The COVID19 virus and obesity – a dangerous combination
Since the beginning of 2020, and probably even before, the COVID-19 virus, which is considered dangerous, has been rampant throughout the world. The pandemic development summarised under the collective term Corona crisis has far-reaching consequences for all life in the world – also in Switzerland. Even if the infection figures and the number of deaths caused by COVID-19 are currently declining, the virus has not gone away. It is still there. And in many countries there is and growing fear that a second high wave of infection can be expected in autumn at the latest.
Evaluate risk groups correctly
In principle, it can be assumed that almost anyone can be infected by the Corona virus. Across age groups, social boundaries and income groups, the virus can affect anyone. Protective measures such as social distancing, wearing mouth and nose masks and maintaining good hand hygiene can significantly reduce the risk of infection, but not eliminate it.
With the statistical collection and evaluation of data on the course of the Corona pandemic and its spread, certain risk groups have been defined whose risk of infection is clearly and measurably above average. Currently known risk groups include
- in principle, all persons aged 65 and over
- People with high blood pressure
- Adults with chronic respiratory diseases
- Diabetics of both levels
- Men and women with diseases and therapies associated with a weakened immune system
- all people with cardiovascular diseases and
- Cancer patients.
Many of these diagnoses also apply to severely overweight people who have a BMI of over 40 and are thus classified as severely obese.
Obesity and corona form a dangerous combination
Interesting and at the same time worrying is the combination of obesity and an infection with the COVID-19 virus. After all, chronic obesity is often associated with risk factors such as high blood pressure, fatigue, diabetes, a weakened immune system, cardiovascular problems and a lifestyle that is accompanied by little exercise in the fresh air.
In this constellation, very overweight people are particularly often found in the risk groups for corona infection. This means that significantly obese adults in particular are at substantially greater risk of infection.
What we recommend to patients with obesity
In the dangerous connection between obesity and the risk of corona infection described above, we recommend that people who are significantly overweight receive accompanying advice and care from a specialist, for example from the obesity surgery doctors in the Swiss1Chirurgie and Centre for Bariatric Surgery (ZfbC) clinics. Here, people are aware of the entire problem of obesity, especially in connection with the COVID19 virus, and can give the decisive tips.
In addition, affected patients are advised to seek treatment at the Swiss1Chirurgie obesity centres before the expected arrival of the second wave of infection. In addition to thorough diagnosis and advice on individual treatment options for morbid obesity, the specialists at Swiss1Chirurgie and ZfbC offer comprehensive advice on preventive options for sufferers with regard to possible COVID-19 disease.
Focus on dietary and lifestyle changes
Given the particular vulnerability of overweight people with a BMI of 40 or more, it is strongly advised that they immediately change their entire diet and lifestyle to a healthier option. What is so easy to put into words here poses great challenges for most of those affected.
Therefore, specialist counselling and care is an option that should definitely be used, not only with regard to the risk from the COVID19 virus. This is because overweight people in particular often have an accumulation of risk factors that favour both infection with the corona virus and a comparatively more problematic course of the disease.
Irrespective of the current corona pandemic, we strongly advise overweight people to seek specialist advice, treatment and care, for example in the Swiss1Chirurgie obesity surgery clinics. Not only does this effectively counteract the risk of a severe course of COVID-19 infection, but it is also a promising first step towards a healthier future overall.
Grade III obesity as a risk factor for a more severe course of COVID-19
is officially on the list as of today: Annex 6 of COVID Regulation 2, adaptation of 14 May 2020, item 7.
Communication from: Eidgenössisches Departement des Innern EDI Bundesamt für Gesundheit BAG Direktionsbereich Öffentliche Gesundheit Sektion Prävention in der Gesundheitsversorgung
Clinic announcement – COVID-19 regulation
Due to the COVID-19 regulation of the Federal Council, we will have to reduce our regular consultation hours to telephone consultations; in the clinic we will only see urgent patient concerns and emergencies that cannot be postponed. Furthermore, all “electoral interventions” must be postponed. For urgent questions, we are still available and can be reached by phone. T +41 (0)31 312 61 12 – praxis.zehetner@hirslanden.ch
Classification of at-risk patients – coronavirus (COVID-19)
We would like to inform you that patients with bariatric surgery (overweight surgery) are not generally classified as high-risk patients.
