Trust Your Body to The Sleeve Specialists. We use theDouble-Butress Gastric Sleeve, the leakproof, fail-proof technique.
Gastric sleeve surgery is a procedure in which a vertical sleeve is created within the stomach through surgical stapling. The sleeve itself is thin and approximately eight inches long. As the sleeve is created, the rest of the stomach is stapled off the body. Food passes through your digestive system as it normally would and is fully absorbed into the body. However, the capacity for food within the stomach is now smaller.
The gastric sleeve helps to restrict food intake. With a portion of the stomach removed, less food is needed to make you feel full. You feel full faster, and therefore consume smaller amounts of food.
Patients who have received this procedure have experienced substantial weight loss, as well as other improvements to their overall health. Recent studies show that it produces not only similar weight loss as gastric bypass, but also, it actually has a metabolic effect where it controls diabetes, if present in the patient.
Gastric sleeve surgery (also known as sleeve gastrectomy) is a weight loss procedure that purposely restricts the amount of food that you can eat because you quickly feel full. The sleeve gastrectomy or "sleeve" is not a new procedure. It was originally part of a more complex procedure that required re-routing the intestines. This original procedure had excellent weight loss results but a high surgical risk and complication rate, as well as many undesirable effects.
Because this original procedure was very risky and done to high BMI (Body Mass Index) patients, there were many instances where the "sleeve" part of the procedure could be completed safely, but the "re-routing," which was more complex, was left as second stage done months to years after. This is when it was noted that the "sleeve" procedure (Gastric Sleeve) alone produced acceptable results with a much lower complication rate than the more complex original procedure. This has become very popular all around the world.
The OCC Improved Gastric Sleeve®, a new weight loss surgery technique?
Our 15 year accumulated experience on more than 16,000 patients is what sets us apart at OCC. We looked at the gastric sleeve technique and wanted to make it better. We wanted a safer, long-lasting procedure that is milder and causes less undesirable symptoms after surgery.
The OCC Improved Gastric Sleeve® is the result of years of experience and research in weight loss surgery. We have addressed the safety issue (staple line leaks) with The Double Buttress Over-Sewing Technique. The durability of the procedure (failure and weight regain) is also enhanced by reinforcing the staple line with this proprietary technique. The most common undesirable effect is heartburn symptoms (reflux disease and hiatal hernia). We have effectively diminished the problem with special attention placed on the GEF Triad (Gastro-Esophageal-Fundus Triad).
These are not just medical terms being thrown around. When looking for a permanent solution for excess weight through weight loss surgery, you want the safest possible surgery with the best doctors and a long lasting result, avoiding any possible side effect. This is what we now have named The OCC Improved Gastric Sleeve®.
Gastric sleeve is producing a substantial amount of weight loss in a relatively short period of time. A 65% EWL (excess weight loss) is reported in general in the literature at 18 months. For example, a patient that needs to lose 100 pounds (100 lbs. excess weight) will lose at least 65 pounds. Other factors that influence the total weight loss include how well prepared the patient is before surgery. Preparation not only includes mental and physical, it also includes nutritional preparation and it seems to be one of the most important determining factors for success. Pre-operative preparations include supplementation and protein intake, discussed later in this document. The follow up program may be the most important of all since weight loss surgery restricts the amount of food, calorie and nutrient intake, which can have varying degrees of success or failure; if not part of a well-designed and easy to follow program. This is why at OCC you will see that all patients undergo a pre-surgery preparation and are followed for 5 years after the procedure. OCC wellness is the online program that helps you achieve your goals.
Ideal is a really strong word. But at OCC we really believe that you can reach your goals. Ideal for us is someone who is mentally, physically and nutritionally prepared for this life changing procedure. If your overweight is above a 30 BMI or 30% body fat, you are definitely are a candidate. If you get the Gastric Sleeve you are without a doubt going to lose weight. Most patients "just" want to lose weight. At OCC we strive for life changing weight loss. This is only achieved by preparing for surgery and then through nutritional supplementation, and by designing a diet that can compensate for the malnourishment we have subjected our bodies for a long time.
Weight loss surgery should not be taken lightly. It should be a well thought out and planned decision that includes looking at all possible outcomes and selecting the best options for preparation, execution and follow up. At OCC we have made it easy, we are with you every step of the way.
Like in life, preparation is essential for a successful outcome, mental, physical and nutritional. Additional requirements may be suggested depending on your specific case.
Pre-operative weight loss will detox your liver, make it lighter and result in a quicker safer weight loss procedure with less impact on your overall status. Even a 5% of total body weight loss will result in a dramatic improvement on your heart output and overall ability to respond to the surgical stress.
