甩肉100公斤 亞洲首胖「重生」

亞洲首胖吳健順前年在義大醫院接受胃繞道手術後，經過一年已減重一百公斤，不但健康狀況變好，還長高了四公分，現在一百二十六公斤、一六七公分，他覺得自己「就像重生了一般」，希望再繼續努力，半年內將體重減到兩位數字後，再跟心儀的女生告白，而且還要挑戰歌唱選秀節目。

吳健順前年接受胃繞道手術前，體重兩百二十六公斤，ＢＭＩ值（Body Mass Index，即體重除以身高公尺平方）高達八十五，是當時亞洲最胖，因睡眠呼吸中止症加上體重壓迫無法躺著入睡，有三年時間都是坐著睡覺。
 

前年吳到義大醫院接受胃繞道手術，去年四月《蘋果》曾追蹤吳健順術後三個月瘦了四十五公斤，昨手術滿一年，已減重百公斤，且恢復一般進食。

 

 想向心儀女生告白

吳健順去年重考上崑山科技大學公共關係暨廣告系，同時也在加油站打工，他說瘦下來讓他覺得「就像重生了一般」，半年內希望再瘦三十公斤，然後再次挑戰最愛的歌唱選秀節目，並向心儀的女生告白，他的父親則稱讚他瘦下來後「愈來愈有自信、愈來愈活潑」。

參考資料: www.antifat.tv/
以上所提供的資訊僅作為教育及參考用途，如果你有任何醫療問題，
應向自己的外科醫生查詢，而不應單倚賴以上提供的資料。

Laparoscopic Gastric Bypass (2)

 

 

 

Benefits of Gastric Bypass

• Effective diabetic treatment: gastrectomy affects hormone secretion in the body. Therefore, around 80% of patients have their diabetes cured after the surgery. It is also effective in managing hypertension, hyperlipidemia and sleep apnea.
• Effective weight loss: this surgery is by far the best laparoscopic weight loss surgery.
• Quick recovery: laparoscopic surgery is relatively less traumatic and allows quicker recovery.

Risks of Gastric Bypass

• Lack of vitamins: gastric bypass affects absorption in the small intestines. As chronic vitamin deficiency may lead to anemia, patients are required to take vitamin supplements and undergo regular checkups to screen for anemia and malnutrition.
• Complications: this is a relatively complicated surgery. The risk of complications is about 1%. Therefore, it is highly advisable to have the surgery performed by experienced surgeons.
• Not suitable for upper endoscopy: since the majority of the stomach and duodenum are bypassed, endoscopy cannot be used for examination.

Reference information: http://www.obesitysurgery.com.hk/english.html

The information aims to provide educational purpose only.  Anyone reading it should consult Surgery Specialist before considering treatment and should not rely on the information above.

Laparoscopic Gastric Bypass (1)

 Gastric bypass is by far the most effective weight loss surgery for obese as well as diabetic patients with a success rate of over 80%. Gastric bypass is a combination of restrictive and malabsorptive weight loss surgeries. It reduces stomach volume and appetite while bypassing the duodenum to reduce calorie absorption in order to achieve significant weight loss. However, patients are required to take vitamins regularly and undergo regular checkups to prevent the risk of anemia.  

 

Procedure of Laparoscopic Gastric Bypass

Laparoscopic gastric bypass is suitable for patients with a BMI over 40. A liquid diet is suggested two weeks before the surgery. No food is allowed on the day before the surgery. Performed under general anesthesia, 4 to 5 small incisions will be made on the abdomen, each being 1-2 cm in diameter, so that laparoscopic instruments could be inserted. Gastrectomy will then be performed to reduce stomach volume by 20-30ml.

The ileum will then be connected to the stomach, bypassing the duodenum. The remaining part of the stomach will remain in the body for secreting gastric juices for iron and calcium absorption. The surgery takes around 2-3 hours. Patients have to be hospitalized for 4-5 days but may move around after surgery. Patients are advised to maintain a liquid diet for the first two weeks after surgery, and then progress to a puree diet. One month later, normal diet can be resumed. However, patients need to follow dietitians’ advice and exercise regularly, as well as undergo regular follow ups for effective weight loss.

Reference information: http://www.obesitysurgery.com.hk/english.html

The information aims to provide educational purpose only.  Anyone reading it should consult Surgery Specialist before considering treatment and should not rely on the information above.

