Frequently Asked Questions2018-08-29T18:34:25+00:00

Bariatric Surgery Frequently Asked Questions

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Below, are the frequently asked questions (FAQ) regarding undergoing bariatric and metabolic surgery with Mexico Bariatric Center.  If you don’t find the answer to your question, please contact us.

Pain and Discomfort (FAQ)

What is done Postoperatively to Minimize Pain and Discomfort?
How is Nausea is Treated Postoperatively?
Why Is It a Bad Idea to Bring Your Medication?
Why Does One Feel More Pain Than Another?
What can Patients do to Minimize Discomfort?
What Happens if Patients Go Back Home and Has Pain that Can’t Be Relieved?
Is Removal of the Drain Painful?
What is the Average Pain period I Can Expect?
What Medications Should Post-Bariatric Surgery Patients Avoid?
What can I Use on my Incision Scars to Diminish their Appearance?

Endoscopy (FAQ)

What is Endoscopy? Is it Painful? What Are the Risks?
What Symptoms Would Indicate the Need for Endoscopy?
How Often Should Lap-Band Patients Have Endoscopy?
What is the Role of Endoscopy in Bariatric Surgery?
How has Endoscopy Helped You?

Gastric Bypass Surgery (FAQ)

Who is a Candidate for Gastric Bypass Surgery? Minimum Age?
What is the Minimum Age for Gastric Bypass?
What Are the Risks of Gastric Bypass Surgery?
What are the Complications During and After Gastric Bypass Surgery
Why Are Some People Not Hungry After Gastric Bypass Surgery?
What is the Dumping Syndrome? How to Avoid?
What is Care is Required for Gastric Bypass Surgery?
What Are the Advantages of Gastric Bypass over Other Bariatric Surgeries?
What Options Do Gastric Bypass Patients Have for Revision Surgery?
How can a Stoma Be Fixed?
Why Does a Gastric Bypass Fail, and What Are the Options?
What are the options if VSG or vertical sleeve gastrectomy, has an enlarged pouch?

Revision from Lap-Band to Sleeve (FAQ)

Do You Recommend Lap-Band to Gastric Sleeve Revision Surgery
What Are the Risks of Revision from Lap-Band to Sleeve?
How Risky Would it Be to Remove the Band Alone, and Not Revise?
What are the Benefits of Revision From Gastric Band to Gastric Sleeve?
What are the options for revision if Lap-Band Surgery Fails?

Gastric Balloon Surgery (FAQ)

Do You use Gastric Balloon Surgery?
Can Gastric Balloon be used for Gastric Bypass or Gastric Sleeve Patients?

Gastric Sleeve Surgery (FAQ)

Who is a Candidate for Gastric Sleeve Surgery?
What Are the Risks for First-Time Sleeve Gastrectomy Surgery?
Is there a Drain After Gastric Sleeve Surgery?
What is the ongoing Medical Maintenance of Sleeve Gastrectomy Patients?
What are the Age Requirements for Gastric Sleeve Surgery?
How Many Nights Do Patients Need to Stay in the Hospital After Gastric Sleeve Surgery?
What are the Complications of Gastric Sleeve Surgery?
Will People Have Acid Reflex After Gastric Sleeve Surgery?
Dumping Syndrome, How Often does it occur?
How Long Should Patients Stay in the Hospital After Gastric Sleeve Surgery?
Can a Patient Re-Sleeve if the Pouch Stretches?
What size bougie is typical for the gastric sleeve?
How many leak tests are provided?
Are silk sutures done after the staples?
Will I still be hungry after Gastric Sleeve Surgery?
Will I want to snack after Gastric Sleeve Surgery (VSG)?

Metabolic Surgery (FAQ)

What is Metabolic Surgery?
How does Metabolic Surgery Work?
What Surgery is Best to treat Metabolic Syndrome?

Dieting (FAQ)

When Can Patients Resume a Normal Eating Habits?
Can I have Sugar in My Diet?
Are Artificial Sweeteners Okay to Consume?
Is it safe to drink Carbonated Beverages?
Can patients drink alcohol after surgery?
When should I start my pre-op diet?
What is the benefit of losing weight before I have weight-loss surgery?
How much protein should I eat per day?
After weight-loss surgery,  how many times per day should I eat?
When is it okay to snack?
Can I drink alcohol?
Why can’t I drink with my meals?
Does the carbonation in soda stretch my pouch after surgery?
Why is it recommended to avoid using a straw?
Are post-op vitamins necessary after weight-loss surgery?

