All-Inclusive Weight Loss Surgery in Mexico
Frequently Asked Questions (FAQs)2020-09-18T23:28:59+00:00

Frequently Asked Questions

Here are the most popular Frequently Asked Questions that patients ask us at Mexico Bariatric Center®.

Which hotel will I be staying at?2020-09-17T02:39:42+00:00

In Tijuana, we have an amazing relationship with the Hyatt Place Hotel. They are currently rated #2 out of 69 hotels in Tijuana on Trip Advisor. Hotel stay is included, although if you bring a companion, they will need to stay at the hotel during your hospital stay given the COVID-19 pandemic. They offer top quality service and consistenly provide around-the-clock support for both patients and companions.

If you are a patient traveling to Guadalajara, we use the Malibu Hotel.

When Should I Start the Pre-Op Diet?2020-09-17T18:50:55+00:00

Please see our Pre-Op Diet guide. This will depend on what your body mass index is. The higher your BMI, the longer your pre-op bariatric diet will be.

Start the pre-op diet based on you’re current BMI. (*BMI is in BOLD)

  • 30-32 = 2 days clear liquids only
  • 33-39 = 1-week pre-op diet including two days of clear liquids
  • 40-45 = 2 weeks pre-op diet including two days of clear liquids
  • 46-49 = 3 weeks pre-op diet including two days of clear liquids
  • 50-59 = 6 weeks of pre-op diet including two days of clear liquid diet
  • 60 plus = 8 weeks pre-op diet including two days of clear liquid

Related Resources:

What Payment Methods are Accepted?2020-09-11T04:14:32+00:00

General Payment Instructions

  • All monies are represented and payable in USD.
  • A minimum non-refundable down payment of $350.00 is required to secure your surgery date.
  • Be sure your Name is on your payment receipt, to be sure the payment is applied to your account.
  • Be sure your Coordinator gets a copy of your payment receipts
  • Be sure to Fax a copy of your Wire or Payment Receipt to 1-855-453-2329

Preferred Payment Options:

  1. Mail Cashier’s Check (allow for 3 weeks delivery time prior to your procedure)
    • Payable to: Sourcis, Inc. (Sourcis, Inc- DBA [doing business as] Mexico Bariatric Center
    • Mail to: SOURCiS, Inc. 193 Blue Ravine Rd., Suite 140 Folsom, CA 95630
  2. Direct Deposit* (cashier’s check – Do not mail checks to bank)
    • Bank: Bank of America – 403 E Bidwell St. Folsom, CA 95630 Ph: 916-861-9900
    • Account Name: SOURCiS, Inc.
    • Account Number: 325025576582
    • Routing Number: 121000358 (Direct Deposit / certified funds)

Alternative Payment Options:

  1. Credit Card (credit-card – 5% added fee)
    • We accept Visa, MasterCard, American Express, and Discover.
  2. In-person Deposits* (cash – 5% added fee or check – Do not mail checks to the bank)
    • Bank: Bank Of America – 403 E Bidwell St. Folsom, CA 95630 Ph: 916-861-9900
    • Account Name: SOURCiS, Inc.
    • Account Number: 325025576582
    • Routing Number: 121000358
  3. Wire Transfer * (wire transfer- $20 added fee)
    • Bank: Bank of America – 403 E Bidwell St. Folsom, CA 95630 Ph: 916-861-9900
    • Account Name: SOURCiS, Inc. Account Number: 325025576582
    • Domestic Routing #: 026009593 International Routing #: BOFAUS3N
  4. We also have financing options available.

Related Resources

What is the Travel Itinerary? How Long Will I be in Mexico?2020-09-10T05:45:16+00:00

Here is the standard Travel Itinerary for our weight loss surgery packages. Due to the ongoing Coronavirus pandemic, this may vary slightly based on your procedure. Please make sure you check with your patient coordinator. Once you schedule your surgery date and secure your deposit, you will automatically receive your complete booking details.

Day 1: Arrive in San Diego

One of our drivers will be waiting for you upon arrival at San Diego International Airport. Make sure your flight arrives before 12:00 pm PST (before noon). It is usually a 20-minute drive from the airport across the border using our medical lane pass. A few blocks across the San Ysidro border is our Hospital and Hotel. You will get pre-op testing and then driven to check-in at the #2 rated Hotel in Tijuana. Our staff will be there to help you check-in and answer any questions you have!

● Bloodwork Pre-Op Labs and EKG
● Stay the night at the Hyatt Place Hotel

Day 2: Surgery Day

You will be picked up from the hotel early in the morning for your surgery. Stay the Night in Hospital.

  • Pick you up and take you to surgery. The time of surgery is in the morning and you will be notified of the surgery time the day before
  • Stay 2 Nights in Hospital for gastric sleeve
  • Post-op testing is completed before discharge

Day 3: Recovery at Hospital

Recover in Hospital. Post-op testing and recovery. Make sure you walk around and drink a lot of water!

  • Pick you up from the hospital when discharged
  • Take you to the hotel
  • Spend day/night at the hotel

Day 4: (**for Gastric Sleeve Surgery**)

The driver will pick you up from the Hotel and take you to the airport for departure.

  • Drive you to the airport
  • Plan flight after 2:00pm

Day 4 : (**for Gastric Bypass, Mini Bypass, Duodenal Switch, and most Revision Surgeries**)

On Day 4, you will remain at the hospital for an extra night to recover.

  • Final night stay at Hospital

Day 5: (ONLY for Gastric Bypass, Mini Bypass, Duodenal Switch, and some Revision Surgeries)

The driver will pick you up from the Hotel and take you to the airport for departure.

  • Drive you to the airport
  • Plan flight after 2:00pm

Related Articles

What is the purpose of the pre-op diet before bariatric surgery?2020-09-17T20:04:19+00:00

One main reason it is critical that you follow the pre-op diet is that it shrinks your liver before surgery.  The liver is lifted in order to surgically operate on the stomach, so following the pre-op diet it significantly improves the safety of the operation as well as allowing better access to the surgeon.

Let’s face it; losing weight prior to surgery can benefit you for many reasons. The healthier you are going into surgery, the better. The more you change your behaviors prior to surgery, the more likely you will be able to continue healthier habits and keep weight off long-term. Remember, weight loss surgery is just a tool!

