PCOS + Gastric Sleeve: How do they work (Polycystic Ovary Syndrome)

Polycystic ovary syndrome is one of the most frequent endocrine disorders in women. It can even create sterility and is related to obesity. Here we tell you!

Polycystic Ovarian Syndrome is not exclusive to obese women, but a large percentage of women who suffer from it are usually overweight. At least 50% of obese women go on to develop PCOS or even, as a result of PCOS, may become overweight.

These investigations have led to the search for the most efficient and fastest way to help women lose weight. One of the most interesting proposals is the gastric sleeve and today we are going to explain why.

Polycystic Ovarian Syndrome What is it?

PCOS is an endocrine disorder that affects women with irregular periods and excess male hormones. It is usually described as painful and stressful since they can experience a series of alterations that make their days very uncomfortable.

Some of the criteria needed to be diagnosed with PCOS are:

Polycystic ovaries are treated by the presence of more than 12 follicles in each ovaries. The woman is supposed to have less and, by increasing their number, the follicles will make collections of fluids that remain in the ovary and cause pain and irregular periods along with the other manifestations that we already mentioned.

Obesity + PCOS

Between 50 and 65% of patients suffering from polycystic ovaries tend to also have obesity. Although the link between PCOS and obesity has not been revealed yet, it is speculated that it may be related to a hormonal problem which causes obesity and PCOS to co-exist in most patients.

The first piece of advice given to a woman with PCOS is that she should lose weight. The way in which she can do it is up to her, but it is a requirement that she must fulfill yes or yes. This is especially important for those women who have wanted to be pregnant but have not succeeded. A 5% weight loss makes polycystic ovary syndrome reduce its effects and fertility can come into the picture.

Despite the fact that polycystic ovary syndrome is not as such a complete reason to generate obesity, many people consider that the difficult situation these women are going through causes them to become depressed or suffer from anxiety, which leads them to eat excessively and little. healthy and then get fat.

What is the role of the Gastric Sleeve?

As we mentioned, PCOS and obesity are a bad combination. Patients, in their quest to lose weight, have begun to consider the Gastric Sleeve as one of their options. The European Society of Endocrinology has recommended considering bariatric surgery as a possible treatment for this type of women with morbid obesity and PCOS.

Additionally, in 2017, the American College of Metabolic and Bariatric Surgery approved bariatric surgery as one of the safest and most effective treatments for women struggling with PCOS and obesity at the same time.

Gastric sleeve has been shown to have a positive impact on PCOS and patients. The risks are minimal compared to the benefits and that is why it has become one of the favorite options. After bariatric surgery, patients often experience more regular and less painful periods. This happens 4 months after the operation and the hirsutism progressively decreases a little, although it does not go away completely.

Polycystic ovaries are also resolved between 44% and 55%, so the syndrome gradually disappears. This is one of the most optimistic percentages and it gives hope to women who have been fighting this syndrome and also obesity.

The role of the gastric sleeve is to help patients lose weight quickly so that they can somewhat reduce the symptoms of PCOS and improve their lifestyle.

PCOS + Gastric Sleeve + Obesity

There is a high relationship between PCOS, obesity and gastric sleeve. The British Fertility Society recommends that fertility treatments should only be given to patients who have a BMI of less than 35 or 30 in some cases. This means that obese women who have problems conceiving cannot access these fertility treatments.

One of the main effects, and one of the most negative, is infertility. For this reason, gastric surgery seeks to give a much more optimistic response quickly to those women who suffer from PCOS and obesity at the same time. There are those who after undergoing bariatric surgery manage to get pregnant and this is a real wonder.

There are even women who are later admitted to fertility programs and treatments and can conceive without any problem. Weight loss is a great measure that makes it possible for women to forget about the suffering that PCOS means and then they can conceive and start a big family.

Women struggling with obesity and PCOS can rest assured that it is possible to conceive and start a family after undergoing bariatric surgery. Although infertility is associated with many other factors, studies show that at least 49% of women have managed to become pregnant after overcoming obesity and improving their PCOS symptoms.

Can bariatric surgery cure PCOS?

The truth is that we cannot guarantee anything completely but studies have given quite positive results in patients with PCOS and obesity who have undergone gastric sleeve surgery. Surgery may not completely resolve PCOS but it can certainly reduce the symptoms of PCOS until the patient can lead a normal life and even conceive without as much trouble as before.

Suffering from an illness can bring with it great worries so that you have to find ways to solve it and be able to have a healthy life. Bariatric surgery has been recognized by many professionals and experts who affirm its effect and positive impact on infertility and PCOS.

