Bariatric Surgery Options at Mexico Bariatric Center
Weight loss surgery is a proven way to lose weight rapidly and keep it off. Mexico Bariatric Center (MBC) understands the obesity epidemic and offers quality and affordable weight loss procedures in Tijuana, Mexico. MBC works with major certified facilitates and excellent board-certified bariatric surgeons to provide all type of weight loss surgery: including Adjustable Gastric Banding (AGB or lap band), Vertical Sleeve Gastrectomy (VSG or gastric sleeve), Roux-en-Y Gastric Bypass (RYGB), Mini Gastric Bypass (MGB), Gastric Plication, Duodenal Switch w/ BilioPancreatic Diversion and Revisional Surgeries. MBC also offers non-surgical endobariatric procedures like Intragastric Balloon (IGB).
Weight loss surgery, unlike regular diet and pharmacotherapy, changes body weight set-point. It changes the body weight regulatory network (metabolic thermostat) and physiologically makes the body want to lose weight. Diet & exercise still is needed for a long-term success of the weight loss surgery.
All the bariatric surgery options are done laparoscopically (minimally invasive) unless there are issues, like scar tissues from previous operations, that calls for traditional open surgery. Mexico Bariatric Center is one of the first companies to offer single-incision gastric sleeve in Tijuana, Mexico.
Bariatric procedures can be classified by their method of weight loss: restrictive, malabsorptive, and a combination of both.
- In restrictive procedures, such as LapBand and sleeve, the volume of the stomach is reduced and, as a result, the amount of food it can hold (calorie restriction).
- In malabsorptive procedures, the digestive system is rearranged or partially removed which in turn limits the number of nutrients (calories) absorbed.
- In the combination surgeries, like bypass and duodenal switch, both restrictive and malabsorptive components are employed.
Treatments with the malabsorptive component, such as bypass, may result in a higher weight loss than restrictive, such as a sleeve. It also incurs higher complication rates and more likely to cause malnutrition.
Comparison of Similar Procedures:
– Gastric Sleeve vs. Gastric Banding
– Gastric Sleeve vs. Gastric Bypass
– Gastric Sleeve vs Duodenal Switch
– Gastric Bypass vs. Gastric Banding
– Gastric Bypass vs. Duodenal Switch
– Orbera vs. ReShape Duo vs. Spatz
Weight Loss Procedure Categories
1. Established Procedures (Bariatric Surgery Options)
These procedures are mainstream, and there is enough long-term data for its safety and effectiveness, like Vertical Sleeve Gastrectomy, RNY Gastric Bypass, Mini Gastric Bypass and Duodenal Switch. Mexico Bariatric Center board-certified surgeons offer a full range of bariatric and metabolic procedures in Tijuana, Mexico.
Laparoscopic Sleeve Gastrectomy (LSG), Vertical Sleeve Gastrectomy (VSG) or Gastric Sleeve is one of the most innovative of bariatric surgeries performed in Mexico today. Gastric sleeve is the fastest growing bariatric surgery type and is overtaking gastric bypass as the “gold standard” procedure for weight loss surgery. In the Gastric Sleeve procedure, about 85% of the stomach removed thereby restricting the amount of food you eat and you feel full fast. You also feel less hungry as most of the “hunger hormones” are removed. Gastric Sleeve is an excellent option as it doesn’t change your digestive tract and allows for patients the widest possible dietary options.
In Single Incision Laparoscopic Sleeve (SILS), only one incision is made through belly button instead of traditional five incisions. Single-Port Sleeve Gastrectomy leaves little to no scars and is aesthetically pleasing. One incision site has added the benefit of reduced postoperative pain and faster recovery. Patients with BMI of less than 40 are a good candidate for single-incision gastric sleeve surgery. SILS has the same expected weight loss and success rate as a regular LSG.
