blood pressure, sleep apnea, osteoarthritis, cancer and other chronic diseases, and reduced life expectancy. On average, at least two out of five adults worldwide are overweight or obese, and the proportion is higher among mainland adults.
At the same time, the problem of overweight and obesity among adolescents and the elderly is becoming more and more serious, affecting the health of "one old and one young". Among Professor Gu Yan's patients, the youngest patient was only 14 years old. Professor Gu Yan said that now, patients between the ages of 14 and 65 can be treated with bariatric surgery for metabolic disorders such as obesity and diabetes, which is not a new thing. According to reports, bariatric surgery has been carried out in China for more than 20 years, taking East China Hospital as an example, more than 400 fat friends underwent bariatric surgery last year. The safety and efficacy of bariatric surgery have also been well documented.
Who is a candidate for bariatric surgery? Gu Yan said that BMI (body mass index) is a standard to measure whether and how much obesity is made, and for a BMI ≥ 37.5kg/m2, active surgery is recommended; Surgery is recommended for patients with a BMI of 32.5 kg/m2 ≤ < 37.5 kg/m2. If you have complications such as diabetes, you can undergo bariatric surgery if your body mass index is greater than 27.5. In Professor Gu Yan's outpatient clinic, there are also many "beauty lovers" who do not meet the conditions for bariatric surgery but have to undergo surgery. Some girls have a BMI of less than 24 and do not even meet the standard of obesity, so they hope to achieve the effect of "one step thinner" through surgery. Gu Yan said.
In East China Hospital, the bariatric multidisciplinary clinic is also very popular, which regulates endocrine, regulates nutritional structure, and acupuncture to treat obesity. The bariatric multidisciplinary diagnosis and treatment clinic is jointly attended by authoritative experts such as Lu Bin, director of the Department of Endocrinology, Wu Jiang, director of the Department of Nutrition, and Yang Hui, deputy director of the Department of Acupuncture and moxibustion.
"The Bariatric Multidisciplinary Clinic advocates lifestyle changes, not extreme dieting or blind exercise." Director Wu Jiang said, "In addition to causing various diseases physiologically, obesity is also easy to induce anxiety, depression and other problems psychologically. Some people try dieting, weight loss drugs and other ways, but none of them work, some seem to have a 'dawn' in the short term, but they will soon return to their original shape, and even many people have a 'more and more fat' situation, and finally have to give up. Therefore, losing weight in the right way is the solution. ”
According to Wu Jiang, obese or overweight patients should first implement a reasonable diet, ensure food diversity, a balanced mix of meat, vegetables, melons and fruits, and carry out reasonable exercise to ensure adequate sleep. Studies have shown that people who sleep less than 6 hours are 41% more likely to suffer from metabolic syndromes such as obesity, cardiovascular disease, and diabetes than those who sleep less than normal 6-8 hours. "There are a lot of tricks for weight loss, some people grow fast because they eat fast, and we would advise them to use their non-dominant hand to eat; We also recommend that you set small goals and give yourself a reward after completing them, so that you can continue to build up good habits. ”
Lu Bin, director of the endocrinology department of East China Hospital, told reporters that endocrine balance is directly related to the difficulty of losing weight. Endocrine disorders, such as insulin resistance, hypercortisolemia, or hypothyroidism, can be "stumbling blocks" on the road to weight loss. Weight loss can be effectively promoted by adjusting diet, improving lifestyle, and receiving medical intervention if necessary to restore endocrine balance.
"Healthy weight loss can be achieved through scientific adjustment and optimization, while maintaining the balance and stability of the endocrine system," Lu said. Many diabetic patients have their blood sugar well controlled after losing weight scientifically. Therefore, we must avoid blindly pursuing short-term results and ignoring long-term health. ”