Related Resources:

What is the Entire Patient Process from Start to Finish?2020-09-10T06:40:10+00:00

Step #1: Get Approved for Surgery

  1. Fill out Health Questionnaire (Medical History Form) which will take you roughly ten minutes.
  2. Once you complete the form online and submit it, we receive an electronic copy – you can also return the forms by fax, or scan and email it if needed.
  3. Our surgeon liaison will forward your Health History Form to the doctor that you choose. If you do not have a specific surgeon selected, we will have it reviewed by the best surgeon for your overall health and medical needs.
  4. Once the doctor reviews your health history form, you will be sent an ”Approval” email (as well as your patient coordinator). At our earliest convenience, we will then call, text, or email you the decision of the doctor along with any recommendations the doctor(s) may make.
    • If you are not approved, the doctors may ask for any previous blood/lab tests that you may have already done or specifications on what you need to have prior to getting surgery. For example; the surgeon may request any E.K.G.’s, cardiac treadmill tests, glucose panels, PTT/INR (clotting times), hematocrits, or hemoglobin.
  5. You can schedule your appointment as soon as you get approved.
  6. You will need to follow a pre-op diet (anywhere from 2 days to 8 weeks prior) based on your Body Mass Index (BMI) and your surgery interest. This will include a clear liquid diet for two full days before your surgical procedure. The pre-op diet is protein-based and not difficult to follow. It is required primarily to shrink your liver.

Step #2: Schedule Your Surgery Date

  1. Once approved, your coordinator will send you an official “Approval” email asking about which date(s) you are interested in for your procedure.
  2. After you choose an appointment, the coordinator checks the calendar for the selected doctor’s availability (we can usually accommodate your date of choice unless the time is already booked or the doctor is out of the office).

Step #3: Pre-Op Diet and Documents Needed

  1. Once you are scheduled, the coordinator will send you an email entitled “Your Surgery Date is Scheduled” and it will include specific guidelines that you will need to follow regarding the booking of flights, instructions for pre-op diet, information about which home medications you may continue or may need to discontinue before your surgery. Note: Most medications for High Blood Pressure, Heart Issues, Hypo or Hyperthyroid, Diabetes Type 1 & 2, Depression & Anxiety, etc., should never be stopped or titrated down without specific instructions from the surgeon or your Primary Care Physician.
  2. We require you to submit a;
    • Consent Form, copy of Flight Itinerary
    • Passport copy OR Drivers License & Birth Certificate
    • Final Payment or Send Proof of Cashiers Check 14 days before surgery
    • Sign a COVID Consent Form.
    • Make sure to include information regarding potential accommodations you may need such as additional hotel reservations, use of a wheelchair or assisted device, your emergency contact person’s information and phone number, your flight itinerary, and signature at the bottom of the form.
  3. Your coordinator will save all of the appropriate forms, including lab results (if required), time off request form for your employer (if needed), photos of cashiers’ checks, and consent forms in your file.

Step #4: Preparing for Surgery

  1. Keep in touch with your coordinator if you have any changes in your medications, health status, travel plans, and any questions or concerns.
  2. Take this time to make sure valid passports are up to date, read the pre-op and post-op diet instructions, and stock up on the items you will need for the first couple of weeks when you return home.
  3. Pack lightly, and make sure that any laptops, notepads, or electronic devices are in travel cases with your name clearly on them. The hotel and hospital have the standard U.S. outlets, free wi-fi, free phone while at the hospital, and a safe to lock up valuables.
  4. Make sure to pack a loose, comfy nightshirt, the role of medical tape, gauze, or larger bandages for sensitive skin, also a soft “sports bra” and take any medications you take on a regular basis with you in the original prescription bottles. It is not necessary to bring any drinks or foods with you to Tijuana; you can buy any sports drinks or juices once you arrive at the hotel.

Step #5: Arriving in San Diego

  1. The Tijuana patient process officially begins! One of our private drivers will take you directly to the hospital for prior testing and then the hotel, just 20 minutes from San Diego Airport, a few blocks from the San Ysidro border in Tijuana.
  2. At the hotel you will meet the patient advocates/coordinators, they will assist you in checking into your room. Checking into any hotel will require that you have a credit card; it will not be charged for anything unless you charge something to your room number.
  3. They will also give you an information sheet with their phone numbers in case you would like to contact them while at the hotel. It is not necessary to dial the 011-521 numbers first because those are only the international numbers. Please give the coordinator’s any cashier’s checks you may have taken to Tijuana to pay for the balance of your surgery. Periodically the coordinators will check in with you post-op to make sure you are doing great. They will also inform you what time to meet them in the lobby the morning of your surgery for a fun shuttle ride to the hospital.

Step #6: Surgery and Recovery

  1. Once you arrive at the hospital, you’ll meet the patient advocate/coordinator, you might have a small wait in a general waiting room area and have a chance to talk and get acquainted with the other patients that are scheduled for surgery on that day.
  2. Our patient advocate/coordinator will escort you to your hospital room, where you’ll be given a hospital gown, and have lab work done. The surgeons, anesthesiologists, and an internist will come in and do the pre-surgery consults. This is a very good time to ask any questions you might have for the doctors about restarting medication, vitamins, wound care, diet, and exercise. Then you will have your procedure done.
  3. The process times will vary depending on which surgery you have, and you will be sleeping for several hours post-op. Make sure that you tell your family members back home that you will call them when you wake up, but you may be sleepy for several hours post-op. It is not customary for the hospital staff to call family members for you. You can use the phone for free at the hospital, just ask the nurse for the phone.
  4. Make sure to walk, walk, walk post-op. The following day they will take you upstairs for a quick scan of the tummy to check for leaks. You will be given a small cup of contrast media (gastro graphene) to drink and also a CD of this scan to take home with you.
  5. The doctor(s) or their surgical assistant will be the person checking in on you daily. The morning of your release, the physician(s) will check on you and depend on which doctor you have for your procedure; they will remove any drain tubes, but sometimes the surgeon may decide to leave the drain tubes in place for another day or two. The nurses will dress your wounds, and you will be given a bag with antibiotics, pain medication, the CD of your leak test, procedure verification along with the doctor’s names, and email addresses. Make sure that you receive this bag “Before” you leave the hospital because it is tough to obtain medical records once you leave the hospital. You will then take the shuttle back to the hotel along with your new “surgery buddies.”

Due to the current COVID-19 pandemic, we want to reduce any risks of having you stay an extra night at the Hotel. Therefore, at this time (9/7/2020), we will return you to the airport in San Diego to fly home after you check out of the hospital.

The driver has an exclusive license and dual insurances which will allow him to take you through the border in a special medical tourism line that lets us “Hopscotch” to the front of the line, but depending on the day and the time it will vary on the amount of time it will take to cross back into the United States.

Step #7: Flight/Drive Home

  1. Make sure whether you drive or fly back from San Diego to move your feet frequently!!! Stop and stretch out your legs or if traveling walk to the restroom often and make sure to keep hydrated.
  2. Do not try to lift your bag into the car or overhead storage compartment, ask for assistance. Drink juice and water for the flight home. No coffee or tea.

