Weight Loss Surgery Options in Mexico
Gastric Sleeve Surgery is a rather simple procedure that removes up to 85% of the stomach. This procedure uses restriction as to the main component of weight loss. Patient expects to feel drastically less hungry throughout the day.
- According to an NCBI study, the average excess weight loss was 82% within the first year.
- Short recovery time – back at work within 1-2 weeks or less.
- Stomach size significantly reduced, less hunger.
Gastric Bypass Surgery forms a new, small stomach pouch while keeping the stomach in place. A portion of the small intestines are bypassed which causes fewer calories to be absorbed into the body.
- Average 73% excess weight loss within first year.
- Likely to improve diabetes, high blood pressure, & sleep apnea.
- New stomach formed and anatomy altered.
Gastric Balloon is a non-surgical procedure that places a balloon in the stomach. It is inflated and stays in the stomach from 6 to 12 months. The gastric balloon helps patients lose on average 20 to 40+ pounds.
- The balloon is inserted orally into your stomach in a fast and efficient manner.
- Mild procedure that many can go home the same day.
- Lose 20 to 40 pounds on average.
Duodenal Switch Surgery removes a large portion of the stomach, leaving behind a sleeve-shaped stomach. This smaller stomach is “switched” within the small intestines to the last 40% of the intestines.
- Highest expected weight loss, up to 80% excess weight loss in first year.
- Highest reduction of obesity-related health problems.
- Strict vitamin schedule required for life.
Mexico Bariatric Center have the expertise to revise outdated, unsuccessful or botched previous bariatric surgeries, such as Lap Band, Gastric Sleeve, Gastric Bypass, VBG, and more.
- Gastric sleeve revision surgery.
- Revise failed RNY Gastric Bypass procedures.
- Easily revise Lap Band to gastric sleeve surgery.
About Weight Loss Surgery
Dieting and exercise are not a proven and long-term solution for people who attempt to lose weight. Weight loss surgery is a proven solution to fight obesity by shifting the body's set-point, also known as metabolic thermostat.
Why Bariatric Surgery Works
Weight loss surgeries can be classified into three broad categories, depended on their primary method of action. In other words, the way the operation achieves weight loss. Currently, there are three types of bariatric procedures; restrictive, malabsorptive and a combination of restrictive & malabsorptive.
Restrictive procedures ‘restrict’ the stomach’s capacity, thereby reducing caloric intake. The smaller stomach capacity will induce the feeling of fullness quicker than normal, prompting the patients to eat less. This method is seen in procedures such as adjustable gastric banding, vertical sleeve gastrectomy (gastric sleeve), and gastric balloon.
Malabsorptive procedures reroute, rearrange, or remove part of the digestive system to reduce the body’s absorption of calories from food. They produce more weight loss than restrictive but also comes with higher rates of complications and side effects. There are no stand-alone malabsorptive procedures being performed today, as all malabsorptive procedures are combined with restriction.
Combination procedures use both techniques (restrictive and malabsorptive) to produce high amounts of ‘excess weight loss.’ Common combination procedures include gastric bypass and duodenal switch.
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Current Weight Loss Surgery Options We Perform
Below are the five primary weight loss surgery options that are typically accepted and practiced by bariatric surgeons in the United States, Canada, Mexico, and Europe. In other countries, especially countries in Europe, are quicker to approve more experimental procedures.
