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(US) +(619) 679-6461
(México) +52 (669) 266-7067
Address
Erasmo Castellanos 1874-202,
Zona Urbana Rio Tijuana,
CP 22010 Tijuana, B.C. Mexico.
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FREQUENTLY ASKED QUESTIONS
I am a person that is first and foremost a person with a positive outlook on life, that looks to understand people and do not carry with me any preconceived notions about people that I meet or come across. I am a person who is willing to learn from others through discussion and understanding. I am a very self-motivated and driven person.
I studied medicine and specialized in general and advanced minimally invasive surgery (laparoscopic surgery). I then specialized in kidney transplant surgery and bariatric surgery. I formally started my career as a surgeon in 2013, and to date, I have performed over 250 kidney transplants at various transplant hospitals throughout Mexico.
I am also specialized in pancreatic surgery, having preformed over 80 cephalic duodenopancreatectomies (Whipple procedure) primarily regarding pancreatic cancer, which is one of the most challenging procedures for a surgeon.
I have performed over 10,000 bariatric surgeries, including gastric sleeve, gastric bypass, and gastric revision surgeries. I have extensive experience in the comprehensive care of patient compilations after general and bariatric surgery. It is important to remember that all surgery, whether “simple” or “complex”, has risks. My rate of patient complications in surgery is 0.06% (which is very low when compared to what is reported in medical literature).
I work alongside a multidisciplinary medical team that support me in conjunction with CENTRO QUIRURGICO JL PRADO (our surgical center in Tijuana BC). I continually travel to different cities throughout Mexico to perform high-specialty surgeries, such as transplants, pancreatic, and bariatric surgery.
The commitment to my patients is unmatched, giving the best pre- and post-surgical care to offer. My team and I are continuously reviewing the latest medical journals regarding new procedures, techniques, and tools. We attend conferences and congresses in bariatric surgery, kidney transplant and general surgery, to always offer updated and cutting-edge care.
As a man, my greatest joy in life is my family and friends, but as a professional, my greatest passion in life is to be a surgeon and serve people to the best of my capacity and skill. I strongly believe in the creed, of “He who does not live to serve, does not serve to live”.
Please feel free to contact me, I want you to feel comfortable and secure in your decision and I want to help assist you with any questions or concerns you may have.
I invite you to be part of our new bariatric surgery support group!
On multiple occasions I have performed up to 10 bariatric surgeries in a single day. This is achievable thanks to the accumulated experience and the multidisciplinary team that supports me. I think that an average number of surgical procedures per day is between 3 and 5. This allows us to have a closer relationship and to be able interact with our patients in a more dynamic way.
There is no doubt, BARIATRIC SURGERY is the gold standard procedure that can help people correct obesity problems and their complications. Thousands of patients have had this procedure done with amazing, long-lasting results. The science and observable results are overtly obvious. So much so, that I can say is that I’m also a patient! I’m a sleeved patient and I feel great! I have experienced the benefits of the bariatric surgery firsthand!
- Black Car/Chauffeured transportation to and from appointments and Hotel
- Pre-Operative surgical testing including labs, EKG, Metabolic test and surgical clearance
- Personalized Consultation with Registered Dietitian and Board Certified, Fellowship Trained Surgeon
- Includes All Surgeon, Assistant Surgeon, Anesthesiologist, Facility and Pathology Fees
- Pre- and Post-Operative dietary plans
Bariatric surgery is the method that has proven to be the most effective in the treatment of obesity. In addition to helping to control chronic degenerative diseases (diabetes mellitus, hypertension, kidney problems, fertility, joint problems, among others), it improves the quality and life expectancy of people. Losing weight also has a very favorable effect on psycho-social development and helps reduce self-esteem issues. There is clear evidence that bariatric surgery is not only effective in treating obesity and metabolic diseases such as diabetes mellitus 2, but it is also cost-effective, which means that the health benefits are achieved at an amazing price in Mexico.
This procedure is of great benefit to patients with a body mass index between 30 and 35 Kg / m2, and presenting with comorbidity factors such as diabetes mellitus, hypertension, fertility, joint problems, etc. The procedure will reduce and, in many cases, control these comorbidity factors that results in a better quality of life
- When researching weight loss clinics, it’s important to request a break down or explanation of everything that is included in the price. It’s possible that additional services/fees may not be disclosed, with additional costs being billed to you.
- We are an all-inclusive Surgical Medical Practice that bundles all services and fees into one easy and convenient premium package that gives you peace of mind.
- With just one service fee, you will receive our already discounted rate, with no surprise billing or extra fees, which includes all medical services found in the procedures page.
- 25,000 General surgeries 10,000 Bariatric Surgeries 250 Kidney transplant. From countries :USA, Holland, Spain, Singapore, Germany, Puerto Rico, Dominican Republic, Nicaragua, Honduras, Colombia, , Canada, Mexico
Occasionally there is negativity that surrounds traveling to Mexico by mainstream media as unsafe. Mexico is a very safe place, especially when traveling to the right places, as it true is in all parts of the world.
