México Bariatric Surgery Center

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Success Stories

Everything to Know About Recovering From Gastric Bypass Surgery

tips for gastric bypass surgery

Gastric bypass is the most common bariatric surgery that treats obesity. Patients spend almost 2-5 days in the hospital if complications arise. The nurses monitor you closely when you return to the hospital cabin after having surgery. In this article, you will find how to get a complete recovery after bariatric surgery.

Tips To Follow For Recovering From Bariatric Surgery

Alongside periodic check-up of your important signs – respiration, temperature, pulse, and blood pressure – the nurses will motivate and help you perform leg movement exercises, coughing deep breathing, and the process of getting out of bed. These all functions are only to prevent all kinds of complications.

Sometimes, you can encounter vomiting and nausea, fatigue, light-headedness, surgical pain, sleeplessness, gas pain, loss of appetite, emotional ups and downs, and loose stools in the early weeks after this surgery. You can discuss every issue you experience with your physician and nurse.

Controlling pain

During surgery, you may feel shoulder and neck pain. However, the doctors take care of your comfort. To keep your pain under control, they try hard to help you in recovering from gastric bypass surgery. If you feel comfortable, you are capable of walking, coughing, and deep breathing. All of these are vital for recovering from bariatric surgery. In case you feel pain after surgery, the doctors apply PCA or patient-controlled analgesia that controls your pain. They often give you pain medicine which is safe as these are used for a particular medical purpose like surgery.

Follow-up appointments

The doctors care about your progress. So be in touch with them to make sure to get a speedy recovery after bariatric surgery. After 10 days to 3 weeks of your surgery, you can schedule an appointment with your surgeon. You will get this instruction while getting a discharge from the hospital. After doing the initial follow-up visit, you will need to visit the surgeon periodically – generally 6 weeks, 3 months, 6 months, and 9 months after the surgery. After that, you can schedule a yearly appointment. Try to inform your primary doctor of your progress. Make sure to contact him/her with every medical need also.

Avoiding some activities

You need to avoid all exhausting activities for at least 3-6 weeks after surgery. Avoid strenuous activities like pushing, lifting or carrying heavy loads for the first 3 months after this surgery. Don’t lift anything bulkier than 20-30lbs or don’t pull or push motions like vacuuming, amid the first 6 weeks after surgery. Don’t stand or sit without shifting for long periods. While sitting or walking, you must change your positions in place of standing still for a long. These tricks will prevent blood clots from creating in your legs. You can climb stairs for better results.

Caring for your wounds

You must take care of your wounds. You may find some tapes on your wound. You must remove the tapes if surgical staples were used. This doesn’t cause any pain. You should keep your wound clean and dry to experience quick healing. Shower it and wash with soap, rinse and make it dry properly. You can cover it using a light dressing if it is catching or oozing on clothing. Otherwise, keep it open to air if possible as it helps prevent infection. In spite of the best care, any wound can get infections. If you notice any symptom of infection, inform your surgeon right away. Don’t use any ointment if your doctor doesn’t prescribe you.

Exercising for a speedy recovery from bariatric surgery

Activities like daily walking and changing sitting or standing positions help promote blood circulation. Proper blood flow releases the creation of blood clots and speeds up healing. Walking, standing up and doing exercises after the operation will help you in lowering complications and recovering from gastric bypass surgery.

Once every hour after surgery, repeat the following exercises. It’s a better concept to practice all of them prior to surgery also, for increasing agility and lung functions.

  • The 1st night after surgery, you should stand at your bedside, sit up, and dangle your feet with the help of your physical therapist or nurse. The process may be painful but will be easier after practice. You will observe your strength returning and pain reduction every day.
  • The first day after surgery, you will be asked to get out of your bed and walk at least 3 times every day. Performing all breathing and leg exercises is mandatory. You may feel difficult to go for a walk initially, but it’s vital to try your best as much as possible.
  • The physical therapist or nurse will help you learn the ways of breathing deeply and coughing. They will showcase the using process of an incentive spirometer which helps maximize lungs. Deep breathing and coughing will loosen every secretion which may be in your lungs or throats and will prevent pneumonia as well. It also maximizes blood circulation and reduces anesthesia.
    To breathe deeply:

  • Deeply inhale as much as possible.
  • Hold your breath for almost 2 seconds.
  • After that, exhale totally.
  • Repeat the process at least 3 times.
    To cough properly:

  • Deeply inhale.
  • A cough must not come from your threat but not from your abdomen. Put a pillow on your abdomen to get support.
    To work out your legs and feet:

  • Toward the end of your bed, push your toes like you are pressing down something.
  • Toward the head of your bed, pull your toes and relax.
  • Circle your ankle at first to the right and then to the left.
  • Repeat the aforementioned procedure at least 3 times.
  • You Need A Lifelong Commitment!

