The weight-reducing operation is risky must think carefully before implementing

The weight-reducing operation is risky must think carefully before implementing
Supervised the issuing an order of the department with medicine, weight-reducing medicine west cloth song ended in a bright era, but every ladies ask U.S.A. to ask the healthy weight-reducing way to still go on. What the next weight-reducing star's products will be? Someone casts sight on the weight-reducing operation - --This kind seems to be more ruthless, more thorough weight-reducing means. But the expert reminds, " the operation is risky, take prudently " . It is still the first-selected and safe and effective weight-reducing method to regulate the diet, appropriate sport, if super and fat, or brain vascular disease, hypertension, diabetes, bone joint pathological change,etc. continue, take place disease while being many kinds of, endanger the health, can consider choosing the operation to reduce weight, but there are strict accommodations.

It suits internal medicine department weight-reducingly that fat slightly

Ji'nan University attaches to the first hospital ordinary surgical king and stores the Sichuan director and introduces, changing with people's diet structure and life style, the fat crowd rises year by year. A lot of diseases coming one after another due to fat reasons are perplexing people, such as breathe suspending, and society's economic and psychological problem etc. in heart disease, hypertension, diabetes, high lipoprotein blood, degenerating arthritis, sleep, many weight-reducing methods arise at the historic moment.

In medical science, have weight-reducing method of internal medicine and difference of the surgical weight-reducing method to reduce weight. The weight-reducing method of internal medicine department means the same such comprehensive methods as control of diet, movement, medicine reducing weight, acupuncture and moxibustion reduce weight reach the weight-reducing result. Surgery's weight-reducing operation includes some weight-reducing operation and weight-reducing operation of whole body. Wang CunChuan introduces, in the medical weight-reducing method, control of diet, sport,etc. are suitable for the slight overweight person; The result is not obvious after serious obesity person adopts internal medicine department to reduce weight, propose considering adopting the way of reducing weight in operation. The present common weight-reducing operation of surgery: Stomach the intersection of bypass and operation, the intersection of stomach and built-in water polo reduce weight operation, stomach narrow operation, the intersection of stomach and the intersection of band and operation, and the intersection of liposuction and skill, a other one for example the intersection of peritoneoscope and the intersection of small intestine and the intersection of bypass and operation, the intersection of stomach and interval tie up operation,etc. because all sorts of shortcomings are eliminated gradually.

What kind of person belongs to the super fat woolen cloth? Wang CunChuan says that mainly judges the basis is a weight index (BMI) ,Index BMI of the weight =Weight (kg) /Height (m2) . BMI is lower than the ordinary people of 28, does not advocate the surgery treatment. In addition, some athletes BMI exceed 28 values, it may not be fat, but may be that the muscle content causes higher.

Fierce competition of all kinds of weight-reducing operations

Although the result not getting instant result of weight-reducing operation, are regarded as a more obvious way of result in all kinds of weight-reducing methods at present too. Certainly, it is the operation that there are certain risks, there is certain indication that adapts to the crowd, the expert proposes, must look for professional doctor's consultation before choosing the operation, chosen more appropriate way, in order to get rid of the danger of the fat disease, reply the life with self-confident health again.

Operation of bypass of stomach

Weight-reducing principle: Pass the gastrointestinal tract correctly " Fit up again " ,Restrain from to the food intake and reduce and absorb

Peritoneoscope the intersection of stomach and the intersection of bypass and weight-reducing skill let stomach make a detour operation too, (excise, take out) The stomach, the small stomach bag which forms the top, determine before breaking the position of the small intestine according to the fat intensity, fit with small stomach bag small intestine that carry far, near end and it carries the side of the small intestine to be identical far of small intestine.

The mucous membrane of intestines is a main place that the food is digested and assimilated on the human small intestine, the food will also stimulate the secretion of gastrointestinal hormone through the small intestine at the same time, and the operation of stomach bypass reduces the food intake through reducing the stomach capacity, through the identical bypass upside small intestine of jejunum of stomach at the same time, let the food not pass the upside small intestine, will so make the secretion of intestinal hormone reduce, two kinds of mechanisms accord with to make the weight lighten finally. " spoken parts in an opera, should perform the operation ing is to fit up the gastrointestinal tract again " ,Wang CunChuan says in this way.

Expert opinion:

This operation begins in America and Europe at first, has a history of 42 years since 1967, it is done that there is this kind of operation every year in U.S.A. now, famous star Maradona accepts that returns to the field of greensward after this kind of operation. Introduced the operation of stomach bypass of peritoneoscope at home in 2004, it is still at primary stage to develop, domestic nearly dozens of example operations of stomach bypass are being done every year now. Wang CunChuan says, the factor of weight-reducing key to success of operation of bypass of stomach lies in the scientific and technological skill outside, only outside the scientific and technological skill is skillful, could improve the success rate of the operation, the morbidity of reducing operation complication is possible.