Step #8: Post-Op Diet

  1. A good rule of thumb for the post-op diet, starting from your surgery day; 1st week continues clear liquids, 2nd. Week add to your diet with liquids. 3rd. Week adds pureed foods and 4th week add soft solid foods. Restart your medications as instructed by the doctors. If you are diabetic and use insulin, you may have to adjust the amounts as your dietary needs have changed. Make sure to sip fluids all day long.
  2. Make sure to discuss with the doctor when to start daily vitamins, Hair, Skin & Nails (biotin), calcium chews, and sublingual B-12. Your stomach will be rumbly for several weeks!! Refer to the post-op diet plan for which foods to incorporate back into your diet.
  3. Go slow when starting on solid foods again, remember you are trying to give your tummy time to heal and let the swelling go down. If you have any questions regarding your post-op diet you can email them to the Mexico Bariatric Center, Dietitian/Nutritionist who can be found on our staff page by clicking here. Any medical questions should be directed to the doctor or their assistants. Your surgery coordinator can assist you in sending your questions to the physician.
  4. Finally, make sure to schedule a follow-up appointment with your primary care doctor within ten days of returning home.

Related Articles

What Financing Options are Available?2020-09-11T04:15:41+00:00

A $350.00 USD surgery deposit payment is due at the time of booking your surgery appointment. Finance companies DO NOT provide the deposit payment funds and will be your responsibility. Financing options include;

United Medical Credit (Preferred Lender)
855-503-1800 or 949-534-0599
UnitedMedicalCredit.com
*Add a $150 processing fee for any loan secured through United Medical Credit.

eFinancing Solutions:
800-728-9585
efinancing-solutions.com

Financing in Canada
iFinance Canada: 888-689-9876
Medicard.com

Related Resources

What expenses will I have while there in Tijuana?2020-09-08T03:25:58+00:00

This is entirely up to you and your experience.. tipping and any extra things is completely optional but there is no additional expenses if you don’t want to pay for anything extra. The hotel provides you with your aftercare liquid diet. If you want, you can bring extra vitamin water, Gatorade, etc.

What do I Bring to Mexico? What Do I Need to Pack in my Suitcase?2020-09-12T02:27:54+00:00

Use a carry-on, wheeled suitcase (if possible) for traveling. If you must check luggage, use a wheeled suitcase to avoid unnecessary lifting. Do not lift anything greater than 30 pounds for 6-8 weeks post-op. Have someone assist you once you arrive at your home airport.

  • Leave jewelry (which must be removed before surgery as well as any metals, piercings, etc) and valuables at home.
  • Bring lightweight clothing (pajamas and a few outfits) with elastic bands, some slip-on shoes, personal hygiene items, and all your current prescription medications in their original bottles.
  • Audiobooks, a portable DVD player, a small laptop, or iPods are great lightweight items for your travel to/from Mexico and throughout your post-surgical recovery period. Most of the television stations in Mexico are all Spanish speaking programming!!
  • Only 1-2 smaller sized suitcases should be brought. You will be in the hospital for the majority of your stay. The drivers do not have extra room for excess luggage and packages.
  • Do NOT forget your Passport (Unless your Patient Coordinator authorized you to bring a Drivers License AND Birth Certificate instead)

Read a complete packing list of what our patients recommend

Suggested Items

Below are comfort items to consider but NOT mandatory for your hospital stay and ride home:

  • Sleep Aids (Earplugs, Sleep mask)
  • Entertainment (Music player, DVD player, laptop, tablet, smartphone, etc. Batteries/Charger electronic devices. Books, magazines, or other reading material.)
  • Clothes (Slippers, Clean robe – the hospital will provide a gown, A loose-fitting outfit, robe, jumper, or dress to wear home, Flip-flops to wear in the shower, Clean underwear, and socks
  • Hygiene (Personal toiletries such as toothbrush, toothpaste, mouthwash, and hairbrush. Female sanitary towels – tampons may be too uncomfortable to use/apply)

Other Suggestions to Bring

  • Notebook and pen to take notes and help remember questions to ask
  • Pillow for the ride home and in case hospital pillows are uncomfortable
  • Throat lozenges
  • Chapstick for dry lips after surgery
  • Gas X Strips suggested for gas relief medication
How is Transportation Arranged When I Arrive/Depart?2020-09-17T16:31:34+00:00

Approximately 24 hours before your departure, our driver will call you to confirm all of your flight/parking information. You should schedule your flight arrival before 12:00PM (noon) and departure flight after 2:00PM.

Victor Cabrera is our full-time driver who will coordinate all transportation from arrival to departure and everything in between.

Option #1: Flying in/out of San Diego International Airport

  • If you are flying into the San Diego, CA International airport, the driver arranges to pick you up at the airport and take you straight into Tijuana, Mexico.

Important Tips for Flying:

  • Make sure whether you drive or fly back from San Diego to move your feet frequently!!! Stop and stretch out your legs or if flying walk to the restroom often and make sure to keep hydrated.
  • DO NOT try to lift your bag into the car or overhead storage compartment on the airplane, ask for assistance.

Option #2: Driving to/from San Diego Airport

  • If you are driving into the San Diego, CA International Airport (or somewhere local within San Diego), here is a link that will guide you right into the airport: Driving directions to SD airport.
  • Traveling towards the Border – Our driver will cross you through the San Ysidro port of entry to Tijuana. You might want to check out BorderTraffic.com – where you can view the traffic (via live feed) of all the different entry points in Mexico.

Option #3: Driving yourself into Mexico

  • If you plan on driving into Mexico, certain vehicle documentation will be needed in addition to your passport; i.e. permits, Mexican insurance, etc.

For detailed information on these requirements, please see: Requirements for driving your car into Mexico and Info about Mexico Car Insurance

How do I use my Cell Phone and WiFi in Mexico?2020-09-11T03:58:53+00:00

Making a phone call in Mexico is much more expensive than in the US. You may want to do one or more of the following:

  1. Call your mobile carrier before you travel to find out if you can make international calls and if there are other fees that may apply such as roaming/out-of-network calling. Activate international coverage rates with your individual carrier before entering Mexico.
  2. Purchase and activate an international calling card before entering Mexico. Roaming fees may still apply – so check with your mobile carrier.
  3. Take advantage of Wi-Fi services (both at the hospital and hotel) to make free calls from your iPhone, IPad, and smartphone. To use WiFi;
    1. From your Phone, go to your Settings > Select VOIP (Voice Over IP) OR Select WiFi Calling option rather than using your mobile network or cellular data.
    2. Ask your carrier for further detailed instructions if you are unable to find/activate this setting on your Smartphone.
  4. To Make Free International Calls: You will be charged for using your phone’s data/minutes if you are not using the VOIP setting or Wi-Fi calling setting.
    1. Download calling apps such as Viber: Get Viber Here.
    2. Facebook: How To Make Free International Calls With Facebook Messenger
    3. Other similar apps and invite those whom you will contact while you’re in Mexico. You can even video call using these apps!

Calling To/From Mexico

When making a call from Mexico, Dial:

  • Mexico to the United States: 001⎯Area Code⎯Number (ex. 001-707-1234-5678)
  • Mexico to Canada: 001⎯Area Code⎯Number (ex. 001-707-1234-5678)
  • The United States to Mexico: Dial: 011-52-area code-number (ex. 011-52-707-1234-5678)
  • Canada to Mexico: Dial: 011-52-area code-number (ex. 011-52-707-1234-5678)
Do you accept credit cards?2020-09-17T02:48:49+00:00

Mexico Bariatric Center accepts major credit cards, including Visa, MasterCard, Discover, American Express. We also offer a variety of additional payment options like personal checks, money orders, and cashiers checks.