Bariatric Surgeons and Industry (FAQ)

Which Bariatric Surgery Should I Choose?
What is the Future of the Bariatric Surgery?
How Should I choose a Bariatric Surgeon in Mexico?

Revision Surgery (FAQ)

Who Should Consider Revision Surgery?
What Are the Risks of Revision Surgery?
What are Adhesions? Why do they happen and how do you repair them?
What is the BMI requirement for a Revision Patient?
What are the options for Revision Gastric Sleeve Plication?

After Bariatric Surgery (FAQ)

I know walking is necessary after surgery. Are there any other activities I can do that are easier?
What is the chance of developing abdominal hernia after surgery?
How do I take care of my incisions?
Can I become pregnant after my weight loss surgery?
How do you know If I have a leak? What are the symptoms and how likely am I to get a leak?
What is the right amount of exercise I should be doing after the weight loss surgery?
What happens to the lower part of the stomach that is bypassed?
If I get staples, will I be able to have an MRI test?
Do I have to follow my diet after surgery, including pureed food diet?
Can I eat pain-free after immediately following my surgery?
How long after surgery do you need to keep the bandages on?

Miscellaneous (FAQ)

What Lifestyle Changes need to be made to ensure Success?
Is there a way that Patients can prevent leaks?
How Long after surgery, can patients resume their normal activities?
What Weight-Loss Surgery would allow me to have a Pregnancy safely?
Some surgeons are not using drains, and some patients will go to forums and say that they’ll choose a doctor based on this fact. Why are Drains Important?
Can Patients Become Too Thin?
What About Constipation after Bariatric Surgery?
What kind of Maintenance is Required after Surgery
What company is in charge of making arrangements?
Can I have the surgery while on my menstrual period and does it matter if I am a heavy bleeder?
How Common are Hiatal Hernias, and How Does the Surgeon Repair Hiatal Hernia

Mexico Bariatric Center Process (FAQ)

What Is the ENTIRE Patient Process, From Start to Finish?
What expenses will I have while there in Tijuana?
What are the Arrival times?
How many days after surgery do I stay in the hospital?
How many days at the hotel?
Name of Hospital?
Do I have to stay one additional night at the hotel after surgery?
Can I come alone?
Can I bring someone with me?
Do you Accept Credit Cards?
Did I get banned in the support group?

Pain and Discomfort (FAQ)

Most Patients are concerned with pain, but pain should not be a concern after bariatric surgery. We can treat all pain levels. Most pain for patients is on the scale between 6 or 7 for the first 12 to 24 hours. Read our FAQs on Pain Below:

What is done Postoperatively to Minimize Pain and Discomfort?Back to Top (FAQ)
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.

How is Nausea is Treated Postoperatively?Back to Top (FAQ)
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 Options are there? We can use another pain reliever or more of the same prescribed.

Why Is It a Bad Idea to Bring Your Own Medication for Pain?Back to Top (FAQ)
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.

Why Does One Feel More Pain Than Another?Back to Top (FAQ)
Look at pain threshold as a fence. If you have a low fence, which is a low pain threshold, anything can cross it. If you have a high fence or a high pain threshold, only a few things can pass it. So this is why patients feel different pain levels regarding the same or different surgeries. People have different pain thresholds and therefore feel different pain levels. What if patients have low pain thresholds? Should you talk to your bariatric physician beforehand? If patients have low pain thresholds, our goal is to stop pain before we even start the surgery. Speak to your doctors before to ensure that we know you have a low threshold. So pain is easy to handle after surgery.

What can Patients do to Minimize Discomfort?Back to Top (FAQ)
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.

What Happens if Patients Go Back Home, and Has Pain that Can’t Be Relieved?Back to Top (FAQ)
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.

Is Removal of the Drain Painful?Back to Top (FAQ)
No, it might feel weird that something is moving inside – but it’s not painful.

What is the Average Pain period I Can Expect?Back to Top (FAQ)
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.

What Medications Should Post-Bariatric Surgery Patients Avoid?Back to Top (FAQ)
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.

What can I Use on my Incision Scars to Diminish their Appearance?Back to Top (FAQ)
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, coconut oil, and medium.

Nerium has a product to help with loose skin as well.

Endoscopy (FAQ)

What is Endoscopy? Is it Painful? What Are the Risks?Back to Top (FAQ)
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 to a visual of the upper digestive track tract. The complication rate for endoscopy is very rare – it’s 0.001%.

What Symptoms Would Indicate the Need for Endoscopy?Back to Top (FAQ)
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.

