Male weighing 207 kg and diabetic gastric bypass weight loss

A 24-year-old man in Kaohsiung City, weighing 207 kilograms, was morbidly obese. On the 29th, accompanied by his relatives and friends, he went to Kaohsiung E-Da Hospital to seek weight loss treatment. The doctor said that since the man suffered from type 2 diabetes and his BMI was over 50, after discussing with the patient, it was decided to perform gastric bypass surgery on him in the near future. However, you still need to exercise and control your diet after the operation to avoid gaining weight again. (Video/Photographer Huang Zhiwen)

85% of the Chinese population with a BMI of 27 or above suffer from obesity-related diseases, especially morbid obesity with a BMI of over 35, which is prone to cause the "three highs" diseases.

Dr. Huang Zhikun, director of the International Weight Loss and Diabetes Center of Kaohsiung E-Da Hospital, said that 85% of the Taiwanese population with a BMI of 27 or above suffer from obesity-related diseases, especially morbid obesity with a BMI of over 35, which is prone to obesity diseases such as "three highs", sleep apnea, stroke or myocardial infarction; patients with a BMI greater than 32 and concurrent chronic diseases, or a BMI of over 37 who have failed to lose weight for half a year, may consider weight loss surgery.

Clinically, gastric bypass surgery is regarded as the "gold standard surgery" by American bariatric medicine and is currently the most effective bariatric surgery. In addition to limiting food intake by reducing the volume of the newly formed small stomach pouch, the bypass itself has the effect of reducing absorption. The weight loss effect is quite good. Long-term vitamin supplementation is required after the operation to prevent anemia and calcium loss. This type of surgery can help you lose more weight and the results are fast, but the risks are also relatively high.

Dr. Huang Zhikun emphasized that gastrointestinal bypass surgery can currently cure more than 90% of obese diabetic patients without the need for medication. This is because after a diabetic patient undergoes gastric bypass surgery, food no longer passes through this part of the intestine, so the secretion of this intestinal hormone is greatly reduced, restoring the activity of insulin and thus normalizing blood sugar.

Currently, the National Health Insurance conditionally covers weight loss surgery for people with a BMI of over 40, or a BMI of 35 and medical diseases such as diabetes, who have tried diet control or medical treatments and failed. However, it should be noted that due to the small stomach capacity of postoperative patients, special attention should be paid to nutritional deficiencies. After resuming a normal diet, it is not advisable to eat and drink too much, otherwise it is easy to gain weight back above the ideal weight.