Fountains
Translator

To at the end after all we have been able in it: they have operated on me and now I have a gastric bypass. Before a gastrointestinal bypass. Now my stomach actually has the dimensions of a small cup with coffee and the first part of mine address and ’raised from the digestive task, the food with the stomach jumps over it in order that the majority goes directly to the intestino’ ahead. Anzi un bypass gastrointestinale. Ora il mio stomaco di fatto ha le dimensioni di una tazzina da caffe’ e la prima parte del mio intestino e’sollevata dall’incarico digestivo, il cibo dallo stomaco la salta per andare direttamente nell’intestino piu’ avanti.

The awakening with the anaesthesia has been in intensive therapy because of my problems of night apnoea and then I had not expensive mine neighbour but a series of doctors and of hospital attendants preparatissimi to assist me. Less poetic but more useful ;-)

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The gastroplastica belongs to the group of the restrictive interventions and can be done that it is in classic way, and then with an incision in the abdomen,
(laparotomica) that with the technique laparoscopica. This intervention consists in creating a pocket between the first part of stomach and the remained one in way
to create a little obstacle to his emptying. It is induced in this way a precocious sense of satiety.
As for other surgery interventions bariartica, the gastroplastica is shown the patients with superior BMI the 35 who suffer then from pathologies as
the diabetes, the hypertension, articolari problems and hypertension. The advantages of this type of intervention are in his simplicity and in the absence of alteration
mechanisms of the digestion. Another very important vanatggio is in the efficaciousness of this intervention: in fact there is a middle reduction of 50-60 % dell infatti si ha una riduzione media del 50-60% dell
weight excess. The collateral effects tied to the gastroplastica are principally two: the vomit and the reflux gastro-esofageo. il vomito ed il reflusso gastro-esofageo.
The first collateral effect is due to a too abundant or too fast alimentation. Little pezzidi food are advised the patient to eat in fact
at a time and to chew well and slowly before swallowing. If the vomit episodes are frequent by food errors it is a possibility of beginning of
reflux gastro-esofageo, that can arrive up to at the true and own sickness with reflux.

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In this type of intervention there is created a little gastric pocket of the volume of 15-20 ml that jumps over the first part of the slender intestino.
There is brought by this type of intervention a loss of 65 % of the lost one in excess. It is besides, in the greatest part of the cases,
resolution of the diabetes mellito of type 2.
This technique brings that it is advantages that also disadvantages.
It brings, in fact, a reduction of the alimentary receipts, owed to a sense of precocious satiety induced at the little dimensions of the pocket
gastric. Together with this one it is also a reduction of the appetite owed to the alteration of the metabolism of some hormones.
Between the disadvantages of this intervention we can find a decrease of the absorption of the fats and of some vitamins, sopratutto those
liposolubili.
After the intervention the patient will have to follow a poor diet of simple sugar and alcohol. Besides, to do front to the malassorbimento in vitamins
and minerals, it will be necessary to do use from vitaminic food integrators. Also in case of this type of intervention the recorded mortality is very low
it goes about in fact around 0,5 %.

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The gastric bandage is one of the posibili surgery interventions bariartica of the obesity and by means of this intervention one is able
to have a reduction of 40-60 % of the weight. The intervention generally is carried out in technique laparoscopica and that more used
It is the adjustable Gastric Bandage. The stomach after the intervention assumes the shape of an hourglass, the ring can be regulated
the doctor, in such way to modify the satiety sensation in the patient.
This intervention offers therefore the next advantages:

- It has a least invasività in all that made in technique laparoscopica and then little incisions and tools are made
very delicate
- No irreversible damage: in fact if for an anyone I justify the ring it must be removed, the stomach returns like beforehand be
point of view anatomic that functional
- Execution swiftness: in fact the intervention lasts one now about and the post-operative period in bed is of 2 – 3 days at most.
- Certainty of the intervention: it is considered in fact that the mortality is inferior to 0,5 %.

After the intervention the patient will have to follow a based diet of solid or semisolid foods. The liquid or semiliquid diets are advised
in how much would they lead to the bankruptcy of the therapy.

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at the end on Tuesday I have been the first one in being carried in the operating block. With my beautiful blouse supplied by clinical Humanitas Gavazzeni of Bergamo that does not cover me that a poor part of my body (not for anything they are here to submit to a surgery intervention bariatrica) I am moved in that air one of pure mixed terror to hope that is the operating block.

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here, they have come to call me. I leave again the operating hall. Hello to all! Ciao a tutti!

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tomorrow the whole procedure is leaving again. I am not even to say how much I am messed up in head and to what you level have the anxiety …
Municipality they are dancing and we dance.
There aggirnerò soon on as a surgery operation works bariatrica almost live

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after the obstacle of this morning that I have sent back my gastric bypass of one day I have passed a reiflessioni day.

Is it worth the punishment to do this intervention? My life quality after sara’ really better?

All arguments fattimalmento a million times in these months obviously, but never in this situation limbica. Today in fund I have tried the most afflicted part of the run as far as it looks after me. I you make sure that to be laid on the operating table already beautiful that ready in expectation only of losing the senses you are at the maximum level of tension and of adrenalin. vi assicuro che essere sdraiato sul tavolo operatorio gia’ bello che pronto in attesa solo di perdere i sensi sei al livello massimo di tensione e di adrenalina….

Today I must give appeal to the whole my raziocigno not to escape and to go away to house of my wife and of my daughter

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nothing to do …
Today not at all intervention. I was already in operating hall with all the my beautiful phleboclysis and tied like a salami on the operating table when: stop all itself do not operate! The place in intensive therapy is occupied by an urgency and then send everything back to itself! fermi tutti non si opera! Il posto in terapia intensiva e’ occupato da un’urgenza e quindi si rimanda tutto!

I wanted to go mad … all this anxiety and anguish about nothing. It is also a beautiful hole for free arm …

We it are rediscussing tomorrow

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ok, there are the 6 of the morning and are awake in my hospital bed waiting till the nurses come to me to draw to make gastric chiaccherato bypass this so much.
I am not dying of fright as I would have imagined, perhaps I have resigned myself or perhaps I still boomed at the sleep and as soon as I see the staff who starts my recuper I will start feeling myself an animal braccato.

That the near one post will be at least between a days pair … Quindo I say hallo to Pernso to you at clinical Bergamo Humanitas Gavazzeni's waiting for my intervention bariatrico of bypass gastric

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