Expected Weight Loss (EWL) = 65 % to 75%
Success Rate = 80% to 90%
Laparoscopic Gastric bypass surgery, also known as roux-en-y (RNY for short), is a bariatric procedure that helps you lose weight by changing how your stomach and small intestine handle the food you eat. The method of weight loss is both restrictive and malabsorptive, providing high expected weight loss. Gastric bypass is capable of reversing the most severe co-morbidities including type two diabetes and hypertension. Gastric bypass is sought for those with higher BMIs. Gastric Bypass Surgery can be performed with MBC’s skilled team of bariatric surgeons in Tijuana, Mexico.
Expected Weight Loss (EWL) = 70 % to 80%
Success Rate = 80% to 90%
Laparoscopic Single-Anastomosis Gastric Bypass Surgery or Mini Gastric Bypass (MGB) is similar to Roux-en-Y gastric bypass. In this procedure, there is only one anastomosis (Y connection) formed instead of two. Therefore, the operation is faster and results in less risk of complications and side effects. This operation is quickly gaining notoriety as being one of the safest and most efficient forms of bariatric surgery, surpassing the original Gastric Bypass surgery.
Expected Weight Loss (EWL) = 70 % to 80%
Success Rate = 85% to 90%
Laparoscopic Duodenal Switch with BilioPancreatic Diversion (DS/ BPD) surgery is a powerful weight loss and metabolic surgery, with the highest expected weight loss of any bariatric surgery. Duodenal switch is composed of both restrictive and malabsorptive components, leaving this surgery to those who are morbidly obese and are in the highest BMI bracket. Duodenal Switch can be the second step after gastric sleeve in super-morbid obese individuals. 98% of patients with type two diabetes are “cured” after duodenal switch. This procedure is the most aggressive bariatric surgery option and can cause serious side effects and complications. Single Anastomosis Duodenal Switch (SADI-S) is a newer version of DS surgery.
Expected Weight Loss (EWL) = 75 % to 85%
Success Rate = 85% to 95%
Weight loss surgery can and does fail at times for a variety of reasons. Revisional surgeries is needed to rescue and/or correct the unsuccessful bariatric procedures. One particular procedure that typically fails is Gastric Band Surgery. Patients with failed Lap-Band can opt to get the gastric sleeve or gastric bypass – this can be a one-time or a two-time process depending on the Lap-Band condition. In some occasions, sleeve patients do not reach the targeted weight and need to revise gastric sleeve to gastric bypass / mini gastric bypass or duodenal switch. Gastric bypass patients were not reaching their ideal goal have fewer options to alter their surgery – the pouch can be reduced, the Roux limb can be lengthened, lap-band can be added or converted to Duodenal Switch. Some of the older surgeries like Jejunoileal Bypass (JIB) and Vertical Banded Gastroplasty (VBG) can be converted to gastric sleeve or gastric bypass / mini bypass.
2. Experimental Procedures (Bariatric Surgery Options)
These procedures could be promising. However, there is not enough data to support it, like gastric plication.
Laparoscopic Gastric Plication (LGP) is a rather new bariatric surgery procedure that uses the restrictive technique to achieve weight loss. The operation is very similar to gastric sleeve surgery in the restriction of the stomach. There is limited data to support long-term effectiveness and outcomes associated with this procedure. Due to the adverse effects, MBC surgeons are NOT supportive of this procedure at present.
3. Outdated Procedures (Bariatric Surgery Options)
These procedures have too many complications and have less expected weight loss, like Vertical Banded Gastroplasty (VBG), Lap-Band (Gastric Banding) and Jejunoileal Bypass.
Laparoscopic Lapband (Lap-Band, Adjustable Gastric Banding) is a surgical implant that restricts the stomach capacity. The inflatable silicone ring placed over stomach creates a small pouch and limit food intake. This procedure was once the most prevalent bariatric surgeries in the United States and Canada. However, the lack of long-term weight loss and its safety concerns has mostly declined its use. Most patients with faulty lap-band are undergoing correctional surgery, converting gastric band to another surgery type, typically gastric sleeve or gastric bypass. The gastric band is still used, however, to rescue other failed surgeries like gastric bypass.
