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230 pounds 150 pounds! Passion for weight loss 4 years later, the young guy regrets ...

230 pounds 150 pounds! Passion for weight loss 4 years later, the young guy regrets ...

Zhang Wei (pseudonym) who is 1.69 meters tall

It took 15 years

From 140 pounds to 230 pounds

Once upon a time he was

Eat noodles in a pot

A meal can eat a thick wad of meat and wheat cakes

A person eats KFC family barrel two barrels to start

At one point he rarely went out

Lie flat at home all day and play games

Because when driving, the steering wheel will be on the belly

When sitting in the car, you will be strangled by the seat belt

Occasionally, I have to be poked and poked

In 2018, he was 38 years old

Came to the Department of Gastrointestinal Surgery of the First Affiliated Hospital of Zhejiang University School of Medicine

I made up my mind to have stomach incision surgery

Four years passed

How is he doing now?

230 pounds 150 pounds! Passion for weight loss 4 years later, the young guy regrets ...

I'm the "pig mane" of other people.

My name is Zhang Wei, I am 42 years old, and I am a native of Jinhua, Zhejiang. The family has always been doing pig sales business, booming, I got married last year, and now I have completely taken over my parents' business, and although I started a family later than others, this is what I did not dare to expect in the past. Without the surgery at the First Hospital of Zhejiang University in 2018, I might have always been the "pig mane" in other people's population, curled up in the virtual world and self-pitying.

My parents were normal weighted, and before the age of 23, I didn't expect to one day eat myself into a 230-pound fat man. I am 169 in height, after graduating from college, I learned to do business at home, and my appetite became particularly good - I could eat 5 or 6 buns and two bowls of porridge for breakfast, spicy pots at noon, large plates of chicken and two large bowls of white rice, repeat the configuration at noon at night, and eat 100 bunches of barbecue or 3 pounds of spicy crayfish at night. I especially like churros, pots and pans and potato chips, and I hardly drink boiled water, and I buy carbonated drinks in barrels.

230 pounds 150 pounds! Passion for weight loss 4 years later, the young guy regrets ...

What followed was a serious health problem – I had a BMI of over 40, I had type 2 diabetes, too much meat in my stomach, arms, and neck, and I couldn't push insulin needles into it, so I had to take oral hypoglycemic drugs. A little help to parents to do a little work or activity, on the back pain, leg and foot pain; every year in winter and summer, to go to the health center on time to hang needles, either fever and cough, or heat stroke, the whole person is weak.

230 pounds 150 pounds! Passion for weight loss 4 years later, the young guy regrets ...

I have tried a lot of weight loss methods, before and after spending hundreds of thousands of yuan - diet, there was a period of time a day only eat a little boiled vegetable leaves and protein, soon fell short; gym card exercise - at that time was more than a dozen pounds of weight, but the knee "alarm" finally gave up; also tried Chinese medicine acupuncture, cupping treatment, after slimming down for a period of time without paying attention, more than a dozen pounds longer than the original; also went to the beauty salon massage, bought meal replacements, weight loss tea ... All fail without exception.

Seeing that they are about to turn 40 and have not yet made a girlfriend, the family has changed from carefully persuading them to "eat less" to forcing them to say in their ears every day that "they can't find a wife if they eat again", which is upsetting. At that time, "Journey to the West to Descend the Devil" was in full swing, and I was still called "Pig Gang Mane" by people with ill intentions, and my temper was particularly grumpy, and I would lose my temper when I didn't agree.

Going to a friend's house to play, I accidentally sat on the toilet gasket of others, very embarrassed, going out less and less, eating more and more, I fell into a "dead cycle" - the fatter, the more I don't want to move; the more sad I feel, the more I want to eat.

I even thought that if I suddenly "ate to death", the scene would be very embarrassing - because no one could lift it.

230 pounds 150 pounds! Passion for weight loss 4 years later, the young guy regrets ...

In 2018, a distant relative of mine went to Beijing for stomach surgery and lost forty or fifty pounds at once. I began to understand the stomach through the Network search, after several tossing and turning, after repeated comparisons, I found Zhao Zhicheng, deputy chief physician of the Gastrointestinal Surgery Department of the First Hospital of Zhejiang University, and expressed my willingness to achieve weight loss through stomach incision.

This operation brought me back to life

Zhao Zhicheng, deputy chief physician of gastrointestinal surgery, listened very patiently to my various unsatisfactory remarks, not only had a long talk on the knee, but also invited a number of experts from the department of endocrinology, anesthesiology and operating room to conduct a comprehensive assessment of my situation, and they introduced in detail the specific process of the operation and analyzed the various advantages and disadvantages after the operation. At that time, my 60-year-old mother accompanied me, and even a rural person said that "it is reassuring to meet such a rigorous and meticulous doctor."

Previously, in order to treat type 2 diabetes and control blood sugar, I had been consulting in the endocrinology department of Zhejiang Yi for nearly ten years, and the doctors here were kind, warm, and always paying attention to the changes in my condition. Endocrinologists have also introduced to me that there are many ways to treat diabetes, including changing dietary habits, exercise, medication, insulin therapy, metabolic surgery, and gastric incision ("sleeve gastric surgery") is also one of them. This procedure is currently known to be one of the most effective means of curing type 2 diabetes, which has been written into diabetes treatment guidelines.

230 pounds 150 pounds! Passion for weight loss 4 years later, the young guy regrets ...

