• Overview
    • Conditions
    • Treatments & Services
    • Physicians
    • Introduction of Jiahui Bariatric Clinic


      Jiahui Bariatric Clinic is dedicated to offering comprehensive, long-term weight management solutions for people suffering from weight problems and metabolic diseases.

      Jiahui Bariatric Clinic’s multi-disciplinary team includes general surgery, endocrinology, nutrition, cardiology, rehabilitation, psychology, plastic surgery, anesthesiology, otolaryngology, sleep medicine, and case management services. The Bariatric Clinic‘s professional team offers customized “one-stop” service including behavioral and psychological intervention, medication treatment, surgical treatment, and long-term management for patients with obesity, metabolic syndrome or type 2 diabetes. Our clinic is dedicated to assisting patients to effectively achieve and maintain their weight control goals, manage obesity related complications and improve their long-term wellbeing. 


      Diagnosis and treatment of overweight or obese patients (may be accompanied by abnormal blood sugar or metabolic syndrome):


      •Diagnosis of obesity and related complications: obesity can lead to systematic problems for many organs, and a comprehensive diagnosis by multi-disciplinary team is needed.

      •Treatment plan: the treatment plan for severe obesity together with multiple related complications is very complicated, multidisciplinary professionals must work together to develop, evaluate, implement and modify a weight control treatment plan step-by-step.

      •Long-term weight control goal management: weight control requires persistence. Through multidisciplinary cooperation, patients will receive well-targeted and long-term management and regular follow-up services.

      At Jiahui Bariatric Clinic, you will receive:

      •Customized and comprehensive diagnosis and treatment.

      •Scientific and reasonable bariatric surgery plan

      •Reliable long-term case management with follow-up


    • What is Obesity


      Obesity is a disease. People with obesity often have issues with energy regulation, leading to the accumulation of excess fat and an increase in body size. Obesity is not simply a matter of appearance: According to the World Health Organization (WHO), in 2008, more than 1.4 billion adults were overweight and more than 500 million were obese. Every year, at least 2.8 million deaths can be attributed to being overweight or obese. Between 1980 and 2008, the number of obese patients has nearly doubled. In 2014, more than 1.9 billion adults aged 18 and over were overweight (39%), and more than 600 million people were obese (13%). In 2014, 41 million children under 5 were overweight or obese.

      How to define obesity:


      Overweight and obesity are defined as abnormal or excessive fat accumulation that can damage your overall health statues. Body mass index (BMI) is a simple index of ratio of weight to height, and is usually used to categorize overweight and obesity for adults.
      Body mass index (BMI) = weight (kg) / height (m²)


      Adiposis Universalis Asian Westerners
      Normal BMI 18-22.9 kg/m ² BMI 18.5-24.9kg/m ²
      Overweight BMI 23-24.9 kg/m ² BMI 25-29.9 kg/m ²
      Obese BMI ≥ 25 kg/m ² BMI ≥ 30 kg/ ²

      Abdominal Obesity
      Male WC* > 90 cm WC > 102 cm
      Female WC >80 cm WC > 88cm

      * Waist measurement is the length of the circumference from the lower end of the ribs to the middle of the hip bone

      Cause of Obesity


      If the body consumes more calories than it needs to function, the excess calories will be stored in the body as fat. There are many causes of obesity, including genes, environment, and behavior. Sometimes endocrine or metabolic diseases can lead to obesity as well. There may be many obese people in one family, as patients carrying genes for obesity are more likely to accumulate fat in the body. The eating habits of family members (such as eating high-calorie foods regularly) can also cause obesity. Other causes include addiction to snacks, a sedentary lifestyle, taking steroids or anti-depressants, etc. If you have depression, bulimia nervosa, obesity bulimia, hypothyroidism, Cushing’s syndrome or other diseases at the same time, you will also be more susceptible to obesity-related diseases.

      Obesity related diseases


      The risk of obesity patients having severe diseases are high.


      Obesity and overweight has a serious impact on health. Over accumulation of fat can lead to various serious health consequences, such as hypertension, hyperlipidemia, coronary artery disease, sleep apnea, diabetes, gallstones, gastroesophageal reflux disease, urinary incontinence, infertility, premature birth, joint degeneration, stroke, anxiety, depression; In addition, obesity will increase the risk of endometrial, prostate, esophagus, ovarian, kidney, large intestine, breast, liver, pancreas cancers and others; Obese people life expectancy maybe 5 to 20 years shorter than normal with the effect of possible severe diseases.

