一位年輕游泳教練媽媽，因懷孕後體重飆升至 102 公斤，併發長期腰痛，多次嘗試減重均未能持久。在高雄長庚接受 SASI 雙通道胃繞道手術 後：
A young swimming coach and mother whose weight reached 102 kg after pregnancy, accompanied by debilitating chronic back pain and repeated failed weight-loss attempts. After SASI bariatric surgery at Kaohsiung Chang Gung:
- 體重從 102 公斤降至 65 公斤，減重超過 35 公斤
- Weight dropped from 102 kg to 65 kg — a loss of over 35 kg
- 腰痛消失，止痛針從日常必需變成不再需要
- Back pain resolved — no more regular pain injections or physiotherapy sessions
- 食慾調節明顯改善，連最難克服的口腹之慾都好處理很多
- Appetite significantly easier to manage — cravings that once felt overwhelming became manageable
- 身形緊實，沒有鬆垮，重拾自信
- Toned physique with no excessive skin laxity, confidence fully restored
懷孕後體重來到 102 公斤。身體的重量，和生活的壓力，一起壓在她的腰上。
After pregnancy, her weight reached 102 kg. The physical burden and the pressures of daily life all bore down on her spine.
🏊 她的故事：從游泳池邊，到手術台 🏊 Her Story: From the Poolside to the Operating Room
很多人知道當媽媽很辛苦。但很少人知道——那份辛苦，有多深。
懷胎十個月、行動不便、身體的各種不適，生產時的風險與恐懼，這些，媽媽一個人扛著。
這位媽媽，以前是游泳教練。生小孩之前，她穿著泳裝站在池邊，自信俐落。懷孕之後，體重飆升到 102 公斤。
更折磨她的，是腰。腰痛一發作，就要打止痛針、跑復健，才能撐著繼續站上泳池邊，繼續帶她的孩子們。
Everyone knows that being a mother is hard. But very few people understand just how deep that hardship runs.
Ten months of pregnancy, restricted mobility, physical discomfort throughout — and the fear that accompanies labour. All of this, carried alone.
This patient was a swimming instructor. Before having her child, she stood at the poolside in her swimsuit, confident and composed. After pregnancy, her weight climbed to 102 kg.
What tormented her most, though, was her back. When the pain flared, she needed pain injections and physiotherapy sessions just to keep standing at the pool, just to keep teaching her students.
懷孕前 — 游泳教練，穿泳裝站在池邊，自信俐落
Before pregnancy — Swimming instructor, confident and fit at the poolside
懷孕後 — 體重飆升至 102 公斤，腰痛惡化，靠止痛針與復健維持工作
After pregnancy — Weight reached 102 kg; back pain worsened, relying on injections and physiotherapy to work
曾靠中藥減重 — 瘦了 20 公斤，停藥就復胖，反覆循環磨損意志
Tried herbal medicine — Lost 20 kg, regained it all after stopping. The cycle repeated, eroding her resolve
找到林育弘醫師 — 在高雄長庚體重管理中心接受評估，進行 SASI 雙通道胃繞道手術
Found Dr. Lin — Assessed at the CGMH Weight Management Centre, underwent SASI dual-anastomosis surgery
術後 — 體重降至 65 公斤，腰痛消失，食慾易於控制，身邊的人都說：「瘦得很好看，沒有鬆垮。」
Post-surgery — Weight reached 65 kg, back pain resolved, appetite manageable. Friends said: "You look great — no sagging at all."
靠中藥瘦了 20 公斤，停藥就復胖。那種一再循環的挫敗，磨著她的身體，也磨著她的心。減重不是意志力的問題——背後有更深的生理機轉在運作。
She lost 20 kg on herbal medicine, only to regain it all once she stopped. The repeated cycle of loss and regain wore down both her body and her spirit. Weight regain is not a matter of willpower — there are deeper physiological mechanisms at work.
✨ 手術後的改變 ✨ Life After Surgery
手術後的改變，她自己都嚇了一跳。
The transformation surprised even her.
