What the gastric bypass changes
A Roux-en-Y gastric bypass changes both the size of the meal and the path of the food. The surgeon makes a small pouch from the upper stomach and connects that pouch to a limb of small intestine. Food then skips the rest of the stomach and the duodenum. A second join reconnects the intestine that still carries bile and pancreatic juice, so digestion meets the food farther downstream. This is not a sleeve, and it is not a single-join mini bypass.
The published package for this operation is $5,800 USD all-inclusive when Dr. Sergio Quiñones clears it. People ask about reflux and about type 2 diabetes because a bypass is often the operation discussed when heartburn is severe or when glucose control is a central reason for surgery. Those are reasons to review the record. They are not a promise that reflux disappears or that diabetes medicines stop. Any change in insulin or other glucose drugs is planned with the clinician who prescribes them.
Who may be considered
The same published body-mass guidance used for other bariatric operations applies here: often an index of 40 or higher, or 35 or higher with a related disease. A person with significant reflux, a sleeve that is being reconsidered, or diabetes medicines that are hard to sustain may be reviewed for a bypass instead of a sleeve. Prior ulcer disease, smoking, and the use of anti-inflammatory pills matter, because the new join can ulcerate. Acceptance is not printed as a cutoff on this page.
The candidacy quiz does not choose the operation. It only starts the file. Old endoscopy reports, a list of glucose medicines, and any previous abdominal operative note should travel with the application. There is a $0 deposit to apply. Payment is not the first step. If the safer operation is a sleeve, a switch, or no operation, that is the answer the review is allowed to give.
How the operation is done
The bypass is laparoscopic unless scar tissue forces a different approach, which would be discussed if it became necessary. The pouch is separated from the rest of the stomach. The small intestine is divided and arranged as a Roux limb. One join connects the pouch to that limb. The other join brings the bile-carrying limb back to the intestinal path. The surgeon checks both joins and the spaces where intestine could later twist. A leak test may be used in the operating room.
The lower stomach is not removed. It stays in the abdomen, still connected to the duodenum, but food no longer enters it. That is why a bypass is a different commitment from a sleeve, where stomach tissue leaves the body. This page does not state how many minutes the operation takes. The record for this procedure does not publish a duration. Scar tissue, liver size, and a hernia at the diaphragm all change the time.
Risks discussed before travel
Bleeding and a leak at a join are early risks, as they are with any stapled stomach surgery. Complication insurance is included on the $5,800 package. This page does not name the insurer or a dollar maximum. Later risks that are specific to a bypass include a marginal ulcer at the pouch join, a twist of intestine called an internal hernia, and dumping: cramps, flushing, or diarrhea after sugar or a large meal. Nicotine and many over-the-counter pain pills raise the ulcer risk, so they are part of the pre-travel conversation.
Iron, vitamin B12, calcium, and vitamin D are the gaps discussed most often, because food skips the duodenum. The follow-up plan exists so those levels can be checked, not so a webpage can invent a dose. Bowel obstruction and gallstones can appear in the months after weight changes of any cause. Death under anesthesia is rare and is still said plainly. A bypass can be revised, but it should not be described to a patient as a casual reversible switch.
How bypass differs from the sleeve and the switch
The sleeve leaves food on the normal intestinal path and removes stomach tissue. The bypass keeps the lower stomach in place and moves the path of the food. The mini bypass uses one join and has a different bile-reflux conversation. The duodenal switch adds a deeper malabsorptive limb and does not have a published package price on this site. Revision surgery starts from whatever operation is already there. A person should not read the sleeve price of $4,900 as the price of a bypass.
People who mainly want the smallest change in intestinal anatomy are often looking at a sleeve, if reflux allows it. People who mainly want a new food path because of reflux or diabetes medicines are often looking at this page. The written plan says which one was chosen and why. Pompeii México does not publish a percentage of weight loss for either operation. The number on this page that is firm is the package: $5,800 USD, with complication insurance and a $0 deposit to apply.
Eating before surgery
In the weeks before surgery, many patients follow a high-protein, low-carbohydrate diet so the liver is smaller and the upper stomach is easier to see. The exact menu is written after the record is reviewed. It is not the same sheet for every person. People with diabetes may need a change in glucose medicine during this diet, and that change is made by the clinician who already prescribes it, together with the surgical plan. A patient does not stop a prescribed drug because a webpage said so.
The usual targets are steady protein, fewer sugary drinks, and no alcohol. Carbonated drinks are stopped because gas is uncomfortable after stomach surgery. Smoking and nicotine products are a separate risk for healing, and the team asks about them directly. Blood thinners, anti-inflammatory pills, and herbal products are listed by name so the surgeon can say which ones pause and when they restart. The application itself does not require a deposit while this list is being collected.
Eating after surgery
After the operation, the stomach needs time before solid food is safe. The first phase is clear liquids: water, broth, and sugar-free gelatin, in small sips. The next phase adds protein shakes and other full liquids if they are tolerated. Pureed food comes later, then soft food, then a regular texture in small portions. The day each phase starts is assigned by the team. This page does not publish a personal day count as if it were a promise.
Protein is the nutrient people most often miss. A shake or another protein source is part of the early plan, and the amount is written for that person. Vomiting, dizziness, or an inability to drink is a reason to call, not a reason to push the next phase. Vitamins are added when the surgeon says the stomach will tolerate them. The five-year nutrition follow-up included with priced packages is the place where those doses are adjusted. A blog schedule from another clinic is not the Pompeii México plan.
The days in Tijuana
Patients who fly into San Diego International Airport are met for the private transfer into Tijuana. The package that has a published price includes that round trip. The address used for the stay is Av. Diego Rivera 2550 in Zona Río. A companion can travel with the patient. The coordinator sets the pickup time after the surgery date is confirmed, and the patient keeps the passport and the medicine list in a carry-on bag.
The hospital portion is a short stay for walking, liquids, and pain control. Nurses help the patient sit up and walk on the day of surgery when the anesthesiologist agrees. The recovery suite comes after that hospital portion. This page does not name a hospital and does not describe an accreditation, because that document is not part of the public file. Questions about the room, the companion bed, and the ride back to San Diego are answered by the coordinator before tickets are bought.
The package and the five-year follow-up
The published gastric bypass package is $5,800 USD all-inclusive. Where a price is published, it covers the surgeon, the hospital stay, the recovery suite, private transport from San Diego, and complication insurance. It does not cover a personal airline ticket. Applying to be reviewed costs a $0 deposit. If the surgeon does not clear the person, the trip is not treated as a booked surgery. The insurance is described as included. This page does not name an insurer, a dollar cap, or a list of exclusions. Those terms are explained from the certificate before travel.
After the return home, priced packages include nutrition follow-up for five years. The contact is for diet stages, vitamins, and symptoms that need a surgeon's eye. It is not a substitute for emergency care in the patient's own city. Chest pain, fainting, uncontrolled vomiting, or a fever is a reason to use local emergency services and then call the Pompeii México number. The phone published on this site is +1 (858) 439-7931. Dr. Sergio Quiñones remains the reviewing surgeon named on the plan.
| Checkpoint | What is reviewed | What the patient does |
|---|---|---|
| Before travel | Reflux, diabetes medicines, prior operations | Sends records and applies with a $0 deposit |
| Clearance | Whether a Roux-en-Y bypass fits | Waits for a written plan before paying |
| Hospital days | The new joins, liquids, walking | Sips only what the team allows |
| At home | Ulcers, vitamins, dumping symptoms | Avoids nicotine and unnamed pain pills |