Reducing a stomach size for one obese with many complicated comorbidities

29/10/2020 16:53

The obesity is required to manage. Reducingthe diet, increasing the physical exercise, using medication are the normal way, however they arenot effective for long term. An obesity can be reduced but after 5 years, there are about 90% cases are back with an original weight or even more.

 

The doctors at the Department of Emergency Abdominal Surgery – Viet Duc University Hospital (VDUH) has successfully operated to reduce the stomach size for an obese with complicated comorbidities. It is one female, Mrs. T. T. A. (35 years old) from Ho Chi Minh City.

 

Mrs. T. T. A. said 7-8 years ago, she had experienced several kinds of surgery in order to reduce the obesity in Ho Chi Minh City but the result was not as effective as she expected.

 

Until her body became heavier that made she felt extremely tired, she started to search for an intervention to resolve her problem.

 

 

Mrs. A. visited VDUH due to her obesity situation with 95kg of weight, 41 Body Mass Index (BMI), associated with many metabolic disorder comorbidities such as: high blood pressure, diabetes mellitus, joint problem, fatty liver …

 

After a careful consultations, doctors decided to conduct an operation for Mrs. A. to reduce the size of her stomach.

Dr. Bui Thanh Phuc – a doctor of the Department Emergency Abdominal Surgery –VDUH said, the patient was indicated for a laparoscopic sleeve gastrectomy (LSG – cut 2/3 stomach by vertical sleeve)in order to reduce the food intake needed as well as ahungry feeling.

 

The advantages of this technique is to help patient not only to reduce the weight but also to deal with the metabolic comorbidities such as: high blood pressure, diabetes mellitus, joint problem, fatty liver. Thanks for laparoscopic surgery, the surgical site was very small, no bleeding and could prevent the surgical siteinfection compared with open surgery. Only a week after the surgery, Mrs. T. T. A. already lost 5kg.

 

Prof. Tran Binh Giang – Director of VDUH said :the obesity is a disease which required to manage. Reducing the diet, increasing the physical exercise, using medication are the normal way, however they are not effective for long term. An obesity can be reduced but after 5 years, there are about 90% cases are back with an original weight or even more.

 

Recently, VDUH performs several surgeries for the obesity disease such as: laparoscopic adjustable gastric banding (LAGB), laparoscopic gastric bypass by surgery…. All of these techniques are based on the basic mechanism that is reducing the intake foods into a body. However, each technique has its own advantage and disadvantage.

 

VDUH’s experts recommend that a surgery is a very small part in the whole treatment process. It should be a comprehensive plan including a leisure activity, an internal medicine, psychology management and surgical treatment. A patient should consult with the specialized doctors before an operation.

 

The doctors also emphasized that a successful surgery for obesity requires a patient to adopt a scientific diet and to maintain a healthy habit throughout whole life.