- 💊止痛針，再也不是日常。腰，不痛了。
- 🍽️連最難克服的口腹之慾，都變得好處理很多。
- 👗身邊的人說：「妳瘦得很好看，沒有鬆垮。」
- 💪重新站上泳池邊，不再需要撐著痛繼續教課。
- 💊Pain injections are no longer a daily necessity. The back pain is gone.
- 🍽️Food cravings that once felt impossible to resist have become manageable.
- 👗Friends remarked: "You look fantastic — and there's no sagging at all."
- 💪Back at the poolside — no longer teaching through pain.
術後的她——自信，緊實，沒有鬆垮。謝謝妳撐過來了。
After surgery — confident, toned, no sagging. Thank you for getting through it.
從 102 公斤到 65 公斤——她找回了健康，也找回了自信。（高雄長庚體重管理中心）
From 102 kg to 65 kg — she reclaimed her health, and her confidence. (CGMH Weight Management Centre)
肥胖從來不只是「意志力不夠」的問題。懷孕後的荷爾蒙變化、代謝改變與生活型態的壓縮，都讓減重變得更困難。我們的目標，不只是讓體重下降，而是找出每一位患者最適合的方式，讓他們能夠真正、長期地維持健康。
Obesity is never simply a matter of insufficient willpower. The hormonal shifts of pregnancy, metabolic changes, and the compressed lifestyle of new parenthood all make weight loss far harder. Our goal is not merely to bring the number on the scale down — it is to find the right approach for each individual, so they can sustain their health genuinely, and for the long term.
🌸 媽媽節快樂Happy Mother's Day
每一位媽媽背後，都有一段你不知道的辛苦故事。
謝謝你們撐過來了。
如果你正在減重的路上迷路，你不是一個人。
Behind every mother is a story of quiet struggle you may never fully know.
Thank you for getting through it.
If you feel lost on your weight-loss journey, you are not alone.
🔬 什麼是 SASI 雙通道胃繞道手術？ 🔬 What Is SASI Dual-Anastomosis Surgery?
SASI（Single Anastomosis Sleeve Ileum，單吻合縮胃迴腸繞道）是林育弘醫師的核心專長之一，結合縮胃與小腸繞道的優點：
SASI (Single Anastomosis Sleeve Ileum) is one of Dr. Lin's core specialties, combining the advantages of sleeve gastrectomy and intestinal bypass:
- 限制食量：胃縮小成袖狀，每餐進食量明顯減少
- 代謝調節：迴腸繞道通道刺激腸道荷爾蒙（GLP-1等），改善胰島素阻抗
- 雙通道設計：食物可走胃正常出口，也可走繞道，降低傾食症候群風險
- 適應症廣：對糖尿病、高血壓等代謝疾病改善效果顯著
- 長期效果穩定：體重維持優於單純縮胃手術
- Volume restriction: The stomach is reshaped into a sleeve, significantly reducing meal capacity
- Metabolic regulation: The ileal bypass stimulates gut hormones (GLP-1 etc.), improving insulin resistance
- Dual-channel design: Food can exit via the normal gastric outlet or the bypass, reducing dumping syndrome risk
- Broad indications: Particularly effective for diabetes, hypertension, and other metabolic comorbidities
- Durable long-term results: Superior weight maintenance compared to sleeve gastrectomy alone
減重手術有其適應症與評估標準。是否適合手術、選擇哪種術式，需由醫師根據個人健康狀況、BMI、合併症及生活型態進行詳細評估。以上內容為衛教資訊，不構成醫療建議。
Bariatric surgery has defined indications and evaluation criteria. Whether surgery is appropriate — and which procedure — must be determined by a physician based on individual health status, BMI, comorbidities, and lifestyle. This content is educational and does not constitute medical advice.
💬 常見問題 💬 Frequently Asked Questions
什麼是SASI雙通道胃繞道手術？ What is SASI dual-anastomosis bariatric surgery?