We refer here to the directives of the FOPH. Particularly vulnerable people:
Dr. med. Jörg Zehetner
Professor (USC)
MMM, FACS, FEBS (hon.)
PD Dr. med. Rudolf Steffen
Specialist FMH for Surgery
Dr. med. Alejandro Metzger
Specialist in Surgery FMH
Schänzlihalde 1
CH-3013 Bern
T +41 (0)31 312 61 12
F +41 (0)31 312 61 11
swiss1chirurgie Bern
Schänzlihalde 1
CH-3013 Bern
swiss1chirurgie Solothurn
Hauptbahnhofstrasse 2
CH-4500 Solothurn
swiss1chirurgie Brig
Bahnhofstrasse 1
CH-3900 Brig
04 March is World Obesity Day
Every year at the beginning of March, there is a day dedicated to the topic of obesity as World Obesity Day. Certainly, this is not a holiday for those affected, but at least it is the day when there is a good reason to think about obesity in general and the stigmatisation associated with it in particular.
This year the focus is “Male Obesity”. This cannot simply be categorised as “gluttony” or “self-indulgence”. Male obesity has as many causes as it has manifestations. It primarily affects men from middle age onwards, who (like women) are undergoing a particular type of metabolic change.
Particularly as we get older, the body strives to store food reserves as fat reserves for developmental reasons, in order to provide for possible shortages. Especially for men who consume fewer calories than they take in due to their occupation or limited exercise, this quickly leads to unwanted excess weight. Organic processes in particular play an important role here, which cannot be “switched off” so easily.
In a special video, I personally addressed the importance of World Obesity Day. This is also due to the fact that obesity is now more common worldwide than malnutrition. The actual problem is mainly to be observed in the western industrialised countries, since it is precisely here that there is an ever-increasing surplus of food – practically at all times.
The obesity rate in the USA, for example, is around 35-40 percent of the population, which is a fact that should not be underestimated. This means an overweight of at least 20 kilograms, or a BMI of 30 or more. This is also the case despite the surgical intervention options, although these methods in particular can now be classified as very safe and successful. Nevertheless, the rate of surgical interventions needed in this particular area is far too low.
World Obesity Day is not simply about informing the public and professional colleagues accordingly. Rather, I see it as important to educate people about the modern treatment options of bariatric surgery. The primary aim is always to help patients according to their individual starting situation.
Information on the topic of obesity
It is important to understand that obesity is always associated with concomitant diseases. Diabetes, high blood pressure, sleep apnoea, high cholesterol – all these manifest themselves in the environment of obesity. But there is also another aspect that has emerged, especially in recent years. The point is that people who are overweight are simply stigmatised. At school, at work and even in private life, overweight people are described as lazy, fat, greedy, careless and lazy about exercise. This puts additional stress on those affected and does not help to tackle the problem in a targeted and conscious way. Significant overweight has been defined as a disease since 2013 at the latest. This puts morbid obesity in the same category as diseases such as diabetes, high blood pressure and many other chronic diseases.
The stigmatisation of obesity is extremely dangerous for patients, as they then withdraw and cannot address their actual problem in a targeted and active way. Professional treatment, counselling and support is the surest way out of obesity.
World Obesity Day can help break down prejudices
Everyone is challenged to exercise some restraint in their contact with morbidly obese people, both in their choice of words and in their behaviour. To this end, World Obesity Day can create better awareness. The problem should not only be addressed on this day of the year. But such a day can help to create more sensitivity for the problems of overweight people instead of leaving them to their fate with stigmatisation and devaluation.
Why specifically “men who are overweight”?
Yes, women also suffer from morbid obesity. But men do it in a special way. There are now “curvy models” for women, but not for men. And men by nature already tend to eat the slightly larger portions, even if that seems to be gradually declining. The world view was and still is such that a belly is always subconsciously associated with prosperity. Also in modern industrial societies. The dangers are usually conscious, but are only realised when they are actually there.
In addition, after a certain stage of life at the latest, men do not have this special view of their appearance that many women have. The actual problem is not recognised, or is recognised only very late, and is then gladly accepted as natural. This means that they don’t have to go to the doctor and the obesity surgeon is an unknown quantity for many of those affected. Therefore, men in particular must be sensitised to actively face this problem. World Obesity Day provides an excellent opportunity to do this.
