Medical tourism has gained significant popularity as individuals seek cost-effective and high-quality healthcare solutions abroad. In the realm of bariatric surgery, medical tourists are discovering the added benefits of remote patient monitoring (RPM) during their transformative journeys. This article delves into real-life success stories of medical tourists who underwent bariatric surgery with the support of remote patient monitoring, showcasing the positive outcomes, enhanced experiences, and improved quality of life that this combination can offer.
John's Journey to a Healthier Life:
John, a medical tourist from the United States, embarked on a journey to Cancun, Mexico for his bariatric surgery. With the implementation of remote patient monitoring, his healthcare team was able to closely monitor his progress from a distance. Through regular virtual check-ins, John received personalized guidance, nutritional advice, and medication reminders. The continuous monitoring provided by RPM ensured that any potential complications were identified early on, allowing prompt intervention and minimizing risks. John's successful weight loss journey and improved health are a testament to the power of bariatric surgery coupled with remote patient monitoring.
Maria's Transformation in Bangkok, Thailand:
Maria, a medical tourist from Canada, decided to undergo bariatric surgery in Bangkok, Thailand. The integration of remote patient monitoring played a crucial role in her post-operative care. With wearable devices tracking her vital signs and activity levels, Maria's healthcare team remotely monitored her progress, ensuring a smooth recovery. Virtual consultations allowed for personalized support, dietary guidance, and emotional counseling. The convenience of remote monitoring enabled Maria to remain in close contact with her healthcare providers, even when she returned home. Her remarkable weight loss and positive lifestyle changes are a testament to the effectiveness of bariatric surgery supported by remote patient monitoring.
Carlos's Path to Wellness in Guadajara, Mexico:
Carlos, a medical tourist from the United States, sought bariatric surgery in Guadalajara, Mexico. Remote patient monitoring was instrumental in his journey towards better health. Carlos wore a connected device that transmitted his vital signs and physical activity data to his healthcare team. This enabled his medical professionals to remotely track his progress, identify potential issues, and provide timely interventions. Virtual follow-ups allowed Carlos to receive ongoing guidance, address any concerns, and receive the necessary support from his healthcare providers. Today, Carlos celebrates his weight loss success and improved overall well-being, made possible through the combination of bariatric surgery and remote patient monitoring.
Next Steps
The success stories of medical tourists who have undergone bariatric surgery with the support of remote patient monitoring highlight the transformative power of this combination. Through continuous monitoring, personalized care, and remote interventions, medical tourists can achieve remarkable weight loss, improve their overall health, and enhance their quality of life. These stories demonstrate how the integration of remote patient monitoring into bariatric surgery journeys for medical tourists ensures effective communication, timely support, and better outcomes. As more individuals seek bariatric surgery abroad, the utilization of remote patient monitoring is expected to continue revolutionizing the experience, safety, and success of medical tourists worldwide.
Embarking on life after bariatric surgery is a transformative journey that requires commitment and adaptation. As you transition into this new phase, it's important to understand the lifestyle changes and challenges you may encounter.
Embrace New Eating Habits
After bariatric surgery, adopting new eating habits becomes crucial. You'll need to prioritize portion control and mindful eating. Discover the importance of a balanced diet, including protein-rich foods, fruits, vegetables, and whole grains. Learn practical tips for meal planning and the significance of staying hydrated. Additionally, explore the need for vitamin and mineral supplementation to support your health.
Engage in Physical Activity and Exercise
Physical activity plays a vital role in your long-term success. Explore various exercise options suitable for you, such as walking, swimming, and strength training. Discover the benefits of regular exercise, including weight maintenance, increased energy levels, improved cardiovascular health, and a positive mood. Start at your own pace and gradually increase your activity levels based on your capabilities.
Cope with Emotional and Psychological Changes
Bariatric surgery can bring about emotional and psychological changes. Address challenges you may face, including body image concerns and emotional eating tendencies. Learn strategies to build a positive body image and seek support from your loved ones, support groups, or professional counseling. Managing your emotional well-being is key to your overall success.
Navigate Relationships and Social Interactions
The impact of bariatric surgery extends to your relationships and social interactions. Discover how to navigate changes in dynamics with family and friends, ensuring open communication and understanding. Gain insights into attending social events and dining out while adhering to your dietary restrictions. Seek support from others who have undergone similar experiences as you.
Overcome Weight Loss Plateaus and Setbacks
Plateaus and setbacks are common on your weight loss journey. Learn strategies to overcome plateaus by modifying your exercise routines, reassessing your dietary habits, and seeking guidance from healthcare professionals. Remember to focus on overall health and celebrate non-scale victories to stay motivated and resilient.
