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Bariatric Surgery in Tijuana – Mexico


There are plenty of benefits to plan your bariatric surgery in Tijuana, a major border city in Mexico. It is a world-class medical tourism destination with an opportune location attracting several American and Canadian travelers looking for unparalleled care in state-of-the-art surgery centers and hospitals at one-third the costs in their native land.

Bariatric procedures such as Gastric Sleeve, Gastric Bypass and Lap Band have proven helpful for individuals with obesity and its related diseases.1 Improvements in diabetes levels and hypertension have also been observed.2

Did You Know?
Over one-third (36.5%) of U.S. adults are obese. – CDC

Why Choose Us?

Comprehensive Bariatric Surgery Packages

With more than 4,500 satisfied clients, Medical Tourism Co (MTC) facilitates various bariatric procedures in Mexico. Following is included in our packages for weight loss surgery in Tijuana:

  • Hospital fees and surgical team fees
  • 1 week post-op medications
  • Transportation from airport-surgery center-hotel
  • Anesthesia (by a certified anesthesiologist)
  • Hospital and hotel stay
  • Pre and post–op laboratory work
  • FREE calling to US and Canada
  • Medical supplies
  • Diet program
  • On-site bariatric nutrition consultation
  • Post-op x-ray and leak test
  • Destination manager
  • Follow-ups

(TnC Apply)

Support

MTC also provides the following:

Skilled Bariatric Surgeons

MTC’s highly accomplished bariatric surgeons include:

Dr. Guillermo Lopez Espinosa

With over 37 years of experience, Dr. Guillermo Lopez dedicated his profession to transforming the lives of many. Not only this, but our eminent bariatric surgeon has also trained many other well-known WLS surgeons.

Dr. Lopez is an International Member of the Executive Council of the American Society for Metabolic and Bariatric Surgery (ASMBS).

American Obesity Stats

Did You Know?

According to the Centers for Disease Control and Prevention (CDC), factors such as dietary habits and sedentary lifestyle are responsible for increased weight.7

How Much for Bariatric Surgery in Tijuana?

The cost of weight loss surgery in TJ, Mexico is about 70% lower than in the United States, even after adding together the traveling expenses. Below is the chart for the cost comparison:

Mexico US (Avg.) Canada (Avg.)
Gastric Sleeve Starts at $4,295 $14,900 $19,625
Gastric Bypass Starts at $5,595 $23,000 $20,125
Gastric Band Starts at $5,250 $14,500 $18,750

Note: US and Canada prices taken from Obesity Coverage and Bariatric Surgery Source

Tijuana boasts of several tourist attractions for the whole family including the Tijuana Cultural Center, Wax Museum and the Trompo Interactive Museum. We can arrange a sightseeing trip for TJ. Contact us to know more!

World-Class Bariatric Hospital Near US-Mexico Border

Our network hospital for bariatric surgery in Tijuana is not far from the US-Mexico border. It is just about 30 minutes from the San Diego International Airport (IATA: SAN). With more than 50 years of successful track record, it is thronged by natives from nearly 60 countrieLopexs for various treatments.

The hospital offers weight loss procedures with high safety levels that are at par with the U.S. standards and has the following features:

  • Fully equipped state-of-the-art operating rooms
  • On-site lab
  • Diagnostic imaging facility, including portable X-rays
  • Cafeteria
  • Wi-Fi access
  • Parking facility
  • Phone calls to the US and Canada
Financing Weight Loss Surgery in TJ
Is your insurance cover limited? Do you plan to go south of the border for bariatric surgery but do not have the funds to do so? We have you covered! MTC can help you with medical loans for your weight loss surgery.

Hundreds of Positive WLS Reviews

MTC is happy to have changed the lives of many. Read Kelly’s testimonial below who had travelled all the way from Washington to Tijuana for her gastric bypass surgery:

“Everything was smooth. If we had a question, it was answered right away. All the way up till now, everything has been perfect. My surgery was wonderful. I don’t hurt.”

