Based on age, degree of obesity, family history, accompanying diseases, occupation and the individual wishes of the patient.
For younger patients, we suggest choosing a more definitive procedure like Gastric Bypass that would work throughout one’s entire life. In older patients with preexisting conditions to consider, choosing an intermediate procedure like VSG is a good idea. In the case of patients with serious operative risks, we suggest opting for a more temporary procedure like the intragastric balloon for 6 months to improve clinical conditions.
The degree of obesity is established based on weight, divided by height, in centimeters squared and is known as Body Mass Index (World Health Organization).
|Normal||18.5 a 24.9|
|Overweight||25 a 30|
|Grade Obesity I (mild)||30 a 34.9|
|Grade II obesity||35 a 39.9|
|Grade III obesity||Más de 40|
|SUPEROBESITY||INDEX EXCEEDS 50|
A patient with grade II obesity or a BMI of more than 40, combined with Diabetes Mellitus Type 2, elevated cholesterol and / or triglycerides, or other conditions. BMI and Blood Pressure diseases are the precise factors for a candidate of Obesity Surgery.
A grandes rasgos:
|Obesity Grade I and II||Intragastric balloon|
|Grade II obesity with Comorbidities||Sleeve or Gastric Bypass|
|Grade III obesity||Gastric bypass|
|Superobesity (IMC >50)||Intragastric Ballon or Pre-Gastric Bypass|
Use this chart with some reservation, since each patient should be treated individually and in accordance to the state of health at the time of their intervention.
If you have body mass index (BMI) of 40 or more, or a BMI of 35 and some associated disease(s) such as high blood pressure, diabetes mellitus, high cholesterol or triglycerides, sleep apnea and / or cardiological problems due to obesity.
You must comply with pre-op testing and checks including a cardiological assessment which will decide if you are acceptable for intervention, and a psychological and nutritional interview according to the Mexican Official Standard for the Treatment of Obesity.
18 or older as long as there are no cardiac complications
Preoperative laboratories include a full blood count to rule out blood disorders and clotting. Blood chemistry for evaluating glycemia (blood sugar levels) and kidney function. Blood type and liver function tests, and of course your general nutritional status.
Abdominal ultrasounds to rule out cholelithiasis, and an evaluation of the liver and stomach for tumors. X-rays to assess the lungs, esophagus, and a series of gastro duodenal to investigate the intestinal tract, or an endoscopy to evaluate the anatomy of the digestive tract.
An electrocardiogram for the evaluation of the heart and lung function and a required stress test.
All major surgeries carry risks. However, risks are in direct relation to the overall status of the patient, their metabolic control, and preoperative evaluation by the cardiologist.
The selected anesthesia is based on your individual health, but most patients require intravenous, general anesthesia. Sedation is used for the insertion of the intragastric balloon.
On average 3 hours .
In general, laparoscopic or minimally invasive surgery is used unless the patient’s life is at risk, then the doctor can choose a more conventional surgery.
On average three days .
On average 24 hours, and after the radiological study. Liquids will be introduced during the 14 days after surgery and will evolve into broths and soups, porridge and eventually reach a normal diet in small amounts.
Anywhere from 7 to 14 days, depending on your previous physical conditional and work.
In one week you can start with a walk, then a trot and evolve into cardiometabolic exercises. Muscle tone and fitness exercises can resume, on average, after the three months depending on the patient.
The cost of surgery is variable and depends mainly on the type of procedure performed and the hospital where it will be held.
The cost of surgery varies and depends mainly on the type of procedure performed and the hospital where it will be held.
To speak personally with Dr. Jesús Núñez about the actual costs of a particular surgery, please call his cell: (999) 9 00 59 05 or send an email to firstname.lastname@example.org.
Hospitals to choose from are:
Of course, but you should ask for it with plenty of time in advance.
Especialista en Cirugía de Obesidad y Diabetes por Laparoscopía
CED. PROF. 1371863 UAT / CED. ESP. AE: 011111 UNAM