Sleeve Gastrectomy Gastric Bypass SADI-S / DS
Best for Diabetes + GERD

Gastric
Bypass
Roux-en-Y

The gold standard of bariatric surgery for 50 years. Creates a small stomach pouch AND reroutes the small intestine — delivering the highest diabetes remission rates of any bariatric procedure.

90-120 min surgery 3-night hospital stay 75-85% EWL 80% T2D remission
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80%
T2 Diabetes Remission
within 12 months
$8,900
All-Inclusive Package
vs $23K-28K in the US
75%
Excess Weight Lost
at 18 months average
50yr
Gold Standard
most studied procedure

Who Should Choose Gastric Bypass

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Type 2 Diabetes

Bypass delivers metabolic changes beyond weight loss. 80% of T2D patients experience remission within 12 months — often before significant weight is lost. Best evidence base of any procedure for diabetes reversal.

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Severe GERD / Acid Reflux

Unlike sleeve, gastric bypass typically resolves GERD rather than worsening it. The new stomach configuration eliminates the mechanism behind chronic reflux. If you take daily PPIs (Omeprazole, Nexium), bypass is usually recommended over sleeve.

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BMI 40-60 or Prior Sleeve

For higher BMI patients or those who had a sleeve and need revision, bypass offers greater and more durable weight loss. The dual mechanism (restriction + malabsorption) is more powerful than restriction alone.

How It Works — The Dual Mechanism

Restriction (like sleeve)

A small gastric pouch (about 30ml — the size of an egg) is created from the upper stomach. You eat less volume and feel full quickly.

Malabsorption (unique to bypass)

The small intestine is rerouted so food bypasses a section of it. This reduces calorie and nutrient absorption AND triggers powerful hormonal changes that reset insulin sensitivity.

Your Journey

Pre-Op
1-2 weeks before

Comprehensive workup

Blood tests, endoscopy (to check for H. pylori), cardiac evaluation, nutritionist consultation. Virtually completable before arrival.

Day 0
Surgery

Roux-en-Y surgery (90-120 min)

Laparoscopic. 5-6 small incisions. The gastric pouch is created and intestinal rerouting completed. You walk same evening.

Days 1-3
Hospital

3-night hospital stay

Clear liquids day 1, progression to full liquids. Leak test before discharge. IV nutrition support. Diabetics: glucose monitored hourly in first 48h.

Days 4-10
Hotel

Camino Real recovery

Liquid to pureed diet coordinated with hospital nutritionist. Flight home: day 7-10 for international patients.

Month 1-6
Home

Rapid metabolic changes

Most diabetic patients see blood sugar normalization within weeks. Monthly virtual labs. Vitamin protocol begins immediately (B12, iron, D, calcium critical for bypass patients).

All-Inclusive Package

Gastric Bypass All-In Package
$8,900
USD - All-inclusive
US price: $23,000-$28,000
Save up to $19,000
  • ✓Laparoscopic Roux-en-Y gastric bypass
  • ✓3 nights at Hospital Angeles Acoxpa (private room)
  • ✓General anesthesia + anesthesiologist
  • ✓Pre-op endoscopy + labs + cardiac clearance
  • ✓4 nights Camino Real recovery suite
  • ✓Airport transfers (both ways)
  • ✓Bilingual coordinator 24/7
  • ✓12-month virtual follow-up + labs review
  • ✓Diabetes management protocol post-op
  • ✓International medical insurance $1M USD/patient
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Important: Lifelong Vitamin Protocol

Gastric bypass creates permanent malabsorption. You will need lifelong supplementation: Vitamin B12 (sublingual), iron, calcium citrate, Vitamin D3, and a high-potency multivitamin. Cost: approximately $50-80 USD/month. Non-negotiable for long-term health.

For Diabetic Patients

We coordinate with your endocrinologist before and after surgery. Expect to reduce or eliminate diabetes medications within weeks. Insulin dosing changes rapidly — you need close medical supervision in the first 90 days.

Payment Options

  • Wire transfer / ACH (preferred)
  • Visa, Mastercard, Amex accepted
  • CareCredit 0% financing (18 months)
  • HSA / FSA eligible

Frequently Asked Questions

Sleeve removes 75% of the stomach but keeps the digestive path intact. Bypass creates a small stomach pouch AND reroutes the small intestine, creating both restriction and malabsorption. Bypass produces greater weight loss and dramatically better diabetes outcomes, but requires lifelong vitamin supplementation.
80% of Type 2 diabetics experience complete remission (no medication needed) within 12 months of gastric bypass. Another 15% experience significant improvement. The mechanism is not fully understood — it goes beyond weight loss alone and involves hormonal changes that occur immediately after surgery, even before significant weight is lost.
Dumping syndrome occurs when food moves too quickly from the stomach pouch into the small intestine. Symptoms: sweating, nausea, rapid heartbeat, diarrhea within 30 minutes of eating (early dumping) or 1-3 hours later (late dumping from blood sugar swings). Triggered mainly by high-sugar or high-fat foods. Manageable through diet — actually used by some patients as an accountability mechanism to avoid unhealthy foods.
Technically yes, but it is rarely done and generally considered permanent. Reversal is complex and carries significant risks. Consider it a lifelong commitment. That said, the vast majority of patients at 10-year follow-up report they would make the same decision again.

Is Gastric Bypass Right for You?

Especially if you have Type 2 diabetes or severe acid reflux, bypass may be your best option. Our surgeon will review your complete profile within 24 hours.

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