Your life after bariatric surgery is a unique and transformative journey. By embracing new eating habits, engaging in physical activity, addressing emotional changes, nurturing relationships, and managing setbacks, you can navigate the challenges and enjoy long-term success. Ask about our remote monitoring service to make the most of your post-bariatric surgery life and maintain a healthy, fulfilling lifestyle.
Meet Dr. Juan Emerio Hernández who performs bariatric surgery in several cities in Mexico! If you are looking for one of the best certified bariatric and metabolic surgeons in Mexico, you are in the right place. Dr. Hernández offers laparoscopic gastric bypass and sleeve gastrectomy all-inclusive packages in Cancun, Matamoros, and in Guadalajara as well. All his packages are tailor-made for the needs of the most demanding international patients. If you are ready for your weight loss journey, have a look at his bio and his all-inclusive packages.
Dr. Juan Emerio Hernández’ Bio
Dr. Hernández was born 35 years ago in Zapopan, Jalisco Mexico, and decided to become one of the best bariatric surgeons in the country. He has worked for many years for IMSS and PEMEX hospitals in Matamoros and Guadalajara. With plenty of experience treating thousands of patients, he successfully founded his private practice in both locations. He also specialized in gastrointestinal diseases such as inguinal hernia, gastroesophageal reflux, umbilical hernia, vesicular lithiasis (gallstones), and acute appendicitis among others.
Education
General Surgery Physician – Universidad Autónoma de Guadalajara (UAG) – Certificate: 7256774
General Surgery Specialty – Universidad de Guadalajara (UDG) – Certificate: 10508500
Certification in Bariatric Surgery and Multidisciplinary Obesity Treatment – Universidad Nacional Autónoma de México (UNAM)
High Specialty in Endoscopy, Metabolic and Bariatric Surgery – Instituto Tecnológico y de Estudios Superiores de Monterrey (ITESM)
Associations
Consejo Mexicano de Cirugía General, A.C. (CMCG) – Certificate: A1601827
Asociación Mexicana de Cirugía General, A.C. (AMCG)
Federación Latinoamericana de Cirugía General (FELAC)
Asociación Mexicana de Cirugía Endoscópica, A.C. (AMCE)
Colegio Mexicano de Cirugía para la Obesidad y Enfermedades Metabólicas, A.C. (CMCOEM)
International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO)
American College of Surgeons (ACS)
Languages
Spanish – Mother Tongue
English – Fluent
Next Steps
Booking a consultation or scheduling a bariatric surgery date with Taqtik Health and Dr. Juan Emilio Hernández is a straightforward process. Here are the next steps to follow:
Reach out to Taqtik Health and schedule a consultation below
Express your interest in a consultation and bariatric surgery with Dr. Juan Emilio Hernández.
Complete the quote request below - Providing any relevant information, such as your medical history, current weight, and desired outcome.
Consultation and Evaluation:
Taqtik Health will schedule a consultation for you with Dr. Juan Emilio Hernández.
During the consultation, you will have the opportunity to discuss your goals, ask questions, and receive an evaluation of your suitability for bariatric surgery.
Make sure to communicate your expectations, concerns, and any specific requirements you may have.
Treatment Plan and Pricing:
Based on the consultation, Dr. Juan Emilio Hernández and Taqtik Health will develop a personalized treatment plan for you, including the recommended surgical procedure and associated costs.
Review the treatment plan thoroughly, ensuring you have a clear understanding of the procedure, recovery process, and any postoperative care requirements.
Discuss the pricing, including any package options or additional services.
Travel and Accommodation Arrangements:
Once you have agreed on the treatment plan and pricing, Taqtik Health can assist you in making travel and accommodation arrangements.
They may provide guidance on flights, local transportation, and accommodations that suit your needs and budget.
Finalizing the Booking:
Confirm your preferred bariatric surgery date with Taqtik Health and Dr. Juan Emilio Hernández, taking into consideration their availability.
Review and sign any necessary consent forms or agreements.
Follow any payment instructions provided by Taqtik Health.
Preoperative Preparation:
Taqtik Health and Dr. Juan Emilio Hernández will guide you through the preoperative preparation process, which may include medical tests, dietary adjustments, and lifestyle modifications.
Ensure that you adhere to the preoperative instructions provided to maximize the safety and success of your surgery.
By following these steps, you can proceed with booking your safe and affordable consultation and bariatric surgery date with Taqtik Health and Dr. Juan Emilio Hernández. Remember to maintain open communication with the healthcare team and address any concerns or questions you may have along the way.
