The HCB Obesity Unit is prepared to provide solutions to the different types of Obesity. The same treatment cannot be indicated for patients who are overweight, obese or severely or morbidly obese. And this is the main difference between the HCB Obesity Unit and other centres dedicated to Obesity.

Bariatric Surgery or Bariatric Endoscopy

The complete study of Obesity and the assessment by the entire team of the Unit prior to any intervention facilitates the choice of the most appropriate technique for each patient, as well as scientific criteria such as those of the Spanish Consensus Document on Bariatric Endoscopy.

When to indicate BARIATRIC SURGERY

1. As a general rule, those patients who exceed a BMI of 35 and have associated diseases such as hypertension, diabetes, apnea, etc.
2. Also patients who exceed a BMI of 40, even if they do not suffer from any disease.

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HCB Bariatric Surgery

The HCB Obesity Unit offers all the current techniques with the best results:

• Adjustable gastric band

A band is placed around the upper part of the stomach, connected to a catheter and a reservoir that is placed under the skin and allows the passage of food to be adjusted.

This technique is reversible and the one that involves the least surgical risk, but it is the one that achieves the least weight loss. You need fewer vitamin supplements. Its results depend a lot on the will of the patient.

• Tubular stomach reduction

A part of the stomach is reduced, leaving a small-capacity tube shape. This causes the patient to feel full with little food and to lose weight significantly. It is NOT necessary to cut or saturate the small intestine.

It is irreversible and implies a higher risk of bleeding and fistula. You may need vitamin supplements (B12, Iron). And greater weight loss is obtained than with the gastric band technique.

• Gastric bypass

This technique consists of leaving a very small functional stomach, with a narrow outlet, and bypassing a part of the intestine. This results in a reduction in the amount that can be eaten and a slight reduction in the absorption of food.

It is difficult to reverse, more complex and has a risk of bleeding, fistula, stenosis, internal hernia, even malnutrition. It is recognized as the standard technique. It requires multivitamin supplements and medical check-ups for life.

It is the technique that achieves the greatest weight loss and with which it is possible to cure or substantially improve diseases caused by obesity, such as type 2 diabetes.

• Bagua

It is a technique that is performed by Minimally Invasive Surgery that combines the best aspects of the Gastric Sleeve with the best aspects of the Gastric Bypass. It is the technique with the best results in terms of weight loss and the correction of associated diseases such as diabetes.

• Biliopancreatic diversion

In this technique, the bypass of the intestine is longer. But it is only recommended for selected patients due to its increased risk of malnutrition.

When to indicate BARIATRIC ENDOSCOPY

1. Patients with grade II overweight or I-II obesity (non-morbid), that is, patients with a body mass index (BMI) between 27-40 Kg /m2.
2. Morbidly obese patients (BMI greater than 40 Kg/m2) with a high surgical risk or who directly prefer an endoscopic technique as their first option.
3. Patients with super obesity (BMI greater than 50 Kg/m2) who need to lose weight prior to performing bariatric surgery to reduce its surgical risk.

The HCB Obesity Unit offers all the current techniques with the best results:

• Intragastric balloon 6 months
• Intragastric balloon 12 months
• POSE
• Endo sleeve
• Apollo Method