With the development of the times and the improvement of people's living standards, obesity has become a big worry for modern people. In order to keep a healthy figure, many people begin to exercise to lose weight, but not everyone has the time and experience to lose weight. At this time, weight loss surgery has become the choice of many people.

Weight loss surgery refers to medical methods to improve the general symptoms of obese patients, such as overweight, hypertension, hyperlipidemia and diabetes. In the 265438+20th century, the four main medical methods to lose weight in the world are: gastric volume reduction, gastric bypass, gastric banding and intragastric water polo therapy.

But not everyone can undergo surgery to lose weight. The requirements for surgical weight loss are:

① The course of type 2 diabetes is ≤ 15 years, and the islet still has certain insulin secretion function, and the fasting serum C-peptide level is ≥ 2/ 1 of the lower limit of normal value.

② Body mass index ≥27.5kg/m?

③ When the waist circumference of men is more than ≥90cm and that of women is more than ≥85cm, the recommended level of operation can be raised as appropriate.

④ suggested age 16-65 years old.

⑤ Body mass index is 25.0-27.4kg/m? Between patients, surgery should be carefully considered.

For the above criteria, doctors should also consider the composition of metabolic syndrome or the existence of complications. Please consult a doctor for details.

And there are many situations that are intuitive and not suitable for surgery to lose weight, such as:

① Non-obese 1 type diabetic patients.

② In T2DM patients with basic loss of islet β cell function, what is the release curve of low serum C-peptide or glucose load?

③ Body mass index < 25 kg/m? At present, 60% of patients do not recommend surgery.

④ Gestational diabetes and some special types of diabetes.

⑤ Patients with drug abuse, alcoholism or uncontrollable mental illness.

⑥ Patients with mental retardation or immature intelligence and uncontrollable behavior.

⑦ Patients with unrealistic expectations for surgery.

8. Patients who are unwilling to bear the risk of potential complications of surgery.

Pet-name ruby can't cooperate with postoperative changes in diet and living habits, and patients' compliance is poor.

Indications: Patients who are in poor general condition and can't stand general anesthesia or surgery.