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BARIATRIC SURGERY

For the integrated management of the patient to which it is recommended bariatric surgery we have a team that will help before and after the surgery. Apart from the surgeons who the surgery, we recommend a nutriologist, nutritionist, psychologist and a psychiatrist, kinesiologist plus a gastroenterologist and cardiologist.
Types of Surgery
Gastric Bypass / Adjustable Gastric Band / Sleeve Gastrectomy
Gastric Bypass
Gastric bypass has been shown to be very effective at inducing and maintaining major weight loss in severe obesity. When you are over a BMI > 30 or BMI > 40 you increase your percentage of mortality and medical complications, surgery is the best therapy. This type of procedure creates a small stomach pouch and bypasses part of the small intestine.  By reducing the food intake, patients have a satisfied feeling.  Studies have shown this procedure to be excellent for long-term weight loss success but requires lifetime patient behavioural changes.

The technique used can be done through open surgery or laparoscopic.  Laparoscopic is a modern surgical technique in which operations are performed through small incisions (usually 0.5 – 1.5 cm), with the advantage of less pain, and no scarf of an incision over the belly bottom.

The decision of either open surgery or laparoscopic surgery is made with the patient after explaining the difference.
 
 
 

Adjustable band

The Lap-Band system is an adjustable and reversible obesity surgery.  It eliminates many of the risks of other obesity surgeries, such as gastric bypass or stomach stapling. Once implanted, the band can be tightened or loosened, via the balloon on its inner surface that can be inflated or deflated.  Lap-band adjustments are performed in an outpatient settling in a matter of minutes. The ring or banding consists on surrounding the high part of the stomach with a belt that divides the stomach in a small high part of 15cc living a small way to the rest of the stomach. As explained before, the band can be tightened or loosened, via the balloon on its inner surface that can be inflated or deflated with saline; for your own control of the size that you are going to live for food to pass to the second part of the stomach.  With this division it will fill out first the upper part of the stomach having a sensation of fullness with small amount of food.  You must consider that you must eat solids because liquids will pass through the ring easily without achieving the purpose.

Adjustable band is a simple yet innovative tool to help you achieve a healthier, happier life.  However, your motivation and commitment to adopt a new lifestyle are extremely important for long term weight loss.  Is important that during this process you get support from nutriologist and occasionally from psychologists to develop new eating habits that must be adhered to for the rest of your life.  Exercise is an equally important component of a changed lifestyle.  Adequate exercise will not only help you in the battle against weight, but it will also benefit your general health and well being. Results can be satisfactory if patient has been properly selected and follow instructions for its success.  This surgery can be done by laparoscopic, is simpler and less risky than bypass .


  
 

 

  
 

Sleeve Gastrectomy

It consists in taking a portion of the stomach in a vertical position and especially in the gastric part of the stomach because there is where it produces a substance that stimulates the appetite.  Living a stomach from 1200cc to 150cc and reducing the appetite.  Is a low risk surgery and maintains the continuity of the stomach with the intestine, unlike the gastric bypass.  This technique has been used for a long time combined with a type of bypass. However, it was practice to some patients of high risk and with extreme obesity as a first stage to reduce the stomach in the form of sleeve and after loosing weght proceed with a second stage with less risk.  Never the less, in some cases with the sleeve treatment they loose enough weight, and with a proper control, they where able to maintain the desire weight.  From there that this procedure was use as a unique technique for loosing weight, and if is not enough you can completed with another treatment so results will be definitive .

 
 
 
 

info@ilesere.com
Tel: 011 (52-81) 8333-6515 & 011(52-81) 8348-1272

 
 

Hospital San José, Avenida Morones Prieto 3000 Pte. 5to piso,
Despacho 508. Col Los Doctores y OCA Medical Center, Avenida Pino Suárez 640 Nte. 5to piso, Despacho 510. [Mty. N.L.]