Sunday, August 10, 2014

Gastric Sleeve surgery, also known as gastric reduction , gastric sleeve resection, vertical sleeve gastrectomy and vertical gastroplasty, is a relatively new form of weight-loss surgery that has gained popularity in Mexico and United States in the recent years with many weight loss surgery patients finding success in the procedure as an alternative to laparoscopic gastric band surgery. Gastric Sleeve Surgery corresponds to the first step in the restrictive part for Duodenal Switch, which is a combined procedure so restrictive as Malabsorptive performed in super obese patients.
Gastric Sleeve started to perform in patients with high surgical risk to a duodenal switch could be carried full and they only performed the gastric or restrictive (gastric sleeve surgery, or gastric resection sleeve), without making the Mal absorptive or (duodenal switch). In the long-term observation of patients, we have seen that they lose all their weight without requiring the Malabsorptive Duodenal Switch, for that reason, the Gastric sleeve is considered the gold standard in bariatric surgery, because the patient remains free of long-term overweight as well as associated diseases, such as: diabetes, hypertension, cholesterol, etchome-slideshow-responsive2

Since only a few cases completed the bad absorptive part of the Duodenal Switch, those patients who had a plateau of their weight loss after 12 to 18 months performed the gastric sleeve.


  1. Revision Surgery
    The incidence of morbid obesity and its surgical treatment have been increasing over the last few years.

    With this increase, there has been a rise in the number of patients who have had less than desirable outcome after bariatric operations, such as: Gastric Bypass or Sleeve Gastrectomy, in which case, there are other viable options to perform on failed attempts to lose weight as the Lap-band or Duodenal Switch.

    Gastric Bypass
    Patients generally seek revision weight loss surgery for two reasons:
    1) Failure to lose adequate weight and/or weight regain,
    2) medical complications (medical complications after Gastric Bypass may lead to failure). Failure after Gastric Bypass may be due to mechanical or metabolic reasons; the eating behaviors of a patient should be considered as well.

    Mini Gastric Bypass
    Revision of Mini Gastric Bypass operations are the same as for Roux-en-y Gastric Bypass. Bile reflux is a potential condition unique to this type of Gastric Bypass.

    Lap-band as a revisional procedure
    The gastric band has the advantage of being a less technically demanding revisional surgery, reportedly safe and with a low rate of morbidity. Malnutrition is not a concern, and resulting weight loss is substantial.

    Duodenal Switch as a revisional procedure
    Conversion from Gastric Bypass to Duodenal Switch is the most definitive revision procedure for inadequate weight loss or weight regain after Gastric Bypass. This approach addresses the issues of metabolic failure and maladaptive eating as causes of failure.

  2. 10 Golden Rules of healthy weight
    In order to lose weight and keep it off long term, diets and evolution of patient weight (before and after following the diet) must be supervised by professional nutritionists. Dr-huacuzWeight loss diets should educate about healthy eating so that later, the patient takes charge of their own food and avoid “yo-yo effect”. In the next article 10 golden rules are set to keep your healthy weight and prevent weight regain after dieting.

    Achieving a healthy weight and keep it off long term is a challenge for the overweight or obese dieters. Watch our food, in addition to increasing physical exercise is the key to proper nutrition and loss of healthy and effective weight. But … And after completing the diet? We know we can not dieting life, so we must learn to eat and instill physical activity routine to maintain our long-term healthy weight avoiding weight regain.

    A successful diet is that it teaches the patient how to eat, to do during and after following the diet, must be supervised by a dietitian or nutritionist. Many diets, especially the “miracle diets” which generally are not controlled by professionals, promote the well-known “rebound effect or yo-yo” with the lost weight and even some more kilos recovers, away back healthy weight we had reached. This is because these diets fail to achieve the first objective healthy diet whole; learn to eat.

    10 Golden Rules of healthy weight
    You yourself can apply 10 golden rules to keep in your healthy weight:

    Take care schedules: takes 5 meals a day, eating every 3-4h and avoiding prolonged periods of fasting that favor the sudden appearance of hunger.
    Watch rations: should be small, eating what fits in a dessert dish to avoid providing more calories than necessary.
    Cooking on a little fat: use microwave, oven, iron, cooking …
    Eat everything in moderation: follow a varied diet that includes all food.
    Opt for fresh food industrial avoiding high fat, sugar and artificial additives. Include in your diet whole foods and limiting alcohol.
    Hydrate with water: fill your stomach your thirst with soft drinks, alcohol or other beverages rich in sugars. If you are overweight you should not hydrated with drinks for athletes because they have high levels of blood sugar.
    Take care stress levels: relax, enjoy your moments of rest and sleep enough.
    Weight control without obsessing is not good weigh yourself every day, ideally once every fortnight.
    Do not be too disciplined and strict: learn to introduce into your diet healthy or “not so healthy” whims without feeling guilty or unnecessarily sacrifice.
    Take care when eating: do not do other activities while leisurely eating, chew food, watch your posture, taste the food, enjoy the moment, spend this time the importance it deserves.

    About Dr.Huacuz
    Dr. Daniel Huacuz is renowned bariatric surgeon specializing in Laparoscopic and Minimally Invasive Surgery. Being a Certified medical doctor in Mexico, Dr. Daniel Huacuz knows the complications involved in such procedures and works with utmost care and dedication to minimize the side effects of such procedures. The ingenuous care and craft with which he performs procedures has earned him the reputation of being the only surgeon in Mexico to perform Duodenal Switch Laparoscopic Surgery.