In order to start treatment, we must first make an evaluation based on the information provided in our health questionnaire. The health questionnaire is where we will learn your current health and your most important areas to address in preparation for surgery.
Once the health questionnaire is reviewed, we will discuss which surgical options are recommended for your specific needs.
Our specialized staff, both in the United States and Tijuana, Mexico, work together throughout the entire surgery process. Hotel and hospital stay are both included in our surgery packages. Our drivers in Tijuana will provide transportation to and from the San Diego airport as well as between the hospital and hotel. From assessment to recovery, you are in good hands with our medical team.
Gastric Sleeve Surgery (Vertical Sleeve Gastrectomy)
Starting at $4,795
Gastric Sleeve, also known as Vertical Sleeve Gastrectomy (VSG), is the most prominent bariatric surgery. Gastric sleeve surgery is quickly becoming the top performed procedure in Mexico and quickly coming up in the United States and Canada.
Gastric sleeve surgery works by removing the stomach by 85%, then stapling the stomach in the “sleeve” shape. This smaller stomach size forces the patient to consume less food while feeling satisfied and content. Typically, patients will only be able to consume roughly 400 calories in a sitting and roughly 800 to 1000 calories per day. This significant reduction is the modus operandi of the gastric sleeve.
Gastric sleeve surgery is known as a “mix” procedure because of the reduction of Ghrelin production. Ghrelin is a hormone that induces hunger in patients and is produced in the stomach. Researchers have found that when a large portion of the stomach is removed, the production of Ghrelin is also reduced, which liberates patients from the nagging feelings of hunger.
How it Works
This surgery involves the stomach exclusively. The stomach is the part of our digestive system where all of the food we consume begins to mix for digestion. In this surgery, up to 80% of the stomach is removed laparoscopically.
Once you have a much smaller new stomach, it will help you feel fullness by eating the amount of food your body needs, which will help you lose weight. In combination with a physical activity plan, proper psychological therapy, and compliance with the diet, patients can achieve long-term weight loss success.
Advantages of Gastric Sleeve:
- No Malabsorption
- No Digestive Track Changes
- No Foreign Body
- High Expected Weight Loss
- Easily Revisable with multiple revision options
Bougie Size and Equipment
Dr. Rodriguez Lopez uses a bougie size of 36F, which translates to a diameter of .45 inches. The bougie is a long, narrow tube inserted through the patient’s mouth as a guide for the “new stomach sleeve” to be cut and stapled.
- Dr. Rodriguez uses Covidien staplers and staples to perform gastric sleeve surgery.
- Sews over the staple lines with Prolene sutures.
Learn more about undergoing gastric sleeve in Mexico. Click Here.
Gastric Sleeve in Mexico
Undergoing gastric sleeve in Mexico can save patients thousands of dollars; it can also save patients months of waiting. Many patients in Canada face daunting waiting times, and undergoing in Mexico means patients can book within a few weeks. Going to Tijuana, Mexico, has many perks.
Gastric Bypass Surgery (Roux-en-Y)
Starting at $6,195
In this procedure, surgery is performed on the stomach (as in the gastric sleeve), but we also do surgery on the small intestine (which is the part of the digestive system where the nutrients are absorbed). It consists of making a smaller stomach and then connecting the stomach with the intestine. By doing this surgery, we help our patients to eat less (feel satisfied with less food) and decrease the absorption of food.
How Gastric Bypass Surgery Works
Roux-En-Y, or (RNY) gastric bypass is the most common bariatric surgery performed in the United States. Roux-En-Y gastric bypass is often used in order to help patients who need assistance with initial weight loss and as a method for long-term weight control.
Dr. Christian Rodriguez Lopez uses a bougie size of 32F or .40 inches in diameter for gastric bypass surgery.
