In modern society, obesity has become an inevitable social problem, and the complications brought about by obesity, which is not a single cause, are also evident. We are increasingly aware that with the progress of society and the improvement of people’s living standards, people’s lifestyles have undergone radical changes: exercise is becoming less and less, diet is becoming better and better; with the development of transportation and mechanization of work, as well as the reduction of the amount of household chores, etc., it also makes the human body have fewer opportunities to consume calories, walking gradually becomes a luxury, and with it comes obesity. Jinan Central Hospital affiliated to Shandong University is the first to open the first weight loss and diabetes surgery clinic in Shandong Province and carry out minimally invasive laparoscopic weight loss surgery, which is believed to break the current dilemma of obesity patients who have nowhere to seek medical treatment and bring real treatment results for obesity and type 2 diabetes patients. Is your weight normal? According to Sun Shaochuan, director of gastrointestinal surgery of Jinan Central Hospital affiliated to Shandong University, the overweight rate of adults in China is 22.8% and the obesity rate is 7.1%, and the corresponding population is estimated to be 200 million and 60 million respectively. Director Sun Shaochuan repeatedly stressed that obesity is the source of all evils. Mild obesity affects the image and activities, while morbid obesity not only makes people difficult to move, affects work, life and friendships, but also can cause a variety of diseases, such as: diabetes, hypertension, cardiovascular disease, cerebrovascular disease, atherosclerosis, fatty liver, gallstones, arthritis, reduced fertility, etc., or due to social prejudice affects the psychology, and depression, seriously affecting physical and mental health. How to determine obesity, said Sun Shaochuan, director of the medical diagnosis of obesity, the most commonly used is the body mass index referred to as BMI. that is, BMI = weight/height/height (kg/m2). International Life Sciences Institute China Office organized by the multidisciplinary experts composed of “China Obesity Working Group”, China’s 21 provinces and cities, regional population body mass index (BMI), waist circumference, blood pressure, blood glucose, lipids and other related data of 240,000 people to summarize and analyze, and accordingly put forward the Chinese BMI standards. BMI value “24” is the limit of overweight Chinese adults, and BMI “28” is the limit of obesity; waist circumference ≥ 85 cm for men, and waist circumference ≥ 80 cm for women is the limit of abdominal fat accumulation. Let’s calculate whether your weight is ideal or not? Body mass index (BMI) = weight (kg) / height (m) squared Light weight: BMI < 18.5 Healthy weight: 18.5 ≤ BMI < 24 Overweight: 24 ≤ BMI < 28 Obese: 28 ≤ BMI Severe obesity: 37 ≤ BMI Weight loss surgery, why can "reduce sugar" Medical progress, always In the 1950s, weight loss surgery became increasingly mature and began to be widely used for obese patients with good results. 1984, British doctor Poris unexpectedly found that a type of weight loss surgery "incidentally" cured a patient's type 2 diabetes. patients with type 2 diabetes. Since then, bariatric surgery such as gastric bypass surgery for type 2 diabetes has been gradually applied in clinical practice, thus beginning the prelude to surgical treatment of type 2 diabetes. Foreign studies reviewed the clinical data of 22,094 patients with type 2 diabetes who underwent gastric bypass surgery between 1990 and 2002, suggesting a weight loss rate of 61.6% and a complete diabetes remission rate of 83.6%. No one expected that diabetes, the oldest "internal" disease in human history, would find a "surgical" treatment by chance. The most important thing is to know what it is, so how can weight loss surgery "reduce sugar"? The most classic and commonly used surgery is called "gastric bypass surgery", which is a type of surgery that takes into account both intake control and absorption reduction. Director Sun Shaochuan further said that the surgery reduces food intake and absorption, thus reducing energy intake and glucose metabolic load, and the patient loses weight and reduces insulin resistance caused by fat accumulation due to simple obesity, and the gastrointestinal tract reconstruction changes the secretion of hormones in the intestine-insulin axis, thus improving glucose metabolism. Therefore, weight loss surgery actually improves the hormone secretion in the patient's intestine by changing the physiological flow of food, promotes insulin secretion, protects pancreatic islet cells, and eliminates insulin resistance, which leads to good relief of diabetes. As we all know, "diabetes is not scary, what is scary is its complications". Through surgical treatment, patients' blood sugar is well controlled, and many of them even no longer need to take medication and injections, while complications are greatly reduced, which greatly improves patients' quality of life. Finally, Dr. Sun Shaochuan emphasized that "remission" is used here instead of "cure" because there are still some patients whose diabetes may relapse over time, and it is very important to explore further medication maintenance and supplemental treatment. Bariatric surgery standard: minimally invasive bariatric surgery Is bariatric surgery safe or not? It is an important consideration for every obese patient to decide whether or not to undergo weight loss surgery, and I believe that the words of Director Sun Shaochuan give all patients who want to undergo weight loss surgery a piece of mind, and Director Sun Shaochuan said with great confidence that in Jinan Central Hospital, minimally invasive weight loss is already a relatively mature surgical procedure, stemming from the wide application of laparoscopic technology and the continuous improvement and innovation of surgical methods. Over the years, we have broken through the bottleneck of minimally invasive laparoscopic technology, and minimally invasive has covered 80% of the surgeries in the specialty. Minimally invasive bariatric means that the surgery is done in a minimally invasive way under laparoscopy and is usually discharged in 4-5 days after surgery. Minimally invasive bariatric surgery has the advantages of less trauma, faster recovery, lower risk, less post-operative pain and fewer complications. Patients can drop their blood sugar in one month after surgery, and enter a stable state in three to six months, so it is a treatment method with remarkable effect. Finally, Director Sun Shaochuan said that the weight loss clinic is a systematic project, a multidisciplinary expert clinic, including surgeons mainly in gastrointestinal surgery, internal medicine doctors mainly in endocrinology, nutrition experts, and also psychologists, through health education, to the education of each case in the outpatient clinic, after hospitalization multidisciplinary team on the assessment of the condition, surgery, post-surgery nutritional assessment and nutritional guidance, as well as blood sugar control, to establish a patient-specific treatment. We also provide a good rehabilitation platform for the patients to truly benefit the people and give back to the society. At the same time, Mr. Sun Shaochuan said that medical treatment is still the foundation of diabetes treatment, and it will be used throughout the entire diabetes treatment. On this basis, bariatric surgery, as a newly emerged treatment method, requires large-scale clinical studies to evaluate various medical and surgical therapies, and to develop a more reasonable plan through evidence-based medicine, so that medical and surgical therapies can better work together to treat diabetes reasonably and effectively.