Gastric band weight loss surgery Market reference price: about 30-40,000 for one time, (the band is imported, more than 20,000 yuan) Weight loss principle: simply reduce the intake. The stomach is divided into two small and large “pouches”, reducing the volume of the stomach, making people feel full easily, thus also reducing the absorption of nutrients in the stomach, reducing the volume of the stomach by 15% to 30%, reducing the volume of the stomach to achieve the purpose of reducing food intake. Liang Hui, General Surgery Department, Jiangsu Provincial People’s Hospital Niu Jianxiang, General Surgery Department, Affiliated Hospital of Inner Mongolia Medical University Generally, obese patients have the problem of overeating, and the effect of this operation is basically quite satisfactory. The patient obviously feels that the previous clothes basically can’t be worn anymore. In the first month after the surgery, he could not eat solid food, but only liquid food, mainly because he was worried that eating too much food would hold up the band that had not yet grown well, leading to distortion, shedding, ulceration, etc., which would be troublesome. However, during this period, the post-operative patients did not feel a little bit hungry although they ate less, and they just had some juice, porridge, and water every day, and they were fine, not hungry, and in good spirits. 4 weeks after the operation to come back to the hospital to do the lower girdle injection adjustment. This weight loss surgery is not as scary as people think, the band is one of the least traumatic of all the weight loss methods, and the biggest benefit is that it will not make you feel hungry, I believe this will be very attractive to you. There is a little bit of pain after the surgery, mainly from the laparoscopic puncture hole de pain, but it is bearable. You will be able to get out of bed and walk around on your own the night of the surgery, and you can eat fluids 24 hours later. At present, this procedure is routinely performed in our hospital, and the postoperative results are more satisfactory. Expert opinion: At present, laparoscopic gastric banding surgery is arguably the simplest and safest bariatric surgery with few complications and almost no deaths, and can be considered the first choice for bariatric surgery, which is currently the most performed bariatric surgery worldwide every year. This surgery is only suitable for four groups of people: first, those who are severely obese; second, those who have a body mass index greater than 32 and have diabetes or suffer from two major obesity-related conditions; third, those who cannot achieve or maintain weight loss through diet or medication; and fourth, those who are more suitable between the ages of 18 and 65. In addition, the size of the gastric band can be adjusted so that if the weight returns to normal, or if the patient is pregnant or traumatized, the band can be relaxed and the stomach is fully restored to its original shape. However, the procedure must be controlled by the patient’s diet, which is its biggest disadvantage – rebound, or unsatisfactory weight loss. Advantages: simple surgical method, little trauma, fast recovery, few complications, obvious results Disadvantages: more expensive, easy to rebound, not ideal for the treatment of type 2 diabetes Gastric bypass bariatric surgery Market reference price: about 40-60,000 yuan Weight loss principle: the upper end of the stomach is severed (and not removed to remove) the stomach, forming the upper end of the small gastric sac, according to the degree of obesity to determine the site of the severed small intestine, the distal small intestine and The distal small intestine is anastomosed to the small gastric bursa and the proximal small intestine is anastomosed to the lateral side of the distal small intestine. Gastric bypass combines the principles of both bariatric surgery, restricting intake and reducing absorption, by reducing gastric volume to achieve restriction of food intake, and by reducing intestinal absorption, ultimately reducing food intake and absorption to achieve weight loss. Expert opinion: This procedure was initially started in Europe and the United States, and laparoscopic gastric bypass surgery was introduced in 2004. Now more than 90% of the world is done laparoscopically. The key factor in the success of gastric bypass surgery for weight loss lies in the surgical technique, and only if the surgical technique is pure, can the success rate of the surgery be improved and the possibility of surgical complications be reduced. Generally, after discharge from the hospital, patients should return to the hospital every 3 months to 6 months to check their physical condition and the effect of weight loss, and to be given dietary guidance and exercise guidance by the doctor; moreover, this surgery is also more humane, as eating can be more casual after the surgery because it will soon make people feel full. Therefore, it is recommended for patients who have difficulty in self-control, those who are severely obese, those with BMI of 35, and those with combined diabetes. Advantages: good weight loss effect, the effect lasts for a long time, generally can be lifelong benefit, the combined type 2 diabetes surgery effect is good Disadvantages: the price is relatively high, high surgical technique requirements Sleeve gastrectomy: Price: 20-30,000 yuan Principle: laparoscopic removal of gastric greater curvature, retain the small curvature of the tubular, is to reduce the volume of the stomach surgery Expert opinion: The operation is the gradual rise of the operation in recent years, the original is used for super obese Super obese patients should undergo gastrointestinal bypass, but first sleeve gastrectomy and then bypass after certain weight loss to reduce complications. After sleeve gastrectomy, it was found that some patients do not need to undergo bypass again, and thus this procedure was developed for obese patients, which does not change the course of the digestive tract and can be reoperated after failure. Advantages: the surgery is less invasive and the results are better. Disadvantages: It can rebound and requires a diet. Many obese people spend a lot of money and effort to lose weight, and because obesity is tormented, more and more obese people choose to undergo high-risk bariatric surgery. For severe obesity (BMI>32) evidence-based medicine proves that bariatric surgery is the only way to reduce weight, however, beauty always comes at a price, and bariatric surgery can lead to complications and comorbidities, some of which are quite serious. If you are planning to have bariatric surgery, then, first, find a professional hospital and a professional doctor, then, tell him your expectations and your current specific situation, including disease history, diet, family history, menstrual history, allergy history …… everything you can think of, and then let the doctor help you determine a specific procedure. With high benefits come potential risks, but for a professional bariatric surgeon, gastrointestinal bypass surgery is the gold standard and a sign of the technical maturity of bariatric surgery.