In April 2018, Deputy Chief Physician Zhao Zhicheng gave me a "sleeve gastric surgery", according to him after the operation and I said, although this "heavyweight" operation is only to use laparoscopy to wear 5 small holes with a diameter of 0.5 to 1.2 cm on the belly, but my stomach has long been enlarged, the stomach wall is also quite thick, and the instruments probed into the stomach wall are more difficult to operate than ordinary people, and the tired body is sweaty.

In the days after the operation, it was very difficult, at first I could only drink milk and millet porridge; gradually recovered to eat porridge, noodles, steamed eggs; up to now, I can eat normally, but eating and drinking should be carried out in small bites, a little faster, the stomach will be very uncomfortable, will be nausea, want to vomit, and burp non-stop. Rice cakes, dried bamboo shoots and other indigestible things, I can't touch it at once, otherwise the stomach will be uncomfortable for several days.

230 pounds 150 pounds! Passion for weight loss 4 years later, the young guy regrets ...

A year after the operation, my weight dropped from 230 pounds at the peak to 150 pounds, and my diabetes was basically cured. Because my stomach became smaller, I quit supper and ate at most one bun and a bowl of porridge at night; the whole person became confident and willing to go to business with my parents... The year after the operation, I had a girlfriend; in the third year, my girlfriend became my wife now. Now, my weight has come back a little bit, to 160 pounds, and I have no regrets at all. If you really want to regret it, you only regret that you didn't come to this operation earlier, took so many detours, and wasted so many years.

If the cage of obesity traps you, how will you choose

Severe obesity with metabolic syndrome, high BMI, hyperlipidemia, hypertension, hyperglycemia, hyperuric acid, snoring nocturnal apnea, cardiovascular heavy load, bone and joint hyperbrasion... Clinically, a group of young obese patients are deeply distressed. In the bariatric surgery specialist clinic of the Gastrointestinal Surgery Department of the First Hospital of Zhejiang University, there are many obese patients like Zhang Wei who have gained a new life through gastric bariatric surgery.

230 pounds 150 pounds! Passion for weight loss 4 years later, the young guy regrets ...

According to experts, gastric incision surgery was carried out by Edward Manson in the United States for some obese patients as early as 1966, including gastric bypass surgery, sleeve gastrectomy surgery, etc., the principle of these operations is to control the patient's stomach volume to achieve the purpose of weight loss. Can all people with weight loss needs undergo gastric incision surgery?

"The answer is no!" The chief physician of the Gastrointestinal Surgery Plateau explained that the medical name of "gastric bariatric surgery" is "laparoscopic gastric bypass" or "laparoscopic sleeve gastrectomy". According to the Chinese Guidelines for the Surgical Treatment of Obesity and Type 2 Diabetes, this procedure has clear indications.

Gastric incision surgery has clear indications.

According to the Chinese Guidelines for the Surgical Treatment of Obesity and Type 2 Diabetes (2019):

BMI of patients with simple obesity ≥ 37.5, aggressive surgery is recommended;

32.5≤ BMI<37.5, surgery recommended;

27.5≤ BMI<32.5, difficult to control by lifestyle changes and medical therapy, and at least 2 metabolic syndrome components, or comorbidities, surgery may be considered after comprehensive evaluation.

Metabolic syndromes include diabetes, hypertension, hyperlipidemia, obstructive sleep apnea syndrome, polycystic ovary syndrome, etc. Immature children; patients with a body mass index within the normal range and no complications, both types of patients are not suitable for bariatric surgery.

230 pounds 150 pounds! Passion for weight loss 4 years later, the young guy regrets ...

Are there any risks associated with this type of surgery? According to experts, in fact, in obese people, patients who have not undergone surgery have an 8-fold increase in the risk of death compared with patients who have undergone bariatric surgery; while patients who have undergone weight loss and metabolic surgery have a significantly lower relative risk of death by 89%, and the risk of surgery is lower, but no matter which of the above methods is used, there will be a small probability of postoperative complications caused by invasiveness or irreversibility - such as anastomotic leak, anastomotic bleeding, pulmonary embolism, deep vein thrombosis, etc. If the diet is not well managed, diseases such as gastroesophageal reflux, malnutrition, and osteoporosis may occur in the long run.

Since the stomach is only a fraction of the original, normal people can eat food in one meal, and these gastric surgery patients have to eat it several times. Food gets stuck in the small stomach sac, making people want to vomit from time to time, resulting in gastroesophageal reflux, malnutrition, high osteoporosis and other lifelong diseases. "Therefore, for mild and moderately obese people, it is still recommended to achieve weight loss through lifestyle adjustments such as 'keeping your mouth shut and opening your legs' or assisting drug treatment."

230 pounds 150 pounds! Passion for weight loss 4 years later, the young guy regrets ...

Department of Gastrointestinal Surgery, First Hospital of Zhejiang University

A weight loss team led by Chief Physician Yu Jiren, Section Chief

Patients are not only thoroughly examined and fully evaluated before surgery

The care team will also be there after the operation

One-on-one nutrition management and dietary guidance for patients

Experts stress again

The first purpose of gastric incision surgery is to treat extreme obesity and metabolic diseases

There are strict surgical indications

If someone weighs within the normal range

Just for the sake of weight loss, for beauty

This type of surgery is never recommended!

Zhejiang University First Hospital Surgical Weight Reduction Specialist Clinic

230 pounds 150 pounds! Passion for weight loss 4 years later, the young guy regrets ...

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