If you are looking for help with a digestive problem, a possible gastrointestinal surgery, or a second opinion, the first step is to understand which type of evaluation fits your situation. Dr. Luis Virgilio Ponce Perez provides private gastroenterology and gastrointestinal surgery care in Mexico City, with attention focused on confirmed digestive and surgical conditions and on minimally invasive approaches when they are appropriate for the procedure and the individual patient.
This page is a guide to the main areas of care currently confirmed for the practice. It is not a complete list of digestive diseases, and having a symptom or a preliminary diagnosis does not automatically mean that surgery is needed.
Patients may come to consultation because they have ongoing digestive symptoms, a previous diagnosis, test results to review, or a recommendation for surgery. The evaluation helps organize that information and determine whether the next step may involve further study, medical management, surgical assessment, or a second opinion.
When you already have endoscopy reports, imaging, laboratory results or previous surgical recommendations, bringing them to the consultation can help provide context for the evaluation.
Dr. Ponce evaluates patients with gastroesophageal reflux disease (GERD), reflux symptoms and hiatal hernia. The goal is to understand the symptom pattern, available studies and anatomy before deciding whether care should remain medical, require additional testing, or include a surgical discussion.
Anti-reflux or hiatal hernia surgery is not the automatic next step for every patient with reflux. Surgical options are considered only after an individualized evaluation.
Gallbladder care includes evaluation of patients with confirmed or suspected gallbladder problems and assessment for cholecystectomy when there is a clinical indication. The decision depends on the diagnosis, symptoms, studies and overall clinical context.
When surgery is appropriate, minimally invasive approaches may be considered according to the procedure and the patient. SILS has been confirmed within the practice for selected gallbladder cases.
The practice evaluates abdominal wall hernias, including inguinal, umbilical, ventral and post-incisional hernias. Assessment focuses on the type of hernia, symptoms, prior operations, anatomy and the factors that influence whether and how a repair should be performed.
Laparoscopic or robotic approaches may be considered in confirmed procedures when clinically appropriate. No single technique is the best option for every hernia or every patient.
Appendicitis requires timely medical assessment because abdominal pain can have many causes and treatment depends on the clinical findings. Dr. Ponce’s confirmed scope includes appendicitis and appendectomy.
When appendectomy is indicated, laparoscopic approaches are part of the confirmed surgical scope, and SILS may be considered in selected cases.
Minimally invasive surgery is an approach, not a separate diagnosis. Depending on the procedure and the individual case, options may include conventional laparoscopy, single-incision laparoscopic surgery (SILS), or robotic surgery.
These techniques are not interchangeable and are not appropriate for every patient. The choice of approach depends on the diagnosis, anatomy, prior surgery, procedure and clinical assessment.
A consultation may also help when you already have a diagnosis or surgical recommendation and want another specialist review before deciding what to do. The practice’s confirmed editorial scope includes second opinions and guidance around surgical preparation and recovery, within the limits of an individual medical evaluation.
If your main concern is reflux or a hiatal hernia, gallbladder disease, an abdominal hernia, appendicitis, or a possible gastrointestinal operation, the Services page should direct you to the most relevant condition or procedure resource once that destination has been verified live.
If you are not sure which page applies, you can start by requesting an evaluation and describing the main reason for your visit. A consultation is the appropriate setting to determine which studies, treatment or surgical assessment may be relevant.
To request a consultation, second opinion or surgical evaluation, use the Contact Us page to review the available contact options and arrange the next step. The information on this website is educational and does not replace an individual medical evaluation.
