Life-Saving Procedures

Centro de Cirugía Bariátrica del Hospital de Diagnóstico

Ernesto Escobar, MD

General, Minimally Invasive (advanced laparoscopy), and Bariatric Surgery

Surgeon specialized in general surgery, advanced laparoscopy, and bariatric surgery, with an emphasis on the treatment of digestive conditions and obesity.

 

At Centro de Cirugia Bariatrica, he performs procedures such as gastric bypass, sleeve gastrectomy, and revisional bariatric surgery, in addition to gastrointestinal emergencies and minimally invasive techniques. He is recognized for his research in robotic surgery and his commitment to the continuous improvement of surgical care.

  • Doctor of Medicine Homologation in the United States of America - Educational Commission for Foreign Medical Graduates (ECFMG) (2014).
  • Minimally Invasive, Foregut, and Bariatric Surgery Fellowship- Baptist Health South Florida. Miami, Florida, United States of America (2015)
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Hospital De Diagnóstico

The Centro de Cirugía Bariátrica is the official program of Hospital Diagnostico. Our goal is to ensure patients receive quality and save services under the best conditions, meeting First World International standards.

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Multidisciplinary Team

Our Multidisciplinary Team enables patients to improve their quality of life

Claudia Ayala, MD

Internal Medicine- Rheumatology

Tania Valle

Nutrition Specialist

Karla Aguilar, MD

Psychiatrist, Mental Health

Martha Reyes, MD

Cardiologist, Electrophysiologist

Dulia Contreras, MD

Internal Medicine-Endrocrinology

Manuel López, MD

Pulmonologyst, Respiratory Endocopy

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Procedures

Learn about the procedures we perform

Testimonials

Frequently Asked Questions

Bariatric surgery is a variety of surgical procedures designed to help individuals with obesity to lose weight by decreasing the amount of food they can consume and/or reducing calories absorption.

 

According to the new guidelines released by the International Federation of Surgery for Obesity and metabolic disorders (IFSO) in 2022, candidates for surgery are those patients with Class I obesity (BMI of 30) with associated diseases or those patients with Class II obesity (BMI of 35) or above.

The most common types include: 

  1. Gastric Bypass, which reduces stomach size and reroutes the small intestine to limit the absorption of food and calories. 
  2. Sleeve Gastrectomy, which reduces the size of the stomach decreasing hunger and increasing satiety. 

Bariatric surgery offers significant benefits, such as significant and sustained weight loss, better control of medical conditions like type 2 diabetes and hypertension, as well as improvements in quality of life including increased mobility and emotional well-being. It is important to consider these positive aspects when evaluating whether bariatric surgery is right for you.

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Colon surgery

There are benign and malignant (cancerous) diseases that can affect the colon. Many cases of benign diseases can be resolved with medical treatment, but others may require surgery.
Nowadays, we perform these surgeries using minimally invasive techniques (laparoscopy), allowing us to complete major procedures with small incisions, ensuring a quicker recovery with less pain.
For more information:

Stomach Surgery

There are various diseases that can affect the stomach, both benign and malignant (cancer).
In most cases of benign diseases, the treatment is medical; however, when dealing with tumors, the treatment is surgical.
Nowadays, we perform procedures for both benign and malignant tumors using laparoscopy (minimally invasive surgery), which allows for a quicker recovery with less pain and an early return to daily activities.
For more information:

CIRUGÍA DE HERNIA

Las hernias son defectos/orificios por donde protruyen tejidos que están contenidos en una cavidad. En este caso nos referimos a hernias de la pared abdominal y de la ingle (hernias ventrales, hernias umbilicales/ombligo y hernias inguinales).

Dependiendo del tipo y causa de la hernia la cirugía puede realizarse tanto de manera convencional (herida clásica, cirugía abierta) o por Mínima Invasión (Cirugía laparoscópica con pequeñas heridas, menor dolor y pronta recuperación).

En la mayoría de los casos se colocan mallas sintéticas cuya función es la de producir un tejido fibroso de cicatriz interna que conformará la matriz de una nueva pared previniendo así la formación de nuevas hernias.

Existen también casos de hernia compleja en la cual los cirujanos realizamos intervenciones más grandes que involucran la separación de algunos músculos para poder lograr cerrar los grandes defectos herniarios permitiendo así recuperar la calidad de vida de los pacientes.

