IT men are 55.6% overweight, and obesity also brings a systemic disease.
Mr. Liu, height 176cm, weight 1 12kg, is 38 years old. He began to be overweight at the age of 17, weighing 2 1 year. During 2 1 year, Mr. Liu also tried many ways to lose weight, such as playing basketball, running and controlling diet. You will lose weight at first, but you will soon regain it. It can be said that how many times you lose weight, how many times you will fail.
After graduating from college, Mr. Liu worked in software development. Although he knows his obesity, he will consciously pay attention to healthy diet and regular life on weekdays. However, due to heavy work pressure and social activities, Mr. Liu's weight has been increasing every year in recent years, reaching the peak of 1 17kg, while the male with normal height 176cm weighs 72kg, which is 55.6% overweight. Not only is he seriously overweight, but Mr. Liu also suffers from obesity-related diseases including hypertension, diabetes, hyperlipidemia, hyperuricemia, apnea syndrome, esophageal reflux and so on. It is very painful to take relevant therapeutic drugs every day. What's more, because of hyperlipidemia, Mr. Liu suddenly had acute pancreatitis two years ago, and his treatment really shocked a whole family. Since then, Mr. Liu has paid special attention to obesity-related information and learned a lot about weight loss and health preservation, but his weight fluctuated around 1 10 kg. As for the operation, I haven't thought about it, but I can't make up my mind. It was not until I heard about the team of Professor Jiang Zhiwei from Jiangsu Provincial Hospital of Traditional Chinese Medicine and came into contact with the related concepts and examples of accelerated rehabilitation surgery that the scene at the beginning of the story appeared.
Surgery in accelerated rehabilitation mode is helpful to lose weight.
The concept of accelerated rehabilitation surgery was first put forward by Professor Kehlet of Copenhagen University in Denmark. Professor Zhiwei Jiang introduced it to China in 2007, and successfully applied it to gastrointestinal cancer surgery, which shortened the postoperative hospitalization time of gastrointestinal cancer from about 10 days to 4-5 days now. In addition to the change of time, the near painless multi-mode pain management after operation can make patients get out of bed early and exercise early, which greatly reduces the occurrence of postoperative thrombosis and pneumonia, thus making the operation more comfortable, safer and more economical. The efforts of Professor Zhiwei Jiang's team attracted the attention of many members, including Feng, and were submitted to the CPPCC for discussion twice as a proposal. At present, accelerated rehabilitation surgery has become a strategic plan at the national level and has been promoted in an orderly manner throughout the country.
Under the direct guidance of Professor Jiang Zhiwei, the Department of Weight Loss Surgery of Provincial Hospital of Traditional Chinese Medicine has developed a brand-new treatment model of weight loss plus metabolic surgery. Just before Mr. Liu's operation, Director Dai Hongshan, who was in charge of the operation, organized a multidisciplinary joint consultation of general surgery, anesthesiology, critical care medicine, respiratory department, endocrinology department, cardiology department and nutrition department according to the clinical path of accelerated rehabilitation surgery. After comprehensive evaluation and discussion, a detailed surgical plan was made: four small holes were made in the abdomen by endoscopic technique to remove the large curvature of the stomach, so as to reduce the stomach capacity and reduce the hunger caused by stimulation. According to the concept of accelerated rehabilitation surgery, the bariatric surgery group made detailed planning on nutrition, analgesia and pipeline before and after operation, and fully communicated with Mr. Liu and his family. The operation lasted more than 1 hour, and the patient's postoperative rehabilitation process was the same as preoperative planning, and it was completely promoted according to the script of accelerated rehabilitation operation.
Pay attention to the problem of obesity and choose appropriate methods to lose weight when necessary.
"There is no healthy fat man! Obesity often induces many diseases including hypertension, diabetes, hyperlipidemia, apnea syndrome, esophageal reflux, polycystic ovary infertility and so on. " Director Dai said. With the rapid development of social economy and the great changes of residents' lifestyle, the prevalence of overweight and obesity in China has increased rapidly. The Scientific Research Report on Dietary Guidelines for Residents in China (202 1) points out that obesity has become a serious public health problem.
"We took the lead in setting up a multi-mode weight loss+metabolic conditioning expert collaboration group in the province. There are experts in nutrition, endocrinology, acupuncture, respiration, cardiovascular, gynecology, general surgery and so on. According to the latest evidence, experts formulate relevant technical paths, and combine the characteristics of traditional Chinese medicine to provide obese people with weight loss strategies including nutrition, exercise, Chinese and western medicine, acupuncture, catgut embedding and surgery. According to the degree of obesity, weight loss experience, weight loss willingness, etc., patients are stratified and the most suitable treatment methods and experts are recommended to patients. "Director Dai further introduced that, generally speaking, patients will lose about one-third of their postoperative weight, abnormal indicators of obesity-related chronic diseases such as hyperglycemia, hypertension and hyperlipidemia will gradually return to normal, and symptoms of diseases such as apnea syndrome, esophageal reflux and polycystic ovary will also be significantly improved.
Finally, Director Dai reminded friends that obesity is a chronic disease and must be taken seriously. Surgery is a good choice for obese people whose body mass index is greater than 27.5, complicated with obesity-related diseases, and the medical treatment effect is not good, or whose body mass index is greater than 32.5. We must not miss the opportunity of treatment because of the impression given by the traditional operation mode, and accelerate the bariatric surgery under the guidance of the concept of rehabilitation surgery, leaving no traces of weight loss.