This Cancún clinic for bariatric and GI surgery is led by a Fellow of the American College of Surgeons. It specializes in gastroenterology, surgery, and weight loss surgery with ASMBS accreditation.
This Cancún clinic for bariatric and GI surgery is led by a Fellow of the American College of Surgeons. It specializes in gastroenterology, surgery, and weight loss surgery with ASMBS accreditation.
Dr. Enrique Pliego Esquivel is a certified bariatric surgeon with _doctor_8959_years_ of experience, specializing in obesity-related conditions and surgical complications.
Dr. Enrique Pliego Esquivel is a bariatric and gastrointestinal surgeon in Cancún. He is among the few surgeons in Mexico with membership in the ASMBS. Dr. Pliego Esquivel is certified by the Mexican Board of Obesity Surgery. He focuses on weight loss surgery and managing obesity-related conditions.
This Cancún clinic for bariatric and GI surgery is led by a Fellow of the American College of Surgeons. It specializes in gastroenterology, surgery, and weight loss surgery with ASMBS accreditation.
This therapy addresses pancreatitis with medication, lifestyle adjustments, and sometimes surgery, enhancing the patient\"s recovery and preventing complications.
"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":7,"days_in_country":14,"rehabilitation_days":21,"satisfied_percent":78,"treatment_duration_hours":4},"illness_kind_details":{"requests_processed":9886}},"direction":{"id":13,"name":"Gastroenterology","alias":"gastroenterology"},"illness_kind":{"id":13,"name":{"en":"Gastroenterology"}},"parsed_details":{"procedure_type":"therapy","fields":{"anesthesia":["none"],"back_to_work_days":{"min":14,"max":28,"unit":"days","qualifier":"After discharge; desk work earlier, longer after moderate or severe acute pancreatitis"},"complication_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Local complications such as fluid collections, infection or organ dysfunction during admission and 90 days; mild disease at low end"},"contraindications":["Severe pancreatitis with organ failure needing intensive care","Infected necrosis requiring drainage or surgery","Uncontrolled sepsis or hemodynamic instability","Inability to stop alcohol in alcohol-related disease","Suspected pancreatic cancer needing separate oncologic work-up"],"days_in_clinic":{"min":7,"max":14,"unit":"nights","qualifier":"Inpatient stay for diagnostics, fluids, analgesia and nutrition; longer if complications develop"},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":6,"unit":"weeks","qualifier":"Light activity first; strenuous exercise after pain resolves and diet is tolerated"},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Full clinical recovery after acute episode; chronic disease needs ongoing management"},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"After pain resolves, oral diet is tolerated and the treating physician clears travel"},"follow_up_visits":[{"purpose":"assessment","after":{"min":7,"max":14,"unit":"days","qualifier":"Discharge review of symptoms, diet and cause-directed plan, usually remote"},"requirement":"routine"},{"purpose":"result_review","after":{"min":28,"max":56,"unit":"days","qualifier":"Repeat labs or imaging to exclude collections, with home-country physician"},"requirement":"routine"},{"purpose":"other","after":{"min":14,"max":90,"unit":"days","qualifier":"Needed if pain, fever or vomiting recurs"},"requirement":"conditional"}],"indications":["Acute pancreatitis","Chronic pancreatitis","Recurrent pancreatitis from gallstones, alcohol or hypertriglyceridemia"],"main_risks":["Acute pancreatitis progressing to necrosis, infection or organ failure","Pancreatic fluid collections or pseudocysts","Malabsorption and diabetes in chronic disease","Medication adverse effects (e.g., opioid-related)","Recurrence if underlying cause is untreated"],"pain":"Severe upper abdominal pain at onset, controlled with IV analgesia in the first days. Pain usually settles to mild within about 1-2 weeks.","preparation":["Send recent imaging and laboratory reports","List current medications and supplements","Stop alcohol completely","Arrange fasting only as