電針治療減肥 - 成功案例

參考資料: www.antifat.tv/
以上所提供的資訊僅作為教育及參考用途，如果你有任何醫療問題，
應向自己的外科醫生查詢，而不應單倚賴以上提供的資料。

Laparoscopic Sleeve Gastrectomy (2)

Laparoscopic Sleeve Gastrectomy (2)

 

 

Benefits of laparoscopic sleeve gastrectomy

• Obvious weight loss: ~70-80% of the stomach will be removed thus significantly reduce stomach volume and induce a much earlier sense of satiety.
• Effective diabetic control: with the reduced stomach volume and changes in hormones, such as increasing glucagon-like peptide-1 (GLP-1) and peptide YY (PYY) for diabetes treatment that is stimulated by faster stomach emptying.
• Reduced appetite: There is an immediate reduction in levels of the appetite stimulating hormone – Ghrelin, thus significantly reduce patient’s hunger sensation and appetite.

Risks of laparoscopic sleeve gastrectomy

• Low risk: overall mortality risk is <1%.
• Irreversibility: once the greater curve of the stomach is removed, normal stomach anatomy cannot be reinstated.
• Heartburn: patients may experience a higher incidence of reflux / heartburn following surgery. 

Reference information: http://www.obesitysurgery.com.hk/english.html

The information aims to provide educational purpose only.  Anyone reading it should consult Surgery Specialist before considering treatment and should not rely on the information above.

Laparoscopic Sleeve Gastrectomy (1)

 Want to have a better control of eating volume without the need to avoid various foods? Laparoscopic sleeve gastrectomy, a restrictive minimally invasive laparoscopic surgery, is the most widely performed weight loss surgery in Asia. By reducing the stomach size, patients will feel a sense of fullness much earlier, and thereby substantially reducing the volume intake.

Besides more effective weight loss, this surgery is effective in diabetic treatment with a remission rate of almost 70%. This surgery can significantly suppress the secretion of Ghrelin – a powerful appetite stimulating hormone. Patients recover quickly from surgery and are able to return to their daily activities in a short period of time. In order to achieve your target body weight, patients will have regular follow up with Dr. Wong and his team of allied health specialist (including dietitian and physiotherapist).

Procedure of laparoscopic sleeve gastrectomy

This surgery is indicated for patients with BMI over 30. Two weeks prior to surgery you are instructed to have only fluid diet and milk supplements. The surgery is performed under general anesthesia. Dr. Wong will make 4-5 small (1-1.5cm) incisions and remove 70-80% of the stomach in order to create a ‘banana’ shaped stomach. The entire procedure last for about one and half hours and patients will be discharged from hospital 3-4 days after surgery.

After your surgery, fluid and congee diet must be maintained within the first month in order to allow for good wound healing. After then, a “new” normal diet can be resumed. All patients must follow dietitians’ advise to ensure effective weight loss.


       

Reference information: http://www.obesitysurgery.com.hk/english.html

The information aims to provide educational purpose only.  Anyone reading it should consult Surgery Specialist before considering treatment and should not rely on the information above.

胃摺疊手術

簡介
     

將大胃囊以摺疊方式縫合，使胃容量存留約 100 c.c.，藉由胃囊摺疊減去過多的體重，此為可逆性手術。

併發症

• 死亡。全世界的統計數字顯示減重手術引起的死亡率約為1/200，一般來說，手術死亡的定義為手術後三十天內。 
• 胃食道逆流。有些病人接受手術後會出現胃食道逆流或嘔吐的現象發生，此時應回門診。
• 心臟病發。肥胖病患常有高脂血症引起動脈硬化，容易引致心臟病發作，手術前醫師會安排一系列的心血管檢查。若有血管阻塞的問題，一般會建議先處理心臟疾患。
• 肺炎。腹部手術的病人因為活動力下降因此容易出現痰多不易清除的現象。但因為現今都是腹腔鏡手術，下床活動通常不受限制，因此很少見到。
• 維生素缺乏。會教導你如何從食物的補充。
• 胃囊破裂。胃部血液循環差而造成感染破裂，需再次手術。
• 胃套疊。摺疊胃出現阻塞，此情況甚少發生，若出現須手術矯正。

 

