Bariatric Procedures

Effective Weight Loss Procedures to Treat Obesity

Gastric Sleeve Surgery

A gastric sleeve, also known as a sleeve gastrectomy, is a newer procedure, and very popular type of weight loss surgery offered around the world. The gastric sleeve procedure is done by removing part of the stomach, approximately 75-80%, and creating a sleeve where the food will go when digested. This “sleeve” becomes the new stomach, as the excess stomach is surgically removed. The gastric sleeve helps the patient feel fuller faster and stay full for longer periods of time. This results in significant weight loss by eating a lower quantity of food.

What to Expect

Unlike some other weight loss procedures, the gastric sleeve is not reversible. This makes it a lifelong commitment and diet to give the best chance of long-term success. The gastric sleeve surgery is performed laparoscopically with a hospital stay of 2-3 days and a recovery time of 2-4 weeks.

Results

While the weight loss in gastric sleeve tends to be slower than gastric bypass, it has better long-term results in many cases. Differentiating from gastric bypass which uses both restriction and malabsorption, the gastric sleeve surgery only uses restriction. The true difference being: gastric sleeve surgery doesn’t bypass the nutrients that are absorbed by the stomach. Therefore, food is still digested normally and essential nutrients are stored in the body.

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Gastric Bypass Surgery

Roux-en-Y, more commonly known as Gastric Bypass Surgery, is an effective bariatric procedure to treat obesity. With Gastric Bypass, both restriction and malabsorption are used to make the RNY the gold standard of bariatric surgery. In fact, Gastric Bypass Surgery is one of the most common weight loss procedures in Mexico. Through restriction, the surgeon forms a new stomach, only a fraction of the size of your normal stomach. Then the new stomach bypasses a section of the small intestines, using the method of malabsorption.

What to Expect

Mexico Gastric Bypass Surgery is highly recommended by past patients. The reason being: patients can expect to lose up to 70% of excess weight within one year. This makes the RNY one of the most effective weight loss procedures used for obesity treatment. Since food does not fully digest through the bypassed intestine, patients need to take vitamins for the rest of their life to maintain health and wellness.

Results

In 1 year, the expected weight loss (EWL) for gastric bypass on average is 70% of excess weight. After 3 years, bypass patients can expect to balance out to their new weight, maintaining about 65% of their original weight on average. Patients need to change their lifestyle, and follow a post-op diet to stay healthy.

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Duodenal Switch Surgery

The Duodenal Switch Surgery (DS) is a dominant weight loss procedure using both restrictive and malabsorptive properties. The DS, or Biliopancreatic Diversion with Duodenal Switch (BPD/DS), combines parts of the gastric sleeve and the gastric bypass procedure to make a powerful and highly-effective bariatric surgery. The first step of the Duodenal Switch is to cut/staple the stomach into a sleeve shape to become the “new stomach.” The malabsorption factor similar to gastric bypass is the next step, which reroutes the small intestines. They completely bypass both the duodenum and jejunum to reduce the number of nutrients and calories that normally get absorbed into the body.

What to Expect

The duodenal switch is actually one of the most effective procedures used to treating obesity. Patients can expect to lose on average of 75-80% of their excess weight. The duodenal switch procedure takes skilled surgeons with years of expertise. The procedure takes about 2 hours to complete. The DS procedure does have potential risks and complications. It is a complicated weight loss surgery with a very few amount of bariatric surgeons who are trained and experienced in performing the duodenal switch surgery.

Results

In order to maintain weight loss, patients must follow their post-op diet along with taking vitamins daily. Your bariatric surgeon will recommend certain prescriptions that will work best for you. Also, our nutritionist will guide you through the exact vitamins and supplements needed for a healthy recovery. Long-term weight loss is possible with duodenal switch, as long as patients stay on top of their new healthy lifestyle.

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Gastric Banding

Gastric Banding, commonly known as LAP-BAND, is a relatively safe bariatric procedure known to be less invasive and less surgically complicated.  The way gastric banding works is the surgeon laparoscopically places a band to restrict the stomach. This smaller, restricted stomach feels full with less food. Excess weight loss is not a successful as other procedures, like the gastric sleeve surgery or gastric bypass surgery. In fact, many patients transition from the LAP-BAND to another type of bariatric surgery because they are not satisfied with the results.