If you are interested in performing the gastric sleeve, we suggest you contact a specialist and present your case. Surely you will get very good answers and the guidance you need. Cheer up!

Relationship between mini gastric bypass and esophageal cancer

Obesity is a modifiable factor that is related to many diseases, including cancer. Could there be an increased risk of developing cancer after a mini gastric bypass?

Obesity is said to contribute 9.4% to cancer in women and up to 4% in men. In fact, multiple studies have shown that patients with obesity have their system altered so that it is very easy for them to get cancer if many more factors join them.

Bariatric surgery has advanced considerably, and today it is considered a genius to reduce obesity and give patients quality of life. For this reason, many patients have made the decision to undergo bariatric surgery to improve their health.

Is there a relationship between esophageal cancer and mini gastric bypass?

The answer is yes.

Performing bariatric surgery brings with it many changes that go beyond just losing weight. These types of surgeries involve modifications at the mental, social, physical and, above all, hormonal levels.

Performing a mini gastric bypass brings with it profound changes in the way food passes through the intestine. Intestinal transit is greatly modified, something that does not happen during a vertical gastrectomy, better known as the Gastric Sleeve.

These profound changes bring with them inflammatory processes that in the long term increase the risk of cancer in the digestive system, especially in the esophagus. The relationship is found in the inflammatory processes that the body must go through as a method of defense against the "trauma" that mini gastric bypass surgery entails.

The body must overcome the procedure and gradually adapt. Therefore, always try to inflame and then begin to heal and fully adapt to the changes made. Although esophageal cancer is not as named as other types, nevertheless, among patients who undergo mini gastric bypass, a relationship has been found due to the high incidence.

At least 10-14 years after surgery, people often develop esophageal or colorectal cancer. For this reason, the studies were carried out for a long time and the relationship was always tried to be clearly established.


The literature has been able to provide an answer to the causes of esophageal or colorectal cancer in patients undergoing bariatric surgery. As previously mentioned, the research doctors conducted the study for a long time because the cancer manifested itself long after surgery. It was necessary to wait at least 10 or 14 years before seeing if the patient developed the pathology or not.

Regarding esophageal cancer, we must talk about how there is a link between acid and bile reflux together with esophageal cancer. It may even go undiagnosed before it is in an advanced state. Bile reflux can go to the stomach thanks to the pyloric valve that connects the stomach with the duodenum.

When there is bile reflux, the valve does not close properly and bile can flow into the stomach. This is also related to esophageal cancer because stomach acid causes it to reflux into the esophagus. Here, the sphincter that is modified is the lower esophageal sphincter, when it weakens, bile and stomach acids constantly reach the esophagus, causing inflammation and generating cancer in the long term.

The mini gastric bypass are one of the most frequent causes because the stomach is reduced and the acid produced reaches the esophagus in greater quantity.

Also, the inflammatory process that the body undergoes to deal with surgery is not the only reason that the chances of getting cancer are increased.

There are two main mechanisms. The first is the change in the intestinal microbiome that makes the enzymes and acids much more harmful due to said alteration. In addition, there is also the fact that the distant colon is much more exposed to secondary bile acids due to the anatomical modifications made during the mini gastric bypass.

These two mechanisms are responsible for people being more likely to develop cancer in their digestive system. Still, it is well known that some oncologists also take into account the endocrine disruption that comes with obesity, bariatric surgery, and cancer. Sex steroids can be increased as can inflammatory cytokines that alter the metabolic regulations of insulin.

On the other hand, there are also possible tumors by direct association that can metastasize. Although obese people already have a chance of suffering from cancer, but by having bariatric surgery, they can activate other types of systems that increase the proliferation of malignant cells in the body.

So, is the effect of mini gastric bypass good or bad?

The answer is: it depends.

Although, we have just exposed the different reasons why some patients usually develop esophageal and colorectal cancer after undergoing bariatric surgery. Even so, this does not mean that by doing one of these surgeries you will be signing your death sentence. The truth is that, in most cases, patients do not develop cancer at any time in their lives.

Mini gastric bypass surgery can give you a great quality of life and also has a considerable percentage as a risk-reducing agent for cardiovascular diseases and also cancer itself. The mere fact of eliminating the patient's obesity causes this carcinogenic risk factor to decrease and the body can continue to work normally.

