Bariatric Surgery

Involves removing 80 % of the native stomach and leave a tube (sleeve) shape pouch with an approximate capacity of 3-4 oz. with the aim to reduce the amount of food that it can contain inside, this allows a lower caloric intake that usually we are used to, in response to this your body will begin to use body fat as an energy source thus initiating the process of weight loss.

The part that is removed from the stomach is called the body and fundus, which is responsible for secreting the 80% of the appetite hormone that circulates in your blood stream, called ghrelin, so that in addition to the restriction there is a hormonal factor that this surgery carries out and that also contributes to loss of excess body weight.

Also called Roux-en-Y Gastric Bypass, this procedure involves creating a very small stomach with a 1-2 oz. capacity. In addition the intestine it is cut at a certain distance the more distant portion it is hooked up to the new stomach (1st Anastomosis) and the closest portion is reconnected to the small intestine (2nd. Anastomosis) to close a new circuit, a new path to the feed which bypasses the first part of the small intestine, and by avoiding contact of the food with the digestive juices until later in the digestive tract, the result is a less digestion time and lower surface area of absorption of calories (fats, sugars) and other nutrients, hence the malabsorption that involves this surgery.

Unlike the conventional Bypass (RYGB), apart from making the stomach very small with a capacity of 1-2 oz., only one side to side anastomosis is made between the new stomach and the intestine, thus creating a new circuit in which the food bypasses the first part of the small intestine and delays the contact of food with the digestive enzymes too.

This is how bariatric surgery it is called when is carried out in a patient who has a previous operation to lose weight or when anti-reflux surgery was performed previously. This type of operation is performed when an initial surgery does not work or has stopped working, the idea is to offer a second chance to help the patient to lose weight and improve their quality of life. Commonly are surgeries that involve a high degree of difficulty, but that in the majority of cases can be carried out

Hiatal hernia repair. It is performed on patients who have GERD, it is of the utmost importance when weight loss surgery it is carried out, implies the repair of defects in the diaphragm that abnormally allows food and gastric acid flow back into the esophagus. The quality of life improves significantly when you eliminate gastric reflux.

If you are going under weight loss surgery, you must know that you have a 50% chance that in the process of slimming you, there is a significant chance to develop gall stones, so it is not a bad idea to contemplate removing it prophylactically during your weight loss surgery, otherwise a return to the operating room later for cholecystectomy might be needed.

In this kind of surgery, the procedure is performed through a single incision* hidden in the belly button through where special instruments are introduced to the abdominal cavity that allows to perform operations such as gastric sleeve, cholecystectomy, appendectomy, biopsies, tubal ligation, etc., with the same advantages of rapid recovery because it is also a minimally invasive surgery.

*A pre-op evaluation is needed