El Centro de Cirugía Bariátrica y Metabólica del Dr. Rodrigo Prieto es una clínica acreditada por la IFSO, especializada en procedimientos para la pérdida de peso y metabólicos. La cirugía bariátrica y metabólica es su principal área de especialización.
El Centro de Cirugía Bariátrica y Metabólica del Dr. Rodrigo Prieto es una clínica acreditada por la IFSO, especializada en procedimientos para la pérdida de peso y metabólicos. La cirugía bariátrica y metabólica es su principal área de especialización.
Esta terapia utiliza pequeñas incisiones para reparar la fuga de ácido del estómago, aliviando la acidez estomacal y ofreciendo una recuperación rápida y menos dolorosa.
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physically demanding work usually takes longer."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any perioperative complication within 30 days; serious ones and conversion to open surgery under 2%"},"contraindications":["Unfit for general anesthesia due to severe cardiopulmonary disease","Uncorrected coagulopathy or bleeding disorder","Severe uncontrolled portal hypertension or advanced liver cirrhosis","Pregnancy (elective surgery usually deferred)","Symptoms not caused by gastroesophageal reflux (relative)","Severe motility disorder such as achalasia (relative; needs alternative)","Extensive prior upper abdominal surgery with dense adhesions (relative)"],"days_in_clinic":{"min":1,"max":2,"unit":"nights","qualifier":"Typical inpatient stay after uncomplicated laparoscopic fundoplication, with or without hiatal hernia repair."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":6,"unit":"weeks","qualifier":"Light walking early; heavy lifting and strenuous core exercise avoided about 4-6 weeks."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Swallowing and bloating symptoms typically settle over weeks to a few months; reflux control is assessed by then."},"fly_home_after_days":{"min":5,"max":7,"unit":"days","qualifier":"From surgery; after 1-2 hospital nights and first postoperative check, subject to surgeon clearance and swallowing comfort."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":3,"max":5,"unit":"days","qualifier":"From surgery; in-clinic check before flying home."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":60,"unit":"days","qualifier":"From surgery; review of diet progression, swallowing and reflux symptoms."}},{"purpose":"result_review","requirement":"conditional","after":{"min":90,"max":180,"unit":"days","qualifier":"From surgery; symptom outcome review, further testing only if symptoms persist."}}],"indications":["Chronic GERD with persistent symptoms despite optimal medical therapy","Regurgitation or volume reflux not controlled by medication","Reflux complications such as erosive esophagitis or stricture","Coexisting hiatal hernia causing symptoms"],"main_risks":["Dysphagia (difficulty swallowing), usually temporary","Gas-bloat syndrome and inability to belch or vomit","Recurrence of reflux or wrap loosening/herniation","Bleeding, infection or injury to esophagus, stomach, spleen or liver","Conversion to open surgery","Diarrhea or early satiety","Anesthesia-related risks and venous thromboembolism"],"pain":"Mild to moderate pain for the first several days, mostly at the port sites and shoulder tip (from gas), controlled with oral analgesics; swallowing discomfort is common early.","preparation":["GERD confirmed by endoscopy, often pH monitoring and manometry","Barium swallow or imaging when hiatal hernia is suspected","Pre-anesthesia assessment and routine blood tests","Fasting for about 6-8 hours before surgery","Review of current medications and allergies with the surgical team","Stop smoking and optimize weight where possible","Discussion of expected diet changes and realistic outcomes"],"recovery_timeline":[{"phase":"Hospital stay (day 0-2)","description":"Recovery from anesthesia, early mobilization, liquid diet started.","restrictions":["Liquid diet only","Avoid lifting"]},{"phase":"Weeks 1-2","description":"Modified diet progressing from liquids to soft, pureed foods; port site healing.","restrictions":["Small frequent meals","Avoid carbonated drinks","No heavy lifting"]},{"phase":"Weeks 3-6","description":"Gradual return to normal diet and activity; swallowing improves.","restrictions":["Avoid heavy lifting and straining until cleared","Chew food well"]},{"phase":"Months 2-3","description":"Return to full activity; bloating and swallowing symptoms mostly resolve.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":28,"unit":"days","qualifier":"Ordinary functional recovery for daily activities and diet progression; no formal rehabilitation program is usually required."},"result_longevity":"Many patients maintain good reflux control for many years, but wrap loosening or recurrence can occur over time and some need medication again.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Reoperation for recurrent reflux, wrap herniation or persistent dysphagia within about 5-10 years"},"scars":"Typically four to five small port-site scars of about 0.5-1.5 cm on the upper abdomen, usually fading to minimal marks.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation; follow-up checks are not counted."},"stages":[{"code":"surgery","label":"Laparoscopic fundoplication (with hiatal repair if needed)","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"Single-stage operation."},"success":{"metric":"Patients with satisfactory reflux control without daily acid medication","value":75,"unit":"percent","horizon":"5 years","population":"Adults with objectively confirmed GERD, typically with good response to acid suppression","evidence_status":"limited"},"techniques":[{"name":"Laparoscopic Nissen fundoplication (360° wrap)","suits_whom":"Most patients with GERD and normal esophageal motility, especially with hiatal hernia.","recovery":"Hospital stay 1-2 nights; temporary dysphagia and bloating common."},{"name":"Laparoscopic Toupet fundoplication (270° posterior partial wrap)","suits_whom":"Patients with weak esophageal motility or higher dysphagia risk.","recovery":"Similar recovery, usually less dysphagia and bloating."},{"name":"Laparoscopic Dor (anterior partial) fundoplication","suits_whom":"Selected patients, often after myotomy or with motility concerns.","recovery":"Similar recovery; fewer swallowing side effects."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Operating time for uncomplicated primary laparoscopic fundoplication, with or without hiatal hernia repair."},"initial_assessment_documents":["Upper endoscopy report","Barium swallow report","Esophageal manometry report","24-hour pH monitoring report","List of current reflux medications","Hiatal hernia CT or MRI report, if any"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 5-7 days including 1-2 hospital nights and first postoperative check before flying home."},"clinic_checks":null,"red_flags":null,"warning_signs":null,"take_home":null,"alternatives":null,"technique_details":null}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=mexico/city=gvadalahara/procedure=operacia-pri-refluks-ezofagite/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":3},"manualSeo":[],"updatedAt":"2026-11-08T06:40:10.089Z","activeCountries":["ES","TR","MX","TH"],"hasVideoReviewsByContext":false,"hasCriticalApiFallback":false}