How the Stomach Works
The human body’s normal digestive process involves food moving through the digestive tract and combining with enzymes and digestive juices, which help bodies digest food and absorb nutrients and calories. Average human stomachs can hold about three pints of food at a time and excess is released slowly into the small intestine. Once in the small intestine, the body continues to absorb vitamins, nutrients, and minerals. It can take several hours for the stomach to empty into the small intestine.
Gastric Bypass Surgical Steps
Roux-En-Y, or (RNY) gastric bypass procedure is utilized by people who are clinically diagnosed to be obese. The surgical process is minimally invasive but can still pose complications for patients undergoing the procedure. A large incision is made in the abdomen, or the surgery can be done using a small incision and employing a camera and small instruments to perform the procedure.
The Roux-En-Y gastric bypass procedure uses a procedure to restrict or limit food intake into the stomach. A small gastric pouch is created for this purpose using surgical staples or a plastic band device. A Roux-En-Y gastrojejunostomy provides a mild malabsorptive component that prevents full absorption of excess nutrients and calories into the body. The stomach’s smaller pouch is then connected directly to one’s small intestine to bypass the rest of the stomach.
Once the stomach is made smaller and food is directly bypassed into the small intestine, patients will feel their stomachs are fully quicker than if the stomach was its original size. Since the amounts of food products that can be consumed are limited, the number of calories going into and being absorbed by the body is much less. This is why, shortly after surgery, weight loss results can be seen and felt by patients.
Advantages and Disadvantages
Like all surgical procedures and weight loss solutions, there are advantages and disadvantages for patients, and not all individuals will be good candidates for all weight loss procedures like Roux-En-Y gastric bypass.
Advantages of Gastric Bypass
When compared with other types of weight loss surgery, Roux-En-Y gastric bypass surgery is excellent for overall weight loss and the long-term weight control of patients. It has also been proven to be effective in eliminating co-morbidities, such as Type 2 diabetes. This surgical procedure also has low rates of complications in both the early and late stages following surgery, as well as a very low (less than 1%) mortality rates in patients undergoing the procedure.
Disadvantages of Gastric Bypass
Like any surgical procedure, there are risks involved during the actual surgery and afterward during recovery. Surgical risks include those associated with undergoing anesthesia and allergic reactions to medicines. The complications stemming from the surgery itself include leaks, distension of the stomach, hernias, and severe dumping syndrome symptoms.
Severe dumping syndrome is a direct result of gastric surgeries. Multiple symptoms may occur that range from mild to severe. They are caused by having the undigested contents of your stomach dumped into your small intestine too quickly, causing nausea and abdominal cramping. Some patients will experience symptoms right after eating, and some will not have symptoms for several hours after consuming food. In most cases, medical intervention is not necessary for treating dumping syndrome symptoms, but more severe cases may require medication or additional surgery.
Another disadvantage of Roux-En-Y gastric bypass surgery is that the procedure itself is often more challenging than other types of restrictive bypass procedures. However, individual patients’ health and medical history must be taken into consideration on a case by case basis.
Typical Qualifications for Roux-En-Y Gastric Bypass Surgery
In order to qualify for Roux-En-Y gastric bypass surgery, there are some typical requirements most patients will have to meet first. The typical criteria include:
- A patient’s body mass index should generally be 40 or over, or they need to have a disabling or life-threatening condition caused by excessive weight.
- Most physicians prefer to try other types of weight loss/reduction programs first and will use a gastric bypass as an alternative when other methods do not work.
- Patients should be obese for 5 years or more and are between the ages of 18 to 65.
- Patients should also not have medical histories containing incidents of depression, psychiatric disorders, or alcoholism.
Most patients that do not experience significant surgical complications often see fast weight loss initially and will continually lose pounds quickly for a period of up to a year. However, diet and exercise need to be considered for successful ongoing weight loss after surgery is completed.
Duodenal Switch Surgery (Biliopancreatic Diversion with Duodenal Switch)
Starting at $7,695
Duodenal Switch, also recognized as Biliopancreatic Diversion with Duodenal Switch (BPD/DS), is a weight loss surgery that is typically a revision of a vertical gastric sleeve or band procedure. The duodenal switch surgery is an effective option for those who have a significant amount of weight to lose and is best to achieve long-term weight loss.
