Surgical treatment of obesity

Written by Yang Li
Endocrinology
Updated on September 06, 2024
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Surgical treatment for obesity is applicable under certain conditions. This requires the obesity to reach a specific level, defined by indicators such as a BMI of over 35, and in the absence of severe diabetes or complications associated with diabetes. Considering surgical interventions for weight loss, these primarily involve bariatric surgeries like gastric bypass or gastroenterostomy which reduce food intake and absorption, thereby decreasing calorie absorption to achieve weight loss. While the effects of surgical weight loss are generally quite good, it can lead to some long-term postoperative complications, so careful consideration is required.

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Written by Zhang Jun Jun
Endocrinology
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Can people with obesity eat pork?

Patients with obesity are advised to primarily consume lean pork, as it generally contains more protein. If the pork is fatty, it has a higher fat content. Since obesity is a disease of nutritional excess, it is necessary to strictly control the total calorie intake, including carbohydrates, proteins, and fats — particularly the intake of carbohydrates and fats, which are strictly limited. However, patients with obesity can eat lean pork, as it contains high-quality protein which is beneficial for their physical health. Thus, people with obesity can eat pork, but they should focus on consuming lean cuts.

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Written by Yang Li
Endocrinology
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Can obesity get pregnant?

Obesity firstly needs to be differentiated, whether it is a type of physiological obesity or a pathological obesity, such as diseases of the growth gland, Cushing's syndrome, etc., which cause pathological obesity. In this case, some corresponding examinations are required for differentiation. If it is simple obesity, further tests for insulin resistance, blood glucose, blood lipids, and other metabolic indicators are necessary to determine if they are normal, as well as liver and kidney functions. If these conditions are all acceptable, pregnancy is possible. However, it is still important to monitor these indicators during pregnancy. Obesity is not an absolute contraindication for pregnancy, but of course, it is best to control the weight before getting pregnant.

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Written by Zhao Xin Lan
Endocrinology
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What tests are needed for obesity?

Obesity, also known as adiposity, is a chronic metabolic disease caused by excessive accumulation of fat or abnormal fat distribution in the body. Therefore, once obesity is diagnosed, it is necessary to conduct tests related to metabolism, such as blood glucose, blood lipids, blood pressure, and blood uric acid, which are commonly known as the "four highs" tests. Additionally, liver function tests and kidney function tests should be completed to exclude obesity caused by other diseases. It is also necessary to conduct examinations for pituitary tumors, adrenal cortex function, and thyroid function to determine whether the obesity is secondary to other diseases.

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Written by Zhao Xin Lan
Endocrinology
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Can obesity be contagious?

No. Obesity can be classified into primary and secondary types according to its cause. Primary obesity, also known as simple obesity, is the most common type and is mainly due to poor dietary habits, such as overeating, particularly excessive intake of fatty foods, and a sedentary lifestyle, and is not secondary to other diseases. Secondary obesity is caused by diseases such as hypothalamic-pituitary disorders, hypercortisolism, hypothyroidism, hypogonadism, and insulinoma. Therefore, the causes of obesity are not infectious factors, so obesity is not contagious. However, lifestyles can influence each other; being around people with poor lifestyles for a prolonged period can also lead to adopting poor lifestyle habits and potentially result in obesity.

doctor image
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Written by Yang Li
Endocrinology
48sec home-news-image

Surgical treatment of obesity

Surgical treatment for obesity is applicable under certain conditions. This requires the obesity to reach a specific level, defined by indicators such as a BMI of over 35, and in the absence of severe diabetes or complications associated with diabetes. Considering surgical interventions for weight loss, these primarily involve bariatric surgeries like gastric bypass or gastroenterostomy which reduce food intake and absorption, thereby decreasing calorie absorption to achieve weight loss. While the effects of surgical weight loss are generally quite good, it can lead to some long-term postoperative complications, so careful consideration is required.