Welcome to
NEW
BARIATRICS
BY DR. IVAN GONZALEZ
WEIGHT LOSS SURGERY
CERTIFIED BARIATRIC SURGEON
SURGICAL PROCEDURES
GASTRIC BALLOON
VSG
MINIGASTRIC BYPASS
RNY GASTRIC BYPASS
SADI-S
MULTIDISCIPLINARY TEAM
BARIATRIC SURGERY
GASTRIC
BALLOON
A gastric balloon is a non-surgical and temporary weight loss procedure designed to help you achieve weight loss and improve lifestyle habits. It involves placing a deflated balloon in the stomach, which is then inflated to create a feeling of fullness, leading to reduced food intake. The balloon is part of our comprehensive weight loss program that includes dietary and lifestyle modifications.
How is it work?
Restriction of Stomach Space:
The presence of the balloon in the stomach reduces its capacity, leading to a sensation of fullness with smaller meals. This restriction help you to consume fewer calories.
Appetite Suppression:
The balloon may also contribute to appetite suppression by applying pressure to the stomach walls and affecting the release of hunger hormones.
Duration of Treatment:
Gastric balloons are typically left in place for a limited duration, usually ranging from a few months to a year. After this period, the balloon is removed.
TRANSFORMATION
before
After
VSG
GASTRIC SLEEVE
Gastric sleeve surgery is performed by minimally invasive surgery, involving small incisions and specialized instruments. This approach results in shorter recovery times and reduced postoperative pain.
During the surgery, Dr. Ivan removes approximately 75-80% of the stomach, leaving a narrow tube or "sleeve" resembling the shape of a banana or sleeve.
How is it work?
Reduced Stomach Capacity
The smaller stomach limits the amount of food you can eat, leading to a feeling of fullness with smaller portions.
Ghrelin Hormone Reduction
The surgery also involves removing the part of the stomach that produces ghrelin, a hormone associated with hunger. This leads to a decrease in appetite.
Metabolic function
Rapid emptying of the stomach activates a cascade of metabolic hormones that improve insulin production and uptake, improving long-term metabolism.
Improvement in Obesity-Related Conditions
You´ll experience improvements or resolution of obesity-related health conditions such as type 2 diabetes, hypertension, and sleep apnea.
TRANSFORMATION
before
After
MINIGASTRIC BYPASS
Mini-gastric bypass (MGB) surgery, also known as single-anastomosis gastric bypass or one-anastomosis gastric bypass, is a type of weight loss surgery that shares similarities with traditional gastric bypass but involves a simplified and potentially less invasive approach
How is it work?
Reduced Stomach
Similar to traditional gastric bypass, MGB involves creating a smaller stomach pouch. However, in the mini-gastric bypass, the pouch is longer and narrower than in the standard procedure.
Intestinal Bypass
A portion of the small intestine is then connected to the new stomach pouch, allowing food to bypass the upper part of the small intestine, where nutrient absorption occurs.
Mechanism of Weight Loss
MGB induces weight loss through a combination of restriction (reducing the stomach size) and hypoabsorption (reducing the absorption of nutrients in the small intestine).
Ghrelin Hormone Reduction
Similar to other weight loss procedures, MGB typically leads to a reduction in the production of the hunger hormone ghrelin, helping patients feel less hungry.
TRANSFORMATION
before
After
RNY
GASTRIC BYPASS
Roux-en-Y gastric bypass (RYGB) is a common and effective weight loss surgery that involves both restrictive and hypoabsorptive components. This procedure has been performed for decades and has proven to be successful in helping individuals achieve significant and sustained weight loss
How is it work?
Weight loss is done through both restriction (reducing stomach size) and hypoabsorption (reducing nutrient absorption in the small intestine). The smaller stomach limits food intake, while the rerouting of the intestines reduces the absorption of calories and nutrients.
Benefits
Roux-en-Y gastric bypass is known for producing significant weight loss, resulting in long-term success in many patients.
Improvement in Obesity-Related Conditions
You´ll experience improvements or resolution of obesity-related health conditions, including type 2 diabetes, hypertension, and sleep apnea.
Acid Reflux:
RYGB is the gold surgery for those patients who have obesity and acid reflux.
TRANSFORMATION
before
After
SADI-S
Single Anastomosis Duodeno-Ileal Switch with Sleeve Gastrectomy
SADI-S is a type of weight loss surgery that combines aspects of both duodenal switch and sleeve gastrectomy procedures. It is a relatively newer procedure designed to address obesity and its related health conditions.
How is it work?