What to Expect

Many patients request the LAP-BAND because there are no changes to the digestive tract and no rerouting of the small intestine. Also, the gastric band is reversible. Patients can expect to lose about 40-50% of excess weight after one year. Patients are a candidate for Gastric Banding with a BMI over 30 usually not exceeding 45. This is because the LAP-BAND is not as successful with patients over 45 BMI.

The Results

With Gastric Banding, patients typically see less weight loss than gastric bypass and even gastric sleeve surgery. Also, it has more potential complications than other bariatric procedures. Patients must be ready to have frequent follow-ups with either a doctor or physician. You must be ready to make significant lifestyle changes and begin healthy habits.

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Gastric Balloon

The Gastric Balloon, or IntraGastric Balloon (IGB), is a non-surgical weight loss procedure. The patient has an inflatable balloon within the stomach that is adjusted based on stomach size. The Gastric Balloon is used to decrease the stomach capacity to eat food. Therefore, less food is needed to keep patients full.

The types of gastric balloons are

What to Expect

Patients sometimes steer away from the Gastric Balloon because of its low expected weight loss (EWL). There are many advantages that make the IntraGastric Balloon sought after. The main thing is that it is a non-surgical procedure. Ultimately meaning that there is no stomach removal, anatomy changes, cutting, or stapling.

The Results

Depending on the type of Gastric Balloon, patients can expect up to 35% of excess weight loss in 6 months. The average weight loss is 12.1% in 6 months. The Gastric Balloon is a newer bariatric procedure, therefore it has not been studied over a long-term. It is perfect in terms of losing a solid amount of weight in a short amount of time. Our balloon patients average about 30-40+ lbs. of weight loss while maintaining their anatomy and stomach.

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Bariatric Surgery Revision

Bariatric Surgery Revision is needed for patients who regained their weight after a weight loss procedure. For example, often times LAP-BAND (Gastric Band) patients will revise to get a gastric sleeve or bypass surgery. Gastric sleeve patients can get a revision to gastric bypass or duodenal switch surgery.

There are many reasons and factors that play a role in bariatric surgeries failing. In fact, most patients who have this problem don’t bring it up to their doctor or surgeon because they feel that they are the ones who fail, not the bariatric procedure.

What to Expect

In terms of bariatric surgery revisions, a bariatric expert will need to get a better look to determine what exactly went wrong. In doing so, the surgeon will use an endoscopy to analyze the GI series and tract, in order to visually understand how it can be revised. This makes it possible to effectively plan out the type of bariatric revision surgery. Sometimes, patients will undergo a dietary analysis. This ultimately helps the surgeon and doctor determine if eating habits played a part in the failure.

Results

There are a variety or bariatric revision procedures that we offer. LAP-BAND removal is among the most common when the Gastric Band isn’t doing its job as expected and the patient usually wants to undergo gastric sleeve or gastric bypass surgery. For Gastric Bypass, patients can usually have their pouch revised by trimming it and remove/repair the staple if needed. Gastric Sleeve Surgery is revised mostly into the Mini-Gastric Bypass, Gastric Bypass (RNY), or Duodenal Switch Surgery.

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Single-Incision Laparoscopic Surgery

Our surgeons were some of the first in Mexico to offer Single-Incision Laparoscopic Surgery. With the development of surgical equipment and expertise, SILS is possible. Patients request the single incision bariatric surgery because it is less-invasive, cutting only one incision in the abdomen. The incision is typically near the belly button, making scarring often times unnoticeable. Currently, we offer single incision gastric sleeve surgery, or Vertical Sleeve Gastrectomy (VSG). This removes about 70% of the stomach, leaving behind a small, banana-shaped sleeve for your new stomach.

What to Expect

Most of our patients who seek out the Single-Incision Laparoscopic Surgery is because of the variety of advantages that come along with it. The primary advantage is that there is rarely a noticeable scar, making weight loss feel more comfortable for patients. A quicker recovery with less scarring makes it a viable option for many people who want bariatric surgery, but not the scarring that comes along with most procedures.

The Results

The results are basically the same as the normal Gastric Sleeve Surgery or Vertical Sleeve Gastrectomy. Therefore, patients can expect to lose on average of 70% of their excess weight loss in their first year. Patients must stay on their post-op diet for the rest of their lives, and lead an active healthy lifestyle. With the Gastric Sleeve, patients feel full with less food, and the stomach holds a fraction of the amount of food as before the procedure.

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Change your life with the Gastric Balloon Procedure or any other types of bariatric surgery that we offer. We have helped over 10,000+ patients find health and happiness through bariatric surgery.

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