If you want to make a payment online with a credit or debit card, click here to make a payment. *Remember there is a 5% fee for credit/debit payments.

Related Resources:

Do I need a Passport? What Documents are Required?2020-09-11T04:05:14+00:00

A current passport is mandatory for all individuals in your party. If you do not have a passport or your passport is expired, we suggest ordering an expedited passport application/renewal in order to receive your passport prior to your departure to Mexico.

If you do NOT have a passport

If you are crossing the border, you may use one of the following instead of a conventional passport only upon approval from your Patient Coordinator.

  • Passport ID Card
  • Enhanced Driver’s License (Currently only the following states that provide these are: Washington, Vermont, Michigan, Minnesota, and New York)
  • Both a Valid Driver’s License/ID Card AND Original U.S. Birth Certificate (no copies). It is also highly suggested to bring your Social Security card as well as a recent utility/cell phone bill that matches your name and the address shown on your license/ID (in combination with License and original U.S. Birth Certificate)

The more documentation you have, the better off you will be, so be prepared!

Or you may call:

  • 1-877-487-2778 US State Department– American Travelers Services
  • Link to: US Embassy in Mexico – American Travelers Services while in Mexico
Can I bring a Companion? What if I want to come alone?2020-09-12T02:25:17+00:00

Can I Bring Someone With Me?

Yes, your companion is included although we have been forced to make certain changes due to COVID-19. For the safety of every patient and hospital staff, companions are NOT ALLOWED in the Hospital. This reduces the risk significantly for everyone, including you. You (or your companion) must pay for their Hyatt hotel stay while you are at the hospital for 2 to 3 nights at a special rate of $145 per night.

Can I Come Alone?

Absolutely. Many patients would rather go alone than have to worry about their companion. We will have staff that will guide you along the way from airport pick-up to airport drop-off. You can also meet friends on our Support Group with the same surgery date as you so you will never be alone!

Popular General Questions


What is the Benefit of Losing Weight Before Bariatric Surgery?

I know it is common for people to think it is stupid to have to lose weight before having weight-loss surgery where you will lose significant weight with the surgery. One main reason is medical; it will assist in shrinking your liver before surgery, improving the safety of the operation as well as allowing better access to the surgeon.

Let’s face it; losing weight prior to surgery can only benefit you for many reasons. The healthier you are going into surgery, the better. The more you change your behaviors prior to surgery, the more likely you will be to keep the weight off in the long-term. Remember, surgery is just a tool to assist you.

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What is Done Post-Operation to Minimize Pain and Discomfort?

Answer: A variety of methods are used to ensure patients are comfortable after surgery. While patients are in the hospital, medication for pain will be administered via IV. Though not common, if stronger medication for pain is required, your surgeon will alter your dose or change your medicine. When discharged from the hospital, patients are sent home with medication for pain in tablet form.

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How is Nausea is Treated Postoperatively?

We treat nausea just before nausea starts. We use special drugs that are designed to combat nausea. Nausea is one of the MOST common post-op symptoms. Maybe not immediately post-op, but definitely within the first week. It also depends on the procedure.

For example, sleeve gastrectomy might have more nausea than lap-band or gastric bypass. But we combat this through IV shots of administered medication.

If Patients Still Experience Nausea, What Are My Options? We can use another pain killer or more of the same prescribed.

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Is It a Bad Idea to Bring Your Own Medication for Pain?

It’s NOT bad. Patients need to bring their own medication for pain. ESPECIALLY if it is prescribed. Many pain medications for pain do NOT cause ulcers or bleeding. Surgeon’s request that patients bring their prescription pain management drugs.

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What Can Patients do to Minimize Discomfort?

Walk. Most of the discomfort is because of the gas right after surgery. So patients must walk and move around as much as they can right after surgery.

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What Happens if Patients Go Back Home, and Has Pain that Can’t Be Relieved?

Though pain that can not be reduced after surgery is not common, please contact us if such pain is experienced. Your surgeon will have recommendations to alleviate your symptoms based on your circumstances.

MBC recommends that patients obtain a primary care physician who is supportive of the patient’s decision to undergo bariatric surgery in Mexico and is willing to provide aftercare treatment/follow-up if necessary. If a patient requires a prescription after returning home, your PCP will be able to provide one.

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Is Removal of the Drain Painful?

No, it might feel weird that something is moving inside – but it’s not painful.

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What is the Average Pain Period I Can Expect?

Mild pain or discomfort may be experienced for up to 1-week post-op. After 1 week, pain experienced is often caused by gas and can be alleviated by walking or over the counter gas-relieving medications.

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What Medications Should Post-Bariatric Surgery Patients Avoid?

Avoid medications that may alter blood clotting for 1-week post-op. These include, but are not limited to drugs containing NSAIDs, anti-arthritic medications, and blood thinners. Estrogen-containing medications should be avoided for two weeks post-op. Here is more information on medications to avoid after weight loss surgery.

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What Can I Use to Reduce Scarring and Diminish Their Appearance?

Here is a complete guide to reducing gastric sleeve scarring. Keep them clean and dry and once the wounds are closed up completely, you can sue a variety of products that can be purchased over the counter; such as Vitamin E Oil or Mederma for scars. Nerium has a product to help with loose skin as well.


Gastric Sleeve Surgery Frequently Asked Questions (FAQs)


Who is a Candidate for Gastric Sleeve Surgery?

It all depends on filling out a Health Questionnaire. We will determine if you are a Candidate in less than 24 to 48 hours. Mexico Bariatric Center surgeons typically require patients to have a BMI over 30.

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What Are the Risks of Gastric Sleeve Surgery?

The risks are small. Less than 1% chance of leakage or bleeding. If patients are extremely obese and other conditions, like hypertension, heart disease, sleep apnea, the complication rate might increase.

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Is there a Drain After Gastric Sleeve Surgery?

Yes. They primarily remove excess fluid and will help identify the “bleeding” complication.

How Many Leak Tests Are Performed?

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How Many Leak Tests Are Performed?

We always perform 2 leak tests to prevent any complications after surgery. There is one during surgery where methyl blue is injected in the stomach and with the scopes, the surgeons look for blue dye in the abdominal cavity. The patient is not consciously aware of this one. There is one the day after surgery. The patient will drink a hydrosoluble contrast solution and any leaks will be detected by X-ray

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What Ongoing Medical Maintenance is Needed After Gastric Sleeve?

Nutrition care, patient support, and our private Facebook Support Group is offered to all patients. Apart from that, you should follow up with your Primary Care Physician.

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What Is the Age Requirements for Gastric Sleeve Surgery?