For every 20% reduction in leptin, the chance of having cancer is also reduced by 20%. In addition, the fact of having decreased levels of fasting glucose, insulin and even C-peptide, all related to diabetes and increased ghrelin, the hunger hormone, are associated with a lower risk of cancer in these bariatric patients.

Those who have severe obesity go to bariatric surgeries and try to find an answer for their definitive life change. This is why this type of procedure is done so often and is recommended by many people based on their experience.

But what determines that esophageal cancer develops after bariatric surgery?

This continues in studies. The deciding factor for that small percentage of patients who develop esophageal or colorectal cancer has not been determined, and is even considered somewhat random or difficult to track. However, hereditary factors, exposure to radiation, among other aspects, are associated.


Like all surgeries, the mini gastric bypass has its advantages and disadvantages. Whether or not to develop cancer will depend on many factors that can be studied and, in most cases, will even be independent of bariatric surgery.

We suggest you consult with your bariatric surgeon, so you can make the right decision. It is a totally personal process that must be respected and understood by all those who surround you and love you. Keep in mind that the benefits are usually much greater than the disadvantages.

The role of a nutritionist after gastric sleeve

Now that you understand why it is important to take care of your health and your eating habits, it is time to talk about the person who will help you have the correct practices. The role of the nutritionist is that of a special companion during the post-operative period.

Before the surgery is done, it is good that you have a consultation with your nutritionist so that they begin the preparation phase. There in that session, you will know the feeding parameters for the first days after the surgery. The diet after bariatric surgery is progressive and changes as the days go by.

At first, it is completely liquid until you reach a normal diet. It is the job of the nutritionist to inform the patient about the changes that come in the postoperative period. The role of the nutritionist is absolutely important in the postoperative period because adequate nutritional information depends on an adequate adaptation to the surgery, the results are optimal when the nutritionist has the opportunity to talk with the patient and explain the reason for the changes and the moment of these.

A patient who is taken to surgery and only has some written instructions and does not have contact with the nutritionist again, usually will have a more difficult postoperative period because he will try to introduce changes that are likely to be made at times that are not appropriate. . The role of the nutritionist is very important in the period of weight loss and adaptation to the diet.

In the long term, there is also an important role for the visits that should be made with some periodicity to the nutritionist, this in order that once the patient has adapted to a normal diet we can review and evaluate that she has not developed some habits that

The recommendation then is that all patients who are going to undergo bariatric surgery have a consultation before the surgery with the nutritionist who must be a person with experience and knowledge of bariatric surgery specifically.

The follow-up in the postoperative period is absolutely important and we recommend that in the long term, with some periodicity, patients make an appointment with the nutritionist so that they can review their eating habits so that the weight loss results are maintained in the very long term.

Most common recommendations

During the postoperative period, the patient must follow a diet in order to modify their eating habits to achieve weight loss. Some recommendations for this stage can be:

Although the person in charge of determining what you can and cannot eat should be a nutritionist, a wide variety of protein-rich foods (lean meat, eggs, low-fat dairy, fruits or vegetables) is normally accepted, since they produce prolonged effect satiety.

Gastric Sleeve vs. Gastric Bypass

The most important thing is to eat small portions to avoid discomfort and, in addition, avoid the consumption of uncooked vegetables, hard or fibrous foods, and nuts, that is, foods that can harm the new condition of the stomach and intestine.

The role of a nutritionist after gastric sleeve

Gastric sleeve surgery can be as simple as possible but it is necessary that you always remember to be in contact with a nutritionist who will support you in this new stage of your life. It is the only way in which you do not compromise your health and manage to maintain the results you want.

It’s very easy to find us:  CLICK TO SEE OUR LOCATION 

Our patient share her experience with the #teamPasten ✨ If you are interested in weight loss surgery, send us an email or give us a call and we’ll be happy to answer all of your questions 😊 ☎️ (619) 493-9457 ☎️ 1(833)375-3383

Why it is important to have a nutritionist after gastric sleeve

Gastric Sleeve surgery is a safe procedure that carries very few risks within the health of patients. It is fully proven to have a high success rate. Its objective is to make the stomach of the patient smaller which means that the food intake will be less and the feeling of fullness will last longer.

Excess appetite will be eliminated thanks to this procedure and it will be very easy for those who undergo this procedure to return later to their normal life. What is quite important is that the patient always takes into account the psychological preparation prior to the operation and then take the necessary care.

In this way, an adequate diet before and after surgery is extremely necessary for the surgical intervention to be successful and you can return without any problem to your normal tasks. As with any other operation, a good surgeon must perform the procedure and provide you with all the necessary support.

