Here is a list and some information about all of the surgeries that Dr. Juan Francisco Hidalgo performs.
• Vertical Sleeve Gastrectomy (VSG) Gastric Sleeve
The Verticle Sleeve Gastrectomy (VSG) is a weight loss surgery that induces weight loss by restricting food intake. With this procedure, the doctors removes approximately 80-85 percent of the stomach laparoscopically so that the stomach takes the shape of a tube or “sleeve.” This procedure is usually performed on superobese or high risk patients with the intention of performing another surgery at a later time. This surgery may also be done on regular patients (BMI of 30+) who desire a lower risk procedure than the RNY Bypass while getting similar results. The second procedure a gastric bypass can then be done if necessary for the superobese to reach goal.
The vertical sleeve gastrectomy or the gastric sleeve, is a restrictive form of weight loss surgery in which approximately 85% of the stomach is removed leaving a cylindrical or sleeve shaped stomach with a capacity ranging from about 60 to 150 cc, depending upon the surgeon performing the procedure. Unlike many other forms of stomach stapling surgery, the outlet valve and the nerves to the stomach remain intact and, while the stomach is drastically reduced in size, its function is preserved. Again, unlike other forms of surgery such as the Roux-en-Y gastric bypass, the vertical sleeve gastrectomy is not reversible.
Because the new stomach continues to function normally there are far fewer restrictions on the foods which patients can consume after surgery, albeit that the quantity of food eaten will be considerably reduced. This is seen by many patients as being one of the great advantages of the vertical gastrectomy, as is the fact that the removal of the majority of the stomach also results in the virtual elimination of hormones produced within the stomach which stimulate hunger.
Perhaps the greatest advantage of the gastric sleeve lies in the fact that it does not involve any bypass of the intestinal tract and patients do not therefore suffer the complications of intestinal bypass such as intestinal obstruction, anemia, osteoporosis, vitamin deficiency and protein deficiency. It also makes it a suitable form of surgery for patients who are already suffering from anemia, Crohn’s disease and a variety of other conditions that would place them at high risk for surgery involving intestinal bypass.
Finally, it is one of the few forms of weight loss surgery in Mexico which can be performed laparoscopically in patients who are extremely overweight or who have a BMI of 30+.
• Gastric Bypass RNY Roux-En-Y
The Gastric Bypass surgery is considered by the American Society of Bariatric Surgeons and the National Institutes of Health to be the gold standard of weight loss surgery — and the single most successful procedure for excess weight loss and long-term weight control. A combination restrictive/malabsorptive operation, it is the operation of choice for most Bariatric surgeons in the United States. Studies show the Gastric Bypass has some patients more than 15 years post-surgery and maintaining about 75% of their excess weight loss. Now, with modern refinement of the operation, there are many patients losing 85% to 100% of their excess weight and keeping that weight off.
• With the Gastric Bypass you will stay 3 nights in the hospital and the surgery is done laparoscopically.
• The Gastric Bypass will help lower your blood pressure, eliminate type 2 diabetes, lower your blood sugars, improve your sleeping.
• The Gastric Bypass works by creating a small pouch for a stomach allowing the patient to feel full quickly and it also process most of the food in the intestine, allowing for most of the calories to bypass the body.
• Gastric Sleeve and Gastric Bypass Revision Surgery
If you have had a lapband or a prior gastric sleeve or bypass surgery, sometimes there is the need to do a revision surgery. Sometimes Dr. Hidalgo can remove the lapband and perform a gastric sleeve or a gastric bypass surgery. If you have a gastric sleeve that has failed you and want to revise the surgery to a bypass this is also another option for you. And finally sometimes gastric bypass surgeries need revisions as well. Dr. Hidalgo is a specialist in bariatrics and has performed many difficult revision surgeries. A revision surgery can get you back on track to a healthy and fullfilling life when you have gained weight or are having problems from your prior bariatric procedure.
• Lapband Procedure
We do not recommend this procedure at this time and strongly urge you to consider the gastric sleeve surgery or gastric bypass surgery.
Contraindications for weight loss surgery:
Bariatric Specialists feel that the Bypass surgery may not be right for you if:
• You have an inflammatory disease or condition of the gastrointestinal tract, such as ulcers or severe oesophagitis.
• You have severe heart or lung disease that makes you a poor candidate for surgery.
• You have some other disease that makes you a poor candidate for surgery.
• You have a problem that could cause bleeding in the oesophagus or stomach. That might include oesophageal or gastric varices (a dilated vein). It might also be something such as congenital or acquired intestinal telangiectasia (dilation of a small blood vessel).
• You have portal hypertension.
• Your oesophagus, stomach or intestine is not normal (congenital or acquired). For instance you might have a narrowed opening.
You have experienced an intra-operative gastric injury, such as a gastric perforation at or near the location of the intended band placement.
• You have cirrhosis.
• You have chronic Pancreatitis.
• You are pregnant. (If you become pregnant after the Lap-Band® System has been placed, the band may need to be deflated. The same is true if you need more nutrition for any other reason, such as becoming seriously ill. In rare cases, removal may be needed.)
• You are addicted to alcohol or drugs.
• You are under 15 years of age.
• You have an infection anywhere in your body or one that could contaminate the surgical area.
• You are on chronic, long-term steroid treatment.
· You cannot or do not want to follow the dietary rules that come with this procedure.
· You might be allergic to materials in the device.
• You cannot tolerate pain from an implanted device.
•You or someone in your family has an autoimmune connective tissue disease. That might be a disease such as systemic lupus erythematosus or scleroderma. The same is true if you have symptoms of one of these diseases.
• Weight Loss Team Doctors believes that patients with a “sweet tooth” will not do well with the Lap-Band® System and feels that the Bypass surgery or the Gastric Sleeve may be the better option for you. If you eat a lot of sweet foods, the bariatric specialists would prefer to do the Bypass operation. The same is true if you often drink milkshakes or other high-calorie liquids.
PLEASE USE THIS FORM TO CONTACT US REGARDING SCHEDULING A SURGERY WITH DR. HIDALGO:
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