Question 1

What can be expected after Bariatric Surgery?

Accepted Answer

You can expect to lose between 65% and 100% of your excess weight in 12 months.
This weight loss helps improve pre-existing conditions and prevent diseases.

Question 2

When can I start exercising again after surgery?

Accepted Answer

Usually you can start at 14 days.

Take care of your joints (knees and ankles) when exercising, if you have any problems or do not want to put a lot of pressure on your joints, we recommend stationary cycling, water aerobics or walking underwater (remember to wait 10 days after surgery to submerge yourself in water).

Question 3

Would it improve my type 2 diabetes?

Accepted Answer

Metabolic surgery has been shown to improve glucose homeostasis more effectively than any other pharmaceutical or behavioral intervention.

((Statements endorsed by the American Diabetes Association (American Diabetes Association)(http://www.diabetes.org/newsroom/press-releases/2016/consensus-from-diabetes-organizations-worldwide-metabolic -surgery-recognized-as-a-standard-treatment-option-for-type-2-diabetes.html))

Question 4

Can I get pregnant after a bariatric procedure?

Accepted Answer

Yes. After the Sleeve and the Gastric Band you can get pregnant immediately but it is recommended to wait until you reach your ideal weight.

After Gastric Bypass it is necessary to wait 18 months due to nutrient deficiency during weight loss.

Studies have compared pregnancies of bariatric patients with those of people affected by obesity; bariatric patients have a lower rate of preeclampsia, gestational diabetes, and miscarriages.

Children of bariatric patients are also less likely to be overweight or underweight at birth.

Question 5

Will I lose my hair after bariatric surgery?

Accepted Answer

Some patients temporarily lose some hair between the sixth and ninth month after the Bypass procedure.

In your post-operative visits with Dr. Lizcelly, a specialist in bariatric nutrition, adjustments are made to your protein, vitamin and mineral intake to prevent hair loss.

It is important that you know that hair loss due to nutritional causes is only temporary and is reversible.

Question 6

Is there a diet before the procedure?

Accepted Answer

Yes. This diet is done in order to reduce the size of the liver and abdominal fat to facilitate the procedure and recovery.

Question 7

Can I remove my medications after the procedure?

Accepted Answer

With weight loss, it is very likely that you will stop taking medications for obesity-related diseases such as hypertension and diabetes.

It is important to monitor your development to make the corresponding changes.

Question 8

Can I reach my Goal Weight with just diet and exercise?

Accepted Answer

Yes, but it's hard for severely obese people to be successful with diet and exercise. When the diet is prolonged, the body makes biological modifications by reducing metabolism, increasing caloric absorption and hunger. When the diet is "broken" other changes occur that help obesity increase.

Slower metabolism, greater predisposition to fat accumulation and deterioration in the fat burning process are some of these changes.

The Panel of Experts of the National Institutes of Health (USA) recognize that “long-term” weight loss for people suffering from severe obesity is only possible through bariatric surgery.

According to scientific studies, only 5% of people who are on a diet manage to maintain long-term weight loss (3 to 5 years). [1][2]

Compared to 5% of diets, 90% of bariatric patients maintain a loss of more than 50% of excess weight in the long term. [3]

[1] Grodstein, Levine, Spencer, Colditz, Stampfer, 1996.(http://bariatricas.com/frequent-questions.php#)
[2] www.nationaleatingdisorders.org(http://bariatricas.com/www.nationaleatingdisorders.org)
[3] www.asmbs.org/benefits-of-bariatric-surgery/< /a>(http://bariatricas.com/www.asmbs.org/benefits-of-bariatric-surgery/)

Question 9

Does Dr. Rumbaut perform gastric plication?

Accepted Answer

No. Gastric Plication is in the research stage and its long-term results are not yet known. For us the most important thing is the health and well-being of our patients and therefore we do not consider offering this procedure until there is sufficient evidence that it is safe and effective in the long term

This is a procedure that the ASMBS (highest authority on bariatric procedures) considers should only be performed in an academic setting as part of a research protocol.

Here you will find the ASMBS link with more details.(http://asmbs.org/resources/policy-statement-on-gastric-plication)

Question 10

Bariatric surgery has grown in recent years, with so many surgeons to choose from, what is the most important thing to consider?

