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新聞新知~手術風險,以減肥胃繞道手術為例

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The man who lost 12 stone with a gastric bypass, then sued the NHS because he'd rather be fat

英國一位接受胃繞道手術減肥的男子,雖然瘦了12stone(=168磅=約76公斤),但副作用使他寧願恢復原來的肥胖身材,因此控告英國國家衛生機構(NHS)。

By Andrew Levy
Last updated at 11:22 AM on 16th September 2010

中文翻譯:  

  *花了12000英鎊(約台幣60萬)動的手術,使他不能吞嚥固體食物,他的職業是財經顧問。
  *當事人不再快樂,術後一直心情低落。
 
Tim Daily 原先體重24stone(約150公斤),體重過重且有小中風、糖尿病、心臟病的問題。他47歲,對他而言體重過重算嚴重的健康問題,於是他在NHS接受胃繞道手術減肥。雖然接下來四個月內,這個手術讓他瘦了將近原先1半的體重,但卻引領他來到地獄般的生活。他一吃固體食物就會受疼痛折騰,如今他在醫院接受營養不良的治療,藉由一個管子直接接到他的胃以輸送食物。
Daily說,與其這樣還不如讓我回到24stone的生活,這真是個地獄,我不再像以前一樣快樂了,我一直覺得絕望。
我每天都渴望吃東西,連吃餅乾都要藉由嗎啡才行,要不然我根本不能吃。我之前是個很愛社交活動的人,出去吃飯是我人生中重要的一部分。
現在它毀了我的人生。假如我真的吃東西,我必須服用嗎啡,而且我太太要送我去醫院,因為我痛到昏過去。聖誕夜、復活節、家庭聚會全都毀了。
我確定在動手術之前還可以吃東西。假如你永遠不能吃東西,你感覺如何?
Daily向NHS索賠6位數字英鎊,聲稱他在12000英鎊的胃繞道手術前,沒有被警告手術可能帶來的併發症。目前他有兩種選擇,再也不吃固體食物,或
是接受死亡率有25%的胃繞道矯正手術。
他說:「假如施行矯正手術,我可能會死。我才47歲,我不能把自己置於危險之中,因為我還有太太、兩個女兒、兩個孫女」
Mr Daily身高5ft11in(約=180公分),在2008年10月接受胃繞道手術,當時因為他的body mass index=BMI身體質量指數高達47(為病態肥胖,一般30以上就是肥胖)。
手術拉直了他的消化道,並且藉由把他的胃釘小,以避免他吃太多、太頻繁。但在去年七月,在他的體重減半後,他被診斷出營養不良,
因為一吃東西就會痛的關係,他吃太少。現在養分直接由管子輸進他的胃裡,白天藉由背包儀器,晚上則藉由床邊的機器。
他現在體重為11st7ib(約=73公斤),BMI值=22.5,但體重仍一直下降,且感到疲憊無法工作。在手術之前,他一星期工作45小時,年收入10萬英鎊。
現在他每天工作時間不到3小時,他的妻子Jenny,46歲,全職照顧他。醫師認為,他吃固體食物會痛的原因,在於手術所導致的神經傷害副作用。有時候當他一定要吃固體食物時,他需要口服嗎啡。某個月裡,Daily甚至服用了1加崙的止痛藥。
他請Kester Cunningham John律師控告NHS,以補償手術帶來的生活品質損失、少賺的錢、和他承受的痛苦。NHS發言人表示,我們正在評估這個案例,並且等待委託醫院提出進一步的醫學證據。西部倫敦Charing Cross Hospital昨天表示,它們尚未收到任何法律文件,但咬定相關的手術副作用已經在術前先跟Mr Daily說明。 並表示每個胃繞道手術都有5%產生
副作用的風險機率。在任何手術進行前,我們都會告知危險和潛在併發症給病患,並詢問他們的意見。
從2000年迄今,減肥手術在NHS施行次數增加10倍,在去年6月之前的12個月內,有4619人接受手術。
英文原文

 

  • Financial advisor's £12,000 op left him unable to swallow solid food
  • 'I'm not the happy-chappy man I used to me. I feel down all the time'

At 24 stone, Tim Daily was so overweight he was battling mini-strokes, diabetes and a heart condition. The 47-year-old’s obesity problem was serious enough that he was offered a gastric bypass operation on the NHS.

But although the surgery helped him lose half his body weight over the next four months, he says the results have left him in a ‘living hell’. He experiences agonising pain whenever he swallows solid food, has been treated in hospital for malnutrition and is now fed through a tube linked directly to his stomach.

Mr Daily, a financial adviser, said: ‘I would rather be 24 stone again than live like this. ‘It is a living hell. I’m not the happy-chappy guy I used to be. I feel down all the time. I’m ill and desperate.

Tim Daily was keen to lose weight after he ballooned to 24 stone (left) but said complications following surgery have made his life a 'living hell'

I crave food every day. ‘On a good day I can eat a biscuit washed down with plenty of morphine. Otherwise I don’t eat. ‘I was always a very social person. Going out for meals was a huge part of my life. I can’t even pop out for a meal – it’s ruined my life.’

If I do eat a meal I’m having to down loads of morphine then my wife has to cart me off because I’ve passed out. ‘Christmas dinner, Easter, family occasions – they are all ruined for me.

‘I was promised when I had the operation I would still be able to eat afterwards. ‘How would you like it if you could never eat food again?’ He is suing the NHS for a six-figure sum, claiming that he was not warned about possible complications from the £12,000 surgery.

He says he has been left with the choice of never eating solids again or a one in four chance of death if he has experimental corrective surgery.

‘I could die if I have the corrective operation. I’m only 47 and I can’t put myself at risk because I have a wife, two daughters and two grandchildren,’ he added. Mr Daily, who is 5ft 11in, had the gastric bypass operation in October 2008 when his body mass index stood at nearly 47 – morbidly obese. Anything above 30 is considered obese.

The operation realigned his digestive tract and reduced the size of his stomach with staples to prevent him eating too much or too often.

But last July, a tube was fitted into his stomach after his weight halved and he was diagnosed with malnutrition because he was not eating enough. Now nutrients are pumped straight into his stomach from a backpack worn during the day and a machine beside his bed at night.

He weighs 11st 7lb and has a BMI of 22.5 but is still losing weight and is too tired to work. Before the operation he worked a 45-hour week, earning £100,000 a year.

Now he averages less than three hours’ work a day and his wife Jenny, 46, is his full-time carer. Doctors believe that the pain he suffers from eating solid food is a result of nerve damage caused by complications following the operation.

On the rare occasions he does have solid food he needs to take oral morphine. In a typical month Mr Daily, of Newport Pagnell, in Buckinghamshire, drinks nearly a gallon of the painkiller.

He has instructed solicitors Kester Cunningham John to sue for loss of quality of life, loss of earnings and the pain he is suffering. A spokesman said: ‘We are currently assessing the case and waiting for further medical evidence from the hospital trust.’

Imperial College Healthcare NHS Trust, which runs Charing Cross Hospital in West London, yesterday said it had not received any legal paperwork but insisted possible side-effects were explained to Mr Daily.

‘With every gastric bypass operation there is a five per cent risk of health complications.

‘Before undergoing any form of surgery we explain the risks and potential complications to every patient, and ask for their consent.’

Weight-loss surgery on the NHS has increased ten-fold since 2000. In the 12 months to June last year, 4,619 people had operations.

 

資料來源: 
 
Mail Online Health News 
The man who lost 12 stone with a gastric bypass, then sued the NHS because he'd rather be fat
 

 

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