Watch Kelly’s full testimonial here. Click here for more bariatric surgery Mexico reviews.

Why Choose Tijuana For Bariatric Surgery

Weight Loss Surgery to Tackle Rising American Obesity Rates

One of the serious public health concerns of the US is obesity. With the rising prevalence of obesity, there has been an increase in the number of people undergoing bariatric surgeries.

According to a report published by the ASMBS (American Society for Metabolic and Bariatric Surgery), nearly 216,000 bariatric procedures were reported in 2016.8

Sleeve gastrectomy accounted for 58.1% of the 216,000 procedures, followed by gastric bypass (18.7%), gastric band (3.4%) and revisional surgeries were about 13.9% of the total surgeries.8

American Bariatric Surgery Stats

Candidacy for Bariatric Surgery

As per the American Society for Metabolic and Bariatric Surgery (ASMBS), 3 weight loss surgeries could be an option for you if:

  • You are unable to achieve an ideal weight for a long period of time with previous weight loss efforts
  • If you have a BMI ≥ 40, or more than 100 pounds above your ideal weight or
  • If you have a BMI ≥35 and at least one or more obesity-related conditions, such as type 2 diabetes (T2DM), hypertension, sleep apnea, osteoarthritis or heart disease
Did You Know?
Avenida Revolucion is the main street of TJ and has some amazing souvenir shops.

Surgical Options for Weight Loss

We offer the following weight-loss surgeries in TJ:

Gastric Sleeve

Also known as laparoscopic sleeve gastrectomy (LSG), the procedure removes nearly 75% of the stomach through resection. It promotes weight loss by restricting the amount of food that can be eaten.

The new stomach is a tube-shaped structure that can hold about 1-5 ounces of food.

Benefits of Gastric Sleeve

Advantages of Sleeve Gastrectomy

Safe and Simple Procedure

A study by Hoyuela C states the procedure is safe and simple with successful clinical results. 2

Low Complication Rates

Lower complication rates of 1.2% were reported by the above-mentioned study. 2

Effective Weight Loss

The following statistics in relation to BMI (Body Mass Index) and %EWL (Excess Weight Loss) during the 5 year period2 were reported as follows:

Pre-op 1 Yr 3 Yr 5 Yr
BMI 41.5 26.6 27.2 30.1
%EWL   82 76.7 60.3

Excess Weight Loss After Gastric Sleeve

Resolution of Comorbidities

The above-mentioned study also reports the resolution of comorbidities like diabetes and high blood pressure2. The following are the stats for the same:

  • Remission of hypertension was 71.7% after the first year post-op. Total remission in 25 individuals was observed.
  • 75% of individuals reported complete remission of type 2 diabetes (T2DM).

Resolution of Comorbidities After Sleeve Surgery

Gastric Bypass or Roux-en-Y Gastric Bypass (RYGB)

The two major steps involved in gastric bypass surgery are:

  • The first step involves making the stomach smaller: a small upper part (also called the pouch) and a larger bottom area. The pouch holds a tiny amount of food, just about an ounce (oz).
  • The second step is the bypass. A fraction of the small intestine (the jejunum) is connected via a small hole in the pouch.

The procedure involves:

  • 4 to 6 small cuts or incisions are made in the belly region. The instruments required to perform the surgery are inserted through these incisions.
  • The surgery is accomplished by means of a laparoscope (a small camera). It allows the surgeon to examine inside the belly while the operation is going on.
The Cost of Gastric Bypass in Tijuana, Mexico is 70% lower than in the USA. Grab Our Special Offers Now!

