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Bariatric Surgery Program

Luis A. Betances, M.D., Director of the General Surgery and Laparoscopic Department in CEDIMAT, along with a highly qualified group of professionals, has created a multi-disciplinary medical unit, and has designed a bariatric surgery program in CEDIMAT, that has been internationally recognized by other bariatrical institutes as a “Center of Excellence”.

Program Objectives:

The main objective of this program is creating an Eating Order for our patients. This means, to directly attack the main cause of obesity, which are Eating Disorders. This can de accomplished with adequate counseling in order to achieve control and balance between quality and quantity of food intake. The quantity of food will be regulated by surgery.

Pre-Surgical Evaluation (Screening):

A good pre-surgical evaluation (screening) is very important, because there lies the frequency of complications and possible success of the procedure. Pre-surgical evaluations are made from a physical and a psychological stand point. For the physical examination, all physiological bodily functions are evaluated mainly to calculate the risk of surgery. Any aspect of this examination that results negative has to be corrected previous to surgery. Obesity indicators are also evaluated in order to decide if the patient is or is not a candidate for obesity control surgery. This includes weight, excess weight, percentage of excess weight, and body mass index (BMI).
 

Procedures:
Adjustable Gastric Band

Adjustable Gastric band Gastroplasthy is purely restrictive, which means that no changes are made in food adsorption or food digestion. Only the food entrance to the stomach is restricted. This procedure places a silicone adjustable gastric band (Lap-Band ®) in the upper part of the stomach, leaving a small sized stomach of approximately 15 ml. to 20 ml.

Gastric Bypass

In this procedure, a malabsorbtive component is added to the restriction of the amount of food intake, in order to obtain a higher level of weight loss. This is achieved by-passing part of the stomach and lower intestine of the patient, therefore changing the path of food through the body.

Results

By the end of the first year of treatment, results are analyzed according to the loss of excess weight. If the patient looses less than 25% of his excess weight, it is considered a bad result. If the patient looses between 25% and 50% of his excess weight, results are considered regular. If the patient looses between 50% and 75% of his excess weight, results are considered good. When the excess weight loss exceeds 75%, the results are considered excellent.

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