Nutritionist after gastric sleeve

What is important is that the patient makes the necessary commitment so that everything can continue to be well. The success of the surgery depends on the responsibility that the patient assumes, his common sense when feeding and his recovery process in general.

Know a little about the Gastric Sleeve

Gastric sleeve surgery is an irreversible surgical procedure that is used mainly in patients with morbid obesity. This surgery consists of removing approximately 85% of the stomach, leaving a new stomach in the shape of a tube or sleeve.

One of the advantages of this treatment against obesity is that it can be performed by laparoscopic technique, through small incisions, in this way the patient recovers in a short time and can return to their normal routine of activities.

Now, modifying nutrition habits and lifestyle can get complicated when you are used to a life where you could eat whatever you wanted. Furthermore, if it were that simple, global obesity rates would be lower worldwide. For your peace of mind, bariatric surgeons and nutritionists are here to help.

New nutrition habits

The patient will hardly persevere in new nutrition and lifestyle if he does not know why he should do it. Until you understand the relationship between your diet and your health, you are not aware of the relevance of that topic.

It is no secret to anyone that obesity, in most cases, develops from an eating disorder. One of the aspects that generates the greatest resistance is the idea that certain products can no longer be ingested.

However, it is appropriate to clarify that, sometime after bariatric surgery, no food will be permanently prohibited. What is asked is patience, in order to give the stomach the opportunity to heal and you, the possibility to adapt to this new nutrition and lifestyle.

Do the sport of your choice, for example; swimming is a very flattering workout for the bariatric patient. You can take daily walks in the open air, ride a bicycle, in short, exercise your body so that you lose weight and gain muscle mass.

It’s very easy to find us:  CLICK TO SEE OUR LOCATION 

Tonya’s shares her experience with the #teamPasten ✨ If you are interested in weight loss surgery, send us an email or give us a call and we’ll be happy to answer all of your questions 😊 ☎️ (619) 493-9457 ☎️ 1(833)375-3383

What can we expect after weight loss surgery?

Weight loss

This is totally relative. The weight loss of a patient is totally dependent on the amount of weight they had before surgery. The standard loss range can be anywhere from 25% to 70%.

After a patient undergoes Gastric Sleeve surgery, they can lose up to 30% of weight in the first three months. But this does not happen only due to the surgery but also influences a process of changing habits in lifestyle and especially in the diet. The support of loved ones is also crucial to the recovery and effectiveness of the Manga.

At six months, there are patients who experience a loss of 50% and in a year it can be 70%. This is observed only in patients who have implemented a good diet in their lives and are concerned not about eating a lot but about consuming the necessary energy load that will help them maintain their ideal weight and have a healthy outlook.

Various testimonies indicate that after the first year, weight losses can continue to be seen, although they are usually not as drastic as those of the first year. At two years, there are testimonies of patients who have lost 65% and at 5 years up to 65% of their weight. But everything is a teamwork between the gastric sleeve and the new eating habits.

Recovery time

Now, we are going to answer your question in depth. When you decide to have a gastric sleeve operation, it may only last a day and a half in the clinic. Maximum three days if you have a condition such as hypertension, for example. This is the time required because, although it is a major weight loss surgery, the procedure is so safe that it can be considered outpatient.

It still carries its risks, but if you do it in a trusted clinic with a recognized surgeon, you will see how everything will go very well. After this day and a half in the clinic, you will have to spend at least 7 days in bed taking rest. It should be 7 or 8 days minimum since taking fewer days off can cause your body to not follow the normal pattern.

On the other hand, at seven days you can return to your normal activities, but only those that are light and after two weeks you can return to work. Gastric sleeve recovery takes about six weeks for you to say that you are 100% recovered.

After four to six weeks, most Gastric Sleeve patients return to normal life with noticeable weight loss for anyone around them. What is recommended is to avoid lifting heavy objects to avoid any type of accident.

Among all the other weight loss procedures, the gastric sleeve is one of the ones that require the least recovery time. You see, after about 3 or 4 hours after leaving the operating room, the patient will be able to walk on their own without any problem. This is understood as that the patient is independent the same day of the surgery. It is also recommended that you keep relative rest and not be subjected to strong physical efforts or situations that represent a danger.

Later symptoms

Although patients follow the instructions, they may experience some symptoms after surgery. Some may be:

Other types of discomfort that you may experience are nausea, a sensation of pressure in the upper abdomen and lower chest, and pain in the left part of the abdomen below the ribs, these discomforts usually last between 5 and 24 hours and they are perfectly controllable with the help of medications.