Things are changing. So far we’ll say 16 is the minimum age. But if we individualize each patient – we can do this surgery in younger patients. 62 is the oldest, but we must individualize each case and check the patient’s medical condition. We’ve performed this surgery on patients over 62 with very good results. We have to measure the risks verse the benefits, in consideration of their health standing.

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How Many Nights Do Patients Need to Stay in the Hospital After Gastric Sleeve?

Patients will stay 2 Nights in the Hospital after gastric sleeve and 1 Night at the Hotel following the hospital stay. This gives an added layer of protection for patients before flying home.

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What are the Potential Complications of Gastric Sleeve Surgery?

Deep Vein Thrombosis, Infection, Death. Read more possible complications after sleeve.

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Will People Have Acid Reflux After Gastric Sleeve Surgery?

Patients may get acid reflux, but is a low rate. But sometimes patients have the need for acid reflux medicine. Can people have Acid Reflex Permanently? There have been cases that show people need to switch from Gastric Sleeve Surgery to Gastric Bypass Surgery because acid reflex was severe. But again, this is rare.

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Dumping Syndrome, How Often Does it Occur?

About 10 to 15% of Cases dumping syndrome occurs. It occurs because of the increased pressure of the surgery. Dumping Syndrome can be entirely managed with proper diet.

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Can a Patient Re-Sleeve if the Pouch Stretches?

In certain patients, it can be revised to. It depends mostly on a case by case basis. You need an endoscopy, upper GI to see if there is no increase in pressure. So if there are no other problems, then we go ahead and re-sleeve.

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What Size Bougie is Typical for the Gastric Sleeve?

34, because it’s the standard, and there isn’t a large difference among different sizes >1mm between 32 and 34 or 34, and 34 in the long term is the best.

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What Kind of Sutures Are Used After the Staples?

They are Nylon.

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How Will Hunger Change After Gastric Sleeve?

Due to the smaller stomach size, you will feel satisfied with much less food. The foods you choose to eat will affect how hungry you feel. It is possible to feel hungry after VSG due to not eating the appropriate foods.

You have a pyloric valve that is located at the bottom of your sleeve between your stomach and the small intestine. Eating solid proteins, like chicken and fish as well as fibrous vegetables, will keep this value closed longer, allowing foods to stay in your stomach, keeping you satisfied longer. Be mindful of how often you are eating “slider foods.” These are foods like yogurts and soft foods that slide right through the stomach, not allowing you to feel satisfied for long.

Other things to consider: Being dehydrated masks the symptoms of feeling hungry, so be sure to sip fluids throughout the day and stay hydrated. Psychological or head hunger can also mask itself as physical hunger. You have to remember that you have drastically changed how you eat. You may feel hungry due to psychological reasons but may not be physically hungry. It is important to learn the difference between head hunger and real, physical hunger.

Bottom line: If you follow the nutritional guidelines, you can drastically minimize the hunger sensation.

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Will I Still Feel Hungry After Sleeve Gastrectomy?

It is possible. There are a few reasons why people gravitate towards snacking or becoming a “grazer” after weight-loss surgery. Many people decide to have surgery without doing mental work and behavior changes that are imperative for long-term success.

Foods can get stuck easily after weight-loss surgery. If you do not take the time to slow down and practice the art of mindful eating and chewing your food thoroughly before swallowing, you may get food stuck. People who have a habit of doing this tend to gravitate towards snack like foods, like yogurts, ice cream, and mashed potatoes. This will affect your weight loss negatively.

The other point to consider is head hunger and food associations. If you used to watch your favorite shows in the evening while snacking on popcorn that mental connection and drive will still be there after surgery. The more you address your behaviors before surgery, the less you will have the drive to snack after surgery.


What are the Options if My Sleeve Becomes an Enlarged Pouch?

We can re-sleeve, which removes the excess, or enlarged part of the stomach off. Some surgeons say the best way to revise this issue is to get gastric sleeve or gastric bypass surgery, we’ve done this successfully as well.

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Will My Sleeve Stomach Stretch?

Sleeves do not commonly extend. Following the post-op diet guidelines is important. Try not to overfill the pouch often, however, overfilling more often causes vomiting than stretching. (Also see Will My Stomach Stretch After Sleeve Surgery?)

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Gastric Bypass Surgery Frequently Asked Questions (FAQs)


Gastric Bypass typically isn’t a painful surgery and also depends on the individual pain threshold. It requires at least two nights in the hospital. Leak rates are less than 1%. There are two tests for leaks that we do. We do a third leak test after the surgery.

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Who is a Candidate for Gastric Bypass Surgery? Minimum Age?

People with BMIs over 40 are sustainable. As well as BMIs with 35 as well as co-morbidities include diabetes, hypertension, high cholesterol, etc.

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What is the Minimum Age for Gastric Bypass?

Answer: The NIH consensus in 1991 says from 18 to 65 years old, BMI 35 to 40 with related co-morbidities.

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What Are the Risks of Gastric Bypass Surgery?

While complication rates are low (<.001%) Risks include: dumping syndrome, dehiscence (separation of tissue that was stitched or stapled together), leaks from staple lines, ulcers, bleeding, complications due to anesthesia and medications, death, deep vein thrombosis, infection, pulmonary embolism, stroke or heart attack, abdominal hernia, dehydration, gallstones, gastrointestinal inflammation or swelling. Learn More about Gastric Bypass risks.

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What are the Complications During and After Gastric Bypass Surgery?

During the surgery, it is rare to see complications. Sometimes there is bleeding, but that is easily fixed. The main complications are bleeding and leaking and occur at about 1%. This can sometimes cause infections or other severe conditions.

During surgery: Bleeding is the most common complication. The risk of this complication can be decreased by suspending any medication that may have an effect on blood coagulation.

After surgery risks and ways to lower the risk:

  • Bleeding: Suspend drugs that affect blood coagulation.
  • Gastric leak: strictly follow post-op diet instructions.
  • Stroke or Death caused by deep vein thrombosis (DVT): Suspend medications containing estrogen, discontinue all NICOTINE products (gum/patches/cigarettes), WALK WALK!!!!.
  • Infection: FINISH your post-op antibiotic prescription, keep incisions clean and covered until they have completely closed.

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Why Are Some People Not Hungry After Gastric Bypass Surgery?

We don’t remove anything from the stomach (although the stomach is left behind restrictive stomach pouches are created), we just reorganize in the upper part of the gastrointestinal tract. So when we create a pouch and separate the stomach, it decreases the secretion of ghrelin. Ghrelin is the hormone that creates hungry in patients and when it reduces the patients don’t feel as much hunger as before. And that is part of the action method of gastric bypass. How Long Can This Last: It can last around a year, but a lot of patients can have this for two years or so.

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What is the Dumping Syndrome? How to Avoid?

Dumping syndrome is when undigested foods get to the small intestines, and this reacts with the fluid in the small intestines.
Patients feel dizziness, nausea, pain, bloating, diarrhea or drop in blood pressure. Patients can experience these symptoms altogether or separately. Some patients might have this the first year, but only 15% of patients will have dumping syndrome forever. They won’t be able to tolerate fat or sugar – regular sugar. How can this Be Managed? How to Avoid Dumping Syndrome? They must avoid fatty foods and regular sugar.

