General Description

México ocupa el 1er lugar a nivel mundial de obesidad infantil y el 2o lugar en obesidad en adultos, de acuerdo a datos de la UNICEF. La causa de estas alarmantes cifras recae en los malos hábitos alimenticios y la falta de cultura del ejercicio y actividad durante el día. La obesidad es una enfermedad que puede generar diabetes, niveles altos de colesterol, infartos o problemas cardíacos, insuficiencia renal, por mencionar algunos. El sistema nacional de salud tiene un reto muy grande para mejorar estas cifras.

What is gastric sleeve?

The gastric sleeve is a surgery that is recommended for people with obesity (with a BMI equal to or greater than 35), in which the surgeon removes a large part of the stomach, reducing its size and turning the rest into a narrow tube or sleeve. The stomach is left with a capacity of between 80 cc and 120 cc (taking a normal capacity of 1000 cc as a reference). Thanks to this procedure, patients will feel satisfied with a smaller amount of food and will be less hungry. In addition, with this intervention, it is possible to reduce the amount of hormones called Ghrelin, which are the ones that control hunger, making it an excellent way to promote substantial weight loss.

The ideal candidates are patients with a BMI greater than 35 that add pathologies related to being overweight such as hypertension or diabetes

How do I know if I am a candidate for gastric sleeve surgery?

It is important to note that not all obese patients are ideal candidates to undergo gastric sleeve surgery. The doctor will take several considerations before giving the approval for the surgery. Along these lines, the patient must be committed to losing weight and including healthy habits in her lifestyle. The ideal candidates to undergo this intervention are:

Ideally patients between 14 years and 65 years.
People who have tried to lose weight in a conventional way, with exercises and diets, but without effective results.
Patients with a BMI greater than or equal to 40.
People with medical problems such as high blood pressure, diabetes, sleep apnea, joint problems, among others.
People who have shown willpower and commitment, preparing for the gastric sleeve weight loss operation.
Patient with a BMI of 35 who suffers from a serious pathology that could improve with weight loss (sleep apnea, diabetes, among others) and gastric sleeve would be an option.

Contraindicated for: Pregnant or nursing women. People with cardiovascular problems and for those with eating disorders or some kind of serious psychological disorder.

Can gastric sleeve be performed in adolescents?

They are safe in adolescents, but for now there is little research to draw a clear conclusion about whether there are future side effects on adolescent growth. Although the problems and diseases caused by obesity are affecting more and more adolescents and children, a hasty decision about surgery cannot be made, we must not forget that they are at an age of change and development, so it is important to have all the necessary nutrients when you are in the process of losing weight after surgery.

What is the first appointment with the bariatric surgeon like?

During the first consultation, the bariatric surgeon will make an assessment of the patient's general health and eating habits. In addition, during this first instance, the doctor will weigh the patient, indicating their BMI and the number of kilos they are overweight. Likewise, during this first consultation, the doctor will establish a goal weight, along with a diet to follow to prepare for surgery. In most cases, this is done not only to reduce the risks of the operation, but also for patients to show that they are willing to change their diet and lifestyle to obtain long-term results. On the other hand, the surgeon will explain in detail what the operation consists of, what the main risks or side effects are and what the post-operative period will be like. He will also order some pre-operative tests such as blood tests, electrocardiogram, ultrasound of the gallbladder, among others, to rule out any type of problem with anesthesia. It is important that the patient brings a sheet with all the doubts written down to resolve them in this first appointment. Finally, the patient must tell the doctor if he is a smoker or if he takes medications, since in some cases they should be stopped before surgery.

How is the gastric sleeve performed?

Gastric sleeve surgery is performed under general anesthesia and lasts between 60 and 90 minutes. The surgeon makes between 2 to 5 incisions in the abdomen where the laparoscope will be inserted, which is connected to a video camera, which allows the surgeon and his entire medical team to observe the interior while performing the surgery. Likewise, the specialist pumps a gas to expand the abdomen area and thus have more space to move the instruments. After this, the surgeon removes much of the stomach and removes it, leaving the remaining portions attached. This creates a kind of tube that gives the stomach the shape of a banana. Finally, the laparoscope is removed, along with the other surgical instruments, and the final sutures are made.

How is the post-operative and recovery of the gastric sleeve?

El paciente por lo general queda hospitalizado durante dos días en la clínica y luego es dado de alta si el cirujano así lo determina. Durante su estancia en la clínica el paciente sólo podrá consumir líquidos. Cuando es dado de alta podrá continuar con una dieta restringida a base de papillas o comidas en puré. La ingesta de líquidos a sólidos irá cambiando gradualmente en la medida que el médico lo indique. Adicionalmente, el cirujano le recetará analgésicos durante los primeros días, por si existiera algún tipo de molestia. Es importante que durante el proceso de recuperación, el paciente esté acompañado por un equipo médico especializados en la pérdida de peso como: psicólogo, endocrinólogo, nutricionista y un experto en acondicionamiento físico. Esto, asegurará resultados duraderos y logrará que el paciente adquiera nuevos hábitos saludables en su rutina diaria. Evitar el consumo de alcohol, las comidas picantes y altas en grasas. Durante el post operatorio está prohibido fumar. Las molestias comunes son las náuseas, sensación de presión en el abdomen y dolor por debajo de las costillas. Todas estas molestias irán desapareciendo con los días. En caso contrario el paciente debe consultar de inmediato con su cirujano.

Frequently asked questions

How many gain weight again after gastric sleeve surgery? Yes of course. Since the gastric sleeve reduces the size of the stomach, but does not alter intestinal absorption.
Is gastric sleeve recommended for an 18-year-old patient? It is necessary to assess and evaluate the case personally, as well as the patient's health status. It is important to highlight that the gastric sleeve has a great advantage, since it does not require very strict follow-up in terms of nutritional supplements, which is why it becomes an excellent technique for young patients.
Can a patient with heart problems undergo gastric sleeve surgery? Specialists mention that this type of intervention can be performed in patients with heart problems, as long as preoperative tests and studies are carried out that indicate that there will not be much surgical risk and the benefits of the results compensate this surgery.
Can the gastric sleeve be removed after a while? This surgery involves a non-reversible stomach reduction and it is a definitive solution to obesity.
Is gastric sleeve effective? Experts explain that it is one of the most effective and safe techniques when losing weight. Likewise, a very complete preoperative is done and a nutritional follow-up is carried out for two years.

Price:

El costo del servicio es de $5,500 dlls.

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