Instituto Bariátrico Dr. Luis A. Betances is a bariatric surgery center in Santo Domingo. The team specializes in metabolic surgery and severe obesity treatments. Procedures include Roux-en-Y gastric bypass, sleeve gastrectomy, and revisional surgery. A standout option is the MagDi Magnetic Bypass technique. It uses magnets and tissue fusion, so no staples or sutures are needed.
Dr. Luis A. Betances founded the institute in 2003. He leads a team of 13 doctors, including endocrinologists, nutritionists, and psychiatrists. The clinic reports that 80% of patients recover their metabolic health. Dr. Betances is certified by the American Society for Metabolic and Bariatric Surgery. On-site tools include diagnostic sonography and gastroscopy systems.
","text_type":"short_description","reviews":[],"clinic":{"id":9881,"alias":"instituto-bariatrico-dr-luis-a-betances","name":"Instituto Bariátrico Dr. Luis A. Betances","short_description":"Instituto Bariátrico Dr. Luis A. Betances is a bariatric surgery center in Santo Domingo. The team specializes in metabolic surgery and severe obesity treatments. Procedures include Roux-en-Y gastric bypass, sleeve gastrectomy, and revisional surgery. A standout option is the MagDi Magnetic Bypass technique. It uses magnets and tissue fusion, so no staples or sutures are needed.
Dr. Luis A. Betances founded the institute in 2003. He leads a team of 13 doctors, including endocrinologists, nutritionists, and psychiatrists. The clinic reports that 80% of patients recover their metabolic health. Dr. Betances is certified by the American Society for Metabolic and Bariatric Surgery. On-site tools include diagnostic sonography and gastroscopy systems.
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Gastric bypass patients typically lose 70%–80% of excess weight. This result is most common within the first six months. The specialist trained at the Advanced Surgical Institute in Miami. He also studied obesity treatment in Lyon, France. Dr. Leinó is a director at Universidad UTESA. His practice treats international patients seeking obesity surgery.
","text_type":"short_description","reviews":[],"clinic":{"id":9883,"alias":"dr-edgar-leino","name":"Dr. Edgar Leinó","short_description":"Dr. Edgar Leinó runs a laparoscopic bariatric surgery practice in Santo Domingo, Dominican Republic. The clinic focuses on weight loss surgery, including gastric sleeve and gastric bypass. Dr. Leinó has nearly 20 years of medical experience. His team has completed over 7,000 procedures in more than a decade.
Gastric bypass patients typically lose 70%–80% of excess weight. This result is most common within the first six months. The specialist trained at the Advanced Surgical Institute in Miami. He also studied obesity treatment in Lyon, France. Dr. Leinó is a director at Universidad UTESA. His practice treats international patients seeking obesity surgery.
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اليوم 2 - ما قبل العملية
اليوم الثالث - يوم العملية
من اليوم الرابع إلى اليوم الرابع عشر - بعد العملية
الأسبوع الثالث إلى الأسبوع السادس - إعادة التأهيل
الأسبوع السابع وما بعده
يرجى ملاحظة أن الجدول الزمني والإجراءات قد تختلف تبعًا لظروف المريض الفردية ومعدل الشفاء. استشر جراحك دائمًا للحصول على معلومات شخصية.