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What is Care is Required for Gastric Bypass Surgery?

Track your weight loss, take vitamins and minerals, as well as protein. The first year after gastric bypass, you need to go to your primary care physician to take a blood workup.

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What Are the Advantages of Gastric Bypass over Other Bariatric Surgeries?

This is the first bariatric surgery with the most long-term studies. There are five, ten or fifteen years of studies done with Gastric Bypass Surgery. Gastric Banding Surgery, on average, provides less weight loss than gastric bypass.

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What Options Do Gastric Bypass Patients Have for Revision Surgery?

We have three things we prefer to do in these patients. First, if the endoscopy shows the opening is wider than usual then, we can inject special medication to decrease the output of the stomach to create restriction again. Second, the most common way is to put a band over the stomach to create a restriction. It is riskier, it has a report of 10 to 15% mortality rate.

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How can a Stoma Be Fixed?

An endoscopic injection can fix your stoma. You might need two or more injections to create restrictions if you have pouch enlargement.

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Why Does a Gastric Bypass Fail, and What Are the Options?

Pouch enlargement or enlargement of the intestines are the common causes of failure. This can be treated by doing revision surgery. Some surgeons like to put a gastric band on the stomach to help decrease the weight in the next couple of months or years. Some people ask whether doing a duodenal switch after gastric bypass is acceptable.

Some surgeons are doing this, but it has high complication rates because you need to re-attach the stomach to the gastrointestinal tract – but overall the complications are higher.


Gastric Balloon Frequently Asked Questions (FAQs)


Do We Offer Gastric Balloon?

Yes. Gastric balloon is a very useful tool to reduce weight before more complicated bariatric surgeries in very obese patients. Particularly in patients with BMIs 63 to 65, because we can do the balloon for six months, we can remove to balloon and see a significant weight loss. Then they can do a more complex bariatric surgery.

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Can Gastric Balloon be used on Gastric Bypass or Gastric Sleeve Patients?

No. Because the gastric balloon must be inflated which can cause damage to these surgery types.

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Revision Surgery Frequently Asked Questions (FAQs)


Who Should Consider Revision Surgery?

Patients who are gaining too much weight, should consider revision surgery. We obviously need to study the patient before we decide to start another revision. We need blood tests, BMIs, endoscopy just to see if it’s possible to just do something. After that we can advise to another surgery or modify a patient’s regimen.

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What Are the Risks of Revision Surgery?

Any revision has higher risks, including surgical risks. Because we are handling scar tissue in the stomach and intestines. So when cut, we have increase risk of leakage.

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What are Adhesions? Why do they happen and how do you treat them?

Adhesion’s are internal scars (fibrous bands) formed between tissues and organs. Disruption of surrounding tissue (as with surgery) can trigger scar formation. Occasionally scar tissue can be removed. Often adhesion’s make revisions difficult, occasionally the scaring is so bad that the instruments can not gain access to the area, and a procedure is not possible. Risk of adhesion’s increases with open incision procedures.

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What is the BMI requirement for a Revision Patient?

In general 30.

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What are the options for Revision Gastric Sleeve Plication?

Gastric Plication might unfold and might cause a whole host of issues. To revise the gastric plication we need to undo gastric plication and do gastric sleeve. Some articles suggest that gastric plication can become enlarged by suturing the stomach without cutting the excess. Overall, the gastric plication is a new surgery only within about a year – so it’s within the learning curve of the surgeons. We need a control group to study the patients and see the followup results to see just how effective gastric plication is.


Revision from Lap-Band to Sleeve Frequently Asked Questions (FAQs)


Do You Recommend Lap-Band to Gastric Sleeve Revision Surgery

Yes, it is a safe surgery with good weight loss results.

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What Are the Risks of Revision from Lap-Band to Sleeve?

It can cause an increase in complications. The risks would be 1% or less than 1%. Leaks would occur 1% or less than 1%. I leave drains in Gastric Sleeve patients, especially in revision surgery to help with drains. How Would Leaks Be Diagnosed: Upper GI, CT Scan with contrast, or sometimes endoscopy might find the leak.

How Risky Would it Be to Remove the Band Alone, and Not Revise?

It’s not risky. In about 15% of patients, gastric erosion is present. If this is encountered, the surgeon will not be able to revise. The stomach will need six months to heal before a revision can take place.

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What are the Benefits of Revision From Gastric Band to Gastric Sleeve?

Increased weight loss results, less risk of gastric erosion.

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What are the Options for Revision if Lap Band Surgery Fails?

Lap-Band surgery might fail if the patient doesn’t have very good eating habits. If the pouch becomes enlarged, it might lead to weight gain. There are several options for lap-band failure; first, we can try to save the band, we can release the band pressure, so the pouch enlargement might decrease, but it might take a long time. Other options are to go from Lap-Band Surgery or Gastric Sleeve or Gastric Bypass and restart the program.


Endoscopy (FAQ)


What is Endoscopy? Is it Painful? What Are the Risks?

Endoscopy is a diagnostics tool, with a special camera attached to it that records video, we use the tool to take a biopsy or to record video. It offers us a visual of the upper digestive tract. The complication rate for endoscopy is very rare – it’s 0.001%.

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What Symptoms Would Indicate the Need for Endoscopy?

Patients who have had Lap-Band and are having a revision procedure require an endoscopy. The surgeons will ensure that no erosion from the Lap-Band has occurred. If erosion is present (10-15% of Lap-Band patients), the surgeon will only be able to remove the lap-band. The stomach will require six months of healing before an additional procedure will be able to be performed.

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How Often Should Lap-Band Patients Have Endoscopy?

All lap-band patients receive an endoscopy at the time of their surgery in Mexico to check for erosion.

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What is the Role of Endoscopy in Bariatric Surgery?

We do an endoscopy in any revision surgery. The endoscopy works because we need to see if we have any intragastric complications in the band, we need to see if the band is eroded. If we have another problem, we’ll use endoscopy to check out the issues.


Metabolic Surgery (FAQ)


What is Metabolic Surgery?

Different Nomenclature for the same procedures. Calling it metabolic if it’s primary goal is to improve a metabolic disease. Opposed to “Bariatric” when the main goal is weight loss.

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How does Metabolic Surgery Work?

It works because there are certain changes in the intestinal hormones that help the body the way it treats blood sugar. The increase or decrease in different hormones can improve diabetes and other conditions.

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What Surgery is Best to treat Metabolic Syndrome?

So far they’ve proven that Gastric Bypass is the best surgery to treat metabolic syndrome.

Dieting

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When Can Patients Resume Normal Eating Habits?

The first question to ask you is, “what is normal?” The average American is overweight or obese, so more than likely you never want to go back to “normal” eating habits. The key to long-term success is finding healthy eating habits that work for you.