Nourishment at a cellular level will require you to compensate for the deficiencies you have accumulated over the years and the deficiencies expected after weight loss surgery. Research has proven that the only way to replenish these deficiencies is through Bariatric Supplementation. This means that a Bariatric Multivitamin and a Bariatric Protein source prior to the Gastric Sleeve will enormously increase your safety profile and a successful outcome. Out staples are only as strong as the tissue it holds. Studies have proven that a well prepared patient will lose more weight and keep it off longer. It is simple logic.
Physical preparation will start you on your journey to success, and it literally starts with the first step you take. If you are new at physical activity or a seasonal athlete, there is always room for improvement. The more you move, the healthier weight loss you will encounter.
Mental preparation includes looking at the way we relate to food and being proactive at a healthier diet and lifestyle. Anybody who is overweight is an expert at the good, the bad and the ugly. We just need to be intentional about it.
The Gastric Sleeve seems to be a straightforward simple procedure to perform, but technically speaking it proved to be far from that when the procedure started its journey to popularity around the world. It requires specialized equipment, settings, training and advanced bariatric surgical expertise to achieve a safe complication free surgery. Success isn't just waking up from the surgical procedure without any complication, it's much more than that. You want a quick recovery. You want a "sleeve" that will produce weight loss without adverse symptoms, free of complications and failures. You want it to last. So what's the secret? Here's a decade and half worth of wisdom on the subject.
The key in weight loss surgery is, as is in many medical disciplines, to control variables. This means to do the best possible procedure on the best possible candidate without any surprises, and to do it exactly the same way day in and out. Controlled variables is what leads to a safe and effective surgery, free from complications and failures, which facilitates a quick and uneventful recovery.
The gastric sleeve is like any weight loss procedure, it has its own set of complications and adverse effects. The most feared is the leaking of the stomach content through the staple line into the abdomen after the surgical procedure. This is commonly referred to as a 'leak' and is a severe complication that is critical, difficult to treat and deadly. Is it totally avoidable? At OCC we consider that most complications are avoidable. In fact, the highest incidence of 'leaks' are reported on patients undergoing a revision surgery. This is usually a patient that had a gastric band and wants it removed and converted to a sleeve. In our experience, of thousands of cases, we have never experienced a leak and we want to keep it that way. How precisely can we avoid this complication? We select the ideal patient with the best possible pre-surgical preparation in the most advanced settings, with the most qualified staff and the most expert surgeons, which logically results in the best possible outcome.
Learn more about Gastric Sleeve Complications
The Double Buttress Over-Sewing Technique. In a more reader friendly description, we use the zip-lock® philosophy. Two seals are better than one. Not only does our over-sewing the staple line avoid leaks, it actually reinforces the area which is prone to dilation that leads to failure and weight regain. This over-sewing creates a more even, uniform and symmetrical sleeve that avoids the kinks and narrowing of the stomach that frequently leads to undesirable symptoms like nausea, vomiting, varying degree of food intolerance, heartburn and reflux disease, and later on obstruction.
Special attention is dedicated to reflux disease since it is a more frequent complication which is not as life threatening as it is incapacitating after the procedure. This is reported up to a third of the patients undergoing a gastric sleeve. At OCC we have redesigned the technique and simply call it "The new improved sleeve". What's new about it? It addresses all the major potential side effects and complications and effectively mitigates them before they happen. A careful hiatal exploration (an area where the esophagus passes from the chest into the abdomen through the diaphragm) and correction of anatomical anomalies like the frequent "hiatal hernia" prevalent in overweight patients.
This is what makes OCC a logical choice, after 15,000 procedures and an impressive reputation built on a solid foundation and successful outcomes on happy healthy individuals.
We got your back! Our variables have been addressed and standardized to the highest requirements of excellence. This means that our hospital, equipment and staff have been awarded the designation of International Center of Excellence. Our surgeons are also designated as Surgeons of Excellence by the independent corporation SRC based in the United States. Our surgeons are not followers, they are leaders in their field, credited with many of the advances in modern bariatric surgery. Our OCC gastric sleeve is the most advanced technique available at any center. We have addressed these adverse effects before they happen.
Heartburn and reflux seems to be the predominant complaint after sleeve gastrectomy. At OCC we have adjusted the technique to let the body heal properly and avoid this uncomfortable and sometimes frequent symptom months after the surgery is performed.