Advantages of the gastric manga over the gastric bypass

Diet and Nutrition

Now that you have a smaller stomach, it is time to make a change in your diet. Upon exiting surgery, you should be on a liquid diet for at least 10 days. You can drink tea and juices and lots and lots of water. After a few hours, you can have chicken or vegetable soup and maintain your water intake.

From days 11 to 20, you can start eating purees and creams and drink water within 30 minutes of finishing the meal. You can also consume fruits and yogurt. Later, you can eat salads and fresh food such as fruit or fish salads and more complete soups. This during days 21 to 30.

After attending the consultation, your doctor should tell you when you can start eating more solid foods. Some of the recommendations for a diet after one month of recovery are:

What can we expect after weight loss surgery?

It’s very easy to find us:  CLICK TO SEE OUR LOCATION 

Jamie and Chris shares her experience with the #teamPasten ✨ If you are interested in weight loss surgery, send us an email or give us a call and we’ll be happy to answer all of your questions 😊 ☎️ (619) 493-9457 ☎️ 1(833)375-3383

What to expect in the recovery from gastric sleeve

We currently live in a world where everyone has a very busy life full of responsibilities, jobs, and studies, and even a family that depends on you. This is why normally, social, work, and emotional obligations force us to delay some commitments that should have much higher priority.

One of the most frequent questions patients have when deciding whether or not to have loss surgery is how long they will be in recovery without being able to take care of their responsibilities.

If you have to choose the best option among weight-loss surgeries, we believe that the Gastric Sleeve is the best choice for you. And in terms of recovery, this procedure is one of the quickest and allows people almost immediately to return to their daily activities.

What is a Gastric Sleeve?

This operation consists of the removal of part of the stomach by a surgeon. At the end of the extraction, the stomach is said to look like a narrow tube or "sleeve." The new stomach will have a much smaller shape and will lack the most important part of the production of the hormone responsible for appetite known as Ghrelin.

Gastric Sleeve vs Gastric Bypass

What happens during the operation is that the patient will experience a decrease in their appetite and insulin resistance will improve. Similarly, the person will begin to eat less food and will feel much more satisfied with less food than before.

Something to note about this procedure is that it is irreversible and has a high success rate. The reason is that it is a fairly safe operation that does not prevent people from continuing with their life or eating what they want in the future after they recover.

Experience after getting the surgery done

The gastric sleeve is an ideal operation and when performed by an expert surgeon, it allows people to achieve the figure they want without having to risk their health.

Weight loss surgery can become an intense journey fraught with frustration and low self-esteem for not looking the way you want. The vast majority of patients have spent a long time suffering due to their weight for many years and after learning the benefits of gastric sleeve surgery, they have made the difficult decision to have it.

Right at the moment, you decide to have this surgery, you start a new venture in your life in which you must make a great commitment to your health and responsibly abide by each of the instructions that the doctors tell you. Finally, comes the final step.

What to expect in the recovery from gastric sleeve

Like any other surgery, a gastric sleeve requires that you are aware of the procedure to be applied to your body and that your family and close friends are aware and ready to support you immediately after surgery.

Not because things can get complicated but because part of a good recovery depends on the support you receive from those who are important to you.

Recovering a patient after major weight loss surgery such as gastric bypass and a gastric sleeve can be difficult without the correct support. This surgery represents a permanent change in the patient's lifestyle, both physically and emotionally.

It’s very easy to find us:  CLICK TO SEE OUR LOCATION 

Kristopher and Desiree shares her experience with the #teamPasten ✨ If you are interested in weight loss surgery, send us an email or give us a call and we’ll be happy to answer all of your questions 😊 ☎️ (619) 493-9457 ☎️ 1(833)375-3383

Don’t miss the opportunity to get rid of those extra pounds 🙌🏼
Contact us for more information.

Advantages of the gastric manga over the gastric bypass

Gastric sleeve surgery offers some advantages over gastric bypass. The main benefits are the reduction of hunger and the speed and relative ease of the procedure. You will also need to take fewer vitamins after surgery.

In the greater curvature (left side) of the stomach is the area where ghrelin, the hunger hormone, is produced. In gastric sleeve surgery, this area is almost completely removed. The result is that hunger is significantly reduced. Some patients report having to remind themselves to eat for the first 6 months after surgery.