Type of Surgery
Method of Weight Loss
|Restrictive||Restrictive & Malabsorptive||Restrictive & Malabsorptive||Restrictive||Restrictive & Malabsorptive|
|~80% removed (1 to 3 ounces)||small pouch (stoma)||small sleeve shape pouch||stomach size is reduced||~75% removed like gastric sleeve|
Changes to Intestines
|no changes||small intestine is bypassed||small intestine is bypassed||no changes||last several feet of small intestine is switched|
|1 to 2 hours||2.5 hours||2.5 hours||1 to 2 hours||3 to 4 hours|
Average Hospital Stay
|2 days||2 to 3 days||2 to 3 days||1 day||2 to 3 days|
Time Off Work
|1-2 weeks||2 to 3 weeks||2 to 3 weeks||1 week||3 weeks|
|3 weeks||6 weeks||6 weeks||2 weeks||8 weeks|
|- no change to anatomy|
- high weight loss
- helps with comorbidities
|- high weight loss|
- helps with comorbidities
|- high weight loss|
- helps with comorbidities
|- reversible||- very high weight loss|
- helps with comorbidities
|- non-reversible||- dumping syndrome||- dumping syndrome||- complications with the band||- frequent bowel movement|
|removing 80% of the stomach to make a tube-shaped sleeve||small stomach pouch is created and attach to small intestine||small sleeve shape pouch is created and attach to small intestine||a silicone ring is placed around the upper part of the stomach||a pouch similar to gastric sleeve attached to final part of small intestine|
|60% to 70% EWL in 1-2 years after surgery||70% to 80% EWL in 2 years after the surgery||70% to 80% EWL in 1 year after surgery||40% to 50% EWL||75% to 85% EWL in 1 year after surgery|
|85% to 95%||80% to 90%||85% to 90%||40% to 50%||85% to 95%|
Post Surgery Diet
|4 stages: clear liquids, full liquids, soft foods, and regular foods||4 stages: clear liquids, full liquids, soft foods, and regular foods low in high-fat and sugar||4 stages: clear liquids, full liquids, soft foods, and regular foods low in high-fat and sugar||Follow a liquid diet for three weeks then slowly add in solid foods||4 stages: clear liquids, full liquids, soft foods/pureed food (2 weeks), and regular foods|
Post-op Diet Info
|keep hydrated; take enough protein; Calcium, B12, and multivitamins||keep hydrated; take enough protein; Calcium, B12, zinc, iron, and multivitamins||keep hydrated; take enough protein; Calcium, B12, zinc, iron, and multivitamins||Eat 3-5 small meals a day no more than 1,000 healthy calories a day||keep hydrated; take enough protein; Calcium, B12, zinc, iron, and multivitamins|
|Patients with a BMI of over 30||Patients with a BMI of 35-55||Patients with a BMI of 35-55||BMI of 30+ disciplined in following diet/exercise||BMI of 45+ (40+ with metabolic diseases, 35+ if revisional)|
Open vs. Laparoscopic vs. Single Incision vs. Endoscopic
In the past, bariatric procedures were performed openly. Now, most bariatric surgeries are performed laparoscopically with excellent results. Qualified bariatric surgeons are quite experienced with laparoscopic surgery, producing surgeries with lower recovery time, lower surgical complications, and aesthetically pleasing results.
Open Bariatric Surgery
Open surgery was done through a large incision in the abdomen for the entire surgery to perform. With the advancement of medical technolgies, open surgeries are rarely performed, due to longer recovery periods as well as higher risks of infection, adhesions, and cosmetic scarring.
Laparoscopic surgery is performed with medical instruments that have built-in cameras allowing surgeons to view the abdomen on nearby screens. The result is that there are five to six small incisions, rather than one large cut in the abdomen with open surgery.
Single Incision Surgery
Single Incision bariatric surgery allows patients to undergo bariatric surgery with fewer scars. The patient's scars heal more aesthetically while speeding up the healing time. Single Incision bariatric surgery is only available on more simplistic surgeries such as the gastric sleeve surgery.
The endoscopic procedure utilizes an endoscope, a flexible medical instrument inserted through the mouth, rather than making an incision in traditional surgery. In newer, experimental procedures such as such as Endoscopic Sleeve Gastroplasty, the endoscope is used to place sutures in the stomach and making it smaller.
Stomach Banding vs. Stomach Stapling
Many individuals may conflate stomach surgery and stomach stapling as both are bariatric (weight loss) surgery. Both are essential components in weight loss surgery, but are different, and thus, necessary to distinguish.