      Metabolic syndrome
      Metabolic syndrome is defined as factors that increase the risk of a series of diseases such as ischemic heart disease, stroke and diabetes and causing the shortening of life expectancy. 


      The International Diabetes Federation (IDF) recently redefined metabolic syndrome as meeting at least three followings:


      Central Obesity (waist): Asian (except Japanese): ≥ 90cm (male)﹔≥ 80cm (female)


      • Triglyceride ≥1.7mmol/L (150mg/dL) 


      • HDL cholesterol <1.03mmol/L (40mg/dL) (male); <1.29 (50mg/dl) (female) 


      • Blood pressure ≥130/85 or under treatment 


      • Fasting blood glucose ≥ 5.6mmol/L (100mg/dL) or diagnosed with Type II diabetes

    • Coping with obesity


      Suffering from obesity? Obesity can be improved by changing diet and daily living habits, exercising, medication and surgical treatment.

      Diet, exercise and living habits


      For people with severe obesity, the effect of adjusting daily living habits is very limited: large study samples indicated that only 5-10 percent of patients can keep ideal weight a few years later. Jiahui dietitian and physical therapists are dedicated to offer individualized living habits adjustment plans to help our clients reducing weight effectively. With the guidance and supervising of our professionals, better weight loss goal will be achieved.

      Medication treatment
      Medications can be treated as one of alternative methods for obesity and overweight clients, but diet and living habit adjustment cannot be replaced. Comparing to living habit adjustment only, taking medications plus living habit change usually can reduce extra 3-9 percent weight for clients. However, medication treatment is not for everyone: children, elderly people over 70 (especially elder adults with multiple illnesses) and pregnant women are not for medication treatment. Moreover, medications have side effects, and weight might regain after terminating medications also needs to be noticed when selecting this treatment option.

      Surgical treatment plan for obesity, Type 2 Diabetes and metabolic syndromes


      1.Laparoscopic Sleeve Gastrectomy


      Sleeve gastrectomy is the most common surgical weight loss option worldwide. The surgery is relatively simple, safe, and the chances of developing long-term complications is low. This surgery limits the volume of the stomach in order to achieve weight loss, removing 60-70% of the greater curvature of the stomach, and reducing the patient's food intake. Sleeve gastrectomy also removes the fundus of the stomach that secretes appetite-stimulating hormones, which makes the patient less hungry and reduces cravings for food.

      2.Laparoscopic Roux-EN-Y gastric bypass


      Roux-en-Y gastric bypass surgery not only limits the patient's food intake, but also reduces the effectiveness of nutrients absorption in the stomach and intestines. This surgery reduces the size of your upper stomach to a small 60-100ml pouch. The surgeon does this by stapling off the upper section of the stomach, reducing the amount of food you can eat. The surgeon then attaches this pouch directly to part of the small intestine called the Roux limb. This forms a "Y" shape. The food you eat then bypasses the rest of the stomach and the upper part of your small intestine, reducing the amount of fat and calories you absorb from the foods you eat. This surgery is more complex than a sleeve gastrectomy, and the possibility of developing post-surgery complications will be slightly higher.
      The best results can be seen about a year after surgery, and the surgery can be especially helpful for patients with diabetes or metabolic syndrome. About 80% of morbidly obese patients with diabetes fully recover after the bypass surgery, and no longer need to take blood sugar medications.

      Skin and Plastic Surgery


      Refers to abdominoplasty and other treatments used to solve the skin problem after weight loss.

      Do I need weight loss/ metabolic surgery


      Eligibility of the surgery depend on the following three conditions: 


      1. Body Mass Index (BMI) 

      Body mass index (BMI) = weight (kg) / height (m2) 

      2. Whether you have type 2 diabetes (T2DM) 

      3. Whether you have metabolic syndrome


      The following group may consider weight loss/metabolic surgery:

      1.Age ≥ 18 and < 65 years

      2.Patients with a BMI ≥40 kg/m2 (32.5 kg/m2 for Asian population) without coexisting medical problems and for whom bariatric procedures would not be associated with excessive risk

      3.Patients with a BMI ≥ 35 kg/m2 (27.5 kg/m2 for Asian population) and ≥ 1 severe ORC (Obesity Related Complication) remediable by weight loss, including T2D ( Type 2 Diabetes Mellitus ), high risk for T2D (insulin resistance, prediabetes, and/or MetS), poorly controlled HTN, NAFLD/nonalcoholic steatohepatitis (NASH), obstructive sleep apnea (OSA), osteoarthritis of the knee or hip, and urinary stress incontinence, can consider a bariatric procedure

