top of page

Bariatric Health


which is a

bariatric surgery?

Bariatric surgery is a surgical procedure performed on people with obesity problems, who begin to present other health problems related to it, and diet and exercise have not given satisfactory results . 

Both the gastric sleeve and the gastric bypass have the goal of large-scale weight reduction.

Beyond the aesthetic aspect, bariatric surgery is considered a solution to reduce health problems caused by obesity, such as diabetes, high blood pressure, sleep apnea, and high cholesterol. A BMI greater than 35 is the first condition that must be met by those who wish to have surgery.

Subsequently, the patient is subjected to a review by a multidisciplinary team made up of nutritionists, psychologists, cardiologists and internists, who determine if they are a candidate for surgery or not.

Each situation must be thoroughly reviewed, and all doubts resolved with the treating physician. It is not enough to know that this surgery has been the solution for other cases of obesity, and if it is performed, it is important that the patient follow the doctor instructions to the letter and modify their lifestyle accordingly.

We have the best options to help you have a better quality of life. For your comfort, we perform obesity surgeries in certified hospitals with a team of professionals who will help you throughout the process to improve your health.





The gastric balloon (also called intragastric balloon) is a simple, non-surgical solution for weight loss, approved by FDA.

It consists of inserting something that is commonly known in Bariatric Surgery as a balloon into the stomach through the mouth by endoscopy. Once the balloon is in place, the surgeon inflates it with saline to fill the space in the stomach. The inflated balloon sits on the stomach and makes you feel fuller at a certain point as you start to eat your food.

This is a simple, non-surgical outpatient procedure that only takes between 20 and 30 minutes with most patients mild sedation they return home the same day. After the procedure, the balloon can stay in place for up to six months. During that time, the program specialist counselors will help the patient develop new eating habits that will make it easier for them to maintain a healthier weight once the balloon is removed.

Balloon removal is similar to placement. It is a 20 to 30 minute procedure with a mild sedative, the saline solution contained in the intragastric balloon will be emptied and the elimination of the ball will be made through the mouth.

The gastric balloon represents a viable option for overweight or obese patients who for some reason are not candidates for any surgical procedure.


  • Surgery is not required for its placement as it is performed endoscopically through the mouth.

  • It does not require general anesthesia, it is placed only with intravenous sedation.

  • It is ambulatory, its placement does not require hospitalization and the patient usually only remains in the hospital for a few hours.

  • It is temporary, it does not represent a definitive method and the treatment can last 3, 6 or 12 months depending on the type of balloon used.

  • Less cost.

  • Available to patients who may not be eligible for weight loss surgery.





The Gastric Sleeve is a surgery in which 85% of the stomach is cut and removed from the abdomen, this allows weight to be lost by two main mechanisms: Restrictive and Hormonal.


  • Restrictive: due to the stomach section, it will now have a gastric capacity of between 70 and 90 ml approximately, this will drastically decrease the portions you can eat and thus start changing your eating habits as soon as possible. which will offer long-term results.

  • Hormonal: By removing the stomach, the production of the hormone Grelina, which is responsible for producing appetite, is reduced by 95%, thus also reducing appetite and anxiety to eat.

Gastric sleeve surgery is performed laparoscopically, that is, through small incisions through the abdomen and with a speedy recovery, laparoscopic procedures are minimally invasive procedure, this method uses several small incisions, instead of one large incision as in traditional surgery.


Fiber-optic video cameras and specialized instruments are then used to perform the procedure through these small incisions.



  • Approximate duration of Surgery of 60 min.

  • Less recovery time.

  • Less scars.

  • Less discomfort or pain.

  • Quicker return to normal activities.





The ByPASS gastric is a type of bariatric weight loss surgery where the stomach and digestive system are modified to limit food intake; consists of sectioning the stomach leaving a reservoir of 30 ml. providing restriction of food consumption. Subsequently, the small intestine is sectioned and rearranged, generating the malabsorption mechanism, which further aids weight loss. This rearrangement of the small intestine maintains deflected the flow of bile and pancreatic enzymes from food and therefore limit digestion and nutrient absorption, reducing caloric intake and consequent weight loss.

