• Post-operative diet
  • Why prefer proteins?
  • Food Rules
  • Consequences of changing the rules
  • General Recommendations



  • PREOPERATIVE EXAMS (Surgical procedures):

  • Complete Hematic Biometric
  • Complete Blood Chemistry
  • TP
  • TPT
  • Lipid profile
  • Thyroid profile
  • General urine exam
  • Abdominal Ultrasound
  • Medical evaluations (cardiac, nutritional and psychological)

  • Description:

    • The gastric band is placed at the top of the stomach to form an upper reservoir of approximately 20 ml.
    • The gastric band can be adjusted to be opened or closed depending on the desired effect.
    • The gastric band surgery is reversible.
    • Digestion and absorption are normal.
    Results:
    • The average weight loss in 28 months, is the 68% of excess weight.

    Video: "Gastric Band Surgery performed by Dr. Fernando Aceves"



    Risks:
    • Gastric perforation.
    • Escape or dislocation of the port access of the gastric band.
    • It may not get the desired feeling of satiety with the gastric band.
    • Nausea and vomiting.
    • Exit Obstruction.
    • Bag Dilation.
    • Migration of the gastric band or slipping.


    Description:

    • The gastric sleeve is a restrictive procedure.
    • Surgical procedure of most recent appearance for the control of obesity.
    • A probe of 60 fr is placed , splinting the lesser curvature of stomach.
    • Definitive procedure (70-80% of the stomach is extracted, greater curvature).
    Results:
    • Patients with gastric sleeve can lose an average of 65.2% of excess weight.
    • In addition, the gastric sleeve procedure inhibits the production of the ghrelin hormone, which occurs more in the background.

    Video: "Gastric Sleeve Surgery performed by Dr. Fernando Aceves"



    Risks:
    • Leaks.
    • Bleeding at the staple line.
    • Postoperative obstruction.
    • Gastric Reflux.


    Description:

    • For the gastric bypass, staples are used to create a small gastric pouch in the upper stomach to restrict the amount of food that you can ingest.
    • On the gastric bypass a portion of the small intestine is isolated to slow mixing with digestive juices to reduce the absorption of food.
    Results:
    • With the gastric bypass up to an average of 77% of excess weight can be achieved one year after surgery.
    • Studies show that after 10 to 14 years, patients mantained a loss of 60% of excess weight.
    • Studies showed that with the aplication of the gastric bypass a 96% of certain health conditions associated, improved or healed.
    • In many cases, the patients reported an early sensation of satiety combined with a sense of satisfaction that reduces anxiety eating.

    Video: "Gastric Bypass Surgery performed by Dr. Fernando Aceves"



    Risks:
    • Poor absorption of iron and calcium.
    • Chronic anemia due to a lack of vitamin B12.
    • Possibility of suffering Dumping syndrome (a neurological response to increased heart rate and cause sweating, headache, diarrhea, nausea and vomiting) to eat sweets, high-calorie liquids or dairy products.
    • Growth of gastric reservoir.
    • The isolated part of the stomach, duodenum and segments of the small intestine can not be easily viewed using X-ray or endoscopy.


    Description:

    • The gastric balloon is the method for the treatment of obesity which is performed endoscopically.
    • It involves inserting a silicone balloon in the stomach.
    • A small device, inert, volume-adjustable, acid-resistant, is a temporary procedure.
    Results:
    • It can promote weight an average weight loss of about 14 to 20 kgs (in a time of 4-6 months).
    Risks and Disadvantages:
    • The gastric balloon may remain only between 4 and 6 months in the stomach (procedure time).
    • You will gain weight once the balloon is removed.
    • Voiding spontaneously to migration, leading to colic and intestinal obstruction.
    • Vomiting and excessive saliva regurgitation.
    • Gastric fullness.
    • Abdominal pain in the left upper quadrant due to cuff inflation.
    • Gastric perforation.
    • Gastric ulcer.