Sun Xiaodong photography

Business News (Reporter Zhu correspondent photography Wu) "Wow, this patient is so fat, enough for the weight of three or four of us!" Yesterday, when Xiao Li entered the People's Hospital of Zhejiang Province, he attracted everyone's attention. Xiao Li is 26 years old and weighs 400 Jin. After trying various methods to lose weight, he came to the provincial people's hospital, hoping to lose weight through surgery. According to the hospital, he is the fattest patient in Zhejiang province who has had weight loss surgery.

"He was born more than 8 kg, and he is a huge child. He is chubby and cute. Many people are worried that children will not eat. My family has been very edible since childhood. Not long after birth, I can drink 4 bottles of milk a day, plus lotus seed cake. The little guy eats very hard and grows naturally. Everyone says the child is well raised. " Recalling her son's childhood, Xiao Li's mother still has a trace of happiness.

Soon, Xiao Li's "development" made the family unexpected. Xiao Li's weight has repeatedly broken records. The kindergarten teacher class is 80 kg, entering the first grade of primary school, exceeding 100 kg. Junior high school reached 200 kg, and junior high school nearly 270 kg. He easily broke through 300 Jin after work. The happiness and satisfaction of the family gradually turned into worry, even a kind of pain.

"In fact, I don't think I can eat much, just eat more than others. According to my food intake, it is estimated that it is almost 200 kilograms long, but I have grown to more than 400 kilograms, which is incredible. " Xiao Li said.

The kindergarten class weighs 80 Jin.

His fat figure has brought great hidden dangers to his health, and also made his actions and life quite inconvenient. Xiao Li realized that she should lose weight, but "it's easier to go up than to come down!" " "

Xiao Li tried many ways to lose weight, such as diet pills, acupuncture, exercise ... and spent tens of thousands of yuan to lose weight. But every time it starts with confidence, ends in failure and gets fatter and fatter.

In the third grade, he tried acupuncture weight loss. At first, he lost more than 20 Jin. At that time, the whole family was very happy and felt hopeful, but he failed in the end. After stopping acupuncture, he bounced back and gained more than 20 Jin.

After joining the work, Xiao Li worked in a supermarket distribution center in Hangzhou. I was unfamiliar with business when I first started working. I walked back and forth with a lot of exercise, and my weight hovered around 350 kg for several years. Slowly, the business became familiar and the amount of exercise decreased. Just as the unit has a new welfare, it can drink drinks like Coke Sprite every day, and unconsciously it weighs 400 pounds.

Xiao Li concluded that the failure to lose weight always comes down to the lack of perseverance, and the "old problems" that can be eaten are immediately abandoned. After many unsuccessful efforts, he decided to seek help from surgery to lose weight.

Try to lose weight and get fatter and fatter.

When Xiao Li first arrived at the hospital, he gave doctors and nurses many problems: even the biggest hospital gown, Xiao Li couldn't wear it; His fat layer was too thick, so the doctor specially ordered an extended version of the surgical instrument, and it took the nurse some time to draw blood.

Deputy Director and Chief Physician of Minimally Invasive Surgery Center for Hepatobiliary Pancreas of Zhejiang Provincial People's Hospital gave a comprehensive physical examination and was diagnosed as fatty liver, hyperlipidemia and poor heart. If left unchecked, it will be life-threatening.

Director Sun's weight-loss operation for Xiao Li is "stomach incision to lose weight", which is medically called laparoscopic gastric sleeve resection. The so-called "laparoscopic gastric sleeve resection" refers to making several key-sized holes in the patient's abdomen, and then the doctor resects about two-thirds of the patient's stomach under laparoscopy, and then sutures the resected stomach. By changing the stomach capacity, the purpose of controlling the patient's diet is achieved. If you eat a little, you will be full, and if you consume less calories, your weight will naturally drop.

In 2008, gastrectomy was listed as a routine weight-loss operation by the US Food and Drug Administration, and 65,438+100,000 people worldwide have undergone the operation. The results of more than three years' follow-up show that patients undergoing surgery can lose 60%-70% excess weight.

Director Sun said that not everyone can do weight-loss surgery. Generally, various weight loss methods are ineffective, and the square of body mass index and weight (kg)/ height (m) is above 35; The body mass index is 30-35 years old, and you have type 2 diabetes. Lifestyle and drugs have made it difficult to control blood sugar, especially cardiovascular risk factors. The body mass index is 28-29.9. If the patient is complicated with type II diabetes, centripetal obesity (female waist circumference > 85cm, male waist circumference > 90cm), and meets the two criteria of metabolic syndrome (high triglyceride, high cholesterol level and high blood pressure), you can consider undergoing weight loss surgery.

Xiao Li's surgery is tentatively scheduled for Thursday morning. The expected goal after the operation is to lose weight below 200 kg after a period of time.

Who is suitable for surgery to lose weight?