TORONTO, ON / ACCESSWIRE / January 23, 2023 / AI/ML Innovations Inc. (CSE:AIML)(OTCQB:AIMLF)(FWB:42FB), a company committed to acquiring and advancing Artificial Intelligence/Machine Learning technologies that address urgent societal needs, is pleased to announce that its wholly owned subsidiary, Health Gauge Inc., has entered into a Letter of Intent with the Silicon Valley-based TaqTik Health, Inc to pilot an AI-enhanced health & wellness remote monitoring solution for obesity patients.
Upon the successful conclusion of the pilot study, Health Gauge and TaqTik intend to enter a commercial arrangement to continue to utilize the Health Gauge solution to help improve the outcome for TaqTik's patients.
Pilot Study: This multi-phased pilot is a collaboration between bariatric surgeons and specialists in Mexico and Asia, Health Gauge, and TaqTik Health - a global provider focused on supporting its 35,000 remote obesity patient subscribers at home with concierge health coaching. The pilot is already well underway in Mexico and will roll out with other bariatric partners in Asia in the months ahead, including patients being treated with bariatric surgery and other obesity treatments.
Health Gauge's proprietary digital health monitoring & management platform, which is provided through the HG Phoenix wearable and smartphone app, forms the technological backbone for the monitoring of the global bariatric patients involved in the pilot. The unique solution provides pilot participants with 1:1 support from TaqTik health coaches and Bariatric & Metabolic Surgeon Dr. Humberto Solis, who is the head surgeon at Gastro & Bariatric Clinic and co-founder of the Gastric and Bariatric foundation in Los Cabos, Mexico. The pilot patients in Mexico have had sleeve gastrectomy and bari-clip procedures.
The pilot objective is to support lifestyle modification and sustain weight loss for medical travelers and remote patients following weight loss surgery and other bariatric treatments. Determinants of program success will focus on overall engagement and weight loss.
Global obesity rates have tripled since 1975, with one billion people globally estimated to be living with obesity by 2030. In 2021, the American Society for Metabolic and Bariatric Surgery (AMMBS) still considered metabolic/bariatric surgery the most effective and long-lasting treatment for severe obesity resulting in significant weight loss and the improvement, prevention, or resolution of many related diseases, including type 2 diabetes, heart disease, hypertension, sleep apnea, and certain cancers.
"This innovative pilot brings together an experienced group of partners with interest in improving affordable accessibility for bariatric surgery (whether local or overseas) while leveraging tech and touch to streamline remote post-care support to improve obesity patient success rates," said TaqTik President, Mr. Yasuhiro Hashimoto, M.D.
"Access to digital health solutions that blend cutting-edge technology with personalized, human support is what we see as being the key to helping people reach and maintain health and lifestyle goals," added Randy Duguay, CEO of Health Gauge. "TaqTik and Health Gauge share a vision of making it easier for people to coordinate and stay engaged with their clinicians and healthcare support team no matter where they are, and that is why we're excited about this landmark pilot partnership. It's a great example of what can happen when the digital health sector works directly with consumer-facing companies to address and prevent global obesity."
AI/ML Innovations Inc., Monday, January 23, 2023, Press release picture
TaqTik Health, Inc., through its consumer brands, Gorgeous Getaways, and Taqtik Health offers concierge services connecting international patients with high-quality and affordable surgery and treatments in collaboration with over 120 global clinical organizations. "Providing best-matched personalized treatments combined with health & wellness monitoring provides a unique value for remote and international patients," says Rachel Rowling, COO of TaqTik, "to consistently deliver long-term positive patient outcomes and experiences."
On-demand healthcare is where patients use and access healthcare services online in real-time via wearables, mobile apps or websites. From scheduling an appointment with a TaqTik health consultant, booking a vertical teleconsultation with a top surgeon or specialist to booking a surgery or treatment date in over 25 destinations, the purpose of on-demand healthcare is that patients can use these services instantly and easily whenever and wherever they want, through smart mobile devices.
"On-demand healthcare consumers are much more willing to pay private clinics and travel domestically or internationally to get access to life-changing surgeries and treatments," says Rachel Rowling, COO of TaqTik. "The alternative is waiting on long waiting lists for publicly funded surgery that further inhibits the quality of life, causing long-term costs for both patients and taxpayers".
AI/ML Innovations Inc., Monday, January 23, 2023, Press release picture
Health Gauge's patented solution is a personal health monitoring & management system, which combines the latest wearable health monitors with sophisticated artificial intelligence software tools and proprietary cloud computing software, to help caregivers, patients, and healthcare professionals access and utilize relevant data, resulting in better recovery outcomes and healthy living objectives through the ability to make immediate and better health choices.