      4.Patients with BMI 30 to 34.9 kg/m2 (25 to 27.4 kg/m2 for Asian population) and T2D with inadequate glycemic control despite optimal lifestyle and medical therapy




      Reference:

      ¹.2019 Chinese Obesity and Type 2 Diabetes Surgical Treatment Guidelines

      ².Lancet: Diabetes & Endocrinology

    • Languages

      Location

      Doctors

      Louis PAN, MD, PhD

      Department:
      General Surgery
      Thyroid Clinic
      Surgery
      Bariatric Clinic
      Hepatobiliary Surgery
      Gastrointestinal Surgery
      Colorectal Surgery
      Hernia Surgery Clinic
      Thyroid nodules/Oncology Clinic
      Location:
      Jiahui International Hospital (Shanghai)
      Jiahui Health (Shanghai Jing'an)
      Jiahui Health (Shanghai Yangpu)
      Languages:
      普通话,  粵語,  English,  Français
      Doctor's bio

      Dr. Louis PAN is a general surgeon at Jiahui Health. He obtained his PhD in General Surgery from the Chinese University of Hong Kong, with a research interest in minimally invasive surgical techniques. He has published more than ten academic research articles on major professional journals, including Chinese local and international peer review journals (SCI). Based on his research, Dr. Pan published papers and gave presentations at a number of international academic conferences (including 2015 World Congress of Surgery (WCS) and 2016 Digestive Disease Week® (DDW)). Dr. Pan obtained his master’s degree in Surgery from Shanghai Jiao Tong University School of Medicine in 2005, during which he completed the internship and surgical training at Hopital Civil in Strasbourg. Prior to joining Jiahui Health, Dr. Pan was an attending surgeon in the Department of General Surgery at Shanghai Ruijin Hospital Luwan Branch. With nearly twenty years of clinical work in surgery, he has extensive experience in treating common diseases in general surgery, such as surgical procedure on thyroid lesions, laparoscopic operations on bile ducts and hernia repair. He received accreditation for the Da Vinci robotic surgical system.

      Dr. Pan specializes in treating various diseases, including but not limited to:

      • Thyroid/parathyroid conditions (benign and malignant), including using endoscopic approach without scar left in neck.
      • Hernia, especially using minimally invasive surgical approach, laparoscopic hernia repair.
      • Digestive diseases which need surgical interventions including emergent procedures, like biliary calculosis, benign gastrointestinal tumors and inflammatory disorders (appendicitis, diverticulitis and inflammatory bowel diseases)
      • Perianal diseases, like hemorrhoids, anal fistula and anal fissure.
      • Peripheral vessel diseases, including the varicose vein disorder at lower limbs.


      License no. :110310000032459

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      PANG Can, MD, PhD

      Department:
      Thyroid Clinic
      Endocrinology
      Osteoporosis clinic
      Diabetes Clinics
      Bariatric Clinic
      Location:
      Jiahui International Hospital (Shanghai)
      Languages:
      普通话,  English
      Doctor's bio

      Dr. PANG Can is the Chief of Endocrinology and Metabolism. She is now the member of the 2nd committee of the Endocrine and Diabetes Professional Committee of the China Association of Non-government Medical Institutions and the member of the 1st committee of Endocrinology and Metabolism Society of Shanghai Xuhui District Medical Association. She used to be the member of the 8th committee of diabetic retinopathy group of Chinese Diabetes Society. In 2012, Dr. Pang was selected as a member of the first “Shanghai Youth Doctors Training and Supporting Program”. She was awarded “Shanghai Outstanding Young Doctors” in 2016. She also participated in writing the Strategy Research Report of The Translational Medicine Development in Diabetes and Related Metabolic Disease Prevention and Control, Chinese Academy of Engineering, China’s first Expert Consensus on Prevention and Control of Diabetic Retinopathy, Integrated Management of The Medical Path for Type 1 Diabetes in China.

      Dr. Can PANG obtained her master degree of endocrinology from Zhongshan University in 2005. Later in 2008, she got a PhD degree of endocrine and metabolism in Shanghai Jiao Tong University. Before becoming a member of Jiahui, she had been working as an endocrinologist at Shanghai No. Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University and was appointed as an associate chief physician of endocrine. Dr. Pang is an expert in diagnosing and treating diseases of endocrine and metabolism. She is skilled in prevention and control of metabolic disorders, such as diabetes, obesity, gout, osteoporosis, dyslipidemia, providing professional advices on diet instruction and patient education. Dr. Pang also excels at solving complicated health problems in thyroid/parathyroid diseases, adrenal diseases, pituitary diseases, and polycystic ovarian syndrome, etc. She believes in offering individualized, professional, interdisciplinary therapy to each patient and is always committed to it. 