    Bariatric surgery is just a physical tool to shed your extra pounds but you should be committed to making emotional and mental changes for long-lasting weight loss process. You should take supplements and vitamins after surgery for recovering from bariatric surgery. Manage your food and maintain workouts for the rest of your life.

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Are You a Candidate for Weight Loss Surgery?

Normally if you want to lose weight and get fit you only need to enroll at your local fitness gym, hire a coach and do sets of workout routine. However, for overweight people, it is a different case. Because of their addiction to food and inability to move as nimble as normal people, they require a special medical treatment to lose weight.

bariatric weight loss surgery

Overweight and obese people need bariatric weight loss surgery.

But how do you know if you need weight loss surgery? What are the criteria for it? Weight loss surgery is not for everyone, in fact, it is a life-changing decision that one will make that also requires a lot of strength and willpower. This isn’t liposuction or surgical sculpture in order to augment your physical appearance approximating that of what a fit person ought to look like. Bariatric surgery was developed in order to combat obesity and Overweightness and to give people a chance to become their true selves once more.

If you think you’re overweight or obese, then go to the nearest professional surgeon so he/she can determine whether or not you are a candidate for weight loss surgery. If the doctor has determined that you qualify for bariatric surgery, gastric bypass surgery, lap band surgery or gastric sleeve surgery, then make all necessary preparations as soon as possible. Your surgeon should schedule you a date for the surgery and inform you accordingly.

The Body Mass Index (BMI)

Also known as the Quetelet index, the body mass index or BMI is a formula that was derived from dividing the height of a person – squared – by their weight (mass). The unit of measure used for this formula is kg/m2. Often surgeons who offer bariatric surgery, gastric bypass surgery, lap band surgery or gastric sleeve surgery uses the BMI of a person in order to determine their qualification for the weight loss surgery. Technically, the BMI is not a means to specifically illustrate an individual’s percentage of body fat; however, it is very useful when categorizing an individual’s overall body weight versus the accepted standards.

To illustrate the margin of error that BMI has in calculating a person’s obesity, let us take for example someone who belongs in the BMI 40 category, this person is considered morbidly obese. However, there are people who have only 37 BMI and are still suffering from morbid obesity! So it only goes to show that BMI is only a means to an end and it is not the ultimate determining factor of an obese person and whether they’ll need weight loss surgery or not.

bmi chart

Here are the BMI ratios and their categories:

  • BMI 18.5 to 24.9: Healthy
  • BMI 25 to 29.9: Overweight
  • BMI 30 to 39.9: Obese
  • BMI 40 to 49.9: Morbidly Obese
  • BMI 50 or higher: Super Obese
  • Gastric Banding (Lap-Band) Surgery Candidacy

If you think you fit the description below, then you would be an appropriate candidate for gastric banding surgery (with the Lap Band). Continue reading to find out.

  • If you have BMI of 40 or higher. (This means that you are overweight and have an average weight of 45.4kgs or more.)
  • If you have a BMI between 30 – 36 and you’re suffering from one of more co-morbid health condition which is also obesity-related.
  • You’re 18 years old or older.
  • You have tried to lose weight fervently through diet and exercise, but have only experienced temporary weight loss success or was never successful.
  • You have no underlying health conditions that might cause abnormal weight gain.
  • You’re highly motivated to change your lifestyle, especially your eating habits.
  • You don’t consume too much alcohol.

You’re not currently pregnant. (In case the patient becomes pregnant, then the adjustable Lap Band may need to be deflated after it had been placed via bariatric weight loss surgery.)

Gastric Bypass Candidacy

gastric bypass surgery

  • If you have BMI of 40 or higher. (This means that you are overweight and have an average weight of 45.4kgs or more.)
  • Have a BMI of 35 or higher and suffer from one or more serious obesity-related co-morbid health conditions.
  • At least 18 years old.
  • May have passionately attempted to lose weight in the past more than once, but have little to no success from it.
  • You have no health conditions that may cause you to lose weight.
  • You are more than willing to make big changes to your lifestyle including your eating habits.
  • You don’t abuse alcohol consumption.