How Often Should Lap-Band Patients Have Endoscopy?Back to Top (FAQ)
All lap-band patients receive an endoscopy at the time of their surgery in Mexico to check for erosion.

What is the Role of Endoscopy in Bariatric Surgery?Back to Top (FAQ)
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 an another problem, we’ll use endoscopy to check out the issues.

Gastric Bypass Surgery (FAQ)

Gastric Bypass typically isn’t a painful surgery and also depends on 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.

Who is a Candidate for Gastric Bypass Surgery? Minimum Age?Back to Top (FAQ)
People with BMIs over 40 are sustainable. As well as BMIs with 35 as well as co-morbidities include diabetes, hypertension, high cholesterol, etc.

What is the Minimum Age for Gastric Bypass?Back to Top (FAQ)
Answer: The NIH consensus in 1991 says from 18 to 65 years old, BMI 35 to 40 with related co-morbidities.

What Are the Risks of Gastric Bypass Surgery?Back to Top (FAQ)
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.

What are the Complications During and After Gastric Bypass Surgery?Back to Top (FAQ)
During the surgery, it is rare to see complications. Sometimes there is bleeding, but that is easily fixed. Main complications are bleeding and leaking and occur 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.

Why Are Some People Not Hungry After Gastric Bypass Surgery?Back to Top (FAQ)
We don’t remove anything from the stomach(though the stomach is left behind restrictive stomach pouches are created), we just reorganize in the upper part of the gastrointestinal track. 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 doesn’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.

What is the Dumping Syndrome? How to Avoid?Back to Top (FAQ)
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.

What is Care is Required for Gastric Bypass Surgery?Back to Top (FAQ)
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 work up.

What Are the Advantages of Gastric Bypass over Other Bariatric Surgeries?Back to Top (FAQ)
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.

What Options Do Gastric Bypass Patients Have for Revision Surgery?Back to Top (FAQ)
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 put a band over the stomach to create restriction.  It is more risky, it has a report of 10 to 15% mortality rate.

How can a Stoma Be Fixed?Back to Top (FAQ)
An endoscopic injection can fix your stoma. You might need two or more injections to create restrictions if you have pouch enlargement.

Why Does a Gastric Bypass Fail, and What Are the Options?Back to Top (FAQ)
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 track – but overall the complications are higher.

Gastric Sleeve Surgery (FAQ)

What are the options if VSG or vertical sleeve gastrectomy, has an enlarged pouch?Back to Top (FAQ)
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 go to gastric sleeve to gastric bypass surgery,we’ve done this successfully as well.

Will my gastric sleeve stretch? – Back to Top (FAQ)

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?

Revision from Lap-Band to Sleeve (FAQ)

Do You Recommend Lap-Band to Gastric Sleeve Revision SurgeryBack to Top (FAQ)
Yes, it is a safe surgery with good weight loss results.

What Are the Risks of Revision from Lap-Band to Sleeve?Back to Top (FAQ)
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?Back to Top (FAQ)
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.

What are the Benefits of Revision From Gastric Band to Gastric Sleeve?Back to Top (FAQ)
Increased weight loss results, less risk of gastric erosion.

What are the options for revision if Lap-Band Surgery Fails?Back to Top (FAQ)
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 is to go from Lap-Band Surgery to Gastric Sleeve or Gastric Bypass and restart the program.

Gastric Balloon Surgery (FAQ)

Do You use Gastric Balloon Surgery?Back to Top (FAQ)
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.

Can Gastric Balloon be used on Gastric Bypass or Gastric Sleeve Patients?Back to Top (FAQ)
No. Because the gastric balloon must be inflated which can cause damage to these surgery types.

Gastric Sleeve Surgery (FAQ)

Who is a Candidate for Gastric Sleeve Surgery?Back to Top (FAQ)
Patients with a BMI over 30 with a medical condition (co-morbidity). Patients with a BMI over 40 are also considered suitable candidates for surgery.

What Are the Risks for First-Time Sleeve Gastrectomy Surgery?Back to Top (FAQ)
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.

Is there a Drain After Gastric Sleeve Surgery?Back to Top (FAQ)
Yes.  They primarily remove excess fluid, and will help identify the “bleeding” complication.

How Many Leak Tests Are Performed?

How Many Leak Tests Are Performed? – Back to Top (FAQ)

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.  Patient is not consciously aware of this one.  There is one the day after surgery.  The patient will drink a hydrosoluable contrast solution and any leaks will be detected by X-ray

What is the ongoing Medical Maintenance of Sleeve Gastrectomy Patients?Back to Top (FAQ)
“We” don’t do ANY of that, so where ever you got this from has follow up care.