Para mayor información:

 

Thyroid Surgery

The thyroid gland is naturally located in the central region of the neck and helps regulate metabolism. However, there are occasions when surgery is necessary to remove it.
Indications for thyroid surgery include:
  • Goiter (enlargement of the gland) causing compressive symptoms (difficulty swallowing or airway obstruction)
  • Malignant tumors (cancer)
  • Failure of medical treatment to control hyperthyroidism/thyrotoxicosis
  • Cosmetic reasons to alleviate the deformity caused by goiter, even if there are no compressive symptoms
The traditional approach to thyroid surgery involves a neck incision, discreetly placed along natural skin lines to achieve the best possible cosmetic result. Currently, there are also minimally invasive treatments, but they are not widely applied globally.
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Cirugía de Urgencia/Emergencias

Existen diversas situaciones que nos obligan a ayudar atención médica de manera inmediata, incluso algunas que pueden amenazar de manera inmediata la vida tales como:

  • Accidentes (tránsito, violencia, lesiones deportivas, quemaduras, caídas, golpes, etc).
  • Infecciones graves que ameritan manejo hospitalario
  • Dolor abdominal
  • otras

Heridas

Para las heridas en muchas ocasiones es necesario realizar suturas en sala de pequeña cirugía bajo anestesia local o en casos más severos realizarse en sala de operaciones como el caso de heridas por arma blanca o arma de fuego.

Trauma (accidentes, violencia, caídas, lesiones deportivas, etc.)

Estas situaciones pueden ser leves o en ocasiones complejas que amenazan la vida del paciente. En muchos casos se requiere el manejo conjunto con diversas especialidades como: Cirugía General, Ortopedia, Neurocirugía o Cirugía Vascular.

Dolor abdominal

El dolor abdominal es una situación que requiere de la experiencia del médico para determinar cuál es la causa de éste y determinar si se trata de un cuadro quirúrgico o no. Algunos casos pueden ser difícil de diagnosticar y pueden traer repercusiones fatales en los pacientes.

Por lo anterior, ante un cuadro de dolor abdominal se recomienda NO automedicarse ya que esto puede “enmascarar” o atenuar el malestar brindando una falsa sensación de alivio lo cual después traerá complicaciones.

Las causas más frecuentes de dolor abdominal son: enfermedad ácido péptica (gastritis, úlceras, etc), inflamación de la vesícula biliar (colecistitis o cólico biliar), apendicitis y hernias. Dependiendo de cada enfermedad así será su tratamiento.
La mayoría de estas enfermedades abdominales pueden ser tratadas con cirugía de mínima invasión reservando las heridas grandes para casos más complejos en los cuales la laparoscopía no está indicada.

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Type 2 Diabetes Surgery

Type 2 Diabetes Surgery or Metabolic Surgery is derived from weight loss (bariatric) surgery. Although it shares the same principles, it is a modified technique focused on treating diabetes associated with obesity and other related conditions.
These treatments allow patients to stop using insulin or other medications and help control conditions caused by the disease. Patients benefit from weight loss, regaining their quality of life.
For more information:

Hiatal Hernia

The diaphragm muscle is the natural division between the thorax and the abdomen. When the esophagus enters the abdomen, it passes through the diaphragm via a natural opening called the “esophageal hiatus.” This hiatus has a predetermined normal diameter, but when it enlarges or dilates, the esophagus loses part of its support and retracts into the thorax, pulling the stomach with it. This condition is known as a “hiatal hernia.”
A hiatal hernia causes reflux and sometimes ulcers and digestive bleeding.
The surgery to cure a hiatal hernia is performed using minimally invasive techniques (laparoscopy), which allows for a quick recovery with less pain and a rapid return to daily activities.
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Cholecystectomy Surgery

The most common reason for gallbladder surgery is gallstones. Gallstones can be of various types: cholesterol, bile pigments, or, less commonly, due to hemolytic anemias (when red blood cells are destroyed).
The most frequent symptoms caused by gallstones include:
  • Pain in the upper abdomen that radiates to the upper right quadrant (under the rib), back, and shoulder. Initially, the pain may be intermittent, known as “biliary colic,” but if it persists for more than 6 hours and becomes continuous, it is suspected to be “acute cholecystitis” (inflammation of the gallbladder).
Acute cholecystitis is an urgent indication for surgery to remove the gallbladder, as there is a risk of complications such as gallbladder perforation, peritonitis, migration of stones that obstruct the bile duct (causing yellowing of the skin, eyes, and mucous membranes), biliary pancreatitis, sepsis, and death. Nowadays, the conventional treatment for gallbladder surgery is through minimally invasive surgery (laparoscopy), which involves small incisions of 1 cm or less (in some cases, 3 mm), allowing patients to recover with less pain, less bleeding, and a quicker recovery.
Ideally, if you have gallstones, do not wait for complications to arise and consider undergoing this surgery to avoid further issues.
Retrieved from https://www.sages.org/publications/patient-information/patient-information-for-laparoscopic-gallbladder-removal-cholecystectomy-from-sages/
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