After surgery, we have several steps. The progression of the bariatric meal plan starts by resting and hydrating the body with a clear liquid diet, then focusing on getting proper protein through thick liquids, third you focus on increasing calories with soft solids and lastly you create variety through whole foods. When you reach the solid phase, which will vary for each individual patient, you must find out which food works best for you.

In this last phase, with a lifestyle change, there is more to adapt to other than food; social adaptation, and how to live outside your home. When you’re with friends, when you’re out for dinner; at this time you’ll have more chances to know what type of foods you can tolerate. The journey is in knowing what foods you can enjoy, normally six or seven months after surgery, you can create a plan for yourself. It will be different if you’re trying to lose fat versus trying to maintain your current weight. Generally, by this time patients will be comfortable with the foods they can eat.

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Can I Have Sugar in My Diet?

When you eat something with high sugar you may get excited for the next 15 to 20 minutes, but then your energy levels will drop. The body responds by producing insulin in the blood which will cause increased hunger. So we recommend 3 meals per day and one protein shake or a protein bar. Each meal will be between six to eight ounces. Within your meal, you want three ounces of protein, one ounce of healthy fat and you have two ounces to play with from fruits, vegetables, carbohydrates, and even sweets. The ultimate goal is balance.

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Are Artificial Sweeteners Okay to Consume?

Since artificial sweeteners have come out we have only become fatter as a nation. The latest research is showing that people who use sugar substitutes eat more throughout the day. Did you use artificial sweeteners before surgery? If so, did they assist you in losing fat and keeping it off? If not, then they will not after surgery.

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Is it Safe to Drink Carbonated Beverages?

We urge patients not to drink carbonated beverages because it can cause bloating in patients and can cause harm. Soda is known to cause weight gain and carbonation can cause your stomach to increase by two inches; which is something you do not want.

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Can Patients Drink Alcohol After Surgery?

It depends on the procedure, the gastric bypass will absorb the alcohol faster. This might cause liver complications. It’s allowed for patients to have one or two social drinks per week. Alcohol has a lot of calories, it might create ulcers, and it’s important to drink a very small amount of alcohol.

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How Much Protein Should I Eat Per Day?

It depends on your height, weight, and goal for a healthy weight. A good first goal is 60 grams per day. Once you are consuming 60 grams, the appropriate amount for you will likely be between 60 and 90 grams of protein daily.

If you want specific recommendations, make an appointment with the staff registered nutritionist.

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After Weight Loss Surgery How Many Times Should You Eat Every Day?

Please read our Post-Op Diet guide. Train yourself to eat three meals and 1 to 2 protein shakes per day. Snacking or grazing throughout the day can affect your weight loss in a negative way. This will take time since you start out drinking liquids and then slowly incorporate solid foods.

One month after weight-loss surgery, work on eating 4 to 6 ounces of food per meal, eating only three times per day. For added protein and nutrients, add at least one protein shake.

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When is it Okay Have a Snack?

Snacking is associated with psychological hunger. Usually, snacking has nothing to do with physical hunger. It is recommended that you do not snack. Research has shown that snacking can adversely affect your weight loss. Train yourself to eat 3 meals per day and 1 to 2 protein shakes. After weight- loss surgery, your meals will look like a meal to you.

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Can I Drink Alcohol?

After weight-loss surgery, you become more sensitive to alcohol, and you will feel increased effects with less of it. The overall recommendation is to keep drinking to a minimum, having only small amounts on special occasions, if at all.

Things to consider are:

  • You chose to have weight loss surgery, and alcohol is extra calories and is known to promote weight gain.
  • If you have had gastric bypass, you will absorb four times the amount of alcohol than prior to surgery. Alcohol breaks down into sugar, which can cause dumping. I think the question to ask yourself is: is it worth it?
  • Alcohol can be irritating to your pouch and cause an ulcer.

Resources

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Why Can’t I Drink While Eating Meals?

After weight-loss surgery, the size of your stomach has drastically decreased. You have gone from the size of a flattened football to the size of a small egg. There is only so much room for foods or liquids. Overall reasons:

  • If you eat food and then drink, you can overfill your new pouch, resulting in a reaction to vomiting.
  • If you eat and drink at the same time, you can fill your pouch up with fluids and will not be able to take in the minimum of 4 ounces of food at one sitting, which may lead to snacking.
  • If you drink after you eat, you will push the food through your stomach faster, causing you to feel hungry sooner.

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Does Carbonation in Soda Stretch My Stomach?

There is no research that carbonation extends your pouch after weight-loss surgery. The carbonation does cause gas, which can cause significant discomfort.

Because liquid calories are one of the leading causes of obesity, drinking soda is highly discouraged after weight-loss surgery. If you are not ready to change your behaviors, you may not be prepared for weight-loss surgery.

Related: Gastric Sleeve Surgery Requirements, Candidate Information

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Why is it Recommend That We Use a Straw?

The size of your stomach after weight loss surgery is much smaller. Drinking with a straw allows you to take in fluid very quickly. After bariatric surgery, you can overfill your pouch, causing discomfort. You also take in air when you use a straw. This can cause constant burping as well as gas discomfort.

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Are Post-Op Bariatric Vitamins Necessary After Weight Loss Surgery?

After weight-loss surgery, your nutritional intake is drastically decreased. Taking bariatric vitamins and minerals is essential for your health. Weight-loss surgery is not just about losing weight; it’s also about being and feeling healthy by having radiant skin and hair and having the energy to do things. We sell our bariatric specialized vitamins here.


Bariatric Surgeons and Industry (FAQ)


Which Bariatric Surgery Should I Choose?

It will depend on the patient. It will depend on how much weight you’ll want to lose, how much you want to stick to vitamins and minerals, and how organized you are with yourself. Every surgery will need something from you, each surgery will represent 50% of the weight loss, the other 50% will come from you.

For gastric banding, you’ll have to be more organized after surgery. With the sleeve gastrectomy and RNY gastric bypass, your appetite will decrease – so it’ll be easier than gastric banding. But you’ll have to avoid certain kinds of food that will cause dumping syndrome. So it’ll depend on how much you can live with your procedure, and the importance of statistics of long-term weight loss. So far sleeve gastrectomy and gastric bypass are complex procedures that will provide more weight loss.

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What is the Future of the Bariatric Surgery?

Any new surgery will need to be analyzed, and be followed by studies. We must be aware of complications, we have to be conscious of the procedures and the technologies themselves. So we must have statistics and patient follow-ups after for a few years to see if it works.

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How Should I Choose a Bariatric Surgeon in Mexico?

Experience is the most important in choosing a surgeon in Mexico.

  • You need to find a doctor that works in a real hospital, with proper certifications, the more being better.
  • Highly trained surgeons
  • Low rates of complications
  • Nutritionist available to answer your questions long after your surgery
  • After care service that is second to none

Post-Op After Surgery Frequently Asked Questions (FAQs)


I know walking is necessary after surgery. Are there any other activities I can do that are easier?