What Is the Age Requirements for Gastric Sleeve Surgery?Back to Top (FAQ)
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 patient’s medical condition. We’ve preformed 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.

How Many Nights Do Patients Need to Stay in the Hospital After Gastric Sleeve Surgery?Back to Top (FAQ)
Two Nights.

What are the Potential Complications of Gastric Sleeve Surgery?Back to Top (FAQ)
Deep Vein Thrombosis, Infection, Death.

Will People Have Acid Reflex After Gastric Sleeve Surgery?Back to Top (FAQ)

Patients may get acid reflex reflux, but is a low rate. But sometimes patients have the need for acid reflex 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.

Dumping Syndrome, How Often does it occur?Back to Top (FAQ)
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.

Can a Patient Re-Sleeve if the Pouch Stretches?Back to Top (FAQ)
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 of pressure. So if there are no other problems, then we go ahead and re-sleeve.

What size bougie is typical for the gastric sleeve?Back to Top (FAQ)
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 a long term is the best.

How many leak tests are provided?Back to Top (FAQ)
Always 2.

What Kind of Sutures done after the staples?Back to Top (FAQ)

They are Nylon.

Will I still feel hungry after vertical sleeve gastrectomy (VSG)?Back to Top (FAQ)

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 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.

Will I still feel hungry after vertical sleeve gastrectomy (VSG)?Back to Top (FAQ)

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 the 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.

Metabolic Surgery (FAQ)

What is Metabolic Surgery?Back to Top (FAQ)
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.

How does Metabolic Surgery Work?Back to Top (FAQ)
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 of different hormones can improve diabetes and other conditions.

What Surgery is Best to treat Metabolic Syndrome?Back to Top (FAQ)
So far they’ve proven that Gastric Bypass is the best surgery to treat metabolic syndrome.

Dieting

When Can Patients Resume a Normal Eating Habits? – Back to Top (FAQ)

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 work best for you.  In this last phase, with 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.

Can I have Sugar in My Diet? – Back to Top (FAQ)
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 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.

Are Artificial Sweeteners Okay to Consume? – Back to Top (FAQ)
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.

Is it safe to drink Carbonated Beverages? – Back to Top (FAQ)
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.

Can patients drink alcohol after surgery? – Back to Top (FAQ)
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 very small amount of alcohol.

When should I start my pre-op diet?– Back to Top (FAQ)

This will depend on what your body mass index is. The higher your BMI, the longer your pre-op bariatric diet will be.

What is the benefit of losing weight before bariatric surgery?– Back to Top (FAQ)

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.

How much protein should you eat a day?– Back to Top (FAQ)

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.

After weight-loss surgery how many times should you eat?– Back to Top (FAQ)

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.

When is it okay to snack?– Back to Top (FAQ)

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.

Can I drink alcohol?– Back to Top (FAQ)

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.

Why can’t I drink with Meals?– Back to Top (FAQ)

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 vomit.
  • 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 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.

Does carbonation in my soda stretch my stomach?– Back to Top (FAQ)

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

Why is it recommend that we use a straw?– Back to Top (FAQ)

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.

Are postoperative vitamins necessary after weight-loss surgery?– Back to Top (FAQ)

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.

 

Bariatric Surgeons and Industry (FAQ)

Which Bariatric Surgery Should I Choose?Back to Top (FAQ)
It will depend on the patient. It will depend on how much weight you’ll want to lose, how much 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 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.

What is the Future of the Bariatric Surgery?Back to Top (FAQ)
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.

How Should I choose a Bariatric Surgeon in Mexico?Back to Top (FAQ)
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

Revision Surgery (FAQ)

Who Should Consider Revision Surgery?Back to Top (FAQ)
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.

What Are the Risks of Revision Surgery?Back to Top (FAQ)
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.

What are Adhesions? Why do they happen and how do you treat them?Back to Top (FAQ)
Adhesions 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 adhesions 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 adhesions increases with open incision procedures.

What is the BMI requirement for a Revision Patient?Back to Top (FAQ)
In general 30.

What are the options for Revision Gastric Sleeve Plication?Back to Top (FAQ)
Gastric Plication might unrupt 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.

After Bariatric Surgery (FAQ)

I know walking is necessary after surgery. Are there any other activities I can do that are easier?Back to Top (FAQ)
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.

What is the chance of developing abdominal hernia after surgery?Back to Top (FAQ)
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.