Gastric Bypass Explained

Benefits of Gastric Bypass Surgery

Successful Clinical Results

A 2017 study by Sillen L and colleagues states the success rate of the gastric bypass at 73% at 1 year and 74% and 71% at 2nd and 3rd year, respectively. 1

Success Rate of Gastric Bypass Surgery

EWL% (Excess Weight Loss)

The above study states that, postoperatively, 70% of mean EWL% was reported during 3 years follow-up. 1 The following outcomes were reported by the study:

Pre-op 1-year post-op 2-years post-op 3-years post-op
Weight (kg) 135 92.0 90.1 91.7
BMI (kg/m2) 46.5 31.7 31.0 31.1
Weight loss (kg)   43.4 44.6 44.3
EWL%   72.6 73.9 73.6

Successful Remission of Comorbidities

Sillen L and colleagues report the following statistics1 for various comorbidities:

  • The remission rate of diabetes post-surgery was 56% at one-year follow-up, 63%, and 66% after two and three years.
  • The figures for hypertension (high blood pressure) up to 3 years were 39%, 41%, and 57%.
  • The 3 years statistics for hyperlipidemia (high cholesterol) was reported at 54%, 34%, and 74%.
Remission Rate of Comorbidities
At 1 Year At 2 Year At 3 Year
Diabetes 56% 63% 66%
Hypertension 39% 41% 57%
Hyperlipidemia 54% 34% 74%

Low Mortality Rates

In a 2017 published by Sillen L and colleagues suggests the mortality rate was 0.5%.1

Laparoscopic Adjustable Gastric Banding (LAGB)

Lap band involves surgical placement of an adjustable band around the upper part of the stomach. It is one of the most common methods of bariatric surgery performed in Western countries.4

Did You Know?

LAGB was the first bariatric technique to be performed laparoscopically. 5 Contact us for FREE Quote on Lap Band Surgery.

The procedure for lap band insertion includes the following steps:

  • It is performed by making multiple small incisions in the abdomen.
  • Specialized surgical instruments are inserted into these incisions alongside a camera.
  • Using these instruments the surgeon places the lap band around the stomach opening.

Gastric Banding Explained

Benefits of Lap Band Surgery

A 2017 study by Carandina S and colleagues4 suggests the following benefits of Lap Band Surgery:

  • The size of the band can be adjusted
  • The procedure is simple and reversible

Benefits of Gastric Banding

High Success Rates

Carandina S and colleagues’ suggest4 the following:

  • Success rate of lap band surgery at 10 years is 79.7% and at 15 years is 80.6%.
  • Band survival was 65.8% at 10 years and 53.3% at 15 years.

Success Rate of Lap Band Surgery

Excess Weight Loss (%EWL)

Mean excess weight loss (EWL) was 41.4, 38.7 and 35.1%, at 5, 10, and 15 years, respectively. 4

Excess Weight Loss Post Lap Band Surgery

Successful Results for Remission of Diabetes

The remission rate of Type 2 Diabetes Mellitus (T2DM) post Lap Band surgery at a follow-up period of 2 years was reported at 73%.6

Remission Rate of Type2Diabetes

Revision Weight Loss Surgery

Revision bariatric surgery in Tijuana, Mexico is available for those who have previously undergone a weight loss procedure that did not yield desired outcomes.

In other situations, an individual may lose weight but later regains it. If this is the case, then revisional bariatric surgery may suit the person.

Reasons for the Failure of Bariatric Surgery

Reasons for failure are specific to the bariatric surgery and some generic reasons include the following:

Weight Regain or Insufficient Weight Loss

A 2017 study by Fulton C and colleagues states – regardless of the primary surgery, weight regain (64%) was the main cause of undergoing a revision surgery. 9

Complications from Primary Bariatric Surgery

The above published study also states almost 21% of people who underwent LAGB (Laparoscopic Adjustable Gastric Banding) as primary surgery were referred for band complications such as pouch dilation (stomach expansion), band slippage and port complications (infection). 9

Complications from other bariatric procedures9 involve:

  • Staple line leaks
  • Bowel obstruction
  • Hernia
  • Ulcers

Did You Know?

According to Fulton C and colleagues, merely 5% obese adults can maintain a healthy body weight without bariatric surgery. 9 Know more about weight loss surgery options.

