Gastric bypass surgery surgery case, gastric bypass surgery regret

China's fattest "Liang lost 160 pounds a year after surgery.

Chongqing's first fat in China refers to Liang Yong, a native of Dazu County, Chongqing, who weighed 10 pounds at birth, 31 pounds at the age of 1, 140 pounds at the age of 8, 360 pounds at the age of 14, 460 pounds at the age of 31, and 415 pounds at the age of 32, waist circumference, chest circumference, and hip circumference. Liang Yong is like a small mountain, and his waist circumference alone is higher than that of an average adult man. Because he was too fat, Liang Yong couldn't bend over to wash his feet by himself, and he had to ask his wife to help him take a bath, so he was panting when he walked a few more steps.

Liang Yong, a man from Dazu County, Chongqing City, known as "China's fattest", weighs 460 pounds of weight for his organs, and has serious problems after long-term overwork. Because of obesity, he developed severe respiratory failure, severe abdominal edema, and was critically ill for a time.

Since late April 2010, Liang, who had been able to walk before, has become more and more difficult to breathe, and he is out of breath after walking a few steps. Subsequently, Liang Yongmi's abdominal circumference soared, and when he exceeded the meter, his face began to swell, and his appetite was greatly reduced.

On the morning of May 27, 2010, Liang Yong had to go to Xinqiao Hospital to see a doctor, but high-end imaging medical instruments such as B-ultrasound and CT could not penetrate his thick fat and could not see what was wrong with his organs.

On May 26, 2011, Liang Yong, the "fattest man in China", began to undergo an examination at Jihua Hospital affiliated to Jinan University in Guangzhou. He claimed that this trip to Guangzhou was his last hope.

On June 21, 2011, experts from the First Affiliated Hospital of Jinan University and the Affiliated Jihua Hospital jointly performed laparoscopic gastric bypass surgery on Liang Yong. One year after the operation, Liang Yong successfully lost 160 pounds.

According to reports, Wen Bishan has been fatter than his peers since he was a child, and he has a large amount of food, but his previous life trajectory is basically the same as that of ordinary people, but after marriage at the age of 24, his weight began to increase, from 200 pounds when he got married to 240 pounds, 280 pounds, and then 320 pounds. Wen Bishan introduced, in order to **, he has tried a variety of ** methods: dieting, exercise, acupuncture, **tea, etc., each time it will be short-lived, but it is often impossible to persist for a long time, and finally the weight is more and more weight, and the weight reached 470 pounds in 2011.

In February 2013, according to the doctors of the Guangzhou General Hospital of the Guangzhou Military Region, Wen Bishan's current weight is still 380 kilograms, and he will cut off 90% of his stomach through surgery, leaving the shape of a banana, so that his food intake will be greatly reduced.

On June 14, 2016, Wen Bishan, a 184-kilogram man, was successfully reduced to 90 kilograms through a successful gastric reduction operation by Dr. Asia-Pacific (Dai) Xiaojiang and other experts, and is now married.

Obesity is a very troublesome problem, which not only affects one's own appearance, but also has an impact on physical health, leading to a variety of problems such as three highs. For some women who are fatter after giving birth to a baby, they want to lose weight, but the effect is not good, and they can't hold on, so they want to have surgery, such as gastric bypass surgery, which is a surgery to reconstruct the digestive tract, but I found that some friends regret having gastric bypass surgery, why is this? Here is a detailed answer to this question.

Gastric bypass is a surgery to reconstruct the digestive tract, simply put, it is to change the intestinal structure and close most of the gastric function, through this surgery can slow down the stomach to empty food, reduce the absorption of nutrients, often used for obesity. Regret after gastric bypass surgery is generally caused by postoperative sequelae, and the common sequelae are two:

1. Intraperitoneal bleeding within 24 hours after surgery is generally due to incomplete ligation of blood vessels during surgery, so that hemostasis is not in place, and then bleeding will occur, and patients have a lot of bleeding within 48 to 72 hours after surgery, at this time, gastrointestinal function is restored, and gastrointestinal peristalsis leads to the detachment of silk threads, which causes bleeding.

2. Postoperative gastrointestinal function disorder, most of the reasons are that the gastric branch of the vagus nerve is damaged during the operation, so that the gastric peristalsis function will be temporarily paralyzed or the gastrointestinal anastomosis is too small, which will cause food to be difficult to pass, which will cause nausea and vomiting and other discomforts.