Limiting the size of your stomach reduces the amount of food you can eat at one time and also reduces the amount “the hunger hormone” in your stomach. Also, the first part of the small intestine is bypassed, leading to less absorption of the food you eat. And if you eat non-recommended foods, such as too much sugar or fatty foods, an unpleasant feeling called “dumping syndrome” occurs due to the bypass.

The surgery lasts approximately 2 hours, it is performed laparoscopically, that is, through small incisions through the abdomen, resulting in a speedy recovery; Laparoscopic procedures are minimally invasive techniques. This method uses several small incisions, instead of one large incision as in traditional surgery.

Fiber-optic video cameras and specialized instruments are then used to perform the procedure through these small incisions.



  • Less recovery time.

  • Less scars.

  • Less discomfort or pain.

  • Quicker return to normal activities.



While cosmetic benefits seem like the most obvious reason for bariatric surgery, such as gastric bypass, the health benefits are actually much more significant:

    • Patients can lose an average of up to 80 percent of their excess body weight, with the most significant weight loss occurring in the first year after surgery.

    • Gastric bypass results are quick and long-lasting, and have been proven to increase the lifespan of patients by drastically curing or improving diabetes, high blood pressure, Sleep apnea and other life-threatening diseases related to obesity, such as metabolic syndrome.



Post-Operative Diet

This diet is designed for people recovering from weight loss surgery to help heal and change their eating habits. The diet specifies the type and amount of food you can eat at each meal. Closely following your diet can help you lose weight safely.


  • Allowing the staple line in your stomach to heal without being stretched by the food you eat.

  • So that you get used to eating small amounts of food that can be digested comfortably and safely in the new small stomach.

  • Avoid side effects and complications.


The diet consists of four phases to help relieve and return to eating solid foods. How quickly you move from one stage to the next depends on how quickly your body heals and adjusts to changes in eating patterns. You can usually start eating regular foods with a firmer texture about three months after surgery.

After weight reduction surgery, special attention should be paid to signs of feeling hungry or full. You may develop some food intolerances or aversions

Phase 1: Liquid diet (week 1-3)


While you are still in the hospital, you will start a liquid diet to see how you tolerate food after surgery. Phase 1 consists of a 3-week period:

Liquids that you can drink in the first week of phase 1 of the diet include:

  • Water

  • Tea

  • Gatorade

  • sugar free gelatin

Liquids that you can drink in the second week of this phase of the diet include:

  • Water

  • Tea

  • Natural fruit juice (orange or apple)

  • Gatorade

  • sugar free gelatin

  • Chicken soup

  • fish broth

Liquids that you can drink in the third week of this phase of the diet include:

  • Water

  • Tea

  • Natural fruit juice (orange or apple)

  • Gatorade

  • sugar free gelatin

  • Chicken soup

  • fish broth

  • Any type of fat-free bouillon or soup (avoid spicy substances that can cause irritation)


During phase 1 we should sip fluids slowly and drink only 2 to 3 ounces (59 to 89 milliliters) at a time. Do not drink carbonated or caffeinated drinks.

Phase 2: Purees (week 4)

Once you are able to tolerate liquid foods for three weeks, you can start eating pureed (pounded) foods. During this week, you will only be able to eat foods that have the consistency of a smooth paste or a thick liquid, without any solid pieces of food in the


To puree foods, choose solid foods that mix well, such as:

  • Lean ground beef

  • Lentils

  • Fish

  • egg whites

  • Yogurt

  • soft fruits and vegetables


Mixing solid food with a liquid, such as:

  • Water

  • fat free milk

  • juice without sugar

  • chicken soup


Keep in mind that your digestive system could still be sensitive to spicy foods or products

dairy products.

Phase 3: Soft solid foods (week 5)

After the week of pureed foods you will be able to add soft, solid foods to your diet. If you can mash the food with a fork and it is soft enough, you can include it in this phase of your diet.


