Gastric Sleeve
This surgery is done by laparoscopy. Aided by a suture stapler, a resection of the most distendable part of the stomach is made. Taking 80% out and leaving 20% of the stomach in the form of a thin gastric tube. With this, the patient can eat, but in smaller quantities. In this procedure, besides being restrictive, it has been seen that the hormone that regulates appetite, the ghrelin, is noticeably reduced. This reduces the patient's appetite. The Gastric Sleeve has many additional advantages from other Bariatric Procedures:- Done by Laparoscopy
- Does not disconnect or reroute the intestine
- Does not leave prosthetic material like the Gastric Band
- Technically an easier surgery than the Bypass or Duodenal Switch.
- Safe, proven and effective procedure
- Fast recovery It is an advanced and novel technique that we widely recommend for a definitive treatment of obesity.
- We have excellent results with a loss of excess weight in more than 80% in our patients .
Gastric Bypass
This is the most common gastric bypass. The restrictive and malabsorption techniques are both used. This procedure consists of separating a large portion of the stomach. The part of the stomach that stores food ends up being approximately 20cc. Because of this reduction, the amount of food the patient will be able to eat and drink will be greatly restricted. After doing this reduction, the lower part of the small intestine is connected to the small stomach pouch that will receive the food. This procedure reduces the area the small intestine has to absorb nutrients because the surgery excludes the portion were fats and sugars are absorbed. The duodenum follows the large pouch of the stomach that was separated. This is connected to the part of the intestine that receives the food at the lowest point. During surgery a "Y" is formed. This is why the surgery is known as Roux en "Y"
Ajustable Gastric Band
this is a laparoscopic procedure where a silicone band is placed around the highest part of the stomach, called the gastro esophageal junction The band is gradually inflated with liquid through the port during the first months after surgery in order to divide the stomach in two parts
a small top one and a big lower one. The band creates restriction through a small channel between both parts of the stomach. The smaller top one is the one that restricts the amount of food that can be eaten.
This surgery is done laparoscopically through small incisions. &Johnson, companies that have certified Dr. Lopez and her team as experts in placing them.
Gastric Plication
It involves a novel technique to achieve weight loss, restricting the stomach's capacity by placing sutures that inner folds the thickest part along the stomach without removing part of it like in the gastric sleeve. Because there is no cutting, stapling or removal of the stomach and/or intestine, many patients prefer this procedure, also because there are no staples or prosthetic material involved. Advantages of Gastric Plication:
- It does not require cutting either the stomach or intestine
- It does not require implants, staples or fills • It is potentially reversible
- •Similar weight loss as a Gastric Sleeve in preliminary trials
Mini Gastric Bypass
The minigastric bypass is a very effective method to achieve weight loss. Most of the weight loss is achieved by restricting the amount of food and calorie intake. However, a small component of this procedure is aimed at limiting the absorption of calories by a small bowel bypass. This is a much simpler procedure that lasts less time than a gastric bypass, it's done by minimal invasive surgery (laparoscopy). The risk of leakage or to have a bowel obstruction is less than the Roux en Y gastric bypass. A small gastric pouch is left and it fills with a small amount of food. The minigastric bypass limits absorption of calories. It has excellent results in both short and long term. It is a very effective alternative for people who like to eat sweet foods. The disadvantage of this procedure is caused by bile reflux into the stomach, bowel, as the union of these forms a loop that is not separated as in the Roux en Y Gastric Bypass.