It is important to note that with gastric bypass you will have a smaller gastric reservoir (stomach) and the production of ghrelin is also reduced. However, there are some data that seem to indicate less feeling of hunger with gastric sleeve surgery compared to after gastric bypass.

Another relative benefit of gastric sleeve surgery is slower weight loss. Gastric sleeve patients typically see their weight loss plateau after 2 years, while gastric bypass results in much faster weight loss (typically all within the first year).

Why is losing weight slower a benefit? This is very subjective and unproven. Some patients and doctors believe that slower weight loss leads to less sagging of the skin and a reduction in stretch marks. You can also fool your co-workers into thinking that you've found the biggest weight loss secret on earth, assuming you haven't told them about your surgery.

Gastric Sleeve or Gastric Bypass?

The decision between Gastric Sleeve or Bypass will always be the responsibility of the doctor and will be according to the situation of each patient.

Bariatric surgery is a surgical procedure indicated for some patients with obesity, but it is important to note that it is not an aesthetic procedure. This type of treatment could help to solve the obesity problem faced by millions of patients and who today do not have access to other options to treat it.

Weight loss surgery has been a solution to many people's lives. It responded to the wishes of patients to achieve a figure that would improve their lifestyle and give them great self-esteem. With a good change in eating habits and constant physical activity, people's lives can change for the better.

It’s very easy to find us:  CLICK TO SEE OUR LOCATION 

Larissa’s shares her experience with the #teamPasten ✨ If you are interested in weight loss surgery, send us an email or give us a call and we’ll be happy to answer all of your questions 😊 ☎️ (619) 493-9457 ☎️ 1(833)375-3383

Know the different procedures for weight loss: Gastric sleeve vs Gastric Bypass

Having weight loss surgery is a big decision. It should not be taken lightly and you should research the best bariatric surgery technique for you. This is the only way you can have a successful surgery.

In recent years, two important weight-loss surgeries have been heard of, such as gastric bypass and gastric sleeve, the latter being one of the most chosen. The gastric sleeve is less aggressive and allows you to continue eating what you want while with the bypass you are under certain restrictions that can mean a drastic change in your normal life.

As stated, performing bariatric surgery is not an easy decision. This procedure is capable of changing your life forever and that is why you must be sure that this is the best option for you. There are many factors that influence a person at the time of surgery and others when you must decide on a single option.

Today you will see what are the main differences between a gastric bypass and a well-known gastric sleeve. What are its pros and cons and above all how they can help you?

What is the difference between both surgeries?

Let's talk about the Gastric Sleeve

This surgery is one of the most popular and the truth is that it has a fairly low postoperative complication rate. It is a laparoscopic procedure that involves removing between 70 and 80% of the stomach. It sounds loud, but it is a simple procedure that is quickly performed by an experienced surgeon.

The portion that is removed causes the stomach that the part that remains takes the form of a sleeve that joins the intestine. This reduces the amount of food the patient can eat. Currently, this surgery is one of the most recommended for weight loss, due to different reasons.

The first is that it does not require any type of reconnection between the stomach and the intestine, which eliminates many risks. The fact that no reconnection should be made prevents future complications and that then some movement or sudden blow will cause said union to detach.

What happens with the gastric sleeve is that the portion that is removed does not affect the stomach-intestine junction at all. That is why no reconnection should be done. Another important fact to know is that in this part that is extracted there are a large number of cells that produce the hormone responsible for appetite.

By eliminating this part, the patient will stop feeling so hungry and will avoid eating to "fill up." The truth is that gastric sleeve surgery takes care of controlling your appetite and ensuring that you only eat enough. But you will still need the support of a nutritionist and a psychologist to get used to your new lifestyle without a major problem.

Gastric Sleeve surgery removes 70% of the stomach where the appetite hormone is produced. In this way, hunger is reduced and excellent results are obtained to eliminate obesity.

A fun fact is that gastric sleeve surgery was originally created as the first step of a staged procedure for the super obese. A sleeve is created and then a second intervention is finished with the remainder of the procedure (redirecting the bowel) after the patient had lost some weight. However, most patients lose enough weight from the first part of the procedure (the sleeve) that they do not need a second procedure.

About Gastric Bypass

This procedure has also been quite successful over the years. It consists of reducing excess weight and maintaining weight in the long term. This surgery is considered the "Gold Standard" and works by creating a small stomach pouch that is reconnected to the intestine.

During the procedure, 1.5 meters of the intestine are removed, and then reconnection is done. The patient is still able to process most of the food in the same intestine but nutritional and caloric intake is limited thanks to malabsorption. The period of time in which the patient loses weight is short and the acquired figure is easily maintained.

