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Bariatric Surgery

Who is a candidate?

  • Patients with a body mass index greater than 40.
  • Patients with a body mass index greater than 35 who suffer from associated diseases such as: Diabetes, Hypertension, Cholesterol disorders, Sleep apnea or Osteoarticular problems.
  • Patients who failed weight loss treatment with follow-up with a dedicated professional.
  • Not be older than 65 years of age

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If with the above information you realize that you are a candidate, I invite you to make an appointment or contact me to answer your questions.

Types of procedure:

Gastric Sleeve

The gastric sleeve is the most popular procedure today for controling food intake, weight loss and metabolic control, this procedure is noble and with a low frequency of complications if it is performed by an experienced surgeon.

It consists on the section of 85 to 90% of the gastric body and fundus which are extracted.

It is indicated in patients with a body mass index of 40 or more, also in those with a body mass index of 35 or more coupled with a chronic disease such as diabetes, hypertension, cholesterol changes, etc …….

This procedure generates a good reduction in gastric capacity to food, on the other hand, during the following 3 years the production of ghrelin decreases favoring the sensation of satiety, finally this procedure does not require long-term nutritional management since absorption of vitamin B is not altered..

The frequent complication in the immediate postoperative period is bleeding and later gastric leakage due to damage to the line of staples with which the stomach is divided. In the long term, stones can be generated in the gallbladder, so sometimes the surgeon may recommend resection of the gallbladder in the same procedure.

The gastric sleeve is performed laparoscopically or also called minimally invasive surgery and generally the hospital stay does not exceed 24 to 48 hours.

Feeding after the procedure will consist of only liquid foods, supplements or porridges for at least 4 weeks, after that time a soft consistency diet for 2 months and finally at 3 months the feeding is practically normal.

Although the appropriate weight loss is considered reaching 50% decrease in excess weight, I am always concerned that we achieve the decrease of at least 70% of excess weight.

It is generally a well-tolerated procedure and in a case of failure to lose weight, this procedure can progress to a Mini Bypass, Gastric Transposition, or Complete Bypass.

Make an appointment to evaluate you and determine which procedure is the right one for you and make an exact budget.

Gastric Bypass

Gastric bypass is the most frequently performed procedure in history that has shown great efficacy not only in weight control but also in the metabolic control of patients.

It consists of the section of the stomach, leaving only a gastric pouch with a capacity of 30cc, to which the small intestine (jejunum) is directly connected, in addition a jejunal connection is made to give continuity to the content that comes from the stomach for food processing.

It is indicated in patients with a body mass index of 40 or more, also in those with a body mass index of 35 or more coupled with a chronic disease such as diabetes, hypertension, cholesterol changes, etc …….

This procedure generates a process both restrictive as well as poorly absorptive where there is a failure in the reabsorption of vitamin B, so the patient requires continuous supplementation to avoid diseases due to vitamin deficiency.

The frequent complication in the immediate postoperative period is bleeding and later leakage from the intestinal and gastric junctions. In the long term, stones can be generated in the gallbladder, so sometimes the surgeon may recommend resection of the gallbladder in the same procedure. The patient must remain under nutritional surveillance for the rest of his life.

Gastric bypass is performed laparoscopically also called minimally invasive surgery and generally the hospital stay does not exceed 24 to 48 hours.

Feeding after the procedure will consist of only liquid foods, supplements or porridges for at least 4 weeks, after that time a soft consistency diet for 2 months and finally at 3 months the feeding is practically normal.

Although the appropriate weight loss is considered with a 50% reduction in excess weight, I am always concerned that we achieve a reduction of at least 90% of excess weight.

Make an appointment to evaluate you and determine which procedure is the right one for you and make an exact budget.