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Dr. Cárcamo graduated from the University of California at San Francisco in 1992 and completed his surgical training at University of Texas in Houston in 1997.
A member of the Bexar County Medical Society and Texas Medical Association, and a Fellow of The American College of Surgeons, Dr. Cárcamo is board certified by the American Board of Surgery. He has been in the practice of general surgery in San Antonio since 1997, addressing gallbladder disease, hernias, intestinal disorder, breast disease, and cancer.
Well recognized as one of the nation’s leaders in minimally invasive bariatric surgery, Dr. Wright has been in practice in San Antonio since 2001. He graduated with high honors from the University of Texas Medical Branch at Galveston, TX and completed his surgical training at the University of Texas Southwestern Medical School. He is Board-Certified by the American Board of Surgery, a Fellow of the American College of Surgeons, and a member of the following groups: American Society for Metabolic and Bariatric Surgery, Society of American Gastrointestinal Endoscopic Surgeons, Texas Medical Association, Bexar County Medical Society, Parkland Surgical Society.
He founded South Texas Surgeons, PA with Gerardo Carcamo, M.D. in 2003, which is San Antonio’s oldest weight loss surgery practice . Having performed more than 8,000 successful weight loss operations, the practice has been used as a model for training LAP-BAND® surgeons not only in techniques of surgery, but also in postoperative and nutritional care.
Dr. Wright completed additional training through Ohio State and Duke Universities, and offers gastric bypass, gastric sleeve, Lap-band, single-anastamosis loop duodenal switch, and revisional surgery. He performed the first vBloc and intragastric balloon procedures in San Antonio with Dr. Carcamo. He provides aftercare (and revisional surgery when necessary) for patients who had bariatric procedures performed at other facilities, including all True Results patients.
As consultant for Apollo Endosurgery, Inc., Dr. Wright provided valuable insight on current surgical technique and new product development for weight loss surgery.
Your first step towards successful surgical weight loss is meeting with the qualified surgeons at South Texas Surgeons. During the consultation you’ll learn if the Lap-Band® Program is a good fit for you. They will also help you understand the procedure and how to plan for it.
The adjustable Lap-Band® Gastric Band is placed around the stomach to reduce its capacity. The resulting shape is similar to an hourglass, which helps promote a feeling of fullness, limits the amount of food that can be consumed at one time, and slows the movement of food from your stomach.
Recovery from the Lap-Band® Procedure is typically faster than other bariatric surgeries. Placement is performed same-day within an ambulatory surgery center or other outpatient setting. In fact, the process usually takes less than an hour. Patients can quickly get back to work and normal life. They avoid disruption and can accelerate to the next steps in their weight-loss journey.
The Lap-Band® Program offers the most comprehensive aftercare program in the industry and is fully customized to your needs for adjustments and other aftercare support.
In addition, Lap-Band® is supported by the ReShapeCare™ Program, an effective, convenient virtual health coaching Program that works in conjunction with your Lap-Band Surgeon’s staff to provide nutritional counseling, education, and coaching.
A few small incisions (1.5-2.5 cm each) are made on the abdomen, where your surgeon will use a tiny camera and long, thin medical instruments to operate and navigate. A Gastric Band is placed around the stomach to limit the amount of food that can be eaten at once helping control portions and promote your feeling of fullness. And once inserted, the Lap-Band® can be adjusted or removed to meet new weight goals or major life events—like pregnancy.
|Sleeve Gastrectomy||Gastric Bypass|
|Degree of invasiveness||Least invasive (same-day discharge possible)
Does not alter anatomy
|Requires hospital stay (with quicker recovery than gastric bypass)
Removes 80% of the stomach
|Requires hospital stay
Reduces stomach size and reroutes digestive tract, which alters the food pathway
|Risk of postoperative complications||Lowest rate of postoperative complications||Lower risk of complications due to one-step procedure||Highest risk of complications due to two-step surgery|
|Mortality risk||Lowest mortality rate (.006%)1||Lower mortality risk than gastric bypass but higher than laparoscopic adjustable gastric banding (0.3%-2%)2||Higher mortality risk than sleeve gastrectomy or laparoscopic adjustable gastric banding (0.3%-2%)3|
|Risk of vitamin and mineral deficiencies||Low risk of vitamin and mineral deficiencies4,5,6||Similar issues with maintaining adequate nutrient stores as compared to gastric bypass; latest research supports similar supplementation needs that are more in line with gastric bypass needs7,8||Potential long-term vitamin and mineral deficiencies especially deficits in vitamin B12, iron, calcium, and folate, which requires higher levels/doses of supplements to maintain adequate nutrient stores7,8|
|Adjustability||Adjustable||Permanent removal of stomach
Can’t be adjusted
|Permanent reduction of stomach and re-routing.
Can’t be adjusted
|Reversibility||Reversible||Permanent removal of stomach
Can’t be reversed
|Difficult, but can be reversed|
The Lap-Band® Program has been proven to be the best choice for many patients looking for a minimally invasive solution for significant weight loss. The reasons why are clear.
A minimally invasive, reversible procedure places the band around your stomach to help reduce the amount of food that you can eat at one time. You can adjust the band as your needs change.
You can continue to eat the healthy foods you love, maintain portion control, and ditch the expensive supplements.
Lap-Band® Patients with a lower BMI lose an average of 65% of their excess weight in the first year and 70% in the second year9
On average, patients kept off 60% of their excess body weight after 5 years of having the Lap-Band®10
Weight loss from the Lap-Band® Program has been proven to resolve or improve serious obesity-related health conditions in many people, including Type II Diabetes, Hypertension, Asthma, Sleep Apnea, and GERD.11,12,13
Speaking with South Texas Surgeons can help you resolve any questions or concerns your might have. If you are wondering if the Lap-Band® Program is right for you, Dr. Joesph Carlson, MD and Dr. Michael Kelly, MD are ready to guide you to help you lose weight and keep it off. Your weight loss journey is right around the corner.
The Lap-Band System is indicated for weight reduction for patients with obesity, with a Body Mass Index (BMI) of at least 40 kg/m2 or a BMI of at least 30 kg/m2 with one or more obesity-related comorbid conditions. It is indicated for use only in adult patients who have failed more conservative weight reduction alternatives, such as supervised diet, exercise and behavior modification programs. Patients who elect to have this surgery must make the commitment to accept significant changes in their eating habits for the rest of their lives.
The Lap-Band System is not recommended for non-adult patients (patients under 18 years of age), patients with conditions that may make them poor surgical candidates or increase the risk of poor results, who are unwilling or unable to comply with the required dietary restrictions, or who currently are or may be pregnant.
The Lap-Band System is a long-term implant. Explant and replacement surgery may be required. Patients who become pregnant or severely ill, or who require more extensive nutrition may require deflation of their bands. Anti-inflammatory agents, such as aspirin, should be used with caution and may contribute to an increased risk of band erosion.
Placement of the Lap-Band System is major surgery and, as with any surgery, death can occur. Possible complications include the risks associated with the medications and methods used during surgery, the risks associated with any surgical procedure, and the patient’s ability to tolerate a foreign object implanted in the body. Most common related adverse events include: Band slippage, pouch dilation, stoma obstruction, gastroesophageal reflux, esophageal dilation, cholelithiasis, incisional infection, abdominal pain, gastroenteritis, or nausea and vomiting may occur. Reoperation may be required. Rapid weight loss may result in complications that may require additional surgery. Deflation of the band may alleviate excessively rapid weight loss or esophageal dilation.
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