Who is suitable for performing the operation? BMI exceeds 30.0, or BMI over 28 amalgamates supersession diseases such as diabetes, hypertension, hyperlipemia,etc., or diagnose as it is not obvious that 2 type diabetes carries on the result after drug therapy, can carry on surgery in this way, and usually for better therapeutic diabetes, we still hope the patient's Langerhans' islits function is very good, age does not want too large, have under the age of 18 people should perform the operation while being unsuitable to make.

Advantage: The weight-reducing result is better, the result is sustainable, especially suitable to the fat 2 type glycosuria patient, can lower blood glucose, reduce a patient to the reliance lowering candy medicine.

Shortcoming: The time of operation is long, it is slow to resume time, the weight-reducing operation technology of bypass of domestic stomach is not ripe. Have very high expectations for doctor's technology, postoperative diet limited, harder, stimulatinger food can help yourself.

Liposuction operation

Weight-reducing principle: Aspiration piles up too much fat

Utilize medical equipment, through skin being little to cut-out, stretch the intersection of skin and lower fat floor into, then insert ground floor that fat pile up in directly conduit, and then utilize the vacuum compressor to take the surplus fat out, this kind of operation method is called " does and smokes " . Another way is pouring after the anaesthesia into water and medicine, let the fat cell of the liposuction position swell, insert the intersection of suction and liposuction and then, this call " wet to release " .

Expert opinion:

Sucking the lipoprotein operation method mainly has electronic laws, syringe law, supersonic wave, resonance, electronic fat that are smoked and sucked etc.. Fat release suck skill, suitable for adult, teenager, children and suffer from bleed, infective patient of disease in development state as to health only generally, if hemophilia, regenerated obstacle infect the person in the cooking stove seriously but should not go on in the anaemia and body.

Wang CunChuan says, the method of weight-reducing of liposuction can only suck the lower fat of skin out, and is limited to a certain some lower fat of skin, so lightening function not big to the weight of whole body. And can't lighten the fat relevant disease that initiates. Mainly realize esthetic function.

In addition have " Fat thromboembolism syndrome " The question, namely after the fat is smoked and sucked, the fat cell is dripped by the fat in the fat cell after destruction, suitable and is entered blood by the damaged venule, cause internal organs thromboembolism, lead to the fact the life presents the danger, it is concerned certainly that its appearance and liposuction area are too much.

Advantage: Operation range little, to some to have right results while being fat.

Shortcoming: It is postoperative apt to form the epidermis full of bumps and holes, can present the high fat thromboembolism which endanger the risk, " fat thromboembolism syndrome " The incidence is not high, but must consider the good risk question before operation.

The built-in water polo of stomach reduces weight and performs the operation

Weight-reducing principle: Put the water polo and reduce the empty stomach sense in the stomach

This it performs the operation to be in one about globule of 400-700 that put into under stomach, occupy the intersection of stomach and the intersection of capacity and sure proportion, can reduce the stomach capacity and reduce the empty stomach sense, limit the intaking amount of the food when eating, thus achieve the goal of reducing weight. The patient eats too much or will vomit and break out loudly fast too later. Carry on scientific sports and the training for the diet under the doctor's supervision and guiding at the same time, after the stomach water polo is taken out, can form the movement, diet and habits and customs in good health.

Expert opinion:

At present, it is not numerous to launch the built-in weight-reducing operation of the water polo of stomach in the domestic hospital, specialized doctors do not have many. Wang CunChuan says, the water polo is put in the stomach, the weight-reducing way just temporarily, it is 6 months to put into time limit longest, must take out within 6 months, otherwise there is water polo that shifts, even the risk that breaks. Need to pay attention to, have nausea, regurgitation even vomit on the many 3 day after not putting into such as patient in addition, some people will present gastric ulcer, because gastric acid adverse current cause situations such as esophagitis,etc..

Advantage: The operation course is short and simple.

Shortcoming: The technical requirement is higher, the water polo must pass for half a year and take out, reduce weight function is only temporary in the stomach, there is postoperative response of vomiting.

The stomach band reduces weight and performs the operation

Weight-reducing principle: Fettering the stomach into two Section increases the glutted sense

Divide the stomach into two a small big one upwardly and downwardly " The stomach bag " ,Lower the capacity of the stomach, make people apt to have glutted senses, thus also lower the absorption of nutrition of stomach, narrow the stomach volume, reduce the volume of the stomach to achieve the goal of the food absorbs to reducing.

Expert opinion:

Deserve and perform the operation the suitable crowd similar to operation of bypass of stomach. North the intersection of medicine and three the intersection of institute and the intersection of department of general surgery and pairs of Professor Wei introduce, this kind of operation is only suitable for four kinds of crowds, first, severe fat crowd; Second, exceed 30 weight index BMI.,amalgamate supersession diseases such as diabetes, hypertension, hyperlipemia,etc. for 28 times or over of BMIs, or diagnose as it is not obvious that 2 type diabetes carries on the result after drug therapy, can carry on surgery in this way.

Advantage: The operation method is simple, the wound is little, recovers fast.

Shortcoming: Easy to vomit after the operation, it may cause the esophagus to expand more to spit, the possible malposition of artificial material, even break.

The intersection of reporter and Wen ZhiQin Li, reporter of South Daily,


The weight-reducing operation is risky must think carefully before implementing