Reasons For Failed Bariatric Surgery

Revision Surgery Outcomes

For individuals who underwent VBG (vertical banded gastroplasty) or stomach stapling as primary surgery, RYGB (Roux-en-Y Gastric Bypass) was recommended because of effective weight loss. 9

As per the published study by Fulton C and colleagues following outcomes9 were reported post RYGB revision surgery:

  • Considerable decrease in BMI (body mass index) from 44.7 to 33.8
  • Excess weight loss [%EWL] of 61.2%

Revision Surgery Outcomes After Gastric Bypass

Types of Revision Surgeries

The following are the revision surgeries that are performed at our network center:

Revision of Band to Laparoscopic Sleeve Gastrectomy

In this procedure, first the band is removed and then the sleeve gastrectomy procedure is undertaken.

A 2017 study by AlWadaani HA and colleagues suggests that within 2 years of revisional LSG (Laparoscopic Sleeve Gastrectomy) 10 the following were observed:

  • The mean weight reduced to 76.11 kg from 111.69 kg
  • BMI reached to 29.70 kg.m2 from 43.50 kg.m2

Revision of Band to Laparoscopic Gastric Bypass

Revision of a failed lap band surgery to Laparoscopic Gastric Bypass is a two step process which involves removal of band and performing gastric bypass as second step.

A 2017 study by Chansaenroj, P and colleagues suggests at the 2 year follow-up %EWL was greater than 50%11.

Revision of Gastric Sleeve to Gastric Bypass

A latest study (2018) by Nevo, N and colleagues12 states the following:

  • At 2 year follow-up, the body mass index (BMI) reduced to 33.8 kg/m2, and the excess body mass index loss (EBMIL) was 42.6%.
  • Diabetes, hypertension, and obstructive sleep apnea (OSA) resolved or improved in 44.4, 45.5, and 50% of the patients, respectively.

Gastric Bypass Revision Surgery

Sometimes due to medical or surgical complications of gastric bypass surgery, an individual may be recommended a lap band surgery. Below mentioned are some of the symptoms/complications which may arise because of gastric bypass surgery:

  • Diarrhea
  • Severe constipation
  • Food intolerance
  • Dumping Syndrome
  • Ulcers
  • Gastroesophageal reflux disease (GERD)

Revision of a failed gastric bypass to sleeve gastrectomy cannot be undertaken as the stomach has already been converted into a smaller pouch. But, it can be converted into a gastric pouch plication, or a lap band can be placed around the stomach opening.

Gastric Pouch Plication

In gastric pouch plication, neither the digestive tract is re-routed nor is any device implanted in the stomach. Instead, the stomach is folded into itself.

A 2017 study by Borz C and colleagues found the following14 after Gastric Pouch Plication:

  • Excess weight loss of 65% over a 12-month follow-up
  • No major complications were reported.

Re-sleeve Gastrectomy

As mentioned earlier, the advantages of laparoscopic sleeve gastrectomy (LSG) include substantial weight loss, resolution of co-morbidities, and low incidence of complications2. In spite of many advantages of LSG, failure of weight loss was observed. Causes of sleeve failure include:

  • Expansion of stomach pouch
  • Staple line leaks
  • Acid reflux

The solution to these problems could be re-sleeve (also known as revision of gastric sleeve).

Re-sleeve surgery is like the original gastric sleeve surgery. It involves resection of the enlarged stomach to a sleeve-shaped part. A study by Yilmaz, H. and colleagues affirms13 revised LSG as a safe and effective treatment post sleeve gastrectomy.

Tips to Avoid a Revision Surgery

Bariatric revision surgery can be avoided by the following:

Join a Bariatric Support Group

Post-primary weight loss surgery, individuals can join a bariatric support group where they can connect with other individuals who’ve had the surgery to stay motivated.

Avoid Weight Regain

Weight regain can be avoided altogether by indulging in healthy food habits and having a regular exercise regime. When it comes to exercise, moderation is the key. Here are a few tips for exercising:

  • Gradually move towards a more rigorous exercise regime.
  • Include cardio
  • Find an exercise partner.
  • Exercise under supervision
  • Consume a well-balanced diet
  • Eat small frequent meals.