Trying to simplify what has been explained a bit, the surgeon must create a small stomach sac and then connect it with the rest of the small intestine that has remained after removing a part.

Gastric bypass is recommended for people with a body mass index greater than 40 and if they already have a serious health condition due to their weight. But it's about avoiding doing this surgery if you don't meet any of these requirements.

Gastric bypass is a complex operation performed by some of the most talented and highly trained laparoscopic surgeons. There is a level of pride in knowing how to carry out this procedure. And not everyone can do it. It is the most researched and studied weight loss surgery available. And the longest has been around and has thousands of success stories.

Procedures for Weight Loss - Main differences

The number one difference is that in the gastric sleeve no part of the small intestine is removed while in the gastric bypass it is. This avoids having to make a new stomach-intestine reconnection.

During Gastric Sleeve, only part of the stomach is removed and everything else remains the same. While in the bypass a new stomach bag is created that is the one that connects with the part of the intestine that has remained.

Another difference is the length of time the surgery takes. By itself, undergoing a procedure that involves anesthesia carries an unavoidable risk. The risk is higher if the person suffers from a disease related to obesity or if he or she already has a basic disease.

After several surgeries were performed, both Gastric Sleeve and Gastric Bypass, the time standard that each one lasted was determined. In the case of the Gastric Sleeve, a time of 1 hour and 40 minutes is invested. While with gastric bypass you can last 2 hours and 45 minutes.

The fact that gastric bypass is a much more durable surgery compared to gastric sleeve, makes the second a considerable option to avoid having more risks than are already present. Therefore, if you are a candidate to undergo any of the surgeries, it is better that you sand the gastric sleeve surgery since you will last much less time in the operating room.

Regarding the amount of weight that is lost, the Gastric Sleeve helps you lose weight continuously for two years while the bypass does it all in the same year. These periods of fat loss pose psychological risks for each patient.

Losing weight abruptly can lead to eating disorders and increased anxiety while slowing down the weight is likely to make the person more easily used to their new image without going through dark periods.

It’s very easy to find us:  CLICK TO SEE OUR LOCATION 

Cheryl’s shares her experience with the #teamPasten ✨ If you are interested in weight loss surgery, send us an email or give us a call and we’ll be happy to answer all of your questions 😊 ☎️ (619) 493-9457 ☎️ 1(833)375-3383

Gastric Sleeve vs Gastric Bypass

If you've been considering your options, you've probably already reviewed Gastric Bypass. As is well known, this weight loss surgery consists of sectioning a small part of the stomach and connecting it directly to the small intestine. By doing this, restriction and malabsorption are promoted, which limits food intake and nutrients that can be absorbed. It is a complex surgical procedure.

As is known, any surgical procedure carries an inherent risk since the patient is under the effects of anesthesia. One of the most important factors to consider when having surgery is how long it takes. Different studies in the journal "obesity surgery" indicate that the gastric sleeve duration is much shorter than a bypass. While the gastric sleeve lasts a maximum of 2 hours, the bypass can extend beyond 3 hours.

In addition, gastric bypass leaves the dumping syndrome present in the patient and it makes it uncomfortable for people as they begin to develop a love-hate relationship with food.

New technologies and advances in weightloss therapy

Quick recovery after surgery

One of the main questions patients have before undergoing this weight loss surgery is about the recovery process. It is normal to have doubts about knowing what happens after undergoing the operation. As a precaution, patients should spend about 2 or 3 days in the hospital and their recovery period is between 7 and 10 days.

In any case, this depends on the particular conditions of each patient and how their body gets used to what happened after the operation. By overcoming this barrier, you can begin to carry on with your life very calmly as long as you keep going to the consultation and are in contact with your doctor.

On the other hand, one of the biggest gastric sleeve complications and concerns for patients after having undergone gastric sleeve is the diet they should follow.

It may be a bit difficult to adjust to the initial diet. At first, it is recommended a little liquid diet following the surgeon's instructions, then a soft diet until after about three weeks you will already be eating solid foods according to your cravings on the menu.

Something that is worth mentioning is that there are some gastric sleeve complications on the psychological level and that is that there are those who do not get used to the weight loss they see. They have been so used to his sturdy build that it is hard to believe that they will look better thanks to the surgery.

But by overcoming these gastric sleeve complications, psychological well-being becomes present in a short time and their self-esteem improves significantly.

