Tip: Click “Dr. Fu Wei” above ↑ Follow to subscribe to this magazine This time, we have collected some high frequency questions to answer this time, and shake a little secret of weight reduction surgery. Q What are the options for weight loss surgery? A Gastric bypass and sleeve gastrectomy are widely used in modern medicine to reduce weight. Simply put, the former is to speed up digestion and the latter is to make the stomach smaller. Both are used to achieve weight loss by changing the volume of the stomach and the gastrointestinal tract’s ability to control intake, thereby improving glucose metabolism.1 Gastric bypass surgery Sleeve gastrectomy: Q What kind of people are suitable for surgical weight loss? A You can’t have surgery to reduce weight just because you are fat. Weight loss surgery is suitable for obese patients with BMI ≥ 32.5, or BMI ≥ 27.5 combined with type 2 diabetes, and aged between 16 and 65 years. Under this premise, patients with type 2 diabetes for ≤15 years and waist circumference ≥90cm for men and ≥85cm for women can give priority to surgical weight loss.1 Q How safe is bariatric surgery? A Weight loss surgery has been clinically tested for more than 60 years and accumulated hundreds of thousands of successful cases, so it can be said to be a mature surgical procedure. In the obese population, patients who undergo surgery have an 89% lower risk of death compared to those who do not have surgery. And it uses advanced laparoscopic technology, with small incisions, fast recovery and very low risk.2 Q How long can I lose weight after surgery and how many pounds can I lose? A The specific weight loss effect is influenced by many factors and varies from person to person. As an example, Dr. Gao Yi, an orthopedic surgeon who suffered from obesity, lost weight from 110 kg to more than 80 kg four months after he decided to undergo weight loss surgery on his own, and his posture became much lighter and younger.3 On average, patients lose an average of 31 kg after one year of surgery, and an average of 20 kg after 10-15 years.2 Q Does it rebound? A All positive changes are not permanent. After the surgery, follow the doctor’s advice and also maintain a good diet and exercise habits to maintain a healthy body ah. Q Will there be severe malnutrition? A With regular follow-up after surgery and professional advice from your doctor, including proper vitamin supplementation, severe malnutrition can usually be avoided. Q Which is the best weight loss surgery and can I choose it myself? A The most commonly used weight loss surgeries are sleeve gastrectomy and gastric bypass surgery, which have good results in weight loss and comorbidity treatment, but you should consult a professional doctor at a regular hospital for the specific treatment plan. Q Where can I have weight loss surgery? A Currently, tertiary hospitals in major cities can support bariatric surgery. When looking for a suitable hospital, you can focus on the bariatric surgery department. Q How long does the surgery take and do I have to stay in the hospital for a long time? A The surgery lasts about 2~3 hours and the hospital stay after the surgery can be 3~7 days. The hospital will develop a specific treatment plan according to the actual situation of each patient.2 Q Will the comorbidities be relieved even if my weight is reduced? A Of course. Weight loss surgery can treat some obesity comorbidities. Studies have shown that patients with weight loss surgery have a 75% remission rate compared to patients with diabetes treated with medication. While controlling blood sugar, bariatric surgery can also reduce the use of medications for diabetes, hypertension, hyperlipidemia and other comorbidities and provide relief.2 After reading this round of Q&A set, do you understand bariatric surgery better? If there is still information you want to know, please scan or long press the QR code below to follow, Dr. Fu Wei will answer questions with you online! Scan or long press the QR code below to pay attention to Dr. Fu Wei and your online Q&A Source 1.