It is recommended that the mother should choose a scientific and healthy way after giving birth, pay attention to a reasonable diet and long-term exercise, and generally lose weight slowly, there is no need to choose gastric bypass surgery, although it is a minor operation, it is also risky.

What does permanence mean? After gastric bypass surgery, in general, the stomach is reduced, and through gastrointestinal diversion, the capacity of the stomach is reduced and the secretion of hormones is improved, and the weight loss effect is quite obvious and the ** effect of type 2 diabetes is very obvious. However, there is no guarantee that the weight may be **, because after bariatric surgery, it is also necessary for the patient to keep in touch with the doctor and eat a healthy diet according to the doctor's guidance, because the doctor can only control the size of the stomach and intestinal structure, but cannot control the sugar and calories of the food outside.

Gastric bypass surgery is generally done for patients with BMI greater than 45 or above, and it is also very suitable for the treatment of diabetes, so that the patient's blood sugar gradually returns to normal after surgery, but the disadvantage of gastric bypass surgery is that it may cause a lack of nutrient intake, so it is necessary to supplement nutrients and trace elements for a long time after surgery.

Modern surgical techniques have been able to minimize complications. There is a misconception about the risks of weight loss and diabetes surgery, and the risks of surgery are not as high as imagined. In fact, the mortality rate of bariatric and diabetic surgeries has been shown to be lower than that of other common surgeries, such as cholecystectomy.

In obese people, patients who did not undergo surgery had an eight-fold increased risk of death compared those who underwent bariatric surgery; Patients who underwent bariatric and diabetic surgery had a significantly lower risk of death than those who did not. The risks of bariatric and diabetic surgery are lower than those of laparoscopic cholecystectomy, and the risks are relatively low.

There are risks associated with any surgery, and the risks of surgery are different for each patient, and the increased risk of weight loss and diabetes surgery is often related to some factors that the patient has in themselves, including old age, high BMI, male sex, high blood pressure, sleep apnea, risk of pulmonary embolism, and limited mobility.

Complications of bariatric and diabetic surgery include common gastrointestinal complications (bleeding, fistula, gastroesophageal reflux, ulcers, etc.), pulmonary embolism, deep vein thrombosis, internal hernia, respiratory complications (atelectasis and pneumonia), cholecystitis, and gallstone formation.

Introduction to gastric bypass.

Gastric bypass surgery refers to a series of similar surgical procedures for obesity, and its common features are: the operation first divides the stomach into two parts, the smaller upper part, and the larger lower part, and then amputates the small intestine, rearranges the position of the small intestine, changes the route of food through the digestive tract, slows down the rate of gastric emptying, shortens the small intestine, and reduces absorption. By 2005, surgeons had developed several different alignment schemes, forming several branches of gastric bypass surgery.

According to 2008 data from the National Center for Health, gastric bypass surgery has replaced gastric reduction surgery after 2000 and has become the most popular procedure in the United States, with about 100,000 cases performed each year.

Methods: On the one hand, a small gastric pouch was built in the upper part of the stomach to restrict food intake, and on the other hand, the distal jejunum and the small gastric sac were anastomosed to bypass the large part of the stomach, duodenum and the first jejunum, so as to greatly control food intake and absorption.

Principle: Change the structure of the intestine, shut down most of the stomach functions, reduce the space of the stomach and the length of the small intestine.

Advantages: The weight loss effect is obvious, and the effect is expected to be maintained for a long time.

Evaluation: Gastric bypass has been studied earlier and more frequently in bariatric and diabetic surgery, and has the best effect in patients with type 2 diabetes with obesity**.

Principles of gastric bypass surgery.

In 2004, the National Institute of Health announced an updated evaluation of gastric bypass surgery

The most effective medical treatment for morbid obesity is surgery.

The most effective surgeries are: gastric reduction, gastric bypass, gastric banding, and intragastric balloon.

Surgery performed laparoscopically** is as safe as open surgery.

Patients must undergo a thorough preoperative evaluation to obtain the best** outcome.

In the same year, the National Institute of Health included gastric bypass surgery in the U.S. National Health Insurance, officially recognizing gastric bypass surgery as one of the best in morbid obesity**.