A safe surgery is a result of team work. We have our end down to a science. Well it actually is a science! The patient has a huge responsibility in this team work. A surgeon cannot change the state of health and the condition of the tissue he works with once inside the operating room. This job is done in pre-surgical preparation that starts weeks before the actual surgery. Two main goals are, weight loss prior to the surgery and better nourishment. Our nutrition team has direct contact with our patients to prepare them for surgery, guide them through their initial weight loss and nourish their bodies through Bariatric Multivitamin and supplements, as well as protein intake. This is not negotiable. Every patient undergoing gastric sleeve surgery should be optimally prepared for the 30 to 45 minutes that will change their lives. Team work starts with you!
Our advanced OCC surgeons use the double-buttress technique that prevents leaks, pouch enlargement and failure and at a very affordable price.
In this procedure, a thin vertical sleeve of stomach (approximately eight inches long) is created using a stapling device, and the rest of the stomach is removed. Food passes through the digestive tract as usual and is fully absorbed into the body.
Mexico's gastric sleeve patients experience a significant weight loss and improvement in their health. Weight loss outcomes are comparable to gastric bypass.
The Obesity Control Center® performs all gastric sleeve procedures laparoscopically, which is minimally invasive. Laparoscopic surgery usually results in a shorter hospital stay, faster recovery, smaller scars, and less pain than open procedures. Our highly qualified gastric sleeve surgeons in Tijuana also exclusively feature the double-buttress technique that prevents leaks, pouch enlargement and the potential for future failure.
At OCC we invest in your health! You get:
Why do we double up on everything?
Simply because it makes surgery safer for the patient and more enjoyable for us. Our average number of surgeries is 6 a day for the past 10 years. There is a lot of accumulated experience backed up by our Centers of Excellence designation and we are hard at work every day. We can't make surgery enjoyable so we make it uneventful. Depending on the type of gastric sleeve surgery requested prices can vary from around $6500 to $9000 dollars. We suggest you look into testimonials online, talk to other patients and don't be misled by price. The savings by coming to OCC is around 50% of the cost in the US, don't chance it by looking for the lowest price. Your health and wellbeing are very valuable.
Great question, unfortunately latest research has non-conclusive evidence. A gastric sleeve will reduce the size of the organ and also the part that predominantly produces the Ghrelin hormone that has also been referred to as "the hunger hormone". When the procedure is performed, this hormone tends to decrease weeks after the procedure. Medical studies have also seen this pattern in patients undergoing gastric by-pass surgery, as well as the stomach sparing variety of the gastric sleeve commonly known as the gastric plication. In these cases no stomach tissue is removed, but the same hormonal effect is observed. So to answer the question, yes the hunger hormone decreases. Are patients less hungry? Yes. Are they healthier because they eat less? Are they better nourished? We will answer these questions as you undergo our program which aims for a healthy fat loss with lean mass sparing.
Most patients require several months to adapt to the procedure. This is usually predictable so our nutritionist will always prescribe a nutritional regimen that is easy to follow and will allow the patient to gradually move up to the following stage. From a totally liquid diet for a few days, then liquids include the Bariatric Protein Meals and slowly move into mushy food and finally a normal diet.
Daily activities and exercise should also progress at the same rate, but the surprising fact is that most patients recover much quicker than they thought; in fact, energy levels are usually higher than expected when the nutrition plan includes the Bariatric Multivitamin and Bariatric Protein Shakes recommended by our team of experts.
The only thing you can't do after surgery is over eat without having severe discomfort, nausea, even vomiting. Ideally most patients will return to three normal meals a day and three snacks between meals.
Impact of the Gastric Sleeve on Diabetes and the Metabolism
In the fight for Obesity and Excess Weight, the only proven method that outlasts common methods is bariatric surgery. Recent advances in the field have proven that these weight loss surgeries not only dramatically influence the excess weight a patient carries, it also balances out the metabolism of an individual, especially the insulin and blood sugar levels. This is why weight loss surgery is now called 'Metabolic surgery'. How exactly surgery regulates insulin, blood sugar, diabetes, cholesterol, lipids and sleep disorder (sleep apnea) is not completely understood but, it is a fact that it has a direct impact and controls, and many times cures, these life threatening diseases.
The Obesity Control Center is an internationally recognized weight loss surgery center, that offers advanced treatment and professional care to patients who wish to achieve their weight loss goals. Dr. Ortiz and Dr. Martinez are experienced in Lap Band, gastric bypass and gastric sleeve surgery. They also offer revision weight loss surgery and adolescent weight loss surgery in Tijuana, Mexico.
For more information about our facility you can visit the Mexico Bariatric Center Of Excellence page