Accepted Answer

1. Experience:Most data suggest that the complication rate is directly related to the number of bariatric operations performed.Dr. Roberto Rumbaut21 years and more than 8,000 surgeries.
2. Active member of bariatric organizations:
    • Mexican Council of General Surgery, A.C.Go to site(http://www.cmcgac.org.mx/cgi-bin/DirectorioMedicos)
    • Mexican College of Surgery for Obesity and Metabolic Diseases, A.C.Go to site(http://www.cmcoem.org.mx/?q=certified-surgeons)
    • American Society for Metabolic and Bariatric SurgeryGo to site(https://asmbs.org/patients/find-a-provider)
    • International Federation of Surgery for ObesityGo to site(http://www.ifso.com/)

1. Follow-up commitmentThe result after surgery will depend on the joint work between the surgeon and the team.Statistically, success is more likely when you have the support of a multidisciplinary team (nutritionist, administration, doctors, follow-up visits, etc.)Multidisciplinary team and long-term follow-up
    • Our team of anesthesiology, nurses and surgeons have been together for 15 years.
    • Doctor specialized in clinical nutrition and obesity.
    • Psychiatrist.
    • Sports coach.
    • Management Team
    • First year post-operative appointments (9 Appointments) are included in the cost of surgery in order for our patients to keep a close follow-up and obtain the best results.

1. We carry out all the procedures endorsed by the ASMBS to offer you your best option and not the option that the doctor has the capacity to perform.Dr. Roberto Rumbaut performs:
    • Gastric Bypass
    • Gastric Sleeve
    • Gastric banding
    • Gastric balloon
    • Metabolic Surgery
    • Surgery in Adolescents
    • Robotic Surgery

1. Hospitals and Medical CentersThat the hospital where the procedures are offered has the experience.We are affiliated with the best medical centers in Monterrey:
    • AVE Medical Center
    • Swiss Hospital
    • Hospital San José TEC de Monterrey
    • Zambrano Hellion Hospital

Question 11

When can I return to work after the procedure?

Accepted Answer

If your job is desk-based, you can return in 3 days with a gastric band, 6 days with a sleeve, and 7 days with a gastric bypass. In the case of metabolic surgery it depends on the individual case of the patient.

If your work is physically demanding, a longer period of maximum 15 days is necessary.

Question 12

Is having had another abdominal procedure an impediment?

Accepted Answer

It could be, it is important to mention it to Dr. Rumbaut so that he can evaluate your case.

Question 13

Is suffering from heart disease a contraindication?

Accepted Answer

This is generally not an impediment. Your case will have to be evaluated with Dr. Rumbaut.

Question 14

Will I have excess skin after losing weight?

Accepted Answer

This depends on your genetics, excess weight, age, smoking status, sedentary lifestyle, sun exposure, etc.

Drinking plenty of water after the procedure is recommended to maintain skin elasticity, as well as consuming enough protein and weight-lifting exercise to firm the tissue.

There are patients who benefit from plastic surgery where excess skin is removed. This is recommended at least 18 months after your bariatric procedure.

Question 15

Will I have to take vitamins and minerals?

Accepted Answer

Vitamin and mineral supplements are recommended after any bariatric procedure, but are only necessary after Gastric Bypass.

Question 16

Will I have to diet and exercise after the procedure?

Accepted Answer

Yes. The Bariatric procedure is a tool that helps you reach your goal weight and maintain it.

It's an opportunity to change your eating and exercise habits to stay at a healthy weight for the rest of your life.

Question 17

What are the risks?

Accepted Answer

Like any surgical intervention, bariatric surgery can present risks, some serious and others simply annoying.

The risks depend on the patient's health condition, the procedure to be performed and the experience of the surgeon.

It is important to discuss these risks directly with your surgeon.

Question 18

How will alcohol affect me?

Accepted Answer

Sensitivity to alcohol (particularly if consumed during the period of weight loss) is increased.

The effects of alcohol are felt with fewer drinks than before surgery. Studies find that with gastric bypass the consumption of an alcoholic beverage increases blood alcohol to higher levels than before the procedure.

Therefore, certain precautions are recommended:
 • Limit consumption during the period of rapid weight loss.
 • Take into account that even small amounts can cause poisoning.

Question 19

Can I have health problems caused ​​by vitamin and mineral deficiencies?

Accepted Answer

Bariatric procedures can cause vitamin, mineral, and protein deficiencies.

These can cause fatigue, anemia, bone and muscle loss, impaired night vision, lowered immunity, loss of proper nerve function, and even cognitive defects.

Fortunately, everything can be avoided with a proper diet and the use of dietary supplements.

Our patients receive nutritional recommendations before and after surgery where their levels are monitored by our expert doctor in bariatric nutrition.

Question 20

Why Bariatric Specialties?

Accepted Answer

Bariatric specialties in a bariatric surgery center designed to solve problems of obesity and metabolic disorders.

We are the obesity center with the largest participation in the Mexican market in terms of solving highly complex cases and, therefore, the one with the most experience.

More than 8,000 surgeries support us and our success rates exceed the average for clinics in the United States.

Chat with us using WhatsApp

Contact us at: 210-200-8916

Especialidades Bariátricas
Dr. Roberto Rumbaut

Chat with us using WhatsApp

Contact us at: 210-200-8916

Especialidades Bariátricas Dr. Roberto Rumbaut

Especialidades Bariátricas
Dr. Roberto Rumbaut