Sleeve Gastrectomy Candidacy

  • Have a BMI of at least 40.
  • You have one or more serious obesity-related co-morbid condition and your BMI is between 30 to 40.
  • You’re not a candidate for bariatric surgery, because of the risk factors if you’ll undergo the surgery has increased.
  • You’re between the age of 18 and 60 years old.
  • You’ve tried to lose weight before, but with minimal or zero success.
  • You have no preconditions or health problems that are a direct cause of your weight gain.
  • You have come to terms with yourself and are ready to modify your lifestyle with the objective to lose weight.
  • Do not excessively consume alcohol.

Basically, all these various bariatric surgery types should help you lose weight if you’re suffering from obesity or overweightness, provided you have the right mindset and are physically, mentally and emotionally prepared to undergo the procedure. Most people who are not genetically obese or are likely to be obese due to their genetic inheritance have a better chance at losing weight without having to go through bariatric weight loss surgery. So if you’ve reached a BMI of 35, then you had better decide to immediately go to your nearest ultimate fitness gym and burn all those calories until you’ll drop down to an ideal BMI. This will help you avoid becoming a candidate for weight loss surgery. Losing weight the natural way is so much better; however, in extreme cases we recommend do recommend the appropriate weight loss surgery for your BMI category.

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artificial sweeteners weight gain

Quit Artificial Sweeteners To Stay Fit And Healthy

Over the years, various studies have been conducted around the artificial sweeteners side effects. While all the reports were against, people were still considering taking the sweeteners, thinking they are harmless. Hold your horses if you are still hoping that science will give a green signal to the use of artificial sweeteners, you are completely wrong.
As per the latest statistics, 40 percent of American adults are obese and the contributing factor is processed foods and sweetened beverages. Because the manufacturers are using artificial sweeteners rather than sugar doesn’t mean sweeteners are healthy. If you ask me, these sweeteners are as harmful as sugar to the body.artificial sweeteners side effects

Artificial sweeteners – major cause of obesity and diabetes

As the time evolved, people switched to artificial sweeteners which in turn increased the risk of diabetes and obesity. Although sugar is harmful, the sweeteners are even more dangerous as the effects of artificial sweeteners on the body are detrimental. However, they affect vascular functioning causing impairments and many more disabilities.

Either it is sugar or artificial sweetener, continuous intake for three weeks harm the blood vessel lining to a greater degree, as seen in animals. More than sugar, the sweeteners appeared to be the worst. A study conducted recently showed that artificial sweeteners modify your body processing of fat thus producing energy at the cellular level. Another research by lead author Brian Hoffmann, it is seen that continuous consumption of sugar weakens the body because your body has the machinery to control sugar levels which break when overloaded for longer duration. And when we talk about sweeteners, they wear that machinery down. Why?

Because when you take sweeteners instead of sugar, the body is not getting the desired amount of sugar and lack in energy it needs. Here sugar is required to let the body function properly which sweeteners cannot provide – thus causing the body to wear down as your body will make the muscles its sugar source.

Artificial sweeteners promote fat storage

With regular intake of artificial sweeteners, your body gets prone to appetite, carbs cravings which further promote fat storage. Also, due to metabolic dysfunctions, the body tends to gain weight. Other than weight gain, these sweeteners have adverse effects like crossing the blood brain barrier to attack your brain cells and creating cellular overstimulation. Few disabilities linked to the increased use of artificial sweeteners are:

  • Signs of anaemia due to decreased red blood cells.
  • Increased male infertility because the sweeteners interrupt sperm production.
  • Kidney enlargement
  • Increased risk of miscarriage
  • Increased death rate according to a study done on rabbits

Other health issues

According to an in-depth scientific review published in the Journal of Toxicology and Environmental health, it has been revealed that sucralose (a sweetener) can cause cancer and endocrine disruption. As sucralose can destroy gut bacteria, an animal research showed it is capable to kill 50 percent of your microbiome. Since gut bacteria is important for the body, destructing it makes your body prone to unfriendly microorganisms, causing more health problems.

effects of artificial sweeteners on the body

Next, sucralose alters glucose and insulin levels and responses, pushing you towards diabetes. Not only do artificial sweeteners impacts insulin sensitivity, they also promote weight gain which is further related to many health problems like strokes and cardiovascular disease.

Drink lots of water for good health

Well, you now know how sweeteners can take a toll on your health, don’t you? To get rid of these artificial sweeteners, what you can do is drink clean water and say goodbye to adverse health effects. Like you know, the sweeteners are often linked with appetite stimulation, increased carb cravings, fat storage and weight gain, they can worsen your health beyond your expectations. In addition to that, artificial sweeteners have a long list of harmful effects, most of which are related to brain damage and intestine damage. So it is important for you to know how serious your health can be if sweeteners are taken regularly. Sugar is much better than sweeteners but of course, excess of everything is bad. As sugar promotes unhealthy bacterial growth, people lack in healthy bacteria already due to the consumption of highly processed foods.

