Gastric Bypass in Stockholm Sweden
This surgery also called Bariatric Surgery , "baros" meaning weight from Greek. The idea behind this procedure is to create a smaller stomach so most of the food will bypass the stomach and only a small proportion will eventually end up entering your body. Smaller stomach volume will cause you to eat less because you'll feel full earlier and fewer calories will be absorbed. The surgery also creates a bypass to some part of the small intestine, which also contributes to less absorption. This results in weight loss. This surgery usually performed on people who have body mass index above 40 or those who have serious comorbidities resulting from their weight. Sometimes the doctors also recommend this surgery for people who haven't succeeded in losing weight with alternative methods. Some other conditions, which are considered, are: not having alcohol abuse or psychiatric disorder such as depression and you should also be between the ages of 18-65. In general most of the clinics require candidates with long term commitment to change life habits like training and diet.
This operation can be performed using several techniques, the most common one called Roux-en-Y gastric bypass. In a normal digestion process the food passes from the stomach to the small intestine and then to the large intestine. In the small intestine most of the nutrients are absorbed. To create a bypass the surgeon will create a small pocket in the upper portion of the stomach using a special plastic ring or staples. Then he'll connect the "new" stomach to the middle portion of the small intestine called jejunum, that way the food will bypass the rest of the stomach and upper portion of the small intestine called duodenum.
The surgery can be performed by making a large cut on the abdomen (laparotomy) or by making few small cuts with minimally invasive technique (laparoscopy).
Common risks for this procedure include infection, peritonitis, pulmonary embolism, gallstones and nutrients deficiency such as B12, iron and calcium.
After the surgery you'll have to stay in hospital for 4-6 days after laparotomy and 2-3 days after laparoscopy. Most of the people are able to return to their daily activities after 3-5 weeks.
You'll need to drastically change your eating habits, you should eat small amount of food more often. This will help to minimize "dumping syndrome" which is due to food moves too quickly from the stomach to the intestine and may cause sweating, weakness and dizziness.
More Stockholm info...
Stockholm Western suburbs
The western suburbs, v?sterort, are diverse, containing both the wealthiest and the poorest neighborhoods.
Bromma Airport
Kista is the Swedish center of information technology. It contains Kista Science Tower - Sweden's tallest office building, and Kistagallerian - a shopping mall open until 9 pm.
V?llingby is known as one of the first planned suburbs in Europe. -
Stockholm Old Town
Gamla Stan, The Old Town, is the historical centre. The northern part is dominated by the Royal Palace and the Riksdag - the Swedish parliament. The rest of the island is a picturesque collection of old buildings and narrow cobblestone streets. The adjacent island Riddarholmen holds an important church and several old administrative buildings.
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Gastric BypassLatest Forum Posts...
- My brother is thinking of undergoing gastric bypass surgery. He really needs to do something about his weight. I have heard though that there are medical conditions wherein people are just predisposed to becoming obese. If my brother is, since a lot of our family members (even aunts and my granpda) are overweight, will gastric bypass surgery solve his problem or is it just a waste of money?
Plastic Surgery News...
- Starting nicotine replacement therapy (NRT) as a transdermal patch before the target quit date doubles success rates according to a meta-analysis, although only four studies of varied design were eligible for analysis.
The authors of the analysis note that starting NRT before the quit date might improve smoking cessation rates by acclimatising users and separating nicotine intake from smoking. This approach has been most studied using transdermal patches, however trials have varied in size and duration. The aim of this analysis was to determine from the trial data whether a clear benefit had been shown. The authors searched for randomised controlled trials in which the effects of pre-quit treatment were compared directly with treatment starting on the target quit day. Eligible studies recruited smokers who were interested in quitting (rather than reduction), where all participants received NRT from the target quit date, where participants were randomised to receive pre-quit NRT or control (placebo or no NRT), and where cessation was verified 4 to 6 weeks later by biochemical analysis. Primary end-point for the analysis was continuous abstinence for at least 28 days assessed at 6 weeks following quit day, or the nearest reported outcome where this was not available; outcomes at six months were examined as secondary endpoints.
Four trials (n=755) were available and eligible for analysis, all involving nicotine patches: two trials involving nicotine gum were also located, however one was ineligible as a different pre-quit dose was used, and the second had not yet completed. The trials had different designs and durations, and two (n=176) also included treatment with mecamylamine (a nicotinic antagonist). Three studies originated from the same research team.
Analysis found that pre-quit treatment approximately doubled the quit rate at six weeks compared to starting NRT on the quit day (odds ratio 1.91; 95% CI, 1.31 to 2.93). A similar pattern was seen with results at six months (OR 2.17; 95% CI, 1.46 to 3.22). Co-administration of mecamylamine seemed to make no significant difference to the results. There was no evidence that one study was significantly influencing the pooled result - exclusion of each from analysis made little difference to the overall result.
Based on their analysis, the authors conclude that starting NRT patch therapy before the target quit date roughly doubles the chance of success, both in the short-term and up to six months. Although the studies differed widely in their design, the authors consider that the analysis suggests a consistent effect. They note that where the information was collected, there was spontaneous pre-quit reduction in smoking by subjects in the pre-quit group although none were instructed to do this. They discuss possible mechanisms for the effect including pharmacodynamic effects, effects on learned associations involved in smoking, and on extinction of smoking reinforcement.
[Editor's comment: an interesting analysis that appears to have been carefully done, but some cautions remain: the number of participants was relatively small, and it is a slight concern that most of the data came from one research team. This technique would not be covered by current NICE guidance on smoking cessation, and it is uncertain whether it would fit with the current product licences for NRT patches.]
- The Joint Commission issued a Sentinel Event Alert that urges hospitals and ambulatory care centers to pay special attention to preventing accidents and injuries that can occur during MRI scans. More than 10 million MRI scans are performed each year in the United States and while most cause no harm, the inherent dangers of the process are not well known.