Expected Weight Loss (EWL) = 40 % to 50%
Success Rate < 50%
4. Non-Surgical Procedures (Endo-Bariatric)
Laparoscopic IntraGastric Balloon (IGB) or Gastric Balloon is an implant that places a fillable balloon in the stomach to reduce capacity. Patients who are not convinced of undergoing bariatric surgery, gastric balloon is an excellent non-surgical option that allows patients to lose minimal weight with endoscopically. To get a jump start in losing weight patients can opt to IntraGastric Balloon. In this procedure, an inflatable balloon is inserted endoscopically through the mouth into the stomach. The Gastric Balloon is NOT a permanent weight loss solution, and the balloon can only be in the stomach for up to 6 months.
5. Newer Procedures (Bariatric Surgery Options)
The newer procedures, without proven long-term data, offered today are:
vBloc® Therapy, or vBloc neurometabolic therapy, is a Neuro-Metabolic Therapy approved by FDA to treat obesity. A benefit of the vBloc procedure is that it is safe, reversible, and doesn’t alter patient anatomy. A pacemaker-like device controls the hunger signals between brain and stomach to feel fuller longer and reduce the amount of food you want to eat. The vBloc, or vagal blocking, works directly with hunger signals to the brain, ultimately blocking the receptors that make you feel hungry. The electrodes placed on the trunk of the vagus nerve are minimally invasive. The company reports an average of 28% excess weight loss (EWL) experienced in one year. The outcome of vBloc works similarly to the effect of a gastric sleeve, as the vBloc makes you feel full throughout the day will decreasing the food intake.
Aspire, or AspireAssist, is also a newly developed, FDA approved tool for weight loss and obesity treatment. The benefit of AspireAssist is being a non-surgical, outpatient procedure. It is used as a more effective weight loss strategy to that of dieting or physical activity. It is a middle ground between dieting and bariatric surgery. The AspireAssist is reversible with the procedure only lasting 15 minutes. The Aspire procedure is a stomach pump with a small tube that directly connects to your stomach and can be drained after eating. It removes around one-third of the food contained within your stomach, therefore absorbing one third fewer calories within your body. This procedure is considered “disgusting” by some reviewers as you literally pump food after you eat into the toilet.
6. Other Non-Bariatric Procedures
We also offer Hiatal Hernia Repair, Para-Esophageal Hernia Repair, Cholecystectomy (gallbladder removal), and Cosmetic Surgery in Mexico. Since we’ve started, we’ve always maintained on the cutting edge of weight loss industry. It’s been our mission to guide you through this process with ease. We can help you as we have helped hundreds get their life back. Just get started by contacting us today!
Bariatric Surgery in Mexico Health Benefits
The public view of obesity is not justified – obesity is not your fault! It is a misconception that morbidly obese people can lose weight if they use their willpower. Weight loss surgery is a proven way to get rid of excess weight and reduce or eliminate most of the comorbidities associated with obesity. Bariatric surgery is becoming more and more widely accepted.
You are sick and tired of the effects of obesity and diet & exercise or taking weight-loss drugs have failed. Weight loss surgery is an effective way to lose weight and keep it off. The surgery can also be a cure and can eliminate or improve: Depression, Tiredness, Type II Diabetes, Sleep Apnea, Knee and Back Problem, Prejudice and Discrimination, Marital Problems, Self-Esteem, Sexual Health, Quality of Life and much more.
If you are ready to change your life, please consult our knowledgeable staff to see which surgery type you fit best for. Contact our patient coordinators today and get on the “losers bench.”
We hope that this information on bariatric surgery options helps you to better understand what is best for you. If you want to get started or have any further questions, you may contact us at any time and speak with our friendly staff.
Last revised by Ron Elli, Ph.D. on 1/15/2018