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strenuous exercise and heavy lifting after surgeon clearance."},"final_result_months":{"min":12,"max":24,"unit":"months","qualifier":"Maximum weight loss typically reached around 12-24 months; varies by patient."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"After discharge and surgeon clearance; longer flights need thrombosis prophylaxis, walking, and hydration, and complications delay travel."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":10,"unit":"days","qualifier":"First postoperative review, usually before flying home."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":45,"unit":"days","qualifier":"Nutritional and clinical assessment."}},{"purpose":"assessment","requirement":"routine","after":{"min":90,"max":120,"unit":"days","qualifier":"Weight, nutrition and laboratory review."}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"Ongoing lifelong monitoring of nutrition and labs, typically at least annually."}}],"indications":["Severe obesity (BMI ≥40 kg/m²)","BMI ≥35 kg/m² with comorbidities like diabetes, sleep apnea, hypertension","Considered for super-obesity (BMI >50 kg/m²) or severe metabolic disease","Failure of non-surgical weight loss measures","Inadequate result after prior sleeve gastrectomy or Roux-en-Y gastric bypass"],"main_risks":["Anastomotic or staple-line leak","Bleeding and infection","Venous thromboembolism","Protein-calorie malnutrition","Vitamin and mineral deficiencies (fat-soluble vitamins, iron, B12, calcium)","Chronic diarrhea, steatorrhea and foul-smelling stools/flatus","Anemia and metabolic bone disease","Internal hernia and bowel obstruction","Marginal ulcer, gallstones","Need for revision or reversal in some patients"],"pain":"Moderate postoperative pain in the first days, usually controlled with oral analgesics; shoulder-tip pain from laparoscopic gas is common.","preparation":["Multidisciplinary assessment (surgeon, dietitian, psychologist, anesthesiologist, endocrinologist, cardiologist as needed)","Psychological evaluation: depression, anxiety, eating disorders, substance misuse screening","Blood tests, medical clearance, comorbidity optimization including diabetes control","Preoperative low-carbohydrate liver-shrinking diet","Smoking cessation","Fasting before surgery per anesthesia instructions","Counseling on lifelong supplementation and follow-up","Sleep study and pulmonology evaluation for suspected obstructive sleep apnea","Upper endoscopy individualized for significant GI symptoms"],"recovery_timeline":[{"phase":"Hospital stay (days 0-4)","description":"Monitoring, early mobilization, progression from liquids.","restrictions":["Thromboprophylaxis and walking as instructed"]},{"phase":"Early recovery (weeks 1-4)","description":"Staged diet progression from liquids to pureed to soft foods; supplementation begins.","restrictions":["No heavy lifting","Adequate protein and hydration"]},{"phase":"Return to normal activity (weeks 4-8)","description":"Gradual return to normal diet and exercise; regular labs.","restrictions":["Follow surgeon's activity clearance"]},{"phase":"Weight-loss phase (months 2-24)","description":"Progressive weight loss with lifelong nutritional monitoring.","restrictions":["Lifelong supplements and follow-up"]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery after uncomplicated laparoscopic surgery; not a formal rehabilitation program."},"result_longevity":"Weight loss and metabolic benefit are generally durable with lifelong supplementation and follow-up; outcomes vary between patients.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Reoperation, revision or reversal (e.g. for malnutrition or diarrhea) within about 10 years."},"scars":"Several small laparoscopic incisions (about 0.5-1.5 cm) that usually fade to small pale scars.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation in the usual protocol."},"stages":[{"code":"surgery","label":"Single-stage biliopancreatic diversion surgery","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Usually one operation; staged approaches are uncommon."},"success":{"metric":"Excess weight loss","value":70,"unit":"percent of excess weight","horizon":"12-24 months","population":"Adults with severe obesity after primary laparoscopic BPD with duodenal switch","evidence_status":"limited"},"techniques":[{"name":"Laparoscopic biliopancreatic diversion with duodenal switch","suits_whom":"Adults with BMI above 50 or severe metabolic disease.","recovery":"Lifelong supplementation and nutritional surveillance required."},{"name":"Classic Scopinaro biliopancreatic diversion (distal gastrectomy)","suits_whom":"Patients with severe obesity; rarely chosen today.","recovery":"Lifelong supplementation and surveillance required; higher marginal ulcer risk."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":5,"unit":"hours","qualifier":"Typical operative time for laparoscopic BPD with duodenal switch in uncomplicated primary cases; varies with technique and surgeon."},"initial_assessment_documents":["Recent blood tests","Previous abdominal surgery reports","Gastroscopy report (if available)","Abdominal ultrasound report","List of diabetes and blood thinner medications"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single operation; stay 7-10 days including 2-4 hospital nights. Follow-up reviews and labs usually done remotely or at home."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=dominikanskaya-respublika/procedure=biliopankreaticeskoe-suntirovanie/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"illnessesByOperation":[{"id":20,"alias":"diabetes-mellitus","name":"مرض السكري من النوع 2"},{"id":47,"alias":"obesity","name":"السمنة"}],"rendersOffersList":false}