The good intentions for the new year
… and how you can hold them
The new year is now a few days old and for many people everyday life has already returned. Yet 2020 began with many good intentions. Less kilos, more sport and active exercise are the most frequently mentioned good intentions for the new year, along with giving up cigarettes and spending more time with the family.
It is becoming clear that more and more people are taking a more conscious look at their own health and are focusing their plans on fitness, resilience and having more fun with active exercise. Especially when overweight, digestive complaints, stomach problems or reflux are daily companions in life, active exercise or regular sport is the way out of the vicious circle for many Swiss people.
We at Swiss1Chirurgie know that especially in cases of morbid obesity, sporting activity is often difficult to implement and ambition quickly wanes if the pounds do not fall off so clearly and quickly. One quickly falls back into old habits or tries to find other excuses for the supposed failure. In many such cases, bariatric surgery may be the best long-term solution. And even after such an operation, physical activity is one of the most important rules if the excess weight is to be permanently reduced and a healthier lifestyle maintained.
Snowshoeing is a clear recommendation
Especially in the cold season, the choice for recreational sports is somewhat limited. Cycling, classic hiking, jogging or water sports are often ruled out due to the weather. For some, the only option seems to be to go to the gym or the swimming pool. But many overweight people also fail to do this, mainly for psychological reasons. The shame of showing one’s own body openly, the fear of hidden smiles up to open hostility and certainly also fears of failure make the way into the dumbbell gyms and swimming pools even more difficult. Classic winter sports such as cross-country skiing, skiing, snowboarding or ice skating are also rarely possible.
The good variant of relaxed but active hiking in winter is snowshoeing. Even the old mountain farmers at high altitudes in Switzerland used snowshoes to get around in winter when the snow was heavy. Today, that is actually no longer necessary. But snowshoeing has become a popular leisure activity in winter, which is definitely a good choice of means for overweight people and also reflux patients.
The somewhat more difficult running requires, in addition to a certain degree of discipline, above all endurance and attention to one’s own body. Since snowshoeing is also only possible outdoors, it also contributes to a better supply of fresh air for the organism. Another nice thing about snowshoeing is that it can be done alone or in a group. In addition, there are specially prepared and signposted routes for snowshoe hiking, especially in the winter sports regions of Switzerland. Perfect for all those for whom skiing and tobogganing are rather unsuitable and who nevertheless do not want to do without sporting activity even in snowy winters.
We have the right equipment
For those who are now more intensively interested in snowshoeing, we offer an excellent possibility to get the sports equipment for snowshoeing quickly, easily and without additional costs. Together with Suzuki Switzerland, Swiss1Chirurgie is giving away a total of 50 snowshoe sets, each with a pair of snowshoes and matching poles.
However, you have to be quick here. Because only the first 50 entrants can enjoy new snowshoes for free and then start their snowshoeing experience with Suzuki snowshoes.
Click here to go to the competition
But also for everyone else, snowshoeing is a clear recommendation for more activity in winter. This applies to normal weight people as well as to overweight people or those with certain complaints.
Of course, we will be happy to advise you in the Swiss1Chirurgie clinics in Brig, Solothurn and Bern about your very individual options for an active life. This way, you may be able to keep your good resolutions for 2020 a little better and achieve the first results soon. Maybe even with a snowshoe set from Swiss1Chirurgie and Suzuki Switzerland. Have fun and above all wish you a healthy new year Jörg Zehetner and the entire Swiss1Chirurgie team.
Christmas greetings from the Swiss1Chirurgie clinic
Dear patients,
For Christmas 2019, I would like to send you the best greetings and wishes from your Swiss1chirurgie clinic. At the same time, I would like to personally thank you for the trust you have placed in us by choosing Swiss1Chirurgie 2019.
For you, the Christmas season is certainly as special a time as it is for us. Especially when you are thinking about the progress of your recovery or preparing for an upcoming treatment. No matter what stage of recovery you are in, we sincerely wish you all the best. And we will continue to be by your side, accompanying and helping you.
Especially the time around Christmas is a time of peace and contemplation. For many of you it is also a time of introspection. Now new plans are being made for a better and, above all, healthier new year. But now also take the time for your family and friends. These are the most important people in your life and your best allies in regaining your health. So that 2020 can also be a good year.
In this context, I am reminded of a saying that always reminds me of the importance of our health: health is not everything, but without health everything is nothing!
