• 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 band is placed at the top of the stomach to form an upper reservoir of approximately 20 ml.
    • The band can be adjusted to be opened or closed depending on the desired effect.
    • The 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.
    • It may not get the desired feeling of satiety.
    • Nausea and vomiting.
    • Exit Obstruction.
    • Bag Dilation.
    • Migration of the band or slipping.


    Description:

    • Restrictive procedure.
    • Staples are used to create a gastric tube that retains its natural outlet.
    • The surgery is irreversible (80% of the stomach is extracted, greater curvature)
    Results:
    • The patients studied achieved a weight loss similar to the gastric band.
    • Inhibits the production of the hormone Grelina, which occurs more in the background.

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



    Risks:
    • Nausea and vomiting.
    • Gastric sleeve growth.


    Description:

    • Staples are used to create a small gastric pouch in the upper stomach to restrict the amount of food that you can ingest.
    • A portion of the small intestine is isolated to slow mixing with digestive juices to reduce the absorption of food.
    Results:
    • On average one can lose up to 77% of excess weight one year after surgery.
    • Studies show that after 10 to 14 years, patients mantained a loss of 60% of excess weight.
    • Studies showed that 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:

    • Method for the treatment of obesity (non-surgical, non-pharmacological) via endoscopy.
    • Outpatient procedure.
    • Is the introduction of a ball or silicone balloon in the stomach under sedation (no anesthesia) and without pain.
    • The process takes about 15 minutes.
    • Digestion and absorption are normal.
    Results:
    • Weight loss of 15-20 kg in only 6 months.
    Risks and Disadvantages:
    • The ball may only spend a maximum of 6 months in the stomach.
    • May gain weight once retired.
    • Esophageal or gastric lesions (in the insertion or withdrawal).
    • Unease at the presence of intragastric balloon, in the first days after its introduction (stomach pain, nausea, vomiting and often).
    • Over time, the intragastric balloon may deflate, so it is very important that we do not stay more than 6 months (3 months if you have previous operations in the abdomen).
    • Can appear gastritis or gastric ulcer.
    • Once placed the ball, the process will consist in re-educate the patient in their eating and physicall habits. This learning will help the patient to keep or even pursue weight loss, once retired the intragastric balloon.