How do I take care of my incisions?Back to Top (FAQ)
Keep it clean and covered until the incisions heal and scab over. The stitches are dissolvable.  Any excess should fall off.  

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.

How do you know If I have a leak? What are the symptoms and how likely am I to get a leak?Back to Top (FAQ)
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.

What is the right amount of exercise I should be doing right after the weight loss surgery?Back to Top (FAQ)
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.

What happens to the lower part of the stomach that is bypassed?Back to Top (FAQ)

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.

If I get staples, will I be able to have a MRI test?Back to Top (FAQ)
The staples have no issues, they are very safe to use, and will not be detected in scans.

Do I have to follow my diet after surgery, including pureed food diet?Back to Top (FAQ)
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.

Can I eat pain-free after immediately following my surgery?Back to Top (FAQ)
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.

How Long after Surgery do you Need to Keep Your Bandages On?Back to Top (FAQ)

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 (FAQ)

What Lifestyle Changes need to be made to ensure Success?Back to Top (FAQ)
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.

Is there a way that Patients can prevent leaks?Back to Top (FAQ)

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.

How Long after surgery, can patients resume their normal activities?Back to Top (FAQ)
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.

What Weight-Loss Surgery would allow me to safely have a Pregnancy?Back to Top (FAQ)
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 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

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?Back to Top (FAQ)
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.

Can Patients Become Too Thin?Back to Top (FAQ)
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.

What About Constipation after Bariatric Surgery?Back to Top (FAQ)
It happens about 20-30% of patients. It’s important for patients to have enough fluids, like two or three liters per day.

What kind of Maintenance is Required after Surgery?Back to Top (FAQ)
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 work ups regularly like blood work ups, lap work ups, 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 needs vitamins including B12 and iron for longer than five years. In the case of band, we need to track the whole device including the upper GI at least once a year. Looking for slippage or erosions.

What company is in charge of making arrangements? Back to Top (FAQ)
Mexico Bariatric Center (“MBC”), with SOURCiS, Inc. Parent Company.

Can I have the surgery while on my menstrual period and does it matter if I am a heavy bleeder?Back to Top (FAQ)
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 HerniaBack to Top (FAQ)
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.

Mexico Bariatric Center Process (FAQ)

What is the Entire Mexico Bariatric Center Process, From Start to Finish?Back to Top (FAQ)
Our entire Patient Process is Found here, with a charts and all information need to know before leaving (read now).
What expenses will I have while there in Tijuana? Back to Top (FAQ)
Up to you.. tipping, and any extra things you might want but no expense if you don’t want. Hotel provides you with your after care liquid diet. If you want you can bring extra vitamin water, Gatorade etc..
What are the Arrival times? Back to Top (FAQ)
We ask that all patients arrive before 6pm the day before their surgery.  We ask that all patients depart AFTER 1 pm on the 3rd day after their surgery.
How many days after surgery do I stay in the hospital?Back to Top (FAQ)
Typically 2 nights, depends on surgery. Look at each individual surgery page for more information about the surgery.
How many days at the hotel? Back to Top (FAQ)
2 Nights. 1 Night prior, and 1 Nights after hospital stay.
Name of Hotel?Back to Top (FAQ)
In Tijuana, the Tijuana Marriott. In Puerto Vallarta, the Marriott Puerto Vallarta. In Guadalajara, Malibu Hotel.
Do I have to stay 1 additional nights at the hotel after surgery?Back to Top (FAQ)
Typically, yes.
Can I come alone? Back to Top (FAQ)
We will have staff that will guide you along the way from airport pick-up to airport drop-off.
Can I bring someone with me? Back to Top (FAQ)
Yes, we make accommodations for someone to stay with you at the hotel and at the hospital. If the hospital is full, your companion may not have a place to sleep at night and may have to stay in the hotel. You will be paying at our discounted rate for those nights.

Do you accept credit cards?Back to Top (FAQ)
Mexico Bariatric Center accepts many credit cards for the deposit and for full payment. We accept Visa, MasterCard and Discover. We also offer the following payment types: credit cards (Visa, MasterCard, and American Express) as well as personal checks and money orders. View more information about the Costs of Surgery, and Bariatric Surgery Financing.

I got banned in the Support Group? – Back to Top (FAQ)

Please look over the Rules of our group. There could be several reasons why we kicked an individual off our support group. If you feel we’ve made an error. Please PM a moderator or e-mail us to investigate the issues. There are no guarantees with our support group. Remember this group is not a right – it’s a privilege.

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.