The Health Gauge platform provides the right balance of team and technology with the Health Gauge Phoenix wearable, the mobile Health Gauge App, and our VirtualCare solution that includes secured messaging, health information management and sharing, and virtual client engagement. It blends artificial intelligence with the latest sensors in non-invasive bio signal collection, including activity, sleep monitoring, HR, HR variability, and other rich personal health data through ECG & digital pulse analytics.
AI/ML Innovations Inc., Monday, January 23, 2023, Press release picture
AI/ML Innovations Inc. has realigned its business operations to capitalize on the burgeoning fields of artificial intelligence (AI) and machine learning (ML), with an initial investment, focus on emerging digital health and wellbeing companies that leverage AI, ML, cloud computing and digital platforms to drive transformative healthcare management solutions and precision support delivery across the health continuum. Through strategic partnerships with Health Gauge (100% owned by AIML), Tech2Heal (up to 22% ownership rights, with 9.44% currently owned), AI Rx Inc. (70% owned by AIML), and other planned accretive investments, the Company continues to capitalize on expanding growth areas, to the benefit of all the Company's stakeholders. AI/ML's shares are traded on the Canadian Securities Exchange under the symbol "AIML", the OTCQB Venture Market under "AIMLF", and the Frankfurt Stock Exchange under "42FB".
On behalf of the Board of Directors
Tim Daniels, Executive Chairman
For more information about AI/ML Innovations:
For detailed information, please see AI/ML's website or the Company's filed documents at www.sedar.com.
Neither the CSE nor its Regulation Services Provider (as that term is defined in the policies of the CSE) accept responsibility for the adequacy or accuracy of this release.
For AI/ML Innovations Investors
Certain statements made in this press release that are not based on historical information are forward-looking statements that involve substantial known and unknown risks and uncertainties. This press release contains express or implied forward-looking statements relating to, among other things, AI/ML Innovations' expectations concerning management's plans, objectives and strategies, including strategies for defending the Company's intellectual property. These statements are neither promises nor guarantees but are subject to a variety of risks and uncertainties, many of which are beyond our control, which could cause actual results to differ materially from those contemplated in these forward-looking statements. Existing and prospective investors are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date hereof. AI/ML Innovations Inc. undertakes no obligation to update or revise the information contained in this press release, whether as a result of new information, future events or circumstances or otherwise except as expressly required by applicable securities law. Further information regarding the uncertainties and risks can be found in the disclosure documents filed by AI/ML with the securities regulatory authorities, available at www.sedar.com.
The most common types of bariatric procedures are surgical procedures that help patients with obesity lose weight by limiting the amount of food they can eat or by decreasing the absorption of nutrients from the food they eat. The most common types of bariatric procedures are:
Gastric Bypass: Gastric bypass surgery involves creating a small pouch at the top of the stomach and attaching it directly to the small intestine. This reduces the amount of food the stomach can hold, which helps patients feel full faster and lose weight.
Gastric banding: This procedure involves placing a band around the upper part of the stomach, creating a small pouch that limits the amount of food the stomach can hold. Depending on the patient's needs, the band can be adjusted to allow more or less food.
Sleeve gastrectomy: This procedure involves removing a large portion of the stomach, leaving a small, tube-shaped stomach about the size of a banana. This helps patients feel full faster and reduces the amount of food they can eat.
Biliopancreatic diversion with duodenal switch: This procedure involves removing a large portion of the stomach and attaching the remaining portion directly to the small intestine. It also bypasses a portion of the small intestine, which reduces the number of nutrients the body absorbs from food.
Gastric balloon: This procedure involves placing a balloon in the stomach filled with saline or air. The balloon takes up space in the stomach, helping patients feel full faster and eat less.
All of these procedures are major surgeries that carry risks and complications. They are typically only recommended for patients who are severely obese and have not been able to lose weight through other means. It is essential for patients to carefully consider the potential risks and benefits of each procedure before deciding which one is right for them.
Which Bariatric Procedure Is Right For Me?
There are several factors to consider when deciding which bariatric procedure is right for you. Some of the most important factors include:
Your overall health: Some bariatric procedures may not be suitable for patients with certain medical conditions, such as liver disease or heart disease. Your doctor will consider your overall health when determining which procedure is right for you.
Your weight loss goals: Different bariatric procedures can help patients lose different amounts of weight. Your doctor will consider your weight loss goals and whether a particular procedure is likely to help you achieve them.