Tijuana has become the number one destination in the world for medical tourism, especially for procedures like bariatric surgery, plastic surgery, dentistry, and ophthalmology treatments among other medical services. And as I commented earlier, I have a multidisciplinary medical team and surgical unit, who will take care of you before, during, and after your procedure
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That will be decided once the online application is filled out and reviewed by Dr. Steven Khan and Dr. Fredy Lopez. Then we can suggest which procedure will yield the greatest benefit taking into account various factors such as: age, gender, medical and surgical background, obstetrics, weight, height, and body mass index.
IF I HAVE BAD ACID REFLUX, WILL I BE OK UNDERGOING A GASTRIC BYPASS
25% of the patients that have a history of acid reflux usually have a hiatal hernia (in the gastroesophageal junction).
During the gastric sleeve procedure, if we identify the existence of a hiatal hernia, we will repair it, to prevent pathological episodes of reflux in the future. In these cases, a hiatal hernia repair would result in an additional cost (we record video during the procedure to show evidence to patients afterwards).
It varies case by case and person to person. The results will depend directly on your adherence to nutritional and physical management after surgery. The surgery must be accompanied by a change in lifestyle. Studies have been conducted in thousands of patients between 6 months and 2 years after bariatric surgery, they have found improvement in aspects such as mood, depressive symptoms, body image, sociability, and physical health, among many others.
A bariatric surgery is considered successful when there is a loss of 65% of the overweight mass of the patient within a period of 1 year. In my opinion, a successful bariatric surgery is when a patient is able to lose the excess weight and maintain their ideal body weight. This is something our Nutritionist can assist with.
IN GENERAL, BEFORE AND AFTER SURGERY, WE CAN OBSERVE THE FOLLOWING BENEFITS:
- WE CAN OBSERVE THE FOLLOWING BENEFITS PRE- AND POST SURGERY
– The patient will start to lose weight prior to surgery with the pre-operative diet.
- Within the first three to four months after surgery this is when patients will lose more weight.
– Reduction of 65 to 70% of overweight mass and in some cases 100% loss.
– Weight loss is very similar between gastric sleeve and bypass. I like to reserve the bypass for patients with severe gastroesophageal reflux and patients who have comorbidities such as diabetes mellitus mainly. With a bypass we will have a better control of metabolic diseases.
– Metabolic benefits, include an 80% resolution of diabetes (elevated blood sugar/glucose levels), a 65% resolution of hypertension (elevated blood pressure) and 90% improvement of dyslipidemia (high level of cholesterol and triglycerides in the blood).
– With the surgical treatment of obesity, weight loss and control of comorbid diseases yields much greater and long-term positive results in comparison to pharmacological therapy alone.
- Phase One (Week 1): Continue with clear liquids only.
- Phase Two (Week 2): Add thick liquids to your diet.
- Phase Three (Week 3): Add pureed foods and soft solids to your diet.
- Phase Four (Week 4+): Add solid foods slowly. Remember to give your stomach time to heal and reduce swelling.
Yes. Regardless of the type of bariatric surgery that has been performed, it is important to take vitamin B, protein, and other supplements in preparation that we will explain in greater detail through our nutritionist. These supplements will not be taken for life, in the case of a gastric sleeve, Roux-en-Y gastric bypass or minigastric bypass. Metabolic and nutritional management places special emphasis on monitoring eventual protein depletion, imbalances in skeletal homeostasis, malabsorption of fats (which involve malabsorption of Vitamin A, E and K), nutritional anemia (due to deficiencies of Iron, vitamin B12, Acid Folic, Selenium and Copper) or alterations in the Thiamine and Zinc levels.
Postoperative vitamin and mineral supplementation is the recommendation after surgery, and will be stricter in operations that involve malabsorption (such as bypass) in its mechanism of action, than in those that act primarily through restriction. (vertical gastrectomy).
Approximately forty minutes on average for a gastric sleeve. And one hour and a half for a bypass. Approximately two hours for bariatric revision surgery, depending on the technical difficulties due to previous surgeries of the patient.
The da Vinci Robot gives the surgeon new tools for laparoscopic surgery. The system replicates the surgeon’s hand movements real time in laparoscopic instruments. The robot is not pre-programmed, and only makes the precise motions made by what the surgeon inputs in real time.
The da Vinci system translates your surgeon’s hand movements at the console in real time, bending and rotating the instruments while performing the procedure. The tiny wristed instruments move like a human hand, but with a greater range of motion.
Major benefits include: Reduced pain and discomfort. Faster recovery time and return to normal activities. Smaller incisions, resulting in reduced risk of infection. Reduced blood loss and transfusions.