Sleeve Gastrectomy
The surgery begins with a sleeve gastrectomy, during which a significant portion of the stomach is removed to create a smaller, sleeve-shaped stomach. This restrictive component limits the amount of food a person can consume.
Duodenal-Ileal Anastomosis
The duodenum (the first part of the small intestine) is divided, and the lower part of the small intestine (ileum) is then connected to the duodenum. This creates a single anastomosis, allowing food to bypass a portion of the small intestine where nutrient absorption occurs.
Restriction and Hypoabsorption
The SADI-S is the most powerful procedure, it induces weight loss through combination of restriction (sleeve gastrectomy) and more powerful hypoabsorption (reducing nutrient absorption by duodenum-ileum anastomosis).
TRANSFORMATION
before
After
MULTIDISCIPLINARY TEAM
DR. VALERIA LEON
BARIATRIC SURGEON
My passion lies in providing comprehensive and personalized care, addressing the unique needs of each patient. where I have had the privilege of assisting numerous individuals on their transformative journey to a healthier and happier life.
II am proud to be a dedicated bariatric surgeon, committed to transforming lives through weight loss surgery.
With a passion for transforming lives through bariatric surgery, I bring a comprehensive skill set that encompasses the full spectrum of weight loss procedures. My commitment to patient well-being and continuous professional development ensures the highest standard of care.
CLINICAL NUTRITIONIST
KATIA AGUIRRE
Nutrition is a fundamental piece of the bariatric journey, as without it, we fail to function. My passion is to support, motivate and educate patients to enable self-empowerment, successful behavioural changes, and ultimately optimal lifestyle adaptations.
All of nutrition fascinates me, however my main passions lay within weight management, bariatric surgery and gastroenterology. I am registered Dietitian with the Health & Professionals Council.
CLINICAL NUTRITIONIST
LEOPOLDO
I'm here to help you in all your nutritional doubts. My clinical responsibilities include pre-assessing and preparing patients for Bariatric Surgery as well as managing their long term nutritional requirements through your weight loss journey.
With a profound passion for nutrition and a commitment to promoting healthy lifestyles, I am a registered dietitian and nutritionist with expertise in the bariatric field.
BARIATRIC PSYCHOLOGIST
NILDA MEDINA
Bariatric psychology is integral to management of the patient subjected to bariatric surgery and helps improve adherence and adjustment to a new lifestyle.
Obese patients are considered psychologically normal as is the case with individuals of lower BMI and do not fit a specific psychological profile.
My aim of psychologist is therefore not to search for underlying issues but rather create the best environment for the patient to succeed in their weight loss journey.
BARIATRIC CARDIOLOGIST
FRANCISCO RIOS
A cardiological evaluation is a crucial component of the preoperative assessment for individuals considering bariatric surgery. I will evaluate blood test, EKG, X-Ray, medical history and a physical examination.
Based on the information gathered, i will stratify the patient's risk for cardiovascular complications during and after surgery. This information is crucial for determining the appropriateness of bariatric surgery and optimizing perioperative care.
If cardiovascular issues are identified, I’ll work with the patient and the surgical team to optimize cardiac health before and after surgery. This may involve medication adjustments, lifestyle modifications, or additional interventions.
DR. IVAN GONZALEZ
DOBLE BOARD BARIATRIC SURGEON
Greetings! I am Dr. Iván and I am honored to serve as a dedicated bariatric surgeon, committed to transforming lives through compassionate care and surgical expertise.
With years of experience in general and bariatric surgery, I have had the privilege of guiding individuals on their transformative journey to a healthier and more fulfilling life. My unwavering passion for improving the well-being of my patients is the driving force behind my practice.
DR. IVAN GONZALEZ
DOBLE BOARD BARIATRIC SURGEON
As a specialist in bariatric surgery, I bring a wealth of experience in performing procedures such as gastric sleeve, gastric bypass, SADI-S and other advanced weight loss surgeries. My approach integrates the latest surgical techniques with a patient-centric focus, ensuring the best possible outcomes.
In the dynamic field of bariatric surgery, I am committed to continuous learning and staying at the forefront of advancements. Being as a professor or assistant of many congress and greatest surgeons. This dedication allows me to offer cutting-edge and evidence-based solutions to my patients.
DR. IVAN GONZALEZ
DOBLE BOARD BARIATRIC SURGEON
My philosophy centers around patient-centered care. I believe in fostering a supportive and collaborative environment where patients feel empowered to make informed decisions about their health.
I am here to answer your questions, address concerns, and guide you through the transformative journey of bariatric surgery. If you're considering weight loss surgery or have inquiries about your health, feel free to reach out. Together, we can achieve your health and wellness goals.
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