It is essential to realize that weight loss surgery is not a quick fix for obesity. Instead, continuing commitment to a healthy lifestyle and a regular exercise regime can give individuals with obesity a second chance at life.

Contact us now for pricing and more information on bariatric surgery in Tijuana, Mexico.

References:

  1. Sillen L, Andersson E. Patient Factors Predicting Weight Loss after Roux-en-Y Gastric Bypass. Journal of Obesity. 2017;2017:3278751. Doi:10.1155/2017/3278751, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5449731/
  2. Hoyuela C. Five-year outcomes of laparoscopic sleeve gastrectomy as a primary procedure for morbid obesity: A prospective study. World Journal of Gastrointestinal Surgery. 2017;9(4):109-117. doi:10.4240/wjgs.v9.i4.109, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5406732/
  3. “Who is a Candidate for Bariatric Surgery?” American Society for Metabolic and Bariatric Surgery, https://asmbs.org/patients/who-is-a-candidate-for-bariatric-surgery[Accessed on 7 Feb 2018]
  4. Carandina, S., Tabbara, M., Galiay, L. et al. OBES SURG (2017) 27: 889, https://doi.org/10.1007/s11695-016-2391-x
  5. Kassem MAM, Durda MA, Stoicea N, Cavus O, Sahin L, Rogers B. The Impact of Bariatric Surgery on Type 2 Diabetes Mellitus and the Management of Hypoglycemic Events. Frontiers in Endocrinology. 2017;8:37. doi:10.3389/fendo.2017.0003, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5331470/
  6. Koliaki C, Liatis S, le Roux CW, Kokkinos A. The role of bariatric surgery to treat diabetes: current challenges and perspectives. BMC Endocrine Disorders. 2017;17:50. doi:10.1186/s12902-017-0202-6, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5553790/
  7. Ogden CL, Carroll MD, Fryar CD, Flegal KM. Prevalence of obesity among adults and youth: United States, 2011–2014. NCHS data brief, no 219. Hyattsville, MD: National Center for Health Statistics. 2015, https://www.cdc.gov/nchs/data/databriefs/db219.htm
  8. “Estimate of Bariatric Surgery Numbers, 2011-2016”, American Society for Metabolic and Bariatric Surgery. Published July 2016, https://asmbs.org/resources/estimate-of-bariatric-surgery-numbers [Accessed 7 Feb 2018]
  9. Fulton C, Sheppard C, Birch D, Karmali S, de Gara C. A comparison of revisional and primary bariatric surgery. Canadian Journal of Surgery. 2017;60(3):205-211. doi:10.1503/cjs.006116, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5453764/
  10. AlWadaani HA, Qadeer A. Revisional Laparoscopic Sleeve Gastrectomy in failed gastric banding and effects of exercise and frequent sweet-eating on its outcome. Pakistan Journal of Medical Sciences. 2017;33(3):524-528. doi:10.12669/pjms.333.12874. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5510096/
  11. Chansaenroj, P., Aung, L., Lee, WJ. et al. OBES SURG (2017) 27: 2861. https://doi.org/10.1007/s11695-017-2716-4, https://link.springer.com/article/10.1007%2Fs11695-017-2716-4
  12. Nevo, N., Abu-Abeid, S., Lahat, G. et al. OBES SURG (2018) 28: 364. https://doi.org/10.1007/s11695-017-2856-6, https://link.springer.com/article/10.1007%2Fs11695-017-2856-6
  13. Yilmaz, H., Ece, I. & Sahin, M. OBES SURG (2017) 27: 2855. https://doi.org/10.1007/s11695-017-2712-8
  14. Borz C, Bara TJ, Bara T, Suciu A, Denes M, Borz B, Marian D, Muresan S, Bacarea A, Muresan M, Jimborean G. Laparoscopic gastric plication for the treatment of morbid obesity by using real-time imaging of the stomach pouch. Ann Ital Chir. 2017;6:392-398. https://www.ncbi.nlm.nih.gov/pubmed/29197192







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