Walking helps prevent blood pooling in the legs and forming clots. If a formed clot becomes dislodged, it can travel to the lungs and cause a pulmonary embolism (death) or to the brain and cause a cerebral embolism (stroke). Keeping the blood circulating by walking is VERY important after surgery.

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What is the chance of developing abdominal hernia after surgery?

The laparoscopic surgery is the approach of doing gastric sleeve, the bypass or banding. The risks of this type is surgery are minimal. Some patients ask whether they can develop illness after this kind of surgery. The risks are low because we use small incisions.

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How do I take care of my incisions?

Keep it clean and covered until the incisions heal and scab over. The stitches are dissolvable. Any excess should fall off.

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Can I become pregnant after my weight loss surgery?

After the bariatric surgery you have to wait at least one year and a half to become pregnant. The first year you can’t become pregnant because you’re losing weight too fast. Your body has to stay in condition in order to be pregnant.

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How do you know If I have a leak? What are the symptoms and how likely am I to get a leak?

The complication of getting a leak is typically 1% to 3% risks. The first day after weight loss surgery we leave a drain, which helps minimize the risks. After the fourth day we remove the drain. If you have pain or a fever, those are signs of a leak. Typically after surgery the previous day will have more pain and discomfort than the next. So it’s important to contact us if you experience continued pain and discomfort or increasing pain or discomfort.

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What is the right amount of exercise I should be doing right after the weight loss surgery?

After the surgery you have to start walking as much as you can. As soon as three or four hours after surgery. After the laparscopic surgery you can get inflammation in the abdominal wall, so by walking you help reduce this risk. Walking contributes to speed up recover and decrease your pain. If you can’t walk, you need to move to recover faster – even if it’s as simple as moving in your bed.

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What happens to the lower part of the stomach that is bypassed?

A: After a bypass we’ll leave a portion of the stomach that we don’t remove. Typically we leave the stomach in your body, in case your body needs the stomach because of an emergency. We can reconnect the stomach if needed. Your stomach continues to produce metabolic acid that is required to digest your food.

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If I get staples, will I be able to have a MRI test?

The staples have no issues, they are very safe to use, and will not be detected in scans.

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Do I have to follow my diet after surgery, including pureed food diet?

After bariatric surgery you have to follow our rules. You have to eat liquids in the first week. After two weeks you’ll eat you will obtain all kinds of foods, but you have to eat in portions. After you end of forth week of post-op you will be able to eat all sorts of foods. You have to remember to eat every three hours (5 times a day) to maintain regular energy.

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Can I eat pain-free after immediately following my surgery?

After the surgery it’s normally to feel a little pain if your eating or drinking in the first two weeks. As your stomach continues to heal you’ll feel better.It’s important to realize that you’ll feel better the next day, and the day after. If you feel worse day after day, then there is an issue that needs to be addressed.

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How Long after Surgery do you Need to Keep Your Bandages On?

They need to be changed when they appear wet with drainage, probably 3 times daily for the first couple of days and it will slow down, as the incisions and puncture sites start to heal and dry up.


Miscellaneous Frequently Asked Questions (FAQs)


What Lifestyle Changes need to be made to ensure Success?

Obviously we need to change our lifestyle to include exercises and include physical activities. We need to include cardiovascular exercises, as well as particular parts of the patient that needs extra attention – for example, the back or leg muscles. It’s also important to change our diet, the way we think about food, the way we choose our food. Patients need to choose responsible foods that help the surgery be effective.

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Is there a way that Patients can prevent leaks?

No, it is NOT common, especially for gastric bypass or gastric sleeve. Most likely, it’ll happen 5 to 7 days after surgery. How to avoid leaks, it’s important to follow your diet recommendations. If you have a large amount of food in your stomach, the sutures and your stomach can leak.

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How Long after surgery, can patients resume their normal activities?

It depends on the usual activities of the patients, but usually 7 to 10 days. That is one of the advantages of laparoscopic surgeries. If a patient does great exercises or lifting, patients will need to wait at least six weeks.

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What Weight-Loss Surgery would allow me to safely have a Pregnancy?

Any patient with any surgery might become pregnant. Obviously, the more complex the surgery, the more complex the pregnancy. In my experience, patients do very well with any surgery. In the case of gastric band, it’s easy to handle, all we do is release the pressure of the gastric band and we can safely have the pregnancy.

In the case of the other surgeries, like Gastric Sleeve or Gastric Bypass, we must have the patient have blood examines before the patient becomes pregnant — we do this to make sure that the patient does not have any complications. It’s important to wait at least 1 or 1.5 years to decrease the risk of the pregnancy. But, generally any surgery will do fine. But surgeons prefer to have gastric banding surgery for younger patients. Some patients have gastric sleeve or other surgeries with no complications at all.

Read More: Pregnancy After Weight Loss Surgery

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Some surgeons are not using drains, and some patients will go on forums and say that they’ll choose a surgeon based on this fact. Why are Drains Important?

I use drains for patients because it drains the blood in the abdominal cavity, which will reduce the pain and the adhesions of the patient. Which will help me see if the patient has any complications of the surgery. Drains are removed the 2nd day, which the time that coincides the period with the most complications. Most of the time when the complications happen, we can be aware of that, and help resolve it.

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Can Patients Become Too Thin?

I usually get the person as thin as I can, because they’ll often gain weight. In a few years, most patients will gain weight back. Most of the problem is that patients need to accept themselves as a thinner person, it’s important to psychologically be ready for the change. Statistics show that within 18 months after surgery you’ll achieve your ideal weight, then in three years, you’ll gain roughly 15 to 20% back.

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What About Constipation after Bariatric Surgery?

It happens about 20-30% of patients. It’s important for patients to have enough fluids, like two or three liters per day.

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What kind of Maintenance is Required after Surgery?

After any surgery, we need to monitor patients for a long time, at least one year. If the surgery induces malabsorption, we need to do workups regularly like blood workups, lap workups, including B1 and others. If malabsorption is involved we need to monitor at least once per year, and patients will be required to consume vitamins and minerals.

In the case of gastric sleeve, there are around 10-15% that need vitamins including B12 and iron for longer than five years. In the case of a band, we need to track the whole device including the upper GI at least once a year. Looking for slippage or erosions.

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What company is in charge of making arrangements?

Mexico Bariatric Center (“MBC”), with SOURCiS, Inc. Parent Company.

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Can I have the surgery while on my menstrual period and does it matter if I am a heavy bleeder?

Yes, medically there is no reason you can’t have the surgery, it is a matter of your comfort.


How Common is Hiatal Hernias, and How Does the Surgeon Repair Hiatal Hernia

15% Now I’m thinking Lopez may have authored this as I’ve been told he repaired many “hernias” of patients undergoing Gastric Sleeve, need hiatal hernia repairs.


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We hope that our FAQ page has answered any questions or concerns that you may have. If you have any questions not answered on this page, you can reach out to us and we will do our best to answer them.