Getslim Bariatric Center, Abuja, Nigeria.
Department of Surgery, Trust Charitos Hospital, Abuja, Nigeria.
Niger Postgrad Med J. 2024 Jul 1;31(3):207-212. doi: 10.4103/npmj.npmj_157_24. Epub 2024 Sep 2.
Obesity was mainly regarded as a disease of developed countries, but currently there is a growing rise in the population of patients with obesity in developing countries of Africa. A body mass index of 30 kg/m2 or higher is regarded as obesity, and this may be associated with comorbidities such as metabolic and cardiovascular diseases, orthopaedic and psychiatric conditions, and cancer. There is conclusive scientific evidence that shows that obesity is caused by complex psychosocial, genetic and environmental factors. Diet and exercise are not effective as sole management of severe obesity. Bariatric surgery is the most cost-effective definitive treatment for all classes of obesity, and the associated weight reduction causes improvement or complete resolution of obesity-associated comorbidity, improves the quality of life and reduces all-cause mortality. It is estimated that about 15% of adults in Nigeria are obese, and in the year 2023, it was reported that only 214 bariatric procedures were done locally, with 134 (62.6%) being gastric balloon insertions, 75 (35.1%) primary weight loss surgeries and 5 revisional surgeries (2.3%). In this article, we discussed the existing weight loss options in Nigeria, the current state of bariatric surgery and the need to improve the practice of bariatric surgery for obese Nigerians and complications of obesity.
肥胖主要被认为是发达国家的一种疾病，但目前非洲发展中国家的肥胖患者人数正在不断增加。身体质量指数达到或高于 30kg/m2 被认为是肥胖，这可能与代谢和心血管疾病、骨科和精神疾病以及癌症等合并症有关。有确凿的科学证据表明，肥胖是由复杂的心理社会、遗传和环境因素引起的。饮食和运动并不是治疗严重肥胖症的有效单一方法。减重手术是治疗所有类型肥胖症最具成本效益的确定性治疗方法，相关的体重减轻可改善或完全解决肥胖相关合并症，提高生活质量并降低全因死亡率。据估计，尼日利亚约有 15%的成年人肥胖，据报道，2023 年仅在当地进行了 214 例减重手术，其中 134 例（62.6%）是胃气球插入术，75 例（35.1%）是初级减重手术，5 例是修正手术（2.3%）。本文讨论了尼日利亚现有的减肥选择、减重手术的现状以及需要改进肥胖的尼日利亚人的减重手术实践和肥胖症的并发症。