During this phase your diet may include:

  • Ground or finely chopped meat

  • Soft canned or fresh fruit

  • Cooked vegetables

  • Toasted bread

Soft foods are usually eaten for eight weeks before eating regular-consistency foods with a firmer texture, as recommended by the doctor


Phase 4: Solid foods (week 6)

After 5 weeks on the diet, you will gradually be able to return to firmer foods. You may find that you still have difficulty eating spicy foods or foods with crunchy textures. Start small with regular foods to see what foods you can tolerate.

Please be sure to chew your food very well before swallowing.

It is very important that the amount of food and liquid is kept to a minimum (compared to the habits of the past), otherwise it can cause spasms of the esophagus with symptoms such as pain in the chest area, nausea or vomiting.

back to normal

Three to four months after weight loss surgery, depending on your situation and any foods you may or may not be able to tolerate, you can return to a normal, healthy diet. It is possible that the foods that initially irritated your stomach after surgery may become more tolerable during the healing process of your stomach.

To ensure you get enough vitamins and minerals and stay focused on losing weight, consider the following at each phase of the diet:

  • Keep food portions small. During the progression of the diet, you will need to eat several times a day in small portions and drink fluids slowly throughout the day (not with meals). You may start with six small meals a day first, then move to four meals, and finally, when following a regular diet, decrease to three meals a day. Each meal should consist of; about half a cup to a cup of food. Be sure to eat only the recommended amount and stop eating before you feel full.


  • Take vitamin and mineral supplements. You will likely need to take a multivitamin, so talk to your doctor about what type of multivitamin might be right for you, and whether you may need to take additional supplements, such as calcium.


  • Drink fluids between meals. Drinking liquids with meals can cause pain, nausea and vomiting, as well as dumping syndrome. Also, drinking too much fluid at or near mealtimes can make you feel overly full and prevent you from eating enough nutrient-dense foods. Drink at least 6 to 8 glasses (48-64 ounces or 1.4 to 1.9 liters) of fluids a day to prevent dehydration.


  • Eat and drink slowly. Eating or drinking too quickly can cause Dumping Syndrome - when food and liquid enter your small intestine quickly and in larger amounts than normal, causing nausea, vomiting, dizziness, sweating, and eventually diarrhea. To prevent Dumping Syndrome, choose foods and fluids that are low in fat and sugar, eat and drink slowly, and wait 30 to 45 minutes before or after each meal to drink fluids. Allow at least 30 minutes to eat your meals and 30 to 60 minutes to drink 1 cup (237 milliliters) of liquid. Avoid foods high in fat and sugar, such as regular or diet soda, candy, chocolate bars, or ice cream.

  • Chew your food well. Take small bites of food and chew them to a pureed consistency before swallowing. If you cannot chew food well, do not swallow it.

  • Try new foods one at a time. After surgery, certain foods can cause nausea, pain, and vomiting. Your ability to tolerate food varies from person to person. Try one new food at a time and chew it well before swallowing. If a food causes you discomfort, don't eat it. As time passes, you may be able to eat this food. Foods and liquids that commonly cause discomfort are meat, bread, pasta, rice, raw vegetables, milk, and carbonated drinks. Foods with dry, sticky or stringy textures will also not be tolerated from the start.

  •  Focus on protein-rich foods. Eating protein-rich foods can help heal your wounds, regenerate muscle and skin, and prevent hair loss. High protein, low fat options remain a good long-term diet option after surgery, too. Try adding lean cuts of beef, chicken, pork, fish, or beans to your diet. Low-fat cheese, cottage cheese, and yogurt are also good sources of protein.

  • Avoid foods that are high in fat and sugar. After surgery, it can be hard for your digestive system to tolerate foods that are high in fat or added sugars. Avoid fried foods and look for sugar-free options from soft drinks and dairy products.



You can substitute foods for others with the same nutritional properties.



Low-calorie iced coffee, yogurt, and milk are allowed

It is recommended to drink natural juices

Ritz crackers can be alternated with, salty cracker or habanera

Carbohydrate drinks are not recommended.

Bread, tortilla and plantains are not recommended.

Remember Chew, Chew, Chew!


bottom of page