In this spirit, I wish you a relaxed Christmas, many loving moments and, above all, a healthy but also happy 2020.
And if you are already on the road to recovery or have made the decision to live a healthier life, it will certainly be a Christmas that is very different from any other Christmas before it.
At any rate, this is what wishes you
Your Dr Jörg Zehetner
Swiss1Chirurgie
P.S. If you still have some time left between all the presents and temptations of the Christmas season, why not catch up on the news from our clinics on our new Swiss1Chirurgie app and get some inspiration for an even healthier life in 2020.
Swiss1Chirurgie bundles competence for patients
With the opening of the Swiss1Chirurgie clinic in Solothurn on 28 November 2019, the medical offering for the entire spectrum of abdominal surgery, but especially obesity surgery and reflux treatment in Switzerland has now taken another step towards improved patient care.
After the existing clinics in Brig and Bern, the Swiss1Chirurgie clinic in Solothurn is now the third location of the specialised medical practitioners. At the doctors’ aperitif on the occasion of the new opening of the Solothurn location, the head of Swiss1Chirurgie, Prof. Dr. med. Jörg Zehetner, emphasised that “in view of the increase in obesity problems and reflux disease, the needs of patients can thus be incorporated into medical practice much better than before”.
Swiss1Chirurgie Solothurn emerged from the visceral surgery clinic of Alejandro Metzger, MD. The expanded clinic in Solothurn and the additional location in Brig cover a large demand of an area that could not previously be served medically in this way.
The main focus of Swiss1Chirurgie at the Bern, Brig and Solothurn sites is on abdominal surgery as a whole, but especially on obesity surgery and the treatment of reflux diseases. While obesity surgery, after thorough individual diagnoses and consultations, often focuses on modern minimally invasive stomach operations in the sense of stomach reductions (tube stomach) or gastric bypass and the subsequent aftercare, reflux surgery deals primarily with the complaints associated with chronic heartburn, acid regurgitation and the subsequent impairment of quality of life. With the LINX Reflux Management System, Dr. Jörg Zehetner is one of the leading Swiss doctors in this field and also enjoys the highest recognition abroad, even in the USA and Saudi Arabia. Dr Alejandro Metzger is a proven specialist in visceral surgery and bariatric surgery.
The Swiss1Chirurgie team includes PD Dr. med. Rudolf Steffen, who as a specialist in visceral surgery covers the entire treatment spectrum of abdominal surgery at the Bern site.
At the opening of the Swiss1Chirurgie clinic in Solothurn, medical specialists and also practising general practitioners met at the doctors’ aperitif to find out in detail about the treatment methods and surgical techniques used by the specialists from Swiss1Chirurgie and the ZfbC (Centre for Bariatric Surgery in Bern). The lively exchange and the great interest show that with Swiss1Chirurgie a network of specialist medical services has been created that meets the needs of existing and potential patients. And it also offers general practitioners in the region a new point of contact, especially for patients with morbid obesity and reflux diseases.
For more information on Swiss1Chirurgie, the centre for bariatric surgery and the specialist doctors and treatment fields involved, please visit www.swiss1chirurgie.ch.
Dr Zehetner meets at the “American College of Surgeons” Clinical Congress in San Francisco for a professional exchange.
The American College of Surgeons Clinical Congress (ACS Congress) is held annually in October in the USA. This year, San Francisco, California, was the meeting place for specialised surgeons who stand for innovation and reliable surgical technique with special achievements in their field. However, no surgeon is admitted to the top ranks of international colleagues all by himself. The ACS Congress is mainly attended by members of the American College of Surgeons. However, only those who have previously achieved the title Fellow of the American College of Surgeons (FACS) can become members here.
Already during his stay in the USA from 2008 to 2015, Dr Jörg Zehetner attended the ACS Congress every year. And he received the title FACS on the occasion of a solemn convocation, which as an admission ceremony seals membership in the “American College of Surgeons” society. Prerequisites for this title are a completed specialist training in surgery as well as several years of successful professional practice and the recommendation of at least three academic specialist colleagues. So the hurdles are set high if you want to become a member of this select society. For Dr Jörg Zehetner of Swiss1Chirurgie, this membership in the “American College of Surgeons” society became a reality as early as 2014.
