Bariatric surgery in Cancun – Mexico is cost-effective and can be explored by people seeking surgical solutions to the obesity.
Bariatric surgery is an umbrella term for various weight-loss surgical procedures which either involves:
Restricting the gastric space or,
Making anatomical changes to the gastrointestinal tract to affect the absorption of nutrients or,
A combination of the above two aspects.
A studyKikkas EM, Sillakivi T, Suumann J, Kirsimägi Ü, Tikk T, Värk PR Five-Year Outcome of Laparoscopic Sleeve Gastrectomy, Resolution of Comorbidities, and Risk for Cumulative Nutritional Deficiencies. “In conclusion, laparoscopic sleeve gastrectomy ensured long-term excess weight loss 61.0% at 5 years…” View in Article published in July 2018 showed results of sleeve gastrectomy at 3months, 1 year and 5 years respectively. It successfully concluded that this procedure ensured 61.0% of excess weight loss after 5 years.
Some of the popular weight-loss surgeries available in Cancun are:
He is an internationally trained and board-certified surgeon who did his medical internship at the Jackson Memorial Hospital, University of Miami, in 2001.
The dearth of well-trained bariatric surgeons in Mexico has made him a sought-after mentor for educating general surgeons in the field.
He is invited to all the major weight loss surgery training programs held in Mexico in which he demonstrates weight loss surgeries, besides imparting theoretical lectures on the subject.
The surgeon is also a prominent member of the IFSO.
About the Hospital
Your surgery will be performed at a state-of-the-art hospital Victoria in Cancun which is conveniently located just about 20 minutes from an alluring beach.
The hospital has a successful track record of 30+ years.
Located in a safe neighborhood, the hospital has well-appointed patient rooms.
It features the latest equipment, an Intensive Care Unit (ICU), emergency room and has nurses available on a 24*7 basis.
The hurricane season in Cancun and Riviera Maya lasts from June 1 to November 30.
Useful Travel Information
Cancun is served by its own international airport (IATA: CUN).
The hospital where we facilitate weight loss surgery is just 25 minutes from the airport.
While most businesses accept US dollars, having some pesos in your pocket will always come in handy, especially for shopping at the local markets or zipping through the city on a bus.
While most of the eateries in the Hotel Zone provide purified water, when venturing out of the area exercise caution and stick to bottled water.
Pay attention to the color of beach flags; while green signifies safe waters for swimming, red and yellow depict caution and danger.
If you see a black beach flag, stay out of the waters.
Cancun’s popularity with international travelers has been on the rise. According to the Yucatan TimesThe Yucatan Times Cancun visitor growth strongest in the Americas: survey “The surge in arrivals is predicted to continue, and reach 7.6 million in 2020, and nine million in 2025…” View in Article, the resort city is expected to receive 9 million international arrivals in 2025.
Th following chart shows the growth in the number of international visitors to the city:
Broad Classification of Weight Loss Surgery
Weight loss surgeries can be broadly classified as:
The main focus is to restrict the quantity of food the individual can eat.
This is done by physically limiting the capacity of the stomach to hold food.
Examples are gastric sleeve and gastric balloon.
Bariatric surgeries focusing on malabsorption involve either shortening or bypassing a portion of the small intestine which results in reduced absorption of nutrients and calories by the body.
An example of a malabsorptive bariatric surgery is biliopancreatic diversion with or without duodenal switch (BPD-DS).
These are a combination of mild restriction and malabsorption.
Examples are Roux-en-Y gastric bypass and mini-gastric bypass.
Types of Weight Loss Surgery
Also known as vertical sleeve gastrectomy (VSG), the laparoscopic gastric sleeve surgery is a restrictive weight loss surgery which involves removal of nearly 80% of the stomach.
The remnant stomach resembles a banana or a sleeve.
According to the American Society of Metabolic and Bariatric Surgery (ASMBS)American Society for Metabolic and Bariatric Surgery Bariatric Surgery Procedures“Most importantly, the rerouting of the food stream produces changes in gut hormones…” View in Article, while the gastric sleeve substantially reduces ones eating capacity, the greater impact is achieved by how the surgery alters the gut hormones that have a direct bearing on hunger levels as well as how soon you feel stated, along with the impact on blood sugar levels.
The surgery involves removal of a part of the stomach fundus which also eliminates the hunger-inducing hormone called ghrelin.
Reduces the capacity of the stomach to hold food.