      License no. :110310000030967

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      Carrie DU, MD

      Department:
      Mental Health and Psychosomatic Medicine
      Sleep Medicine Clinic
      Psychological counseling
      Psychological counseling(EAP)
      Oline Consultation for Mental
      Adolescent Mental Health Clinic (age >14)
      Adult Mental Health Clinic (age >18)
      Location:
      Jiahui International Hospital (Shanghai)
      Jiahui Health (Shanghai Jing'an)
      Languages:
      普通话
      Doctor's bio

      Dr. DU graduated from Shanghai Second Medical University in 2003. After graduation, she commenced her career at Shanghai Mental Health Center in various departments including general wards, geriatric wards, special care units, and chronic disease wards that helped her to accumulates solid professional knowledge and extensive experience in the diagnosis and treatment of psychiatric disorders. Since 2016, she has been working as an outpatient physician and providing psychiatric consultations for inpatient departments at a comprehensive tertiary hospital in Shenzhen. In 2020, she joined JiaHui Health.

      Dr. DU is proficient in the diagnosis and treatment of mental disorders such as depression, anxiety disorders, adolescent emotional disorders, obsessive-compulsive disorder, social phobia, and schizophrenia. Additionally, Dr. DU provides rehabilitation advice and psychological education. The services are tailored for adolescents, working professionals, elderly individuals, as well as expatriates residing in Shanghai.

      Dr. DU obtained the National Level 2 Psychological Counselor Certificate in 2017 and joined the comprehensive trainings include: Chinese Cognitive Behavioral Therapy (CBT) Foundation Course, specialized training in specific disorders such as depression, anxiety, sleep disorders, and obsessive-compulsive disorder (OCD), interpersonal relationship therapy, short-term psychological treatment. Case involvement includes psychological stress, marital issues, workplace problems, adolescent school refusal, etc.

      In 2020, Dr. DU provided psychological support and psychiatric treatment services for transit quarantine individuals at the Shenzhen Bay Port during the pandemic period, demonstrating her commitment to fulfilling professional responsibilities. She was also responsible for conducting primary screenings for mental health during conscription physical examinations within her district from 2016 to 2020, enabling her to develop rapid screening abilities. During the epidemic in 2022, she gave remote psychology lectures for many large enterprises.


      License no. : 110440300027403

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      LIU Rong, MD

      Department:
      Cardiology
      General Internal Medicine
      Carotid atherosclerosis and plaque clinic
      Location:
      Jiahui International Hospital (Shanghai)
      Languages:
      普通话,  English
      Doctor's bio

      Dr. LIU Rong currently serves as a cardiologist in Jiahui Health. Dr. Liu obtained her bachelor’s degree in clinical medicine from Shanxi Medical University in 2001. Later in 2005, she got a master’s degree in cardiology from Tongji University School of Medicine. She was once a visiting scholar at Wake Forest Baptist Medical Center for one year. Prior to joining Jiahui Health, Dr. Liu worked as an attending physician in the Department of Cardiology at Shanghai Sixth People’s Hospital affiliated to Shanghai Jiao Tong University. Dr. Liu is an expert in diagnosis and treatment of cardiac conditions and diseases, such as hypertension, heart failure, arrhythmia, hyperlipidemia, cardiomyopathy and so on. She is also experienced in diagnosing coronary heart disease (CHD) by using non-traumatic and interventional procedures, especially good at using medicine and interventional procedures to treat CHD.  


      License no. :110310000029808

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      Candice YANG, PT, MSc

      Department:
      Physical Therapy
      Lymphedema Clinic
      Location:
      Jiahui International Hospital (Shanghai)
      Jiahui Health (Shanghai Jing'an)
      Jiahui Health (Shanghai Yangpu)
      Languages:
      普通话,  English
      Doctor's bio

      Candice YANG, Physical Therapist. She graduated from Wenzhou Medical University and obtained her Bachelor's degree in Rehabilitation Therapy in 2013. She got her Master's degree in Sports Medicine and Health Science from the Chinese University of Hong Kong (CUHK) in 2017. Before joining Jiahui, she completed physical therapy training program on orthopedic rehab and sports injuries in Karolinska Institute (KI) in Stockholm, Sweden. She got certified on Manual Lymphedema Drainage (MLD) by Dr. Vodder Akademie in 2018 and joined Lymphedema training program in the cancer center of Massachusetts General Hospital (MGH) the year after. In 2021, she had her International Lymphedema Therapist Certification authorized by Casley-Smith, Australia.