SASI（Single Anastomosis Sleeve Ileum）手術結合縮胃與小腸繞道的優點。手術將胃縮小成袖狀，再將小腸的迴腸與胃的出口吻合，形成「雙通道」——食物可走胃正常出口，也可走繞道通道，達到限制食量與調節代謝的雙重效果，適合合併代謝疾病的患者。
SASI (Single Anastomosis Sleeve Ileum) combines sleeve gastrectomy with an ileal bypass. The stomach is reshaped into a sleeve, then the ileum is anastomosed to the gastric outlet, creating a "dual channel." Food can travel through the normal gastric exit or the bypass route, achieving both restriction and metabolic regulation — particularly suitable for patients with metabolic comorbidities.
SASI手術和傳統縮胃手術有什麼差別？ How does SASI differ from standard sleeve gastrectomy?
傳統縮胃手術（袖狀胃切除術）主要靠限制食量減重；SASI手術在縮胃的基礎上額外建立迴腸繞道通道，能更有效調節腸道荷爾蒙（如GLP-1），對糖尿病、高血壓等代謝疾病的改善效果更顯著，且維持體重的長期效果更穩定。
Standard sleeve gastrectomy primarily restricts food volume. SASI adds an ileal bypass to the sleeve, more effectively stimulating gut hormones such as GLP-1. This produces more significant improvement in metabolic conditions such as type 2 diabetes and hypertension, and delivers more durable long-term weight maintenance.
產後肥胖適合做減重手術嗎？ Is bariatric surgery appropriate for post-pregnancy weight gain?
產後肥胖若BMI達到一定標準（通常BMI≥32.5且合併相關疾病，或BMI≥37.5），或已嚴重影響健康與生活品質，可以考慮減重手術。手術通常需要在哺乳期結束後評估。林育弘醫師會根據個別狀況進行詳細評估，包括健康史、飲食習慣與手術適應症等。
Post-pregnancy obesity may qualify for bariatric surgery if BMI reaches a defined threshold (typically BMI ≥32.5 with comorbidities, or BMI ≥37.5), or if it significantly affects health and quality of life. Assessment generally occurs after the completion of breastfeeding. Dr. Lin conducts a thorough individual evaluation covering medical history, dietary patterns, and surgical indications.
減重手術後腰痛會改善嗎？ Can bariatric surgery improve chronic back pain?
體重過重是腰椎與椎間盤的重要負擔來源。體重顯著下降後，脊椎與關節所承受的壓力減少，大多數患者的腰痛、膝蓋痛等肌肉骨骼症狀均可獲得明顯改善。本案患者在術後體重從102公斤降至65公斤，腰痛止痛針從日常必需變成不再需要。
Excess weight places significant load on the lumbar spine and intervertebral discs. As weight decreases substantially, the pressure on the spine and joints is relieved. The majority of patients experience meaningful improvement in back pain, knee pain, and other musculoskeletal symptoms. In this patient's case, the reduction from 102 kg to 65 kg eliminated her need for regular pain injections entirely.
SASI手術後體重會反彈嗎？ Is weight regain likely after SASI surgery?
SASI手術的設計兼顧限制食量與代謝調節，長期維持體重的效果優於單純縮胃手術。然而，術後的飲食習慣、生活方式與長期追蹤仍非常重要。高雄長庚體重管理中心提供完整的術後照護，包括營養師、家醫科與代謝科的多科整合支援，協助患者長期維持成果。
SASI's dual-mechanism design — combining restriction and metabolic regulation — produces more durable weight maintenance than sleeve gastrectomy alone. That said, post-operative dietary habits, lifestyle, and long-term follow-up remain critical. The CGMH Weight Management Centre provides comprehensive post-operative care, including integrated support from dietitians, family medicine, and endocrinology to help patients sustain their results over time.
預約林育弘醫師門診 Book a Consultation with Dr. Lin
高雄長庚體重管理中心・楠梓健仁醫院・大同醫院
如有減重手術相關問題，歡迎預約門診評估。
Kaohsiung Chang Gung · Nanzih Jiann-Ren Hospital · Tatung Hospital
If you have questions about bariatric surgery, please book a consultation for full evaluation.