Your lifestyle: Some bariatric procedures may require more lifestyle changes than others. For example, gastric bypass surgery typically requires significant changes to your diet, while gastric banding may be more flexible. Your doctor will consider your lifestyle and whether a particular procedure is a good fit for you.
Your motivation and commitment: Success after bariatric surgery depends heavily on a patient's motivation and commitment to making lifestyle changes, such as following a healthy diet and getting regular exercise. Your doctor will consider whether you are likely to be successful with a particular procedure based on your motivation and commitment.
Ultimately, the right bariatric procedure for you will depend on your individual circumstances and needs. It is essential to discuss all of your options with your doctor and consider the potential risks and benefits of each procedure before making a decision.
Using remote monitoring for bariatric patients can be a very useful way to reduce hospitalizations and length of stay. Remote monitoring for bariatric patients can also help bariatric patients adjust to a new way of life, and it can help physicians identify health problems early.
Long-Term Weight Loss
Performing bariatric surgery is an effective treatment for obese patients, but the long-term impact is unclear. In fact, there is evidence to suggest that up to 30 percent of bariatric patients are likely to regain some of their lost weight. This may obstruct the health benefits of the operation.
A sleeve gastrectomy, in particular, has garnered a lot of praise for its potential to improve a patient's health. This is in part due to its efficacy in reducing hepatic and visceral adipose tissue, a known contributor to insulin resistance. However, the weight loss associated with the procedure is often minimal, and the benefits of bariatric surgery are limited to a few select patients.
A better way to determine the actual weight loss achieved by a bariatric procedure is to perform a prospective observational study over an extended period of time. This may be best achieved by performing the surgery in an inpatient setting, where the patient is monitored closely for the duration of their stay.
Continuous remote early warning score
Using wearable devices to monitor vital signs is a potential solution to detect early deterioration in patients. It may prevent conditions such as sepsis. It could also reduce the cost of hospital care. Detecting the onset of cardiovascular deterioration could prevent cardiac arrest. In addition, it could help improve patient satisfaction.
Wearable devices can measure vital signs and send information to the console, Physician, or EMR system. These devices also feature automated early warning alerts when thresholds have been met or exceeded that prompt clinician with specific response actions based on the patient score.
Reduces hospitalizations and length of stay
Using Remote Monitoring devices with remote or international bariatric patients can reduce hospitalizations and length of stay. These devices allow patients to share their vital signs with remote physicians from their homes. The benefits of using these devices are two-fold. They reduce healthcare costs and increase patient satisfaction.
Remote monitoring devices also allow patients to share their vital signs with their primary care providers. Practice staff can then follow up with patients via an electronic medical record inbox to assess their needs. These devices can also be used to detect postoperative complications.
The results of some studies suggest that remote monitoring devices can reduce hospitalizations and length of stay for bariatric patients. The results showed that patients that were monitored had shorter hospital stays and used less intensive care. In addition, there was a decrease in hospital readmissions and hospital-acquired infections.
The study was published in JAMA Network Open. The study evaluated the safety of outpatient bariatric surgery supplemented by a wireless remote monitoring system.
Helps bariatric patients navigate new ways of life
Using a remote monitoring system, bariatric patients can keep track of their vital signs in their home environment. This can be helpful for remote patients who may have a hard time coping with their weight loss. It can also help improve the management of hypertension. The American Heart Association supports the use of remote blood pressure monitors.
Bariatric patients with diabetes can benefit from the monitoring of blood glucose levels. Hyperglycemia is a common, asymptomatic condition, but it can be dangerous if it is left untreated. Using a remote monitoring device, doctors can ensure that patients are able to follow their weight-loss goals and achieve them safely.
RPM solutions are easy to use and offer better compliance rates than traditional monitors. Using guided automation software, patients can receive step-by-step instructions, automatic reminders, and electronic consult requests. This software also allows for insurance information and education about bariatric surgery. A number of RPM devices don't require configuration, so patients can start using the device as soon as they are delivered.
How to Prepare for and Recover From Bariatric Surgery
Getting bariatric surgery can be a life-changing experience, but the recovery can be long. You have to learn about what you can do to prepare for the procedure and how to recover once the surgery is complete.
Preparation
Getting ready for bariatric surgery is a process that starts months before the actual surgery. It is important to prepare yourself physically, emotionally, and psychologically. A healthy diet, regular exercise, and a commitment to behavioral changes are all important factors in achieving success.
