手术后，我们的病人更加活跃，生活质量也大大提高.
Sarah E. Billmeier, MD, MPH去年，注射减肥药大受欢迎, 减肥手术仍然是许多肥胖患者最好的长期治疗选择. 手术包括通过手术改变胃的大小和, depending on the method, bypassing part of the intestine. 大多数病人减掉了大量多余的体重, have better control of diabetes, 减少降压药和糖尿病药物的使用. 接受减肥手术的患者平均寿命明显长于不接受手术的肥胖患者.
十大网赌平台推荐健康中心是使用该手术的地区领导者, 每年在黎巴嫩进行400多例手术, Concord, Manchester and Nashua. 减肥手术的成功在很大程度上取决于病人的准备工作, physically and emotionally, for a life-changing experience.
An interdisciplinary team of nurses, 营养学家和心理健康从业者合作，帮助患有严重肥胖和代谢紊乱的人决定是否选择手术, 然后引导他们通过严格的资格和准备过程. After the surgery, patients receive support from the team, 两者都处于6到8个月的直接过渡期, 并在接下来的几年里识别和解决可能出现的任何医疗问题.
Kristin L. Slack-Potwin, 黎巴嫩减肥手术项目的协调员之一, 通常是患者的第一个接触点吗, and helps lead them through many steps, 比如符合外科手术的医学资格, 参加培训项目，改变饮食习惯. Slack-Potwin says insurance requirements vary, 但也可以包括病人记录他们吃的所有东西, a psychological evaluation, 还有几个月的营养师咨询，帮助病人养成新的饮食习惯.
Sivan Rotenberg博士，是一名心理学家 & 十大网赌平台推荐健康学院十大网赌平台推荐希区柯克医疗中心(DHMC)的健康诊所, 进行许多必要的心理评估. 罗滕伯格与病人的对话主要围绕着人与食物的关系，以及病人如何开始改变这种关系. Living well post-bariatric surgery, 要求患者在手术前做出改变生活的坚定承诺, she says, and may require months of therapy or counseling.
“These successful treatments are life-changing 因为它们改变了一个人对食物和饮食的整个方式，”罗滕贝格说. 重要的是，这些生活方式的改变在手术前就已经根深蒂固，以最大限度地提高成功的机会.
Krystal Kebler, a teacher in her mid-30s, 她成为了减肥手术的候选人，不仅因为她的体重，还因为慢性肝病威胁到她的生命. 手术后的两年里，她瘦了166磅. 术前强化门诊治疗, 这有助于改变Kebler的态度，并将食物作为一种应对策略, “was one of the hardest things I have ever done,” she said. But the outcome has been worth it, as her health and quality of life are better, 她觉得可以更自由地去做以前因为超重而无法做的事情.
Sarah E. Billmeier, MD, MPH, 是DHMC减肥外科项目的外科医生, 希望更多严重肥胖的患者考虑手术. “It is an option that is very underutilized, 非常安全，成功率高得惊人,” she said.
Billmeier finds her work gratifying. “我能给别人的生活带来如此巨大的改变，”她说. “手术后，我们的病人更加活跃，生活质量也大大提高.”
About Dartmouth Health
Dartmouth Health, 新罕布什尔州唯一的学术医疗系统和该州最大的私人雇主, serves patients across northern New England. Dartmouth Health provides access to more than 2,000 providers in almost every area of medicine, delivering care at its flagship hospital, 黎巴嫩十大网赌平台推荐希区柯克医疗中心, NH, as well as across its wide network of hospitals, clinics and care facilities. DHMC一直被评为新罕布什尔州排名第一的医院 U.S. News & World Report在许多临床专业和程序中表现优异. Dartmouth Health includes Dartmouth Cancer Center, 是全国仅有的56个国家癌症研究所指定的综合癌症中心之一, 也是新英格兰北部唯一一个这样的中心; Dartmouth Health Children’s, 包括十大网赌平台推荐希区柯克医疗中心的儿童医院, the state’s only children’s hospital, and multiple clinic locations around the region; member hospitals in Lebanon, Keene and New London, NH, and Bennington and Windsor, VT; 佛蒙特州和新罕布什尔州的探访护士和临终关怀医院; and more than 24 clinics that provide ambulatory services across New Hampshire and Vermont. 通过与十大网赌平台推荐学院和 Geisel School of Medicine, 十大网赌平台推荐健康中心每年培训近400名住院医师和研究员, 并与Geisel和the medical进行全球公认的前沿研究和临床试验 White River Junction VA Medical Center in White River Junction, VT. Dartmouth Health and its more than 13,000名员工坚定地致力于服务于我们社区中每个人的医疗保健需求, 为每位病人提供卓越的, personal care.