The benefits of treating obesity
1, the treatment of obesity is beneficial to the decline of blood sugar. A study shows that the risk of type 2 diabetes for women with BMI between 24 and 25 is 4 times that of people with BMI <24, while the risk of type 2 diabetes for people with BMI >35 is 93.2 times that of the former; if obese patients with diabetes are combined, their body weight decreases by 7.5%, fasting blood sugar decreases by 2.1mmol/L, postprandial blood sugar decreases by 3.2mmol/L, and total Cholesterol decreased by 9.2%.
2, treatment of obesity can reduce blood pressure: the prevalence of hypertension in obese patients is two times that of normal weight people. In recent years, some large clinical studies found that in hypertensive patients, the average weight decreased by 5 kg, systolic blood pressure can be reduced by 5mmHg, diastolic blood pressure decreased by 3mmHg.
3, treatment of obesity can reverse fatty liver: in the study of fatty liver by liver biopsy evaluation of weight loss, it was found that the incidence of fatty liver in male obese patients was as high as 91%; the proportion of patients with moderate fatty liver decreased from 37% to 23% and the proportion of patients with severe fatty liver decreased from 42% to 15% after 27 months of successful review of liver biopsy.
4, in addition, the treatment of obesity can reduce abnormal lipid metabolism and reduce the incidence of coronary heart disease.
Obesity treatment method
Turn on the TV and radio, open the newspapers and magazines, weight loss advertising will be overwhelmingly reflected in your eyes. In front of all kinds of weight loss drugs and methods, we are confused. After taking numerous detours and spending countless dollars, what is the best way to lose weight in front of a scale that ends in weight loss failure? We say, there is no best way to lose weight, what suits you is the best! The current weight loss methods are just the following.
1, diet therapy;
2, exercise therapy;
3, behavior therapy;
4, drug therapy;
5.Surgery therapy.
What kind of people need surgery to treat obesity?
1, if you have tried the above non-surgical methods, and finally all end in failure; if you have ever through various efforts to lose some weight, soon after by the rapid rebound, you can consider surgery to reduce weight;
2, if your body mass index (BMI, weight divided by height squared) greater than 35, or BMI greater than 30, accompanied by serious complications, such as hyperglycemia, hypertension, hyperlipidemia and other metabolic diseases, it is no longer necessary to go for the above weight loss way to run, because you already belong to the “morbid obesity”, non-surgical methods The success rate of weight loss is almost zero! Surgery is your best choice.
3.Patients between the age of 18 and 70 years old, to meet the above (1) (2) requirements can receive surgery to reduce weight.
What kind of people are not suitable for weight loss surgery?
1.Obesity caused by certain genetic diseases, endocrine diseases, obesity secondary to the use of certain drugs, such as hypothyroidism, long-term application of glucocorticoids, the use of oncology drugs, etc., should not receive surgical weight loss.
2, female patients who plan to get pregnant within 2 years are not recommended to have weight loss surgery in the near future;
3.Poor general condition, serious heart and lung dysfunction, poor ability to tolerate surgery, and great risk of surgery are not recommended for surgical treatment.
What kind of weight loss surgery is suitable for you?
Weight loss surgery is very popular in Europe and the United States. It started in the 1960s and 1970s and developed in the 1980s and 1990s, and now there are about 400,000 to 500,000 weight loss surgeries performed annually worldwide. Laparoscopic surgery is minimally invasive, with little trauma and quick recovery. You can get out of bed and eat fluids the next day after surgery, and you can go home 3~5 days after surgery.
1, “gastric banding surgery” is currently the world’s largest number of cases of surgery, it is through the restriction of food intake to achieve the purpose of weight loss. 2 years can lose 50 ~ 60% of the excess weight, the operation is simple, safe, does not change the human physiological anatomy. However, the long-term weight reduction effect is not ideal and easy to rebound, so it has been gradually eliminated in China. Only suitable for mild obesity, no serious metabolic disease patients.
2, “sleeve stomach surgery” requires the removal of most of the stomach (about 70% ~ 80% of the stomach), leaving a “sleeve-like” long strip of stomach, through the restriction of food intake to lose weight. 2 years can lose 60 ~ 70% of excess weight, the remission rate of type 2 diabetes is The remission rate for type 2 diabetes is 78%. The procedure is also relatively simple and reliable, does not alter the body structure, and does not produce nutrient deficiencies. At present, it is the first choice of surgery for medium and heavy obesity, young patients, mild diabetes and hypertension patients; in addition, it can also be used as the phase I treatment for very heavy obesity.
3, “gastric bypass surgery” is currently the most popular surgery in weight reduction surgery, taking into account the restriction of food intake and absorption of both cases. 70 ~ 80% of excess weight can be lost within 2 years, but also correct diabetes, hypertension and fatty liver and other comorbidities, the remission rate of type 2 diabetes is 89%, the post-operative weight loss effect is fast and lasts for a long time. It lasts for a long time and can effectively control blood sugar. However, the operation is complex, with a long learning curve and many complications, and postoperative supplementation of relevant nutrients and vitamins is required. It is suitable for patients who are severely obese and have metabolic diseases such as severe diabetes or hypertension.
Therefore, each of the three types of weight loss surgery has its own advantages and disadvantages, and you can choose the best way for you based on different degrees of obesity and individual differences, in consultation with your doctor.
Is bariatric surgery scary?
Weight loss surgery is basically (more than 95%) done using laparoscopic surgery, with the original large incisions replaced by five to six 1cm incisions, resulting in less trauma, faster recovery, and hidden and beautiful scars; generally, the patient can be discharged in 3-5 days after hospitalization; for a weight loss center with extensive experience, the complication rate and perioperative mortality of weight loss surgery is significantly lower than that of the now well-established “laparoscopic cholecystectomy”. Although post-operative weight loss surgery changes your life, eating habits, and in some cases requires long-term vitamin tablets, these efforts and costs are insignificant compared to the harm caused by obesity.