Drink pure clean water as a zero calorie drink as there is nothing better than that. Water is the only beverage containing fewer calories so it is the best drink to ever have. Want some flavour to savour your taste buds? Squeeze fresh lemon into the glass and drink it. In addition, you can put a pinch of salt or sugar but just a pinch to add more flavour to your water drink. Rest, it’s your choice!

Be mindful about your health as processed foods are really bad unless you are doing yourself this favour of quitting such foods.

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bariatric surgery mexico

Benefits Of Bariatric Surgery For Diabetes Treatment

Currently, there are more than 150 million individuals in the world who have diabetes, and the number is increasing quickly. Most of these people have the type 2 diabetes type, that is associated with overweight and obesity, old age, family history, and insufficient exercise.

Unlike in patient with type one diabetes where the pancreases produce less insulin the type two patients have their pancreases producing enough insulin for no reason. Diabetes leads to strokes, blindness, blood vessel and heart disease, amputations, kidney failure, and nerve damage. Therapies such as diet, oral anti-diabetic drugs, exercise, and insulin do not cure this disease always.

Obesity is the potential risk factor for developing and progressing type 2 diabetes and losing weight is the component for managing this disease. The results of bariatric surgery are usually remission and weight loss in many patients. After this surgery, glycemic is put under control by combining an enforced caloric restriction, increasing insulin secretion, and enhancing insulin sensitivity. If your BMI (Body Mass Index) is 35 kg/m2 and above, it is necessary to consider undergoing this surgery to assist in curing diabetes.

However, data relating to the effects of the surgery on type 2 diabetes come from observational studies which lacked appropriate group controls, and the antagonistic medical antidiabetic therapy vs. relative benefits of the surgery. Randomized trials need to be put in place for those patients with mild obesity. You can argue that different procedures of treating diabetes vary from patient to patient because of the only existent evidence point to hormonal alterations, better insulin sensitivity, and weight loss as the solutions to this ailment.

Why Bariatric Surgery?

weight loss surgery mexicoSevere obesity is a critical stage when you have diabetes. You might find yourself in a struggle against weight and feel being in the weight gain cycle trap.
Additionally, you will have put in place diet monitors, but they fail making your weight to continue increasing.

More than ten years ago, the National Institute of Health (NIH) made a report that those people affected by unadorned obesity have resistance to conventional therapies that maintain weight loss like consuming fewer calories, commercial weight-loss programs, and increasing exercise. This institute recognized the bariatric surgery as the only treatment that can combat obesity and maintain long-term weight loss.

Bariatric surgery combined with a comprehensive treatment plan can be a useful tool for providing long-term weight loss and helping in increasing the quality of your health. This medicine has been helping in improving and resolving obesity-related conditions like heart diseases, type 2 diabetes, and high blood pressure. In most cases, those individuals that improve their weight will find themselves reducing their medication and treating obesity-related conditions.

How Does This Surgery Work?

Bariatric surgery like the gastric sleeve, gastric bypass, and laparoscopic adjustment banding, work by altering your gastrointestinal tract anatomy or by causing various physiological changes to the body which improve your fat metabolism and energy balance. Despite the bariatric surgery procedure, you will settle on with your surgeon; it will be imperative to mind that this surgery is your health tool and you need it for healing diabetes. Losing weight will also depend on complementary factors like behavior modification, exercise, nutrition, and much more.

By changing the gastrointestinal anatomy, some bariatric procedures will affect intestinal hormones production that will in some way reduce appetite and hunger, increasing feelings of satisfaction. This will result in the reduction of eating desires and the eating frequency. Fascinatingly, the surgically-induced hormonal changes are directly opposite to those dietary weight loss produces. Below are some of the differences in hormones produced by the dietary weight loss and surgery.

i. Hormonal Changes and Bariatric Surgery
Hormonal changes after the bariatric surgery improve weight loss by enhancing and maintaining energy expenditure. As a matter of fact, various operations usually increase energy expenditure concerning the body size. Therefore, unlike the dietary weight loss, weight loss from surgery has higher lasting changes as a result of creating appropriate energy balance.

ii. Hormonal Changes and Diet
In diet-based weight loss, expenditure of energy reduces to lower levels than it would reduce by changes and weight loss in the body composition. The unbalanced energy change in most cases will lead to weight gain.
Losing weight can be associated with several other shifts in the body that help in reducing fat metabolism defects. As weight loss increases, you will engage yourself in more physical activities. Those people that find themselves in weight loss trends always participate in activities like walking, swimming, biking, and more. Furthermore, increased physical activities in conjunction with weight loss will improve your body’s capability to burn fat, decreased stress levels, thus leading to a positive attitude. Mass weight loss resulting from bariatric surgery reduces hormones like insulin and cortisol, which improves production of several factors that reduces the storage and uptake of fats in the fat storage depots. It is very imperative to engage in physical activities for combating weight loss.

