Saturday, May 28, 2011

Weight loss: conservative therapy or surgery therapy

Obesity, can lead to diabetes, cardioascular disease and so on many kinds of deadly disease. But for some serious pathological sex are obese, general weight loss means no use. But up So, exactly how to reduce weight, surgical weight loss for whom and what error there? For you LiuJinGang director reading.
Is overweight can be calculated
Obesity is a disease, it refers to the definition of calorie intake by more than consumption, inside body adipose accumulation caused by excessive and distribution in unusual, cause overweight disorders. Common body mass index (BMI) to measure. You can make a simple math to measure whether oneself are now obese gens. BMI = weight (kg) / height meters number of square (m2). The world health organization regulation: > 25 kg/m2 with BMI for overweight, BMI > 35 kg/m2 or appear associated complications are called with ill-posed obesity. According to the physical characteristics, Asia Pacific region health organization will be adjusted for BMI > obesity standard 25 kg/m2. Statistics show that at present our country obese people already exceeded 9,000 million, up to 2 million eerything.
Obesity cause a lot of diseases
Affected by the influence of traditional concepts of obesity, people know the harm to human body is far from enough. Actually obesity can lead to many serious diseases, such as type 2 diabetes, high blood pressure, hyperlipidemia, heart disease, fatty liver, sleep apnea syndrome, the endocrine disorder, joint disease, etc. In addition, with ill-posed obesity and tumors also closely related. Research has shown that obese than normal life of short 10-20 years, this is absolutely not true.
What kind of obesity need medical intervention? "China obesity surgery guide" give the answer: the exclusion of other endocrine factors such as obesity, namely the pure severe 32kg/m2 or BMI p 30kg/m2
Many treatments for obesity
At present the conservative bariatric diet main methods, increasing movement or take medicaments reducing weight, etc. However, conservative treatment for maintaining the weight loss usually has no obvious effect, easy to make disease recurrence or rebound.
In the 1980s, some western scholars inadvertently found that some of the patients of weight-loss surgery, they had merged diabetes also got obvious relief. At the beginning of this century began to someone tried to use reduce weight bariatric surgery have merged with type 2 diabetes. A miracle, more than 80% of patients after undergoing surgery, he can from the bondage of drugs and insulin, thus to cure diabetes. The recent ten years, this way in the global scope, and with continuous development mature minimally invasive technology development and increasingly widespread, and now complete each year in the United States about 30 million cases of this kind of surgery.
Currently there are three main current of bariatric surgery way, namely: laparoscopic adjustable gastric banding belt surgery, laparoscopic sleeve shape stomach to excise operation and laparoscopic gastric bypass surgery. For different patients to choose suitable for individual operation method, is very important.
LiuJinGang director in northeast spearheaded weight loss surgery, established a specialized strong reduce weight a surgical ward. Completed the northeast China's first laparoscopic sleeve shape stomach to excise bariatric surgery, laparoscopic gastric bypass surgery, has for dozens of bariatric surgery patients, surgical success rate was 100%, postoperative control weight and blood sugar has good effectiveness, patients with diabetes mellitus blood glucose control is admirable, no case was to use glucose-lowering drugs or insulin therapy, the quality of life of the patients is good, physical and mental health of comparative preoperative has been greatly improved.
Far from error careful choice
Surgical treatment with ill-posed obesity and type 2 diabetes effect is good, and can be maintained, this view has obtained the world surgical and endocrine practitioner's recognized. But now, in a sick sexual obesity and type 2 diabetes treatment there exist in two big error: one is, people with ill-posed obesity and type 2 diabetes, inadequate understanding, don't know endangering the two diseases in treatment of the problem there exists a valid. Such as type 2 diabetes, a disease within 10 years in commonly operation effect, more than the best treatment period, the effect is best discount. LiuJinGang director in clinical see many patients, missed the best treatment window period, cannot accept surgery. 2 it is overly dependent on diet and exercise methods, and exclude surgery. Want to know, diet and exercise, drug therapy for overweight and obese only slightly to effective, but more than 2 degrees poor efficacy obese patients, the rally obvious, repeated weight than continued to fluctuate more severe obesity health injuries. Meanwhile, weight loss medication effect and security is also questionable. 

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