      In the past 10 years above, she provided onsite medial support for various international competitions such as ATP Rolex Shanghai Masters, Shanghai International Track and Field Diamond League and Hong Kong Football Club Rugby 10’s. She also dedicated to medical popularization and publicity, participated in the compilation and publication of a number of professional books. She was named as the “New Celebrity” of Shanghai Sports and Health Science Popularization in 2023.

      Candice specializes in various orthopedic and tumor post-operative rehabilitation, including but not limited to: fracture, rotator cuff injury, ACL reconstruction, meniscus injury, Achilles tendon rupture, axillary web syndrome, lymphedema, postoperative scar adhesion, etc. In addition, she has rich clinical experience in spine disorders caused by poor posture in office workers and performance enhancement for sports people. 

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      Lisa LOU, MD, PhD

      Department:
      Plastic Surgery
      Injection and Operation
      superficial body mass treatment clinic
      facial wound care clinic
      Cosmetic Surgery
      Cosmetic Dermatology
      Scar Revision Clinic
      Location:
      Jiahui International Hospital (Shanghai)
      Jiahui Health (Hangzhou)
      Languages:
      普通话,  English
      Doctor's bio

      Dr. Lisa LOU is currently the Associate Chief Physician of Plastic Surgery at Jiahui Health. Dr. Lou graduated from the Second Military Medical University with a PhD in Plastic Surgery and is an Associate Chief Physician. She completed her clinical research training at the Technical University of Lodz in Poland and Wake Forest University School of Medicine in the United States. Before joining Jiahui, she has been working in the Department of Plastic Surgery at Shanghai Changhai Hospital, with more than fifteen years of professional plastic surgery clinical and research experience. She is skilled in performing popular plastic surgery related procedures, including facial rejuvenation surgery, rhinoplasty, breast surgery (breast augmentation, breast ptosis correction, breast reduction, gynecomastia, paramastia, etc.), body liposuction, scar repair, minimally invasive removal of axillary odour, excision of whole body skin and soft tissue tumors, and fine restoration, etc. She is especially good at (1) cosmetic eyelid surgery, repair and reconstruction, (2) facial rejuvenation with injections and surgeries, and (3) breast plastic surgery.

      Dr. Lou is a member of the Standing Committee of the Fat Branch of the Chinese Society of Plastic and Cosmetic Surgery, a member of the Fat Subspecialty Committee of the Plastic and Cosmetic Surgery Branch of the Chinese Physicians Association, a member of the Second Burn Trauma Committee of the Chinese Association of Women Physicians, and a member of the Aesthetic Medicine Committee of the Chinese Society of Research Hospitals. She has been engaged in basic research on wound repair for many years, and has presided over and participated in a number of national, Shanghai and university funds as the project leader and main participant. She has published 6 SCI articles and 9 articles in Chinese core journals as the first author and corresponding author, with a total impact factor of 21.86 points, including the highest single impact factor of 7.36 points (Cancer Lett). Dr. Lou is the associate editor of one book and co-editor of another. Dr. Lou is certified in Basic Life Support (BLS) and examiner for the Chinese National Physician Qualification Examination in Shanghai.


      License no. :110310000065947

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      LIU Sheng, MD

      Department:
      Pre-Operative Anesthesia Consultation
      Location:
      Jiahui International Hospital (Shanghai)
      Jiahui Health (Shanghai Jing'an)
      Jiahui Health (Shanghai Yangpu)
      Languages:
      普通话,  English
      Doctor's bio

      Dr. LIU Sheng is an anesthesiologist at Jiahui Health. Dr. Liu Graduated from Tongji University School of Medicine, obtaining his master’s degree in clinical medicine. Prior to joining Jiahui Health, he worked as an anesthesiologist at Shanghai East Hospital affiliated to Tongji University. He was engaged in anesthesia management in thoracic surgery, general surgery, obstetrics and gynecology, orthopedics, ENT, neurosurgery, pediatrics and so on. Dr. Sheng Liu is skilled in preoperative evaluation and making anesthesia plan for elderly patients. During his visit to the Wake Forest University, he observed a large number of cases of deep sedation under intravenous anesthesia in severely overweight patients, accumulating extensive experience in comfort therapy and airway management. 


      Dr. Liu is certified by the American Heart Association (AHA) as an instructor in basic life support (BLS) and advanced life support (ACLS) training. Dr. Liu is a member of the Emergency and Critical Care Committee of Shanghai Association of Social Medical Institutions, and a member of the Chinese Society of integrated Traditional and Western Medicine Anesthesiology Committee.

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    2021-06-01
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