Dr. Luis Flores Specialist in General and Digestive System Surgery

Welcome to the virtual platform of Dr. Luis Flores, eminent Specialist in General and Digestive System Surgery! Here, we are pleased to introduce you to a healthcare professional committed to providing the highest quality healthcare. Dr. Flores, with an outstanding career in digestive surgery, has dedicated his career to excellence in the care of his patients.

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Take care of your health and the health of your Digestive System.

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Services we offer

Digestive Surgery

Digestive surgery encompasses a variety of surgical procedures designed to address conditions that affect the digestive system.

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Laparoscopy

Laparoscopic digestive surgery is an advanced surgical technique that is performed through small incisions using a camera and specialized tools.

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Transplants

Liver transplant, also known as liver transplant, is a medical procedure in which a diseased or damaged liver is replaced with a healthy liver from a donor.

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Meet Dr. Luis Flores S.

Dr. Luis Flores stands as a prominent expert in digestive surgery, renowned for his extensive experience as a Specialist in General and Digestive System Surgery. With a robust academic background and a distinguished professional trajectory, Dr. Flores has dedicated his life to delivering exceptional medical care to his patients. His profound knowledge of digestive surgery spans a broad spectrum of procedures, ranging from routine surgical interventions to complex reconstructions and minimally invasive techniques. Beyond his surgical prowess, Dr. Flores actively engages in research and education within the field, having authored numerous publications in esteemed medical journals and being invited to present his findings at national and international conferences.

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Frequently Asked Questions

1. What digestive system diseases require surgery?

 Digestive diseases that require surgery include: gallstones (cholelithiasis), abdominal hernias, stomach
cancer, liver and pancreatic tumors, chronic pancreatitis, and severe complications of inflammatory bowel
disease. Dr. Luis Flores, specialist surgeon in Cuenca, Ecuador, evaluates each case to determine the most
appropriate surgical indication.

2. When is gallbladder surgery necessary?

 Gallbladder surgery (cholecystectomy) is indicated when gallstones cause repeated colic episodes,
gallbladder inflammation (acute or chronic cholecystitis), or complications such as migration of stones into
the common bile duct. The procedure is performed laparoscopically in most cases, with discharge within 24
hours. Dr. Luis Flores performs laparoscopic cholecystectomies at Hospital Santa Inés in Cuenca.

3. When is a liver transplant necessary?

 Liver transplantation is indicated for advanced liver cirrhosis, acute liver failure, hepatocellular
carcinoma within specific criteria, and severe complications of cirrhosis such as refractory ascites,
hepatic encephalopathy, or bleeding unresponsive to medical treatment. Dr. Luis Flores completed his
Master’s in Transplantation at the Universitat de Barcelona and trained at Hospital Clínic de Barcelona.hepatocarcinoma dentro de los Criterios de Milán, y complicaciones graves de cirrosis como ascitis
refractaria, encefalopatía hepática recurrente o hemorragia variceal sin respuesta a tratamiento. Es la
única alternativa cuando el hígado ha perdido su función de forma irreversible.

4. What is hepatobiliopancreatic surgery and what conditions does it treat?

 Hepatobiliopancreatic surgery is the surgical subspecialty that treats complex diseases of the liver, bile
ducts, and pancreas. It includes liver resections for tumors, cholangiocarcinoma surgery, pancreatic cancer
surgery, complex biliary reconstructions, and hepatic cyst surgery. It requires a high level of
specialization and experience in vascular and biliary reconstruction techniques.(cáncer de vía biliar), tumores de páncreas, metástasis hepáticas de cáncer colorrectal, quistes hepáticos
complejos y estenosis biliares. Son las cirugías digestivas de mayor complejidad — requieren planificación
con imagen avanzada y cirujanos con formación específica.

5. What is biliodigestive bypass and when is it needed?

Biliodigestive bypass is a surgical procedure that connects the bile ducts directly to the small intestine,
creating an alternative route for bile flow when a common bile duct obstruction exists. It is indicated for
benign biliary strictures, tumors compressing the bile duct without possibility of curative resection, and
after iatrogenic bile duct injuries. Dr. Luis Flores has extensive experience in complex biliary
reconstructions.