How Duodenal Switch Surgery Works
This procedure is both malabsorptive and restrictive. It stimulates weight loss by rerouting the small intestine and permanently removing the stomach while keeping the malabsorption technique.
Single-incision Laparoscopic Surgery
Starting at $5,795
Single-incision Laparoscopic Surgery allows patients the aesthetic quality of one minimized scar, as well as faster recovery times and less pain. Dr. Rodriguez Lopez can perform single-incision gastric sleeve, single-incision gastric banding, and single-incision revision surgery.
- Quicker Healing Time
- Fewer Scars, Incisions
- More aesthetic
History of Single Incision Bariatric Surgery
Bariatric surgery was performed as an open procedure for many decades before the advent of laparoscopic surgery. In open bariatric surgery, surgeons open up the patient by creating a long incision line in the abdomen and operate with “traditional” medical instruments.
As medical technology evolved, laparoscopic or minimally invasive surgery became a possibility. With laparoscopic surgery, surgeons create small incisions and utilize a thin, flexible tube containing a video camera (laparoscope) to reach the organs of the abdominal cavity.
Surgical Equipment for Single Incision
da Vinci – The da Vinci is a sophisticated laparoscopic and robotic surgery. Da Vinci uses robotic-assisted 3D video technology. The da Vinci System has been in operation for over 10 years and has been used in thousands of procedures. The da Vinci system is an autonomous or semi-autonomous device that can do single-incision surgery.
Gel Point – Gel Point is a medical technology used to facilitate gastric sleeve, gastric banding, and gastric bypass. Learn how the GelPOINT advanced access platform enables single-site surgery. Explore single site tools and techniques, including:
- Camera operation
- Trocar placement
- Indications and limitations
- Visualization and instrument manipulation
- Patient selection, benefits, risks, and challenges
- Patient education, documentation, and reimbursement
- Anesthetic considerations
Covidien SILS System – The Covidien SILS System multiple access ports is an advanced medical device made by Medtronic that can accommodate up to three laparoscopic instruments through a single incision. When used in the umbilicus, the SILS Port leaves a hidden scar, and it may reduce postoperative pain.
Gastric Balloon (Intragastric Balloon System)
Starting at $3,695
This option is not surgery; this is a procedure that is performed by endoscopy where a balloon is placed under direct vision inside the stomach and left for a period of 6 months to 1 year. This balloon fills with liquid and stays inside the stomach, which allows you to consume less food and thus start to lose weight.
Affordable Bariatric Procedures in Mexico
Tijuana, Mexico, offers one of the most affordable bariatric surgery packages in the world. The cost is one-third to one-eighth of the cost in the U.S. and Canada. It is often even less the co-pay patients pay in the United States.
Painless Approval Process
As an elective procedure in Mexico, once evaluated, you can conveniently schedule your weight loss surgery. There is no long-term wait to see the surgeon nor book your surgery, as is the case for Canadians. Also, they do not put you through the wringer, as is the case for Americans using their insurance.
Quality Medical Care
Mexican health organizations have high health-care standards similar to the ones in the United States. Most hospital facilities are fully compliant with accreditation organizations, such as JCI and CSG, and are equipped with state-of-the-art technology.
Board certifications across all disciplines are almost the same in the U.S. and Mexico. In general, Mexican doctors are younger than U.S. doctors since they start training them right after school instead of after their baccalaureate degree. Surgeons in Mexico have much more human touch than their American counterparts. The attention and care you receive from the surgeon and medical staff are much much more in Mexico.
Getting weight loss surgery done in Mexico is like taking a little vacation away from home. You get to travel to Mexico and be around people with a warm and friendly culture. Medical Tourism ensures having safe, affordable bariatric surgery with a trusted surgeon in beautiful Mexico.