According to Cleveland Clinic, one can expect to lose 40 to 70% of excess weight within 1 year of the surgery.Cleveland Clinic Gastric Sleeve Surgery “Depending on their pre-operative weight, patients can expect to lose between 40%…” View in Article
The clinic further states that the resolution of diabetes, hypertension and obstructive sleep apnea is observed in more than 75% of the individuals who undergo a gastric sleeve surgery.
Likelihood of long term vitamin deficiencies
Higher rate of complications than in adjustable gastric banding
The “gold standard” of bariatric surgery, the Roux-en-Y bypass (RYGB) has two elements to it.
Firstly, a small pouch with a capacity of just an ounce or 30 millimeters is created out of the top portion of the stomach.
The bottom portion of the small intestine (jejunum) is dragged up and joined with the new stomach pouch.
The other end of the divided small intestine is joined with the small intestine further down, thereby giving it a Y shape (hence the name Roux-en-Y).
This causes a segment of the small intestine that absorbs calories and nutrients to be bypassed.
A combination of restriction (achieved by the small stomach pouch) and malabsorption (caused by rerouting the intestine) results in weight loss.
Additionally, rerouting the path through which food gets absorbed alters gut hormones that further helps curb hunger, promotes fullness despite eating smaller meals, and also reverses type 2 diabetes.
Substantial long-term weight loss (60 to 80% of excess weight loss, according to ASMBS)American Society for Metabolic and Bariatric Surgery Bariatric Surgery Procedures “Produces significant long-term weight loss (60 to 80 percent excess weight loss)…” View in Article
Average maintenance of more than 50% of excess weight loss
More complex than gastric sleeve and banding with higher complication rates
Long term nutritional deficiencies (vitamin B12, iron, folate, calcium)
Longer hospitals stay
If you’ve had a vertical sleeve or gastric bypass you will be required to take extra vitamins and minerals for the rest of your life.
Mini Gastric Bypass
Also known as One Anastomosis Gastric Bypass (OAGB), the mini gastric bypass surgery involves creating a smaller pouch out of the stomach and reconnecting it with the small intestine, bypassing 3 meters of it instead of 1.5 meters in the regular bypass.
While the traditional Roux-en-Y requires two connections, the mini bypass requires only one.
The International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) states the following advantages of mini gastric bypass surgery:
Relatively simpler than RYGB
Shorter operating time
Fewer surgical complications compared to Roux-en-Y gastric bypass
More weight loss and better resolution rates of diabetes than Roux-en-Y bypass
The following table shows excess weight loss (in percent) post-mini-gastric bypass: Carbajo MA, Luque-de-León E, Jiménez JM, Ortiz-de-Solórzano J Laparoscopic One-Anastomosis Gastric Bypass: Technique, Results, and Long-Term Follow-Up in 1200 Patients. “The highest mean percent excess weight loss was 88 % (at 2 years), then 77 and 70%, 6 and 12 years postoperatively…” View in Article
Mean Percent Excess Weight Loss
Severe acid reflux caused by gastric juices traveling back from the intestine into the new stomach pouch.
An intragastric balloon requires placing a saline-filled silicone balloon in the gastric space.
It aids in weight loss by making the individual feel full after eating small quantities of food.
It is preferred to gastric banding in individuals with a lower Body Mass Index (BMI) between 30 and 35.
The procedure involves sliding a narrow tube loaded with the deflated gastric balloon down your throat while making its way into the stomach.
This is followed by the insertion of an endoscopic (a flexi tube with a camera) down the throat and into the stomach.
The camera relays the video stream of the balloon to the surgeon as he fills it up with saline.
The procedure typically takes 30 minutes.
Reduced gastric emptying time
Changes in gut hormones that control appetite, thereby reducing hunger
Improvement or resolution of co-morbidities of obesity, including heart diseases, stroke, hypertension, sleep apnea and type 2 diabetes
Intragastric balloon procedure is done on an outpatient basis and does not require a hospital stay.
Pain and nausea post insertion of the balloon (reported by Mayo Clinic in about a third of the individuals)
Deflation of the balloon
Blockage of the digestive system caused by the deflation and displacement of the gastric balloon
Perforation of the stomach or ulceration, both of which require a surgery
Revision Weight Loss Surgery
Under some cases, failure of the initial bariatric surgery may require a second procedure or a revision procedure.
Check out this video in which the surgeon explains revision procedures:
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