Bariatric surgery in Lugano Switzerland
Bariatric surgery in Lugano section, includes general infrmation about Bariatric surgery Procedure, Bariatric surgery Lugano Local News, Bariatric surgery Lugano Surgeon Locator and other Bariatric surgery related material.
Bariatric surgery Procedure
Bariatrics is the branch of medicine that deals with the causes, prevention, and treatment of obesity.
The term “bariatrics” refers to "weight medicine". Bariatrics generally deals with pharmacotherapy of obesity and with obesity surgery.
Overweight and obesity are strongly related to medical problems in today’s world. There are many health effects of obesity, such as heart disease, diabetes, many types of cancer, asthma, obstructive sleep apnea, chronic musculoskeletal problems, and others.
In addition to medical concerns regarding obesity, appearance (look) has a major relevance to weight and obesity.
Although diet, exercise, behavior therapy and anti-obesity drugs are first-line treatment, medical therapy for severe obesity has limited short-term success and almost nonexistent long-term success. Therefore, obesity surgery (or bariatric surgery) has been a popular treatment in the war against obesity. Weight loss surgery generally results in greater weight loss than conventional treatment, and leads to improvements in quality of life and obesity related diseases such as hypertension and diabetes.
Before someone can become a candidate for bariatric surgery, certain criteria must be met. The basic criteria are:
[1] An understanding of the operation and the lifestyle changes the patient will need to make;
[2] A body mass index (BMI) of 40 or more, which is about 45 kg (100 pounds) overweight for men and 35 kg (80 pounds) for women; or
[3] A BMI between 35 and 39.9 and a serious obesity-related health problem such as type 2 diabetes, heart disease, or severe sleep apnea (when breathing stops for short periods during sleep).
Risks involved
Past studies found that 10 to 20 percent of bariatric surgery patients had complications while they were in the hospital. In 2006, federal researchers found that 39.6 percent of patients had complications within 180 days of surgery. The most common complications are:
[1] A composite of gastrointestinal symptoms including vomiting, diarrhea, dysphagia, and reflux (20%)
[2] Anastomotic leaking (at the surgical connections between the stomach and the intestine) (12%);
[3] Abdominal hernia (7%)
[4] Infections (6%).
About 7% of patients were re-admitted to the hospital within 6 months to treat complications specific to the bariatric procedure.
The in-hospital death rate in adults undergoing obesity surgery in 2003 was 0.2%.
Laparoscopic surgery has become an important addition to this field of surgery, and demand soars, amidst scientific and ethical questions.
Surgical procedures in bariatrics
There are a number of surgical options available to treat obesity, each with their advantages and pitfalls. In general, weight reduction can be accomplished, but one must consider operative risk (including mortality) and side effects. Usually, these procedures can be carried out safely.
The surgical procedures can be grouped in three main categories:
[1] Predominantly malabsorptive procedures: although also reducing stomach size, these operations are based mainly on diversion and bypass.
[2] Predominantly restrictive procedures: a surgery that primarily reduces stomach size: Vertical Banded Gastroplasty (Mason procedure, stomach stapling); Adjustable gastric band (or "Lap Band"); Sleeve gastrectomy.
[3] Mixed procedures: applying both techniques simultaneously: gastric bypass surgery, like Roux-en-Y gastric bypass; Sleeve gastrectomy with Duodenal Switch Implantable Gastric Stimulation.
Biliopancreatic diversion
A complex operation, also known as biliopancreatic diversion (BPD), or Scopinaro procedure.
This surgery is rare now because of problems with malnourishment. It has been replaced with the Duodenal Switch, also known as the BPD/DS. Part of the stomach is re-sected, creating a smaller stomach (however after a few months the patient can eat a completely free diet as there is no restrictive component). The distal part of the small intestine is then connected to the pouch, bypassing the duodenum and jejunum. This results in around 2% of patients severe malabsorption and nutritional deficiency that requires restoration on the normal absorption.