參考資料: www.antifat.tv/
以上所提供的資訊僅作為教育及參考用途，如果你有任何醫療問題，
應向自己的外科醫生查詢，而不應單倚賴以上提供的資料。

Laparoscopic Adjustable Gastric Band (LAGB) (2)

Benefits of LAGB:

• Improved eating habit: many overweight patients fail to feel sense of fullness due to eating too quickly. After surgery, eating too quickly will induce an early sense of satiety and may occasionally vomit, therefore, patients are taught to adjust their eating habits. 
• Low risk of surgery: overall mortality rate is approximately 0.05%
• Durability: all gastric bands are designed to last lifelong.
• eversibility: since the surgery does not involve removing or cutting any part of the stomach, the band can be easily removed by minimally invasive approach at any time.
• Adjustable: doctors can control the volume of saline to control the band tightness according to patient’s weight loss progress.
• Quick recovery: with the benefits of minimally invasive technique, patients recover quickly from surgery and can return to their normal daily activities soon after surgery.

Risk of LAGB:

• Risk of adjustment (access) port damage (up to 3%), slippage (3-8%) and erosion (up to 2%).
• Involves implantation of a “foreign body”.
• Relatively less weight loss compared with other bariatric surgeries.

Reference information: http://www.obesitysurgery.com.hk/english.html

The information aims to provide educational purpose only.  Anyone reading it should consult Surgery Specialist before considering treatment and should not rely on the information above.

Laparoscopic Adjustable Gastric Band (LAGB) (1)

Asian diet consists mainly of volume instead of fast foods and sweets in the West. The influence of the “Western” portion sizes is causing more and more obese populations worldwide.

For BMI over 30, with an over-eating habit, LAGB may be a possible solution for weight loss by reducing the portion size ingested and improving daily eating habits.

This is one of the most widely adopted weight loss surgery as it is minimally invasive. Doctors can adjust the band according to the condition of the patient.

 

Procedure of LAGB:

Under normal conditions, once food is ingested, it will passes through the stomach and be broken down and absorbed in the small bowel. During the minimally invasive LAGB surgery, only four small incisions will be made. A silastic gastric band will be placed at the upper portion of the stomach to create a 15-20 ml “gastric pouch”. The adjustment port will be placed under the skin so it is completely invisible.


According to patient’s weight loss progress, doctors will adjust the band tightness by injecting saline solution via the adjustment port to the band. Patient will usually notice slight hold up sensation following adjustment but there should be NO pain.


The surgery is performed under general anesthesia, which takes about 1-1.5 hour. Shortly after surgery (on the same day) patient can start mobilizing and the length of stay is usually 1-2 days after surgery. No long-term medication is required. However, patients should change / restrict their diets, according to instructions given by Dr. Wong and your dietitian. Patients who had received LAGB will have to come back for follow up on a more regularly basis (every 1-2 months) during the first 2 years – as this is the “golden period” for weight loss. Long-term follow up is also needed.

Reference information: http://www.obesitysurgery.com.hk/english.html

The information aims to provide educational purpose only.  Anyone reading it should consult Surgery Specialist before considering treatment and should not rely on the information above.

腹腔鏡縮胃手術 (下)

微創傷口位置

腹腔鏡縮胃手術的優點

1. 減重效果明顯：縮胃手術切走約7至8成的胃部，使胃容量大大減少，故此能有效減少食量，很快達至減重效果。
2. 有效治療糖尿病：術後患者食量大減，加上體內荷爾蒙也受影響改變，如提升Glucagon-like peptide-1 (GLP-1) 及 Peptide YY (PYY)，有效使血糖降低，治療糖尿病。
3. 減少食欲：胃部頂端是分泌刺激食欲荷爾蒙的位置，由於縮胃手術會切走該部位，使患者減少飢餓的感覺，容易有飽肚感。

腹腔鏡縮胃手術的風險 / 缺點

1. 術後患者可能會出現胃部過窄引致吞嚥困難、傷口流血，或因切口縫合不好而令胃部穿洞的併發症，但以上情況較罕見。
2. 縮胃手術要切走部分胃部，不可還原胃部原來容量及形狀。

參考資料: www.obesitysurgery.com.hk
以上所提供的資訊僅作為教育及參考用途，如果你有任何醫療問題，
應向自己的外科醫生查詢，而不應單倚賴以上提供的資料。