The goal of bariatric surgery is to provide lasting health benefits for people who are severely obese. During the preparation process, patients should be screened for conditions such as diabetes, cardiovascular disease, high cholesterol, obstructive sleep apnea, and other medical conditions.
The preoperative period is a time to learn about the surgical procedure and the post-operative lifestyle plan. Patients who have surgery in their home countries should be prepared to stay home and have a caregiver for at least a week. They should also prepare a healthy pantry and supplement supply. Patients traveling abroad for surgery will have a medical team around the following surgery to assist with recovery.
The post-operative diet is based on a plan designed for the patient's individual needs. It is important for the patient to eat small amounts frequently and to avoid foods that don't provide enough nutrients.
Surgical procedure
Surgical procedures for bariatric surgery are performed to change how the body absorbs energy. They can help you lose weight and improve your health, but they also carry a certain amount of risk.
Bariatric surgery is usually recommended when other weight loss methods have failed. It can be helpful in the short term, but it also requires a long-term commitment. If you're interested in bariatric surgery, there are several types to consider.
Gastric bypass is one of the most common types of bariatric surgery. It is a procedure that cuts out a portion of your stomach and creates a pouch. The new pouch restricts the amount of food that you can eat. It also reduces the number of calories and liquids that you absorb. The small pouch also decreases the hunger and allows you to feel fuller more quickly.
Surgical procedures for bariatric surgery are performed using minimally invasive surgical techniques. These techniques allow for smaller incisions, shorter hospital stays, and a better patient experience.
Side effects
Despite the great improvements that bariatric surgery can make to a patient's health, there are also possible side effects of this surgery. While they are rarely life-threatening, they can be frustrating. These effects can be prevented if patients follow their doctor's instructions.
One of the more common side effects of bariatric surgery is constipation. This is characterized by fewer than three bowel movements a week. The condition is typically caused by the loss of weight and the reduction of food intake.
Another common post-surgical effect is iron deficiency. This condition affects up to 40% of bariatric surgery patients. Fortunately, there are several methods to prevent this from occurring.
Bariatric surgery can cause your body to experience a variety of hormonal changes. This can have an impact on your tastes and cravings. You may even start to dread certain foods you used to love.
Bariatric surgery can also reduce your appetite. The procedure affects the hormone ghrelin which is responsible for controlling your appetite. This means that you will not feel hungry as often as you used to.
Recovery
Whether you've had bariatric surgery or not, you should know that there are some basic steps you should take in order to ensure a smooth recovery. These include following your physician's directions and making lifestyle changes.
You will be on a liquid diet, which will be gradually replaced with a semi-solid diet. The diet is designed to ease your digestive system into the new lifestyle. You should also drink plenty of water. This is necessary to keep your body's organs hydrated, which is essential to the healing process.
You should also avoid lifting anything heavier than 10 pounds for at least a month after your surgery. You should also avoid sitting for long periods of time. If you do need to sit for a long period of time, try to move around regularly. This will help blood flow, and also keep your heart rate up.
You should also make sure you are eating a healthy diet. This will allow your body to heal faster. If you have trouble with your diet, you may want to see a nutritionist.
Bariatric Surgery & Remote Monitoring: The Paradigm Shift. It is a reality that plenty of people in the world suffer from obesity despite their efforts of losing weight. There are many options promoting immediate weight loss, from keto diets to yoga exercises, and extreme exercise routines. However, sometimes they do not work at all. This is the reason why nowadays, bariatric surgeons are on the rise offering minimally invasive surgeries which produce dramatic weight loss in a couple of months. Let's find out if these types of surgeries are the right fit for you.
What is Obesity?
According to Mayo Clinic, obesity is a "disease" due to excessive body fat. It is a medical condition that increases many health risks. As per the reasons behind obesity, they may be related to a variety of factors, whether inherited, psychological, or environmental factors. Obesity is determined according to the BMI (Body Mass Index):
Obesity Class I: With a BMI of 31 to 34.9
Obesity Class II: With a BMI from 35 to 39.9
Obesity Class III: With a BMI above 40
When you suffer from obesity and your efforts of losing weight seem not to produce satisfactory results, you are a good candidate for bariatric surgery.
