On February 7, the first working day after the Spring Festival of the Year of the Tiger, Mr. Lu (pseudonym), a 47-year-old "big fat man", underwent laparoscopic metabolic weight loss (sleeve gastrectomy) surgery in the minimally invasive surgery department of the Second People's Hospital of Hunan Province. According to Professor He Hengzheng, the head of the department, Mr. Lu is 170 cm tall and weighs 242 pounds, is severely obese, and has severe metabolic syndrome, hyperlipidemia, diabetes, hypertension, snoring (obstructive sleep apnea hypopnea syndrome), and many indicators are serious threats to the patient's health, and can even be life-threatening, with obvious indications for surgery. Before the Spring Festival, the expert team has made a full surgical assessment, preparation and postoperative health management plan for Mr. Lu to ensure the smooth implementation of the operation and postoperative rehabilitation.
Mr. Lu, 47, from Taojiang, Hunan Province, is an administrative official. In the past ten years, Mr. Lu has a good appetite and good appetite, can eat four bowls of rice per meal and loves to eat meat, and his weight has continued to grow, especially in the past two years, his weight has increased by 60 kilograms, and his height of 170 centimeters has reached 242 kilograms, and his body mass index has reached 42, which is severe obesity. At the same time, Mr. Lu found that the body had severe metabolic syndrome, hyperlipidemia, diabetes, hypertension, snoring (obstructive sleep apnea hypopnea syndrome) during the physical examination, and the physical examination doctor told him that many indicators in the examination results were seriously threatening to his health, and may even be life-threatening, and he should find ways to reduce weight to maintain health. Therefore, after trying to control diet, exercise and other methods and other ways and no obvious effect, after being introduced, Mr. Lu learned that professor He Hengzheng's team of the Minimally Invasive Surgery Department of the Second People's Hospital of Hunan Province has carried out a number of cases of minimally invasive metabolic weight loss surgery in recent years, and has rich experience, so he came to the Minimally Invasive Surgery Department of the Second People's Hospital of Hunan Province before the Spring Festival accompanied by his family.
Professor He Hengzheng rounded the room
Professor He Hengzheng's team learned more about the medical history after receiving the consultation, and improved various auxiliary examinations for Mr. Lu. After organizing the hospital's gastroenterology, respiratory and critical care medicine department, anesthesia surgery department and other multidisciplinary joint diagnosis, fully making various preoperative preparations and formulating perioperative and postoperative health management plans, just after the Spring Festival, on February 7, Professor He Hengzheng led the team to carry out laparoscopic metabolic weight loss (sleeve gastrectomy) minimally invasive surgery for Mr. Lu, only four "keyhole" size incisions were opened in his abdomen during the operation, and the surgical process was progressive, orderly, and very smooth, and Mr. Bilu returned to the ward safely. According to the health management plan, on the first day after the operation, Mr. Lu has under the guidance of the medical staff to get out of bed and do a little activity; from the second day after the operation, he can gradually eat clear drinks, liquid food, semi-liquid food, until the transition to ordinary diet. On the fourth day after the operation, Mr. Lu had lost 14 pounds of weight.
Professor He Hengzheng explained that after the human body reaches moderate and severe obesity, many people will have metabolic problems like Mr. Lu, and the more common weight loss methods such as controlling diet and increasing exercise are difficult for them to work, and even because the body is overloaded, it may cause further damage to the body. At this time, metabolic bariatric surgery is the most appropriate method to solve the fundamental problems of patients with moderate to severe obesity and concomitant metabolic diseases, and the efficacy is significantly better than that of conservative internal medicine treatment.
"In recent years, metabolic bariatric surgery technology and health management has been very mature, receiving bariatric surgery of obese patients, patients not only lose weight after surgery, blood sugar, blood pressure and blood lipids can also be reduced to normal, the principle is that through the reduction of gastric volume, the patient's food intake is reduced, but also greatly reduce the secretion of ghrelin, fundamentally improve the effect of metabolic disorders." Professor He Hengzheng said that the advantages of minimally invasive metabolic weight loss (sleeve gastrectomy) are not to change the physiological condition of the gastrointestinal tract, not to interfere with the normal digestion and absorption process of food; at the same time, the laparoscopic minimally invasive technique is adopted, which has less trauma, faster recovery, more beautiful and good effect.
The health manager provides health guidance for Mr. Lu
Data show that with the improvement of people's living standards, the obese population in the mainland has increased sharply, and obesity has become a public health problem affecting people's health. Obesity complicated with chronic metabolic diseases not only affects the patient's stature and appearance, but also causes some complications, such as type 2 diabetes, hypertension, coronary heart disease, stroke, hyperuricemia, fatty liver, high cholesterol, triglycerides, gastroesophageal reflux, infertility, etc. Severe obesity (BMI≥35) can also reduce human life expectancy. Therefore, keeping your BMI in the normal range is essential for your health.
The Department of Minimally Invasive Surgery of the Second People's Hospital of Hunan Province has successfully carried out many cases of minimally invasive metabolic bariatric surgery in recent years, which has successfully reduced the weight, restored self-confidence and returned to normal work and life for many "fat friends" inside and outside the province, especially patients with metabolic syndrome. "Fat friends" who are still troubled on the road to weight loss, or accompanied by severe metabolic syndrome, do not give up on themselves easily, and can undergo metabolic weight loss surgery after consulting a professional doctor.
Contributed by: Liu Li, Department of Minimally Invasive Surgery, Second People's Hospital of Hunan Province
Editor: Liu Yuchen
Image: Liu Li