Laparoscopic Gastric Bypass (RNY)- Mini Gastric Bypass (MGB)
- Lap Band Fill
- Lapband (Ambulatory)
- Gastric sleeve
Sleeve Gastrectomy
Weight-loss surgery may be an option if you are very obese and have not been able to lose weight through diet and exercise.
Vertical sleeve gastrectomy is not a "quick fix" for obesity. It will greatly change your lifestyle. You must diet and exercise after this surgery. You may have complications from the surgery and poor weight loss if you don't diet and exercise.
This procedure may be recommended for you if you have:
- A body mass index (BMI) of 40 or more. Someone with a BMI of 40 or more is at least 100 pounds over their recommended weight. A normal BMI is between 18.5 and 25.
- A BMI of 35 or more and a serious medical condition that might improve with weight loss. Some of these conditions are sleep apnea, type 2 diabetes, and heart disease.
- Vertical sleeve gastrectomy has most often been done on patients who are too heavy to safely have other types of weight-loss surgery. Some patients may eventually need a second weight-loss surgery.
This procedure cannot be reversed once it has been done.
Gastric Plication ( GPS / LGP)
The gastric plication operation is an outpatient procedure with low-risk and a quick recovery. The procedure is performed laparoscopically, a surgical method that requires only five or six small incisions in the abdomen. During surgery, the outer wall of the stomach is folded in on itself (imbrication) and then held together with sutures (plication). This process creates a long, narrow tube-shaped stomach with reduced capacity for food. The natural stomach is kept intact, allowing for reversal if necessary.Other names for Gastric Plication Surgery (GPS) include Gastric Imbrication, Gastric Sleeve Plication, Vertical Gastric Plication, Vertical Sleeve Plication, Laparoscopic Gastric Plication (LGP) and Laparoscopic Greater Curvature Plication (LGCP).
Laparoscopic Gastric Bypass (RNY)
Gastric bypass surgery makes the stomach smaller and allows food to bypass part of the small intestine. You will feel full more quickly than when your stomach was its original size, which reduces the amount of food you eat and thus the calories consumed. Bypassing part of the intestine also results in fewer calories being absorbed. This leads to weight loss.
The most common gastric bypass surgery is a Roux-en-Y gastric bypass.
In a Roux-en-Y gastric bypass, the stomach is made smaller by creating a small pouch at the top of the stomach using surgical staples or a plastic band. The smaller stomach is connected directly to the middle portion of the small intestine (jejunum), bypassing the rest of the stomach and the upper portion of the small intestine (duodenum).
This procedure can be done by making a large incision in the abdomen (an open procedure) or by making a small incision and using small instruments and a camera to guide the surgery.
Mini Gastric Bypass (MGB)
Mini-Gastric Bypass is a minimally invasive procedure that partitions the stomach into a long, narrow tube and a separate larger piece. The smaller stomach is attached about 6 feet down in the small intestine. The larger stomach is sealed and left unattached. MGB has been found to be safer than other kinds of bariatric surgery.
The smaller stomach decreases the amount the patient can eat and the bypass of a portion of the small intestine decreases the absorption of fat and calories. This combination of smaller volume and decreased absorption has resulted in an average weight loss of 140 pounds in one year in a 300-pound patient. The surgery is done in 45 minutes approximately. The recovery is a very fast since the procedure is done by laparoscopy. The patient will be walking 2 or 3 hours post-op and will be discharged from the hospital in 24-48 hours after the surgery.
The relative weights of the risks and benefits will differ for each patient. Anyone considering MGB (or any other bariatric surgery), in cooperation with his or her family Doctor and a Doctor qualified to perform MGB, should make very effort to learn about how the surgery fits with his or her lifestyle
Lap/Gastric band (ambulatory)
A gastric band device is introduced through tiny (1cm) incisions in the abdomen and is placed around the upper part of the stomach. The resulting pouch (or the "new stomach") dramatically reduces the functional capacity of the stomach. The band has a balloon from the inside that is adjustable and can reduce stoma size, thus prolonging the period of fullness.
The operation is performed under general anesthesia and can last between 30 minutes and 1 hour. The Band is fitted around the uppermost part of the stomach, forming a 15cc small pouch. It is designed so that it can be inflated or deflated at any time after the operation. This helps the patient continually lose weight until they reach their goals. The restriction takes place in the radiology suite and normally takes 15 minutes. This simple procedure is painless. They inject saline into a port placed under the skin in the wall of the stomach. The tube that comes off of the band leads to the port.
Which Weight Loss Surgery is right for me?
Our Bariatric Weight Loss Surgeons
Costamed / Cozumel, Mexico
Dr. Salvador Martin
Amerimed Hospital / Cancun, Mexico
Dr. Juan Fco Valdez
Dr. Perez Carso
Hospital la Catolica / San Jose, Costa Rica
Dra. Cinthya Solano Estrada
Galenia Hospital / Cancun, Mexico
Dr. Verberon
Dr. Ceron
