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PROGRAMA BANDA GÁSTRICA

 

OBESITY

Obesity is a serious medical disease resulting from excess body fat.  It is typically defined as an excess weight of 45 kilograms (kg) or more as compared with a person's Ideal Body Weight (IBW). Being more than 25% above your IBW is linked with increased risk of health problems, disease and death.   

The BMI (Body Mass Index) is a weight and height calculation which helps determine weight-related health risks. 

BMI

GRADOS DE OBESIDAD (CLASIFICACION)

BMI CALCULATOR

Más info de obesidad

Statistics in the US

 

 

THE ADJUSTABLE GASTRIC BANDING STYSTEM

The adjustable gastric banding system is a minimally invasive surgery that involves applying prosthesis (the LAP-BAND) around the stomach- creating a small gastric pouch- and a calibrated opening to the rest of the stomach.

 

The advantages of the LAP-BAND surgery include:

  • Reduced surgical trauma and pain
  • Less invasive for the abdominal wall (small incisions) and for the stomach (no cutting or stapling of the stomach is necessary.
  • Shorter OR time
  • Shorter hospitalization
  • No stomach or intestinal rerouting
  • Can be adjusted according to the patient’s needs
  • Reversible

 

How it works:

By creating a smaller gastric pouch, the LAP-BAND system limits the amount of food that the stomach will hold at any time.  The inflatable ring controls the flow of food from this smaller pouch to the rest of the digestive tract.  The patient will feel comfortably full with a small amount of food.  And because of the slow emptying, the patient will continue to feel full for several hours reducing the urge to eat between meals.

 

 

SELECTION CRITERIA

  • BMI over 35 or over 30 in the presence of two or more comorbidities (diabetes, hypertension, sleep apnea, high cholesterol, etc.)
  • Over 18 years of age (exceptions can be made)
  • Obesity for more than five years
  • Failure of dietary or weight-loss drug therapy for more than one year
  • Comprehension of the procedure and compliance by the patient
  • Acceptable operative risk

 

THE PROCEDURE

The idea behind the operation is to create a small pouch in the upper part of the stomach with a controlled and adjustable stoma, without stapling, thus limiting food intake. 

A gastric band device is introduced through tiny (1cm) incisions in the abdomen and is placed around the upper part of the stomach.  The resulting pouch (or the “new stomach”) dramatically reduces the functional capacity of the stomach.  The band has a balloon from the inside that is adjustable and can reduce stoma size, thus prolonging the period of fullness.

The operation is performed under general anesthesia and can last between 30 minutes to 1 hour.  The band is fitted around the uppermost part of the stomach, forming a 15cc small pouch.  It is designed so that it can be inflated or deflated at any time after the operation.  This helps the patient continually lose weight until they reach their goals.  The restriction takes place in the radiology suite and normally takes 15 minutes.  This simple procedure is painless; they inject saline into a port placed under the skin in the wall of the stomach.  The tube that comes off of the band leads to the port.

 

ADVANTAGES OF GASTRIC BANDING

No cutting or stapling of the stomach

Can be adjusted according to the patient’s needs after surgery with no operation to adjust the stoma

Laparoscopic removal if necessary

Fully reversible

Short hospital stay (no more than 48 hours)

 

TIPOS DE BANDAS

 

FOLLOW-UP

Nutritional

Psychological

Comorbidities

Band adjustments

 

 

SURGICAL TEAM

Cirujano

 

MEDICAL STAFF

Dr. Bruno Roldan Melo

Dra. Carmen Calleja Enríquez

 

SUPPORT TEAM

Psicología

Personal 

 

FACILITIES

Fotos de clínicas

 

PAQUETES Y COSTOS

Financiamiento

 

FAQs

 

 

PROCEDIMIENTO

Eligibility questionnaire

 

Name

Phone

Address

City/State/Zip

Email

Occupation

Date of birth

Sex

Height

Weight

Family history of Obesity

            Parents

            Siblings

 

Cardiovascular

            High blood pressure

            Heart attack

            Stroke

            Heart failure

            Chest pain

            Varicose veins

            Phlebitis-pulmonary embolus

Respiratory

            Chronic cough-emphysema

            Asthma

            Sleep apnea

Gastrointestinal

            Hiatal hernia-heartburn

            Stomach ulcers

            Gallstones

            Constipation

            Blood with bowel movement

            Previous surgeries

            Dentures

Gynaecological

            Pregnancies

            Irregular menstrual cycle

            Premenstrual bleeding

Endocrine

            Thyroid

            Diabetes

            Cholesterol

            Triglycerides

            Other

Psychosocial

            Undergoing therapy

            Eating disorders

Musculoskeletal

            Joint pain

            Lower back pain

            Other

Any other diseases

Drugs

            Smoking

            Alcohol

            Substance abuse

Medications

Allergies

Previous weight loss programs

Overweight for more than 3 years

 

 
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