New developments and old friendships
Of particular interest were the new developments in obesity surgery and reflux surgery. In these special fields, Dr. Zehetner has been a sought-after specialist colleague for years due to his high level of expertise, who is always interested in new surgical techniques and, first and foremost, in the sustainable success of the interventions. A central topic during this year’s congress was robotic surgery. There was a lot to learn, even though the first day of the congress in particular was also associated with the difficulties of jet lag after the journey from Bern to San Francisco.
The reunion with the American colleagues from the time when they worked together at the Department of Surgery at the University of Southern California (USC) was a little more relaxed. Old friendships could be revived just as much as the exchange on the specialist topics, which were the focus of attention at the congress anyway.
The cooperation with the specialists from California and with colleagues at the University of San Diego resulted in numerous research findings, which Dr. Zehetner was able to publish in many publications even after 2015. Especially the research projects in the field of reflux diseases, oesophageal cancer as well as obesity surgery have led to results that still have an impact on surgery today and offer real cures for patients.
American contacts in the German-speaking world
Competence in the special subject areas exists in the German-speaking world, but is hardly noticed internationally. It is therefore important that Dr Jörg Zehetner, with his successful professional experience and scientific work on the topics, is an important and currently the only link between the American surgical societies and the experts in the German-speaking countries.
In the International Relation Committee of the SSAT (Society of the Alimentary Tract) he is the only member from the DACH region and thus ensures a successful exchange with the American colleagues.
The SSAT and three other societies hold the world’s largest and most important congress for surgeons and gastroenterologists every year in May. For the coming year, Digestive Disease Week is planned for the period from 2 to 05 May 2020. By then at the latest, Dr Jörg Zehetner will again be able to cultivate his international contacts with specialist colleagues and shine with his characteristic surgical competence. With or without jet lag.
Quick BMI calculator for the health conscious
The new BMI calculator from the Centre for Bariatric Surgery (ZfbC) and swiss1chirurgie combines a high level of convenience with the best tips for any treatment needs.
If you want to know your weight, you stand on the scales. But if you want to know a little more about your physical condition, you can now use the new BMI calculator from the ZfbC/swiss1chirurgie. Without long calculations, the digital BMI calculator determines the body mass index quickly, reliably and with only a few entries, which provides important information about whether the body weight is a health risk.
Just by stating the current weight, height and age, conclusions can be drawn as to whether the values are within the norm or above it. These personal details can be supplemented by the desired weight, details of physical activity and any efforts to achieve weight loss.
The more information is provided, the more concrete the calculations and also the statements on whether there is an urgent need for action and how and under what time frame the weight can be positively influenced under the given conditions.
The new BMI calculator of the Centre for Bariatric Surgery Bern is available on the website of the ZfbC https://www.zfbc.ch/bmi/ and swiss1chirurgie https://www.swiss1chirurgie.ch/bmi/ as well as in the newly developed app https://m.swiss1chirurgie.ch#/module/5784837 and can be used immediately. In this way, health-conscious people can in fact check their current status at any time and from anywhere, even with their smartphone, and make decisions to optimise their body weight in terms of health. The link between the BMI calculator and the medical tips for the prevention and treatment of morbid overweight (obesity) is extremely interesting. Causes, correlations and effects are presented here just as comprehensibly as the treatment approaches of the ZfbC.
The BMI calculator of the ZfbC/swiss1chirurgie has the potential to cause a sensation not only in Switzerland but also internationally. The new BMI calculator will therefore also be presented by Prof. Dr. Jörg Zehetner at a congress to be held soon in the USA, CHINA, MIDDLE EAST, EUROPE and ASIA. There, the digital BMI calculator will be able to show directly what it can really do. The interest of the experts is just as great as the need of the population. After all, the USA is one of the countries in the world where morbid obesity is one of the main causes of secondary diseases such as high blood pressure, heart disease, musculoskeletal disorders and diseases, heart attacks and strokes due to obesity. This also includes the psychological and social impairments that are often associated with being significantly overweight.
With the convenient BMI calculator of the ZfbC, the way to an easy digital calculation of the Body Mass Index is opened for medical laymen as well as for medical specialists. Although BMI alone is not a definitive measure of treatment options, it is an important indicator of whether treatment is needed and under what circumstances the best treatment outcomes can be achieved.
IFSO 2019 Congress in Madrid
Morbid obesity is a chronic disease
After London 2017 and Dubai 2018, the World Congress of the International Federation of Societies of Obesity Surgery (IFSO) was held this year in the Spanish capital Madrid.