6. What is portal hypertension and how is it treated surgically?

Portal hypertension is an increase in pressure in the portal vein, generally caused by liver cirrhosis. It
manifests as esophageal varices, ascites, and splenomegaly. Surgical treatment includes portosystemic shunts
to reduce portal pressure and prevent bleeding, although in cases of advanced cirrhosis, liver
transplantation is the definitive solution.

7. When is bariatric surgery indicated for obesity?

 Bariatric surgery is indicated in adults with morbid obesity (BMI ≥ 40) or BMI ≥ 35 with serious
comorbidities such as type 2 diabetes, hypertension, or sleep apnea, when non-surgical treatments have
failed for at least 12 months. The most common procedures are sleeve gastrectomy and gastric bypass. Dr.
Luis Flores performs laparoscopic bariatric surgery at Hospital Santa Inés in Cuenca.

8. When is laparoscopic surgery recommended over open surgery?

Laparoscopic surgery is recommended for most elective digestive procedures because it offers less
postoperative pain, shorter hospitalization (24-48 hours), faster recovery (5-10 days vs. 4-6 weeks),
minimal scarring, and lower infection risk. Dr. Luis Flores performs laparoscopic cholecystectomies, hernia
repairs, bariatric surgery, biliodigestive bypasses, and bile duct exploration in Cuenca, Ecuador.

Surgery for Colorectal Cancer Liver Metastases

In this talk, Dr. Flores clearly and concisely addresses the importance of a multidisciplinary approach in the treatment of liver metastases derived from colorectal cancer. Through the presentation of a clinical case and a review of current guidelines, key points are discussed, such as:

  • The relevance of surgery for a cure and the improvement of quality of life.

  • The crucial role of high-resolution imaging, such as an MRI with hepatospecific contrast, in the detection and characterization of lesions.

  • The advantages of laparoscopic surgery, such as faster recovery and fewer complications.

  • Here is the translation of the remaining text, continuing the format from the previous section:

    • The need for a personalized approach, taking into account tumor biology and the patient’s condition.

    Dr. Flores emphasizes that, although a diagnosis of liver metastases can be daunting, today there are multiple advanced therapeutic options that offer hope and positive outcomes for patients.

General Surgery / Digestive / Liver Transplant Services

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24 hours of experience

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Tips y Blogs For your Health.

Our patients Give You Their Opinion

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Happy Patients

Ahora me toco ser el paciente! Gracias a todo el equipo son excelentes!! #sindolor @hospital.santaines #Hernialaparoscopica Gracias Luchito

Dr. Juan Francisco Carrion

Paciente

Bendiciones mi Doc. Ha sido un Angel del cielo para nuestras vidas y la vida de mi Alison. Hoy rie. Tiene una vida mejor. Solo Dios envia a personas tan profesionales como usted a ser sus enviados para devolvernos sonrisas. Saludos y muchas bendiciones.

Lilia

Paciente

In the hospital after emergency umbilical hernia surgery yesterday. The health care here in Ecuador is simply amazing. Less than 12 hours after surgery / feel great and I am pain free. My insurance agent here Madeleine Gonzalez Mensch took care of all the details including lining up a great surgeon. Should be going home tomorrow.

Davis. A Johnson

Paciente

Research and Publications

Gonzales dominguez E, flores L. et al.

Protocolo de Inmunosupresión en trasplante hepático…

Enero, 08, 2022

Flores L, et. al.

Alternativa para reconstrucción del tránsito digestivo luego de pancreatoduodenectomía. Revista Ateneo. Revista oficial del Colegio de Médicos Azuay – Ecuador. Vol. 13. Número 1.

May, 26, 2020

Fondevila C, Hessheimer A, Flores L, et al.

Heparin but not tissue plasminogen activator improves outcomes in dcd liver transplantation in a porcine model. Liver Traspl. 2018.

Abril, 23, 2018

Flores L, Ferrer J, Pages M, Ramírez J, Fuster J, García-Valdecasas JC.

Leiomyosarcoma of the inferior vena cava: Feasibility of surgical resection. A report of two cases. Rev Esp Enferm Dig. 2015 Jul; 107(7):458-60.

Enero, 08, 2022