Cindirelly

Some strictures can be fixed with a series of stretches - they put you out and place a balloon/tube in the stricture and expand it to break up scar tissue and expand the sleeve. They might need to do it only once or several times over the course of a few weeks. Another more drastic approach is to place stents inside the stomach to expand the stricture - usually leaving them in place for 4-6 weeks.

This is a long post, but it details my gastric sleeve experience in Mexico, and I feel like it's important to share it. I'm sure there are great results from this clinic and others in Mexico, but here are some of the pitfalls: I had a sleeve gastrectomy in April in Puerto Vallarta, Mexico, with Dr. Juan Francisco Hidalgo (Weight Loss Team), and I have had extreme complications since then. I had to undergo a revision surgery to a full gastric bypass because the multiple strictures in my stomach were so bad that surgeons at the Mayo Clinic (arguably one of the best groups of bariatric surgeons in the world), after five procedures, couldn't fix them. They say it was most likely Dr. Hidalgo's technique that created the stricture - he uses a much smaller bougie (tube to shape the stomach) than is typically used in the United States, and it is more likely to create complications. I know loads of people have a good outcome from Mexico surgeries, but I share my experience because I owe it to anyone contemplating this. I did a lot of research before going there and thought I had chosen well. The website of Dr. Hidalgo is very sophisticated, and there are no language issues when asking questions in advance because of the English-speaking administrator, Gerald. The website gives reams of information in perfect English -- all very comforting. Plus, as I was considering the surgery, they offered me access to the support group on Facebook for patients of Dr. Hidalgo -- something that seemed so authentic and convincing since I could read posts from all kinds of real people. However, after they recently found out about my complications, Gerald, the administrator, removed me from the group even though I was not all over it bashing Hidalgo but had just posted a couple of times about my situation. I suddenly felt so duped -- I believed all the great testimonials and was too gullible to understand that only people with positive outcomes were allowed to be in that community. So since I can't share it with people allowed to join that private group, I feel it is my responsibility to share my experience here: My experience in the Puerto Vallarta hospital was very hairy - I woke up after surgery in some kind of lounge with no one around me and in extreme pain - sobbing and begging for help, and after that at one point my blood pressure was so dangerously low that they wouldn't let me lay down anymore - forcing me into a sitting position, and I think it was possibly because the nurses gave me pain medicine twice at one point. Dr. Hidalgo was summoned to the room, and actually suggested perhaps my condition was because I hadn't taken my Wellbutrin for a couple of days. Um, what? I sincerely thought for a little while that I might die. Promises that the medical staff would check in on me at my hotel regularly after discharge from the hospital didn't materialize, and a bellboy had to track down Dr. Hidalgo to remove my staples because I was due to fly home. And then when I required intervention a couple of weeks later because I couldn't eat or drink anything due to the stricture, I was told by Dr. Hidalgo that I just needed a shot of cortisone (Seriously? Where?), and when they sent my "surgery report" to share with the U.S. doctor, it was actually just a generic report with my name at the top - not my report. It didn't even include my actual surgical information because it talked about the port they had installed, which I never had. When I asked for full records, including the swallow study/leak test done with X-Ray at the hospital before discharge, I was told that Dr. Hidalgo didn't have any of the records, and that it could be three or four months before he got it from the hospital. My diagnosis was that I had a severe stricture in my gastric sleeve in several places, and the five additional surgeries were to try to stretch and stent the stomach open, but nothing worked and I had to have a complete revision to a roux en Y gastric bypass because my stomach was unsavable. The Mayo surgeon's professional opinion based on my situation and the generic "surgery report" Hidalgo's team sent is that this stricture was caused by Dr. Hidalgo because he uses a bougie that is far too narrow. This is the tool used to size your new sleeve stomach, and Hidalgo uses size 18, while the medical standard in the U.S. is more like 28. Though I asked several times, Dr. Hidalgo would never provide my actual medical records or X-Rays from after the surgery, but the Mayo doctors believe the X-Ray immediately following the surgery shows the stricture, which left just a 1/4 inch opening and was slowly killing me. I didn't eat a solid piece of food for 140 days, I was anemic and malnourished and needing fluid IVs just to stay hydrated because I couldn't even force enough water down the narrow stricture. Half of my hair has fallen out, I was confused and exhausted for months due to malnutrition, and I could hardly function. I lost 75 pounds in four months, but I only had 100 pounds total to lose so that was a dangerous pace for someone my size . Yes, I lost weight, but this was not a safe way to do it and I was desperately sick the whole time. Besides, my procedures to fix my $4,200 gastric sleeve from Mexico cost more than $125,000 - thank GOD I have good health insurance because just the co-pays alone have caused me significant hardship. I'm sorry to share such a terrible story. I understand how hopeful it feels to finally have the opportunity to lose weight because I was desperate to do so. But I made bad choices, it seems, based on a fake Facebook "support group," and English-speaking staff, and a charming doctor. My advice is to choose slowly and well and to comb forums looking for posts from people who may not have had the best experiences with the clinic you choose. I have a network now of a couple of other people with an experience similar to mine from surgeries with Hidalgo's Weight Loss Team, and none of us ever saw anything negative ahead of our visits. People with complications need to share them for the benefit of people in the future. I would also recommend that you ask a surgeon for the technical aspects of their procedure and then compare them to the vast volumes of research available from doctors who practice in the U.S. The bougie size is a big deal, and so are the exact kind of staples used. And above all else, DO NOT leave Mexico without a copy of every medical record generated about your care, from the films of the leak test to hospital logs. Even in Spanish, they can be invaluable later to a team of doctors trying to help you if you have complications. I have learned these things the hard way, and it's been a rough road. If I could do it over, I would still have the gastric sleeve, maybe, but I would have been much more cautious in the process. I wish you all the best.