أجرى الدكتور أرييل رودريغيز آلاف جراحات السمنة على مدار أكثر من 15 عامًا من الممارسة. وهو جرّاح معتمد من مجلس، وزميل الجمعية الأمريكية لجراحة الأيض والسمنة. تبلغ تكلفة باقة تكميم المعدة نحو 10,500 دولار. ويشمل هذا السعر الشامل أتعاب الجرّاح والتخدير وتكاليف المنشأة والإرشاد الغذائي. ويستوفي معظم المرضى شروط الخروج في اليوم نفسه، ويكونون جاهزين للجراحة خلال نحو أسبوعين إلى أربعة أسابيع. يستخدم الدكتور رودريغيز تقنيات التنظير البطني مع 5–6 شقوق صغيرة جدًا.
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Long-haul may need longer."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":7,"unit":"days","qualifier":"After surgery, before flying home; wound and diet advancement check."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":45,"unit":"days","qualifier":"After surgery; weight, dietitian nutrition and supplement review."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"After surgery; weight progress and planned laboratory monitoring."}}],"indications":["BMI ≥40 kg/m²","BMI ≥35 kg/m² with diabetes, hypertension or sleep apnea","BMI 30-35 kg/m² with metabolic disease (selected patients)","Failure of supervised non-surgical weight loss"],"main_risks":["Staple-line leak","Bleeding","Infection","Venous thromboembolism","Stricture or narrowing of the sleeve","New or worsened gastroesophageal reflux","Nutritional deficiencies (e.g., vitamin B12, iron, vitamin D)","Gallstones","Nausea, vomiting, dehydration","Anesthesia-related complications","Port-site hernia"],"pain":"Moderate postoperative pain at port sites and abdomen, plus shoulder-tip pain from gas, usually controlled with oral analgesics; mostly settles within 1-2 weeks.","preparation":["Multidisciplinary evaluation (surgeon, dietitian, psychologist)","Preoperative blood tests, ECG and anesthesia assessment","Upper endoscopy or imaging as indicated","Screening for sleep apnea and cardiometabolic conditions","Preoperative low-calorie or liver-shrinking diet for about 1-2 weeks","Smoking cessation","Review of current medications with the surgical team","Fasting before surgery"],"recovery_timeline":[{"phase":"Hospital stay (nights 1-3)","description":"Monitoring, early walking, sips of fluids, pain and nausea control, clot prevention, and hydration and wound checks before discharge.","restrictions":["No solid food","Avoid heavy exertion","Discharge only when drinking adequately and pain is controlled"]},{"phase":"Days 4-14","description":"Clear then full liquid diet, regular short walks and wound healing. Return to desk work and ordinary light activity around days 7-14 if uncomplicated.","restrictions":["No heavy lifting","Small slow sips with a daily fluid target","Take prescribed supplements and medicines"]},{"phase":"Weeks 2-4","description":"Pureed foods per dietitian plan; continue walking and gradually increase light activity.","restrictions":["No strenuous exercise or core strain","Avoid carbonated drinks","Protein priority"]},{"phase":"Weeks 4-8","description":"Soft then regular textures introduced; exercise and heavier lifting resume around 4-6 weeks if the surgeon clears.","restrictions":["Small portions","Lifelong vitamin and mineral supplementation"]},{"phase":"Months 3-18","description":"Ongoing weight loss with nutrition and laboratory monitoring until stabilization around 12-18 months.","restrictions":["Lifelong dietary and follow-up adherence"]},{"phase":"At any time","description":"Seek urgent care for fever, severe abdominal pain, chest pain, breathlessness, persistent vomiting, bleeding, calf swelling or wound discharge. Do not wait.","restrictions":["Do not fly or travel while these symptoms are present"]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Return to light daily activity and desk work after uncomplicated surgery; exercise (4-6 weeks) is separate."},"result_longevity":"Stomach reduction is permanent, but long-term weight maintenance depends on diet, activity and follow-up; some weight regain is common over years.","revision_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Later revision or conversion surgery (e.g., to bypass) for weight regain or reflux within about 5-10 years; excludes early reoperation."},"scars":"Several small (about 0.5-1.5 cm) laparoscopic port scars on the upper abdomen that usually fade over months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation; follow-up checks are not counted as treatment."},"stages":[{"code":"sleeve_gastrectomy","label":"Laparoscopic sleeve gastrectomy","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial procedure."}}],"qualifier":"Standalone primary sleeve gastrectomy in one operation."},"success":{"metric":"Mean percent excess weight loss","value":60,"unit":"percent","horizon":"About 5 years","population":"Adults after primary laparoscopic sleeve gastrectomy; group mean, individual results vary.","evidence_status":"limited"},"techniques":[{"name":"Multiport laparoscopic sleeve gastrectomy","suits_whom":"Most adult candidates; standard approach.","recovery":"Hospital stay 1-3 nights; return to desk work in 1-2 weeks."},{"name":"Robotic-assisted sleeve gastrectomy","suits_whom":"Selected patients with higher BMI or complex anatomy, where available.","recovery":"Hospital stay usually 1-3 nights; early recovery similar to multiport laparoscopic surgery."},{"name":"Single-incision laparoscopic sleeve gastrectomy","suits_whom":"Selected lower-risk patients seeking fewer incisions.","recovery":"Hospital stay usually 1-3 nights; early recovery similar to multiport laparoscopic surgery."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Operating time for uncomplicated primary laparoscopic sleeve gastrectomy."},"initial_assessment_documents":["Recent blood tests including HbA1c","Front and side full-body photos","List of diabetes and blood thinner medications","Previous abdominal surgery reports","Upper endoscopy or gastroscopy report"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage operation; stay about 5-10 days, including 1-3 hospital nights. Later reviews can be remote or local."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=united-states/city=delray-beach/procedure=rukavnaya-rezekciya/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"illnessesByOperation":[{"id":47,"alias":"obesity","name":"السمنة"}],"rendersOffersList":false}