Gastric Bypass in Riga Latvia
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 Riga info...
Riga Drink
Latvia produces a number of excellent and award-winning beers (alus), which are widely available. Aldaris is a major brewery with several kinds of beer. T?rvetes beer is considered the best Latvian beer, also U?avas and Piebalgas beers are exceptional. Cesu alus is a safe bet, euro lager style. Avoid Livu alus, it's bad.
Latvia is also Europe's northernmost winegrowing region, and local wines and even sparkling wines can be bought in supermarkets and restaurants. Expect neither the grandeur nor the pricetag of a Bordeaux.
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Riga Get out
From here you might wander west, to see Liepaja , a wonderful city on the Western coast of Latvia, (and the famous former military town of Karosta with its Soviet Prison for tourists is also in Liepaja), or north to Tartu or Tallinn in Estonia, or south to Vilnius or Klaipeda in Lithuania. Or drive the 40 kilometers to the National Park at Sigulda. You can even take a ferry to Sweden.
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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...
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Patient satisfaction with burn care 1-6 years after injury.
Burns. 2008 Mar 28;
Authors: Wikehult B, Kildal M, Willebrand M
Patient satisfaction is an important outcome in health care but has not been studied in relation to burn care. The aim was to explore factors related to satisfaction with care 1-6 years after a burn. Participants were 86 adult burn patients, injured on average 3.6 years previously. The Patient Satisfaction-Results and Quality (PS-RESKVA) was used to assess satisfaction. It has four subscales: Quality of contact with the nursing staff (QCN), Quality of contact with the medical staff (QCM), Adequate treatment information (INF) and Global satisfaction with treatment (GS). Further, data were gathered regarding personality traits and health. Average scores for QCN were significantly higher than scores for the other subscales, and INF received the lowest mean score. In multiple regressions, the PS-RESKVA subscales were associated with better interpersonal relationships (all PS-RESKVA subscales), more sensation seeking (QCM, INF, and GS) and less aggressiveness (QCM and GS). Other variables contributed to a lesser degree. Total amount of explained variance ranged between 18% and 25% for the PS-RESKVA subscales. In summary, satisfaction with burn care was only moderately explained by health and personality characteristics. Further, former patients rated satisfaction with nursing staff higher than other aspects of care, especially information routines.
PMID: 18378086 [PubMed - as supplied by publisher]
(Source: Burns : Journal of the International Society for Burn Injuries)
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