One of the topics was the stigmatisation of overweight patients. There was agreement on this topic that morbid obesity is indeed a chronic disease and requires appropriate treatment. The times when overweight patients are ridiculed, laughed at or even insulted in public must finally be over. With obesity surgery, this group of patients also has access to a variety of different treatments and interventions that can successfully address and permanently treat this condition.
This was an important topic in the meeting of bariatric surgery specialists from the cantons of Switzerland, who had the opportunity to exchange views on this topic at a joint dinner during the congress.
What is the state of facts?
In Switzerland, there are primary centres and centres of reference for obesity surgery. Whereas in a primary centre only the first operation for patients with BMI 35-49 may be performed, in a reference centre re-operations (new corrective operations) and very heavy patients (BMI greater than 50) may be operated on. This is an arrangement that makes it difficult for many patients to undergo continuous treatment that is ultimately accompanied by visible, tangible and countable success in the long run.
Swiss1Chirurgie has responded to this together with the Beau-Site clinic in Bern and the Espace Chirurgie clinic in Biel. The obesity surgeons in Biel perform the initial operations at the Hirslanden Klinik Linde and the re-operations with Dr Zehetner at the Klinik Beau-Site. At the Beau-Site Clinic in Bern alone, 500 of the 4,500 surgical procedures performed annually throughout Switzerland are carried out. At the Centre for Bariatric Surgery in Bern (ZFBC), these patients are pre-cared for, operated on by Swiss1Chirurgie surgeons and then followed up again at the ZFBC. This means that within the Hirslanden network, Swiss1chirurgie has the greatest expertise in bariatric surgery in Switzerland and guarantees the highest level of patient safety.
What patients with problems after obesity surgery can do
Have you already had obesity surgery and are not receiving follow-up care? Or have you put on a massive amount of weight again after the operation and don’t know what to do next?
Ask your general practitioner to refer you to one of our Swiss1Chirurgie locations in Bern, Solothurn or Brig (www.swiss1chirurgie.ch). We can then admit you to our aftercare programme at the Centre for Bariatric Surgery (www.zfbc.ch) or arrange for clarifying examinations for a possible corrective operation to lose weight again.
Of course, the World Congress also focused on the big issues in obesity surgery. Here are a few key points on the results:
- The most common obesity surgery worldwide is the tube stomach (sleeve).
- The gastric band is hardly ever done anymore, under 1% of all overweight operations.
- In patients with reflux, the gastric bypass has advantages over the sleeve.
- In severely overweight patients, OAGB (one loop anastomosis gastric bypass) is also a possible option.
- Endoscopic revisions such as anastomotic stenosis with Apollo Overstitch are used more frequently, especially in cases of dumping and recent weight gain.
Learn more? Then simply contact me and let me advise you on the most promising options for the surgical treatment of obesity and reflux disease.
MPK practice-leading direction, 80 – 100% Start of position: from the beginning of November or by arrangement
We apply for your organisational talent!
Have you completed your training as an MPA with further training as a medical practice coordinator in a practice management direction, do you have professional experience and are you looking for a job where you can use your knowledge on a daily basis? Then you should definitely read on:
In our centre, located directly at Bern railway station, we care for and advise our patients in a team with doctors, nutritionists and a psychologist before, during and especially after bariatric surgery procedures. We are actively supported in this work by five medical practice assistants.
As our clinic coordinator is unfortunately leaving us, we are looking for a new team leader for our well-established team for personnel management and planning, practice organisation and administration with, among other things, financial control, marketing, quality management and support for the electronic systems.
You can look forward to an appreciative and collegial working environment with well-structured work processes. We rely on the fact that you like to work independently and are responsible with the organisation of the practice.
If the positive development of the centre and a courteous and professional approach to patients, the team and external partners is as close to your heart as it is to ours, then we look forward to receiving your electronic application directly as an email to ramona.oberholzer@zfbc.ch and meeting you soon.
Mrs Gasser, senior physician, or Mrs Oberholzer, our current practice coordinator, will be happy to answer your questions.
Michèle Gasser, MD, Senior Physician
Jörg Zehetner, MD, Professor (USC), Clinic Owner
Zentrum für bariatrische Chirurgie,
Seilerstrasse 8, 3011 Bern,
Tel: +41 31 310 15 99