The best version for your body Only in Tijuana Bariatric Solutions

       4 weeks before surgery

• Stop smoking or vaping (smoking slows down healing, potentially it coul cause tissue necrosis and stomach leak)

• Stop all pregnancy preventive oral medication and hormonal medication at least 3 or 4 weeks (hormonal medication increase blood clots risks)

• Stop consuming alcohol

• Stop beverages with caffeine, that includes energy drink (at least 2 weeks before surgery)

• Star walking or doing elliptical for 30min daily, patients with cardiovascular or joint diseases can inflate a balloon 5 times, 3 times a day.

• Star taking a multivitamin

1 week before surgery

• Stop all NSAIDs (Aspirin, baby low-dose Aspirin, Advil, Aleve, Ibuprofen, Nuprin or any other non-steroidal anti-inflammatory medication, this includes most arthritis medication). For headache or minor pains, you may use Tylenol (including the day of surgery)

• Regardless whether you have acid reflux/ heartburn or not, star taking Omeprazole ( 1pill 20mgs twice a day or 40mgs 1pill a day) in order to decrease stomach acidity and later acid reflux, nausea, inflammation, and swelling caused by the procedure.

3 days before surgery

• Star Full liquid diet

• The purpose of the liquid diet is to cleanse your stomach pouch an bowel from any kinds of solids; to reduce the amount of stomach acid produced, thus decreasing chances of having heart issue after surgery.

• It’s very important that you drink lots and lots of fluids during these period in order to be well hydrated for the day of your surgery

Day Trip to surgery

• Wear compression stockings (medium pressure, knee high), during your flight, practice leg muscle contraction during flight, get up and move every 45minutes, move your feet, theses are blood clot preventive measures.

• Wear comfortable clothes

• Continue the liquid diet

Surgery Day

• Stop drinking at midnight the night before surgery, if your surgery is in the afternoon your allowed to drink water during the day

• You may take medication for high blood pressure, anxiety or antidepressant as indicated by your physician early in the morning with a small glass of water

• You may brush your teeth normally

• Take a shower with soap the night before surgery or in the morning

• Take off all jewelry and contact lenses, if you cannot take your ring off, or piercing, anesthesiologist will wrap a pice of tape around it to protect your skin from burns. However in rare cases jewelry may interfere with the electrocautery machine an may need to but off.

• You may have acrylic/gel/polished nails but short (1/4 of inch). If your nails are too long, the oximeter will fall off and the nurses will have to shorten your index finger nail.

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From the first day of discharge, we recommend physical exercise appropriate to the patient, age and degree of obesity. Progressive moderate exercise (including swimming) can be performed at four weeks. Very competitive exercise should also wait 6 weeks.

Approximate weight loss: Type of Operation Lap Band: 50-55% of excess weight to be lost× Gastric Sleeve: 65-80% of excess weight to be lost× Gastric Bypass: 70-85% of excess weight to be lost Most weight loss occurs within the first 6-10 months in most patients. – “Weight loss in individual patients may vary depending on medical history and adherence to medical indications.”

Patients are usually admitted the evening before surgery. Most patients remain in the hospital for 2-3 days.

The complications of these procedures are similar to any other abdominal surgery and include bleeding, infection and obstruction. It will also depend on the associated comorbidities. However, these surgeries are no less safe than other techniques, and their risks are generally lower than leaving morbid obesity untreated.

The three types of obesity intervention that we perform require a period of adaptation in the diet after the operation. First a liquid diet is taken, then semi-liquid, soft, semi-soft and finally normal. During the period of liquid and semi-liquid diet, the patient must take “food supplements” which are purchased in pharmacies. The patient eats normally after 5-6 weeks.