Types of Weight Loss Surgery
Restrictive Surgery - The goal of this bariatric and metabolic surgery is to shrink the stomach. It will immediately slow your digestion process. No more cravings. You will feel full after one ounce of food. Procedures: Sleeve Gastrectomy, Lap Band
Restrictive/Malabsorptive Surgery - The goal of this type of surgery is to reduce the size of the stomach and reroute the intestine. The body will have less nutrient absorption which means more weight loss. In order to compensate, you will need to take vitamin/mineral supplements to stay healthy. Procedures: Gastric Bypass, Biliopancreatic Diversion with Duodenal Switch
Gastric Bypass & Sleeve Gastrectomy: A cure for Type 2 Diabetes
Gastric Bypass - Also known as Roux-en-Y and is considered the Gold Standard in Bariatric & Metabolic surgery. It helps the intestines of diabetes patients get rid of excess glucose. After a gastric bypass, the intestine becomes the most important tissue for glucose use and this decreases blood sugar levels.”
Sleeve Gastrectomy - It is very popular because it also improves type 2 diabetes, independent of weight loss. This procedure is performed by removing approximately 80% of the stomach. Significant weight loss is quick and produces favorable changes in gut hormones that suppress hunger.
Virtual Health Coach - Remote Monitoring
After surgery, most likely you will have a 6-month support program with your bariatric surgeon. It may include nutrition and exercise tips, as well as psychological guidance if needed. Your body will go through significant changes when you start losing weight very quickly, and you will be supported every step of the way. On the other hand, an innovative and integral part of your post-care support is our Wearable Monitoring Device, with next-gen technology specially designed for remote patients.
The Monitoring Device resembles a comfortable watch and monitors all your biometrics, as well as sleep patterns. Your health information is protected by HIPAA rules, meaning that it is strictly confidential. When you regularly measure your biometrics, you can learn all about your body and improve your health. And the best part is that the device can be connected to other fitness and health devices. For example, the monitoring device tracks and analyses the following:
Blood Pressure (without an inflatable cuff)
ECG & PPG
Oxygen Saturation
Pulse Wave Velocity
Heart Rate
Heart Rate Variability
Activity Levels
Calories Burned
And more
With this in mind, are you ready for an exciting and memorable bariatric journey?
Which patients should be offered bariatric surgery?
The first-line management of obesity should include a multi-disciplinary evaluation with nutritional and medical counseling, according to the patient’s need, in collaboration with an experienced consultant and surgical team. Many of our global surgeons suggest that adjustable gastric banding not be offered due to unacceptable complications and long-term failure. Some bariatric specialists recommend that single-anastomosis gastric bypass not be routinely offered, due to long-term complications in comparison with standard Roux-en-Y gastric bypass (Level 4, Grade D).13 • Different surgical options exist (e.g., sleeve gastrectomy, gastric bypass, and duodenal switch), with different levels of effectiveness. We recommend patients considering bariatric surgery schedule a teleconsultation and have an extensive discussion with the surgical team before deciding which surgical option seems to be the best for them. All surgeries have some adverse effects and potential risks and require lifelong management to follow-up, mineral and vitamin supplementation, and behavioral changes. well as behavioral modifications and increased physical activity. Post-surgery we highly recommend our remote monitoring service to maintain good vitals that can be measured when returning home.
Ideal Bariatric Candidates
Patients with a BMI between 35 and 40 kg/m² with at least one major obesity-related disease (e.g., T2DM, obesity-related cardiac disease, sleep apnea), or patients with a BMI ≥ 40 kg/m² with or without associated diseases, are potential surgical candidates. In addition, bariatric surgery may be offered to patients with obesity (BMI ≥ 30 kg/m²) and significant obesity-associated disease(s), when psychological and behavioral interventions and medical management are insufficient to achieve optimal weight loss and control of comorbidities.
All potential bariatric patients are carefully evaluated by a bariatric surgeon once a second opinion or firmquote is completed. Following consultation, your bariatric surgeon may educate you regarding the risks, benefits, and alternatives to bariatric surgery. Patients should also understand the need for lifelong medical surveillance to prevent and correct potential long-term nutritional deficiencies after surgery. Contraindications for bariatric surgery include recent substance abuse (alcohol, drugs), non-stable psychiatric conditions (i.e., changes in psychiatric medications in the last six months), a diagnosis of cancer, or an expected life expectancy of fewer than five years.
Even though an age limit of 60 years is considered in the NIH recommendations, multiple studies have assessed the risks and benefits of bariatric surgery in the elderly. These are summarized in a systematic review that identified 26 articles encompassing 8149 patients.18 Pooled 30-day mortality was 0.01% and the overall complication rate was 14.7%. At the one-year follow-up, mean excess weight loss was 53.8%, diabetes resolution was 54.5%, hypertension resolution was 42.5% and lipid disorder resolution was 41.2%. The authors conclude that outcomes and complication rates of bariatric surgery in patients older than 60 years are comparable to those in a younger population, independent of the type of procedure performed.
Patients should not be denied bariatric surgery because of their age alone.
