肥胖 and 代谢健康

At the Center for 肥胖 & 代谢健康 (COMET), 我们提供手术和非手术减肥疗法以及治疗肥胖和代谢综合征的定制护理.

Why choose the UCLA Center for 肥胖 and METabolic (COMET) Health?

COMET is part of the integrated UCLA health system, with premier hospitals and clinics operating across Los Angeles County. 我们的 multidisciplinary team of experts includes hepatologists, 减肥外科医生, bariatric endoscopists, medical weight loss providers, registered dietitians, 心理学家, 行为的教练, 护士, and other healthcare professionals. 强调了的我们的 obesity and metabolic health 程序:

Focus on nutrition, education and counseling: Clinical nutrition experts from the 皇冠hga025大学洛杉矶分校健康 Center for Human Nutrition are an integral part of y我们的 metabolic weight loss 程序. 他们会制定定制的计划，帮助你实现减肥目标，防止未来出现健康问题.

Leaders in bariatric surgery procedures: COMET的专家在减肥手术方面处于全国领先地位. 我们的减肥手术 Program has some of the best outcomes in the United States. We specialize in several advanced techniques, including minimally invasive procedures that require less recovery time.

Endoscopic treatment for obesity: 的 Bariatric Endoscopy Program at UCLA is among the busiest of its kind in California. 我们技术高超的介入内窥镜医师进行微创手术，既可以作为肥胖的主要干预措施，也可以作为先前胃旁路手术后体重增加的患者的修订.

Pioneering research: COMET是美国为数不多的积极研究如何战胜肥胖流行病的中心之一. Through leading-edge research, 我们的专家对肥胖引起的许多健康问题有了新的发现. 我们的目标是保持一个创新中心，在突破性的研究和治疗方面引领全国.

我们的护理领域

COMET利用最先进的设备和设施，并与广泛的临床医生和其他健康专业人员合作，制定个性化的方案，为患者提供最佳的成功机会. 我们的专长是:

Comprehensive health assessments

我们的专家通过完成全面的病史和身体检查来评估您的整体健康状况. 我们可能会建议进行血液检查，以评估您的新陈代谢和血液中的脂质(脂肪)水平. We also assess how y我们的 heart, 肺和其他器官正在为你决定最好的护理计划.

Advanced diagnostics

To evaluate fatty liver disease, we may order:

FibroScan® - Using transient elastography, which is non-invasive and similar to ultrasound, 这个测试帮助我们诊断纤维化(肝脏上的疤痕组织)和脂肪肝疾病. 它还能让我们评估肝脏并确定损伤程度.
MRI - Advanced radiologic diagnostic imaging
活组织检查-从肝脏中取出一小块组织标本进行病理研究
基因检测——寻找使你有更高的肝脏疾病风险的标记. Genetic counseling is also available at 皇冠hga025大学洛杉矶分校健康.

Integrated treatment plans

我们的多学科团队认识到不仅仅是治疗疾病的重要性, 但也要关注整个人，并制定一个最适合你的综合方法.

Metabolic health conditions we treat

我们的专家在治疗肥胖和由肥胖引起的疾病方面有丰富的经验. 我们了解这种情况的长期并发症，并与您一起预防它们. We specialize in treatments for:

肥胖

This medical condition increases the risk of numerous health problems. People who carry excessive weight are more likely to have heart disease, 糖尿病, high blood pressure and a range of other diseases, 包括癌症. 我们知道许多身体和情绪因素可能导致肥胖. 我们富有同情心的专家提供治疗，解决这种情况的各个方面.

Nonalcoholic fatty liver disease (NAFLD)

This common liver disorder ranges from mild to severe. It occurs when the liver stores too many fat cells. This condition affects people who drink little to no alcohol. Some people with NAFLD don’t have any symptoms. Others experience fatigue and upper abdominal pain on the right side. 如果你肥胖或超重，你更有可能患脂肪肝.

Nonalcoholic steatohepatitis (NASH)

Severe NAFLD can lead to nonalcoholic steatohepatitis (NASH), a serious condition that causes liver inflammation. 老年人和患有糖尿病和肥胖症的人患这种疾病的风险更高. 未经处理的, NASH可导致肝脏瘢痕组织(纤维化)和终末期肝病(肝硬化)。.

代谢综合征

代谢综合征是一组代谢健康紊乱，使你患心脏病的风险更高, 糖尿病和中风. People with metabolic syndrome have a combination of:

High blood sugar (glucose)
High blood pressure (hypertension)
高水平的坏胆固醇和低水平的好胆固醇(血脂异常)
肥胖, especially excess fat around the waist

Treatments we offer

COMET的专家提供全面的手术和非手术减肥治疗. Every plan is customized for you and focuses on all aspects of y我们的 health. 我们的专长是:

减肥手术

对很多人来说, 减肥手术是治疗肥胖和脂肪肝的一种合适的长期治疗方法. 我们的减肥外科医生在几项最先进的技术上处于全国领先地位, including robot-assisted, minimally invasive procedures. 的se techniques require smaller incisions, 与传统(开放式)手术相比，恢复时间更短，并发症风险更低.

减肥手术 procedures include:

Roux-en-Y gastric bypass surgery, 这是一种从胃中制造一个直接连接小肠的小袋子的技术

移除膝带; Due to the inadequate weight loss, 体重反弹, and high long-term complication rates from lap band surgery, UCLA does not perform this procedure. However, we do offer lap band removal which can be done endoscopically

Gastric sleeve surgery, 切除75-80%的胃并将剩余部分连接在一起形成一个新的胃, smaller stomach or “sleeve”

Gastric bypass revision对以前没有达到预期效果的搭桥手术的修正

We offer classes and workshops to support you before and after surgery. 这些项目注重营养、锻炼和养成更健康的生活习惯.

Medical weight loss, education and counseling

我们的团队包括体重管理专家，他们为减肥提供个性化的营养治疗. 我们与您一起实现您的目标，同时关注您健康的各个方面. 我们的 services include:

Classes on a wide range of subjects, such as 糖尿病 prevention
在医生的监督下，定制的医疗减肥计划可能包括药物治疗, 生活方式和饮食
Nutrition plans from registered dietitians
心理支持，包括咨询和认知行为治疗

Endoscopic treatment for obesity

的se procedures are newer, 微创, and require no skin incisions - meaning no scars and a faster recovery. A good candidate for an endoscopic weight loss procedure may have:

BMI of less than 40 without other medical problems
BMI of 30-35 with high blood pressure, high cholesterol/triglycerides, 2型糖尿病, 或者睡眠呼吸暂停
Regained weight after Roux-en-Y gastric bypass surgery
Too sick or heavy to undergo surgery

Endoscopic bariatric procedures include:

Endoscopic sleeve gastroplasty (ESG), 一种内窥镜手术，用于重建垂直套管胃切除术(VSG)的解剖结构。, serving as an incisionless option
Gastric bypass revision / Transoral outlet reduction (TORe), 这是一种内镜手术，旨在帮助以前接受过Roux-en-Y胃旁路手术的人解决体重反弹问题. Gastric bypass revision surgery can jump-start the weight loss process.