directed","Bring prior pancreatitis discharge summaries"],"recovery_timeline":[{"phase":"Days 1-3","description":"Admission, IV fluids, pain control, monitoring and early diagnostics.","restrictions":["Nil by mouth or minimal intake as directed","Bed rest"]},{"phase":"Days 4-10","description":"Early oral or enteral feeding, cause-directed treatment, pain stepped down.","restrictions":["Low-fat diet","No alcohol"]},{"phase":"Days 11-28","description":"Home recovery with gradual return to normal diet and activity.","restrictions":["No alcohol or smoking","Avoid heavy exertion"]},{"phase":"Weeks 4-12","description":"Check-up, lifestyle and enzyme therapy review if needed.","restrictions":["Continue alcohol abstinence","Low-fat diet as advised"]}],"rehabilitation_days":{"min":14,"max":28,"unit":"days","qualifier":"Return to ordinary daily function and normal diet after discharge"},"result_longevity":"Lasts if the cause is removed and alcohol and smoking are avoided. Chronic disease needs lifelong management and recurrence remains possible.","revision_rate_pct":{"min":15,"max":30,"unit":"percent","qualifier":"Recurrent pancreatitis or readmission within 1-2 years if cause is not removed; higher with ongoing alcohol use"},"scars":"No scars; no incisions in the standard non-surgical protocol.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single inpatient admission with continuous therapy"},"stages":[{"code":"stabilisation","label":"Fluids, analgesia and diagnostics","after":{"min":0,"max":3,"unit":"days","qualifier":"From admission"}},{"code":"nutrition_cause","label":"Nutrition and cause-directed treatment","after":{"min":3,"max":10,"unit":"days","qualifier":"Depends on tolerance of oral feeding"}}],"qualifier":"One continuous inpatient course, not repeated sessions"},"success":{"metric":"Recovery from mild-moderate acute pancreatitis without persistent organ failure","value":90,"unit":"percent","horizon":"Within 4 weeks of admission","population":"Adults with mild to moderate acute pancreatitis treated conservatively","evidence_status":"limited"},"techniques":[{"name":"Supportive care with IV fluids and analgesia","suits_whom":"Acute pancreatitis, mild to moderate","recovery":"Discharge in about 7-10 days"},{"name":"Early enteral nutrition","suits_whom":"Patients unable to eat orally for several days","recovery":"Gradual return to oral diet over 1-2 weeks"},{"name":"Enzyme replacement and pain management","suits_whom":"Chronic pancreatitis with malabsorption or pain","recovery":"Symptom control within weeks; ongoing therapy"},{"name":"Cause-directed treatment such as lipid lowering or alcohol cessation program","suits_whom":"Recurrent pancreatitis with identified cause","recovery":"Prevents recurrence; long-term follow-up"}],"treatment_conditions":["inpatient"],"treatment_duration_hours":null,"initial_assessment_documents":["Abdominal CT or MRI report with images","Serum amylase and lipase results","Abdominal ultrasound report","Discharge summaries from previous pancreatitis episodes","Liver function and blood glucose tests","Endoscopic ultrasound or MRCP report (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Inpatient diagnostics and conservative therapy in one trip; stay about 7-14 days. 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heal.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"early-enteral-nutrition","name":"Early enteral nutrition","how_it_works":{"text":"A feeding tube supplies nutrition when eating is difficult","source":{"url":"https://my.clevelandclinic.org/health/diseases/8103-pancreatitis","host":"my.clevelandclinic.org","quote":"If you’re having trouble eating, you may have a feeding tube placed through your nose or stomach to get enough nutrition.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"enzyme-replacement","name":"Enzyme replacement and pain management","how_it_works":{"text":"Replacement enzymes are taken with meals to aid digestion","source":{"url":"https://my.clevelandclinic.org/health/diseases/21577-exocrine-pancreatic-insufficiency-epi","host":"my.clevelandclinic.org","quote":"You take PERT 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