Next Steps
If you are considering bariatric surgery and would like to arrange a teleconsultation, or request a quote we would be pleased to support you with this and help you on your path to health and wellness. You can also review bariatric price guides here.
Historically, weight loss surgeries were classified based on their supposed mechanisms of action. Adjustable gastric banding was considered as a purely restrictive surgery, but a high long-term complication rate associated with weight regain, slippage and erosions has led to a loss of interest in this procedure in favor of surgeries with a metabolic impact. Hypoabsorptive surgeries were thought to decrease the absorption of nutrients by bypassing portions of the small intestine (i.e., gastric bypass or duodenal switch). However, mechanistic studies have described many metabolic modifications, including changes in incretins, gut hormones, bile acids levels, and microbiota, which has led to referring to these surgeries as “metabolic operations.”
What Bariatric Surgery is Right for Me?
The decision for the type of surgery is made by your bariatric surgeon based on the patient’s medical condition, including weight, obesity-related diseases, expected adherence with supplementation and follow-up, patients’ personal goals and preferences in terms of expected weight loss, resolution of comorbidities, and side effects.
The goal is to find a balance between the complications and risk of mortality associated with obesity itself, to improve the patient’s quality of life (QOL), and reduce obesity-related diseases while aiming for acceptable short- and long-term complications and side effects related to the surgery itself. As a rule of thumb, early and long-term risks and side effects, but also maintenance of weight loss and remission of comorbidities, are proportional to the intestinal bypass. Other bariatric procedures such as single-anastomosis duodeno-ileostomy and single-anastomosis gastric bypass are becoming more popular, but are still lacking substantial scientific rationale.
Adjustable gastric banding
Adjustable gastric banding is one of the procedures that has evolved the most over the last 20 years, from a non-adjustable gastric band performed by laparotomy to laparoscopically performed adjustable gastric banding. Iterations of the technique have always aimed to reduce the complications that appeared over time. The procedure consists in placing an adjustable silicone band at the level of the cardia, creating a small stomach pouch above the band, with the rest of the stomach below the band. The gastric band is connected by a silicone tube to a subcutaneous reservoir. The reservoir can be inflated or deflated to control the opening between the pouch and the remainder of the stomach. Even though this procedure is associated with the lowest short-term complication rate, it is associated with a high long-term complication rate and weight regain, which has led to its progressive replacement by sleeve gastrectomy.
Sleeve gastrectomy
Sleeve gastrectomy was first used by laparoscopy as a staged approach in order to reduce peri-operative complications in high-risk patients. Interestingly, some patients experienced appreciable weight loss with the sleeve gastrectomy alone and did not require second-stage surgery, thus avoiding the side effects of malabsorption. Its relative technical simplicity and good outcomes led to a worldwide surge in popularity as a stand-alone procedure, starting around 2008. This procedure involves resection of the lateral part of the stomach to create a narrow gastric tube along the lesser curvature. It promotes weight loss through reduced meal volume and reduced appetite. It has become the most frequently performed surgical approach, representing 45.9% and 58.3% of all surgeries in the world and in North America. In addition, sleeve gastrectomy is typically easier to revise in case of weight regain compared with Roux-en-Y gastric bypass.
Roux-en-Y gastric bypass
Roux-en-Y gastric bypass involves the creation of a small gastric pouch at the level of the cardia. This pouch is connected to the proximal small bowel by bypassing the first 75–150 cm and bringing a 100–150 cm alimentary limb onto the gastric pouch. Short-term metabolic and hormonal effects have been studied extensively in numerous studies.24 It has been considered as the gold standard in bariatric surgery until recently when it was supplanted by sleeve gastrectomy.
Duodenal switch
The duodenal switch combines moderate restrictive and hypoabsorptive mechanisms by creating a wider sleeve gastrectomy, while the duodenum is transected distal to the pylorus and anastomosed to a 250 cm alimentary limb, leaving a 100-cm common channel for nutrient absorption. Duodenal switch reduces morbidity and mortality, improves T2DM, and corrects many features of the metabolic syndrome in long-term studies. This operation compares very advantageously with the other surgical options available, offering the most pronounced and durable weight loss and 80–90% remission rates .
Yet, the technical complexity and the risk of long-term nutritional deficiencies have hindered its widespread use. According to the most recent data, duodenal switch represented 1.1% of the total number of surgeries worldwide.
Next Steps
If you are considering bariatric surgery and would like to arrange a teleconsultation, or request a quote we would be pleased to support you with this and help you on your path to health and wellness. You can also review bariatric price guides here.