Indications for gastric bypass.

Gastric bypass surgery is indicated for obesity**. In 1991, the National Institute of Health proposed the idea of a body mass index (BMI), giving a clear definition of obesity. Body mass index (BMI) refers to the square of weight (kg) and height (m).

BMI is usually between 20 and 70. For example: height meters; Adults weighing 75 kg have a BMI of:

75/ = 25。Gastric bypass surgery implementation criteria: BMI greater than or equal to 28 or BMI greater than or equal to 25 Co-ordination with one or more obesity-related diseases (e.g., diabetes, heart disease, etc.).

If it is caused by super obesity, there may be some effects, but the sequelae are terrible, the effect is uncertain, the result is irreversible, it is mandatory not to let food absorb--- it is better to control the diet--- I said that it is better to be like Gao Xiaosong drunk driving in for 15 days**20,*** small.

Gastric bypass surgery is to change the structure of the patient's stomach and intestines, using surgery to divide the stomach into upper and lower parts, a small part of the stomach is only about 1 6-1 10 of the normal gastric volume, food absorption will be less, the digestive route will also change, the speed of gastric emptying will also be slowed down, reduce intake at the same time, the absorption function is also reduced, and the effect of diabetes can be achieved. Gastric bypass surgery is mainly used for obese people and diabetic people, gastric bypass surgery is not suitable for all people, patients with type 2 diabetes, the course of the disease is less than 15 years. Obesity is severe, affects cardiovascular function or induces other diseases, which are indications for surgery.

It is also necessary to pay attention to the care of the stomach in daily life, eat lightly, and avoid overeating, so as not to have stomach discomfort.

Gastric resection will have a certain effect, but the effect is passive, because you will feel very full when you eat a little food, and how much you usually eat, you may eat half of it after the operation. However, if you can't change the habit of eating seas, sooner or later you will get fat back. Shanghai generally goes to the Hongqiao Weight Loss Center, which is more formal, you can go over to have a look, and the environment is also comfortable.

List of complications of abdominal surgery:

Infection, massive bleeding, hernia, intestinal obstruction, venous thromboembolism, gastric bypass surgery complications:

leakage of sutures; Suture narrowing: After the suture heals, scar tissue will be formed, and the scar will naturally tend to shrink, after a period of postoperative recuperation, the suture will gradually become larger, usually the suture will gradually relax, and food can pass smoothly, but if inflammation and infection occur, it will be difficult for the suture to heal smoothly. 1-16% are especially common in patients with previous gastric ulcers, patients with Helicobacter pylori, and patients who smoke; glycemic control syndrome; Malnutrition; hyperparathyroidism; Calcium deficiency, iron deficiency, vitamin B12 deficiency, vitamin B1 deficiency, protein malnutrition, vitamin A deficiency, drunkenness, pica, etc.

In 2004, "gastric bypass surgery" was introduced for the first time in China, but it was found in long-term clinical practice that although the effect of "gastric bypass surgery" is good, it will have rejection for a small number of people, making it difficult to improve the effect. Due to factors such as the difference in the physique of the East and the West (Westerners are tall and fat, Asians are short and thin), and the difference in diet (Westerners mainly eat a high-fat and high-calorie diet), diabetic patients also have differences in symptoms and surgical tolerance.

In view of the onset and symptoms of Asian human constitution, especially Chinese diabetic patients, domestic hospital experts have carried out a comprehensive upgrade and improvement design of "gastric bypass", and the modified "gastric bypass surgery" (also known as Chinese-style "gastric bypass surgery") was born.

Principles of surgery. Based on the above background, and taking into account the negative effects of surgery on the patient's nutrient intake and absorption, the Chinese-style gastric bypass surgery was designed, which has the following characteristics compared with the **-type gastric bypass surgery

1. Increase the proximal gastric volume to 30% of the total gastric volume

2. Increase the effective absorption area of the gastrointestinal tract, design a personalized small intestinal nutrition length3, and take into account improving the function of pancreatic islets and avoiding malnutrition complications.

4. Eliminate the human rejection caused by the original surgery.

5. It is also effective for non-obese diabetic patients.

6. Postoperative diet and nutrient absorption were not affected, and there were no adverse reactions 7. At the same time, the effective rate of diabetes complications reached 100%, and the rate was increased to.