Stomach banding procedure relies on a medical device to wrap around and 'band' the stomach, thereby causing restriction - vertical banded gastroplasty and gastric banding.
This type uses medical staples to recreate permanently and close a smaller stomach for individuals - gastric sleeve surgery and roux-en-y gastric bypass.
* Success is normally realized by losing 50% of excess weight (EWL) and it depends on the type of surgery, BMI before surgery, surgeon competency, and post-surgery diet & exercise.
Outdated (No Longer Recommended) Bariatric Surgery Procedures
Procedures like Jejunoileal Bypass was performed in the late 1960s after surgeons learned that patients who had lost a portion of their small intestine would lose weight. Many old surgeries such as Jejunocolic Bypass, Jejunoileal Bypass, and Vertical Banded Gastroplasty are no longer performed due to their high complication rates and a slew of health problems including fatality.
Jejunoileal Bypass (JIB)
The Jejunoileal Bypass was performed from 1950 to 1970 to cure morbidly obese patients with two variations: ES (end-to-side) and EE (end-to-end). The Jejunoileal Bypass is a malabsorptive procedure and bypasses most of the intestine - It caused severe complications due to malabsorption, such as diarrhea, night blindness, osteoporosis, liver disease/failure, vitamin deficiencies, malnutrition, and death.
Vertical Banded Gastroplasty (VBG)
Vertical Banded Gastroplasty (VBG) was performed as a restrictive or combination of restrictive and malabsorptive surgery, also known as 'stomach stapling.' VBG was designed to be a safer alternative to RYGBP and the JIB. In this procedure, a gastric band and staples are utilized to create a small stomach pouch to restrict the amount of food content traveling down to gastrointestinal tract.
Experimental & New Weight Loss Procedures, Tools
Below are various experimental procedures that either upcoming FDA approval, experimental or approved in another country other than the United States.
- Gastric Sleeve Plication Surgery
- Intra Gastric Balloon (IGB)
- Endoscopic Sleeve Gastroplasty Procedure (nonsurgical- Via Endoscopic)
- Primary Obesity Surgery Endolumenal (POSETM) Procedure
- Transoral Gastric Volume Reduction (TGVR)
- EndoBarrier Gastrointestinal Liner (on hold due to safety concerns)
Other Latest Bariatric Procedures (Not Offered at MBC)
FDA approves the new device, Vagal Blocking, to curb hunger through the leads placed around the trunk of the vagus nerve. The pulses sent along the vagus nerve reduces hunger and increases feelings of fullness. This is a safe and reversible procedure that is performed minimally invasive.
The company reports 28% excess weight loss over a period of one year for 12 hours of a day. Serious Adverse Events (SAE) related to this procedure includes neuro-regulator malfunction, pain at the neuro-regulator site, vomiting, collapsed lung and gallbladder disease.
AspireAssist is an aspiration therapy system approved by FDA that helps remove about 30% of the ingested food from the stomach before the food enters the small intestine. It is made up of A-tube inserted into the stomach (endoscopically) connected to the reservoir and the drain tube.
Emptying the food after you eat and is ingested from the stomach into the toilet can be gross to some patients.
Non-Bariatric Surgery Procedures
Compare Two Procedures Side-by-Side for Easier Analysis
- Gastric Sleeve vs. Gastric Bypass - Most Common Comparison of Surgeries.
- Gastric Bypass vs. Duodenal Switch - Very common Comparison. Both will contribute to high expected weight loss.
- Gastric Sleeve vs. Gastric Banding - Two restrictive procedures.
- Gastric Bypass vs. Gastric Banding - Both were once the top weight loss surgeries for surgeons to recommend.
- Lap-Band system vs. REALIZE Band - Different Brands that fall under the Gastric Banding category.
- Gastric Balloon vs. Obalon Pill - Both considered Intra-Gastric Balloon Procedures (both Experimental).
- Orbera vs. ReShape Duo vs. Spatz - Compare the three leading Gastric Balloon Implants.