Gastric Sleeve vs. Gastric Bypass


Gastric Sleeve is one of the best options for weight loss surgery. Many studies support it and it is currently the most recommended for patients who want to see a great change in themselves and thus improve their lives and their relationships with other people.

If you have already come this far it is because you have understood that the Gastric Sleeve is the future of weight loss surgery. This is a very good surgery that guarantees success and health after experiencing it. Do not wait any longer and encourage yourself to consult with your doctor about this surgery so that you can see a great change in your life.

It's very easy to find us:  CLICK TO SEE OUR LOCATION 

Tamika shares her experience with the #teamPasten ✨ If you are interested in weight loss surgery, send us an email or give us a call and we’ll be happy to answer all of your questions 😊 ☎️ (619) 493-9457 ☎️ 1(833)375-3383

Gastric Sleeve: The Today of the Future of Weight Loss 2021

Health is an important issue that has been gaining more relevance during the current world situation. Taking care of your body, your diet and your habits is the key to having a full life where you enjoy your free time with your loved ones.

Taking care of your physique has become one of the priorities and currently, there are many ways to achieve that ideal weight that you want so much. The gastric sleeve is one of the most popular surgical procedures today and during the last decade, several patients have preferred it over other options.

Gastric sleeve benefits exceed the results obtained by other surgical procedures such as gastric plication or gastric balloon, which give results equal to those obtained with more aggressive procedures such as gastric bypass.


Gastric Sleeve Procedure is a simple weight loss surgery that involves the removal of a part of the stomach. Approximately 70% of the stomach would be being removed but without requiring any diversion or reconnection with the intestine or the stomach. The fact that there is no reconnection process makes the surgery one of the simplest if we compare gastric sleeve vs gastric bypass.

Gastric sleeve is one of the surgeries with the least complications. The risks are quite low and unlikely, but the results are as expected and there are times when expectations are exceeded.

During Gastric Sleeve surgery, the surgeon will remove the left portion of the stomach. As it is the left side and not the right, it is avoided having to do some kind of reconnection. The part of the stomach that is separated is cut and sealed through stapling and sutures, which gives it a special reinforcement that avoids the risk of complications.

The surgery time can vary depending on the patients and the adipose tissue they have. In addition, the experience of the surgeon plays an important role in this matter considering which doctor treats you. Normally, the procedure usually lasts between one or two hours at most.

Who is eligible for Gastric Sleeve Surgery?

If you are already convinced that the Gastric Sleeve is one of your options to start losing weight and obtain the physique you want so much, it is time for you to know who is eligible for this weight loss surgery.

One of the most important factors is the Body Mass Index. If your BMI is above 30 you are eligible for gastric sleeve surgery, despite this, a thorough evaluation of your specific situation will be necessary.

If you are a patient who has struggled with obesity for many years and have a disease related to it, this surgery is a good idea since it will help you improve your physique and feel better about your body.

The best time to decide to change your life and have this surgery is before serious obesity-related diseases reach your body. It has been shown that several patients who undergo these types of bariatric procedures improve not only their body and their diet but also their psychological state and the perception they have about themselves.

Here you can fill out the medical questionnaire to see if you qualify:

Medical Questionnaire


The reason why gastric sleeve surgery has a high success rate is because of the portion of the stomach that is removed. This portion that is removed is the most important in the production of the hormone responsible for appetite (Ghrelin Hormone). By eliminating a large portion responsible for the production of this hormone, patients can enjoy a healthy diet where their desire to eat is normal and not excessive that they felt before.

The food that is consumed after applying the gastric sleeve, is eaten without sacrifices and with a feeling of fullness and enjoyment since your body knows that it is eating exactly what it needs.


One of the biggest advantages is that the Gastric Sleeve does not require maintenance. Compared to other weight-loss surgeries. There is no need to perform periodic medical tests to check the body's values ​​since the gastric sleeve avoids the malabsorption of nutrients.

As with any other surgical procedure, results may vary from patient to patient. The commitment and responsibility of each person are crucial to see good results. Even though the gastric sleeve does not require major maintenance, it never hurts to continue taking care of your body and maintaining a healthy lifestyle. On average, per patient, a 70% loss of excess weight is expected in at least 18 months or less.


If you have any questions about the procedure we are connected, ask us in real time.

Today Marco tells us how his life has change since he decided to get the #gastricsleeve in October 2019🥳

If you are interested in weight loss surgery, send us an email or give us a call and we’ll be happy to answer all of your questions 😊

☎️ +1 (619) 493-9457
☎️ +1 (833)375-3383