What preoperative interventions are needed for super obese individuals undergoing weight loss surgery

The super obese with a BMI of 40 or more must undergo some preoperative intervention before weight loss surgery. The purpose is to reduce the risk of surgery after controlling the weight. The second is that many super obese people are often accompanied by serious diabetes, hypertension, hyperlipidemia, cardiovascular and other diseases. A series of intervention operations, including drugs, diet, physical therapy, etc., need to be carried out to control blood pressure, blood sugar, heart function, etc. in a safe area to ensure the smooth operation and surgical effect.1. Dietary intervention: In dietary intervention, patients first review their personal diet and exercise habits, develop personalized diets based on their different dietary habits, take into account personal preferences, and ensure compliance with dietary intervention, such as limiting high-fat or carbohydrate rich foods, with the aim of effectively controlling calorie intake and ultimately achieving negative energy balance. 2. Behavioral intervention measures the patient's body weight, leg circumference, urine output, abdominal circumference, and in/out volume at regular intervals daily, and monitors various physical indicators of the patient at all times. 3. Psychological intervention: Many super obese individuals may have varying degrees of psychological problems. Therefore, before surgery, health managers and psychological counselors will provide certain psychological counseling to patients and adjust their mentality. 4. Physical therapy intervention: Due to long-term overloading of the body in super obese individuals, their cardiovascular and pulmonary function may be slightly weaker compared to normal individuals. To ensure the safety of the surgery, doctors will arrange for patients to undergo cardiovascular and pulmonary function training before surgery, which requires daily exercise. If accompanied by severe snoring, daily oxygen therapy and wearing a ventilator to sleep at night are also necessary. In addition, multidisciplinary comprehensive consultation before surgery is also an important means to ensure smooth surgery. Experts from multiple disciplines conduct a comprehensive review and consultation of the physical condition of super obese patients, and discuss the most suitable surgical plan for them. This is currently a very cutting-edge and effective method. At present, many mature weight loss centers in China have formed complete preoperative intervention systems, which will greatly improve the long-term efficacy of metabolic surgery and benefit super obese patients to the greatest extent possible.