Bariatric surgery usually improves biological actions and other conditions for reversing obesity progression. According to studies, about 90% of bariatric surgery patients have the ability to maintain the long-term loss of weight by almost 50% of their weight. This surgery is a useful tool for helping you break the rancorous weight gain cycle helping you to achieve weight loss and improving the quality of your health and life.

Effects of Bariatric Procedures in Controlling Diabetes

bariatric surgery tijuana mexicoAfter undergoing this surgery, many patients lose more weight as compared to the traditional methods. Those patients with type 2 diabetes achieve better glucose control that leads to requiring fewer antidiabetic medications and achieving standard glycemic control.

However, not all bariatric measures will have a similar effect on diabetes and weight loss. There are two major types of bariatric procedure namely intestinal gastric procedures and restrictive gastric procedures.

i. Intestinal Bypass Procedures
Also, called biliopancreatic diversion, these systems restrict caloric intake just the way vertical gastroplasty and gastric binding do. However, since the small intestines are shortened, they possess an additional component of malabsorption for nutrients and fats. After intestinal shortening, patients will experience type 2 diabetes remission than in Restrictive gastric operations, even in patients with long-term diabetes and those using insulin.

 bariatric weight loss surgery

Therefore, you will experience different results from various procedures. The rate at which this disease reduces with the use of malabsorptive vs. restrictive procedures differs. After biliopancreatic gastric bypass, it takes a few days for diabetes to remit, even before the patient loses a lot of weight. The extreme loss in this procedure does not take place in restrictive gastric procedures.


ii. Gastric Restrictive Procedures
This method is also called the laparoscopic adjustable gastric binding, vertical gastroplasty, and sleeve gastrectomy. It limits the gastric volume, thus reducing calory intake by inducing satiety. After this surgery, the patient loses up to 20% of their weight.

weight loss surgery tijuana mexico
Several studies show that remission of type 2 diabetes takes place with vertical gastroplasty but not with the conventional medical therapy. The primary effect is mediated by loss of weight and improved sensitivity to insulin, which occur months after the surgery.


Benefits of the Bariatric Surgery

i. Improved Longevity
According to studies, those individual with obesity that undergo this surgery have a lower risk of death that those with obesity and those with obesity and do not undertake the operation. These studies show that more than 89% of patients who went for the surgery survived death over a period of five years. Another report states that deaths related to type 2 diabetes reduced by 90 % and 50% from heart diseases. Mortality rate with this surgery is remarkably low because people with obesity have poor health and complementary conditions at the time of surgery.

ii. Improved Psychological Status and Quality of Life
Besides improved longevity and health, weight loss from this surgery enhances the quality of life. The measure you can use to know that your life has improved are mobility, social interactions, work, and sexual functions. Unemployment, disability, anxiety, depression and singlehood is reduced significantly.

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dr alejandro lopez patient mandy

Mandy Lopez

Lost 110 Pounds

“Dr. Alejandro López, Thank you so much!!! You have changed my life, and I will forever be grateful to you and your wonderful team.”

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dr alejandro lopez patient amy

Amy Gschwend Harrell

Lost 159 Pounds

“1 year anniversary today! 79 inches gone along with 159lb. 1st pic is day of surgery and I had already lost 20 lb. I am so happy that I did this! Thank you Dr. López.”

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dr alejandro lopez patient jessica

Jessica Jalovec

Lost 95 pounds

“I had my gastric sleeve May 5, 2014. I’ve lost 95 pounds and couldn’t be happier! Thank you so much Dr. López! You’re an amazing doctor! I had a great experience and am so glad I chose you!”

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dr alejandro lopez patient ashley

Ashley Michelle

Lost 165 pounds

“1 year ago today I had RNY with Dr. Alejandro López, I started 325lbs. I have lost 165lbs. and about 20lbs. away from my personal goal. I haven’t had any complications I only regret I didn’t do it sooner. If you are considering any type of weight loss surgery I highly recommend Dr. Lopéz and his staff.”

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