The malabsorptive element of BPD is so potent that those who undergo the procedure must take vitamin and mineral supplements above and beyond that of the normal population. Those that do not run the risk of deficiency diseases such as anemia and osteoporosis.
Because gallstones are a common complication of rapid weight loss following any type of weight loss surgery, some surgeons may remove the gall bladder as a preventative measure during BPD. Others prefer to prescribe medication to reduce the risk of post-operative gallstones.
Far fewer surgeons perform BPD compared to other weight loss surgeries, in part because of the need for long-term nutritional follow-up and monitoring of BPD patients.
Vertical Banded Gastroplasty
a part of the stomach is permanently stapled to create a smaller pre-stomach pouch, which serves as the new stomach.
The same effect can be created using a silicone band, which can be adjusted by addition or removal of saline through a port placed just under the skin. This operation can be performed laparoscopically, and is commonly referred to as a "lap band."
Adjustable Gastric Banding
The first lower pressure, wider, one-piece adjustable gastric band called the MIDband® was introduced in 2000. Unlike many of the early bands this was designed specifically for laparoscopic insertion.
Other Bariatric surgery Procedures
All Body Procedures
Bariatric surgery lugano (current)
lugano Buttock Augmentation
lugano Calf Augmentation
lugano Liposuction
lugano Body Contouring
More Lugano info...
Lugano See
Swiss Miniature Village, Via Cantonale, Melide-Lugano. Tickets: Adults CHF12, Children to 15y CHF7.
Parco Civico
Old Town
Cantonal Art Museum [4] Highly recommended!
Museum of Modern Art [5]
Monte San Salvatore -
Lugano Important Numbers
Police (Polizia) – Emergency only: 117
Fire Department (Pompieri): 118
City of Lugano Police: +41 (0)58 866 82 50 (piazza Riforma), +41-58-8668111 (Via Beltramina 20B)
Civic Hospital (Ospedale Civico): +41-91-8116111 (via Tesserete 46 )
Emergency Ward (Pronto Soccorso), Civic Hospital: +41-91-8116006
Ambulances (Ambulanze): 144
Poisonings (Intossicazioni): 145
Doctor and dentist on call: 1811
Emergency Service - Street aid: 140
Lost Property Office (Ufficio oggetti smarriti), City of Lugano Police, Via Beltramina 20b. Mon-fri: 7:30AM - 12AM, 1:30PM-5PM Phone: +41-58-8668250
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Plastic Surgery News...
- Allina Hospitals & Clinics has hired national experts in fire investigation to work with federal, state and local authorities to investigate the fire that occurred in the nursery at Mercy Hospital in Coon Rapids, Minn. on January 22. Flames spontaneously erupted in an infant warming bed injuring one infant named Maverick. "First and foremost we are concerned about Maverick and his family.
- According to research published in the Archives of Internal Medicine, medication non-adherence can explain why blood pressure (BP) levels remain elevated in certain patients despite antihypertensive therapy intensification.
The researchers investigated the association between antihypertensive medication non-adherence, and therapy intensification, with BP control among a retrospective cohort of patients (n=10,447) with known coronary artery disease in a large managed care organisation, with the aim of ultimately designing interventions to improve BP control and patient outcomes.
Medication adherence was calculated as the proportion of days covered for filled prescriptions of antihypertensive medications, and therapy intensification included dosage increases or increases in the number of antihypertensive medications prescribed. The primary outcome measure was uncontrolled systolic blood pressure.
The researchers report various outcomes with respect to BP control at the start of treatment, i.e. those patients that had a high systolic BP at the start of study, those that had a high-normal value and those that had a normal value for systolic BP.
The researchers additionally concluded that patients with uncontrolled BP were more likely to have intensification of antihypertensive therapy and to be non-adherent to antihypertensive treatment compared with patients with high BP that became controlled over time, suggesting that medication non-adherence may be an explanation for the continuously elevated BP levels despite titration of antihypertensive medications.