Weight management methods include multiple surgeries to shrink the stomach and keep you from being hungry
Weight management is popular nowadays, and there are many methods. Dr. Wong Kin-hung, Honorary Clinical Associate Professor of the Department of Surgery, Faculty of Medicine, The Chinese University of Hong Kong, pointed out that weight can generally be managed through diet and exercise, followed by medication. When medications and diet are not effective, other auxiliary methods may be needed, including surgery and non-surgery.
Huang Jianhong pointed out that there are surgical and non-surgical methods to help patients with diseases caused by obesity manage their weight.
Who needs weight management? Huang Jianhong said that the simplest indicator is the BMI body mass index, which is weight (kg) / height (meter) 2. “Theoretically, the normal BMI level for Asians is 23, and if it exceeds 28.5, it is defined as obesity. Although BMI is just a number , but if obesity has caused internal medical diseases in the body, such as high blood pressure, sleep apnea, fatty liver, etc., weight management needs to be seriously considered.” When drugs and diet are not effective, you can consider the following three commonly used aids method.
The first step in weight management is improving your eating habits.
Water balloon placed in the stomach: 10% to 14% weight loss
Huang Jianhong said that this is a non-surgical treatment. “It mainly uses a gastroscope to put the capsule into the patient’s stomach through the esophagus. Some patients can swallow the capsule on their own. Then about 500 ml of water is injected into the capsule to expand it into a water balloon. The water balloon is then left in In the stomach, on the one hand, it makes the stomach itself feel full for a long time. On the other hand, when a certain amount of food is eaten, the water ball will move and block the gastric outlet like a valve, so that the patient can no longer eat too much, thereby controlling the food intake to achieve reduction. Serious effects. Of course, at the same time, guidance and assistance from a nutritionist is also needed to adjust a suitable diet.”
The water balloon is always a foreign object and is not permanent. It needs to be removed in about 4 months to a year. Generally, it can reduce 10% to 14% of the body weight. Patients need to improve their overall lifestyle habits such as diet and exercise during the period when the water balloon is placed, and maintain it after the water balloon is removed, in order to achieve sustained weight loss. “There are also cases where water balloons are removed and then supplemented with weight loss drugs. In addition, water balloons can also be used as auxiliary treatment before surgery. It is easier to achieve the desired effect by losing part of the weight first and then performing ‘gastric reduction surgery.'” Huang Jianhong said.
Gastric reduction surgery: reduce body weight by 20% to 30%
Gastric reduction surgery is a permanent treatment. “Simply put, it involves endoscopic resection of the “greater curvature” of the stomach, changing its shape from a bag to a tube-like shape. There is no place for food storage, leaving only a passage for food. , the purpose is to reduce the capacity of the stomach. Secondly, the greater curvature of the stomach itself secretes hunger hormone (ghrelin). This hormone is greatly reduced after resection, and it is not easy to feel hungry even if the food intake is small. Many patients only eat food every day after surgery You won’t feel hungry even if you eat 800 to 1,000 calories, and you won’t be looking for something to eat everywhere, so the weight loss effect is more significant, and you can generally reduce your weight by 20% to 30%.”
Gastric reduction surgery is permanent. Some patients are more likely to suffer from acid reflux after surgery. Generally speaking, as long as they gradually develop new living habits and cooperate with eating speed and weight, acid reflux will be alleviated. Although the surgery itself is minimally invasive, it also requires general anesthesia and carries certain risks. Not every patient may accept it. Therefore, there is another surgery that falls somewhere between water balloon and gastric shrinkage: endoscopic gastric suturing.
Endoscopic gastric suturing: still secretes hunger hormone
Huang Jianhong pointed out that endoscopic gastric suturing is also a permanent method. “The method is to extend the endoscope into the stomach and tie up the greater curvature of the stomach, thereby narrowing the gastric capacity. The advantage is that there is no need to remove the greater curvature of the stomach. , there are no wounds, it is a choice between surgery and non-surgery, and it requires general anesthesia. Also, because the greater curvature of the stomach is still there, that is, ghrelin is still secreted, so the patient’s feeling of hunger will be stronger, depending on the patient’s condition. choose.”
2024-02-15 20:29:52
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