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It treats patients in Santo Domingo, Dominican Republic, too. Its focus is bariatric and minimally invasive surgery. Dr. Abel Bello, a board-certified general surgeon, leads the practice. The center opened in 2019.</p><p>Care centers on weight loss, acid reflux, and hernias. Patients can choose surgical or non-surgical paths. One option is the DUO procedure. This weight-loss method needs no external incisions. Surgeons perform it through the mouth with endoscopic tools. Gastric bypass and gastric sleeve surgery are available as well.</p><p>Specialists treat hiatal, inguinal, and umbilical hernias. Dr. Monica Bello provides medical obesity care at the center. She is board-certified in internal and obesity medicine. Her training took place at Cleveland Clinic's Akron General Medical Center. For robotic procedures, the clinic uses the da Vinci surgical system.</p><p>This technology helps ensure surgical precision and smaller scars. For reflux care, patients can get LINX and Stretta. 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البداية.</li><li style=\";text-align:right;direction:rtl\"> إعادة تقديم الطعام والسوائل تدريجيًا تحت الإشراف.</li><li style=\";text-align:right;direction:rtl\"> البقاء في المستشفى لمدة أسبوع للمراقبة والتعافي.</li></ul><p style=\";text-align:right;direction:rtl\"> الأسبوع 2-6: إعادة التأهيل</p><ul style=\";text-align:right;direction:rtl\"><li style=\";text-align:right;direction:rtl\"> ابدأ نشاطًا بدنيًا خفيفًا تحت التوجيه.</li><li style=\";text-align:right;direction:rtl\"> اتبع حمية غذائية محددة وصفها اختصاصي التغذية.</li><li style=\";text-align:right;direction:rtl\"> المتابعة المنتظمة مع الطبيب لمتابعة التعافي.</li></ul><p style=\";text-align:right;direction:rtl\"> الأسبوع 7-10</p><ul style=\";text-align:right;direction:rtl\"><li style=\";text-align:right;direction:rtl\"> العودة تدريجيًا إلى الأنشطة العادية والعمل.</li><li style=\";text-align:right;direction:rtl\"> استمر في الفحوصات المنتظمة والتزم بالتوصيات الغذائية.</li></ul><p style=\";text-align:right;direction:rtl\"> الأسبوع 11+</p><ul style=\";text-align:right;direction:rtl\"><li style=\";text-align:right;direction:rtl\"> الشفاء التام والعودة إلى النظام الغذائي الطبيعي.</li><li style=\";text-align:right;direction:rtl\"> النتيجة النهائية مرئية واستؤنفت الحياة العادية بشكل كامل.</li></ul><p style=\";text-align:right;direction:rtl\"> <i>يرجى ملاحظة أن هذا هو المبدأ التوجيهي العام وقد تختلف أوقات التعافي الفردية. اتبع دائمًا نصيحة أخصائيي الرعاية الصحية الخاص بك.</i></p>"}}},"relations":{"countries":[{"name":"أذربيجان","alias":"azerbaijan","iso_code":"AZ"},{"name":"ألمانيا","alias":"germany","iso_code":"DE"},{"name":"أوكرانيا","alias":"ukraine","iso_code":"UA"},{"name":"إسبانيا","alias":"spain","iso_code":"ES"},{"name":"إسرائيل","alias":"israel","iso_code":"IL"},{"name":"إيطاليا","alias":"italy","iso_code":"IT"},{"name":"الصين","alias":"china","iso_code":"CN"},{"name":"المكسيك","alias":"mexico","iso_code":"MX"},{"name":"الهند","alias":"india","iso_code":"IN"},{"name":"الولايات المتحدة 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underlying disease and length of bowel removed."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"After return of bowel function, tolerating diet and surgeon clearance; open surgery or complications delay flying; thrombosis prevention advised."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"First review before flying home; wound and any sutures or staples checked."}},{"purpose":"result_review","requirement":"routine","after":{"min":14,"max":42,"unit":"days","qualifier":"Review of pathology results and recovery; further oncology or gastroenterology follow-up depends on the underlying disease."}}],"indications":["Small bowel tumors (adenocarcinoma, neuroendocrine tumor, GIST, lymphoma, benign tumors)","Crohn's disease strictures or complications refractory to medical therapy","Small bowel obstruction due to adhesions, strictures or non-viable bowel","Bowel ischemia or infarction","Traumatic perforation or injury","Bleeding from small bowel lesions not controlled endoscopically","Perforation or fistula","Complicated Meckel's diverticulum"],"main_risks":["Anastomotic leak","Intra-abdominal abscess or surgical site infection","Postoperative ileus","Bleeding","Adhesions and later bowel obstruction","Short bowel syndrome or malabsorption after extensive resection","Venous thromboembolism","Anesthetic and cardiopulmonary complications","Incisional hernia"],"pain":"Moderate to significant pain in the first several days, managed with multimodal analgesia; laparoscopic surgery is usually less painful than open. Gradual improvement over 1-2 weeks.","preparation":["Blood tests, imaging (CT or MR enterography), anesthesia evaluation","Fasting before surgery per anesthesia instructions","Nutritional optimization and medication review with surgical team","Bowel preparation only if surgeon advises","Smoking cessation where possible","Informed consent, including discussion of possible stoma"],"recovery_timeline":[{"phase":"Hospital stay (days 0-5)","description":"Early mobilization, gradual reintroduction of fluids and diet as bowel function returns, pain control and monitoring for complications.","restrictions":["No driving","Avoid lifting"]},{"phase":"Early home recovery (weeks 1-4)","description":"Fatigue and incisional discomfort improve gradually; diet advanced to normal as tolerated with small frequent meals.","restrictions":["No heavy lifting (about 4-6 weeks)"]},{"phase":"Return to activity (weeks 4-8)","description":"Return to work and gradual resumption of normal activity and exercise.","restrictions":["Avoid strenuous abdominal strain until cleared by the surgeon"]}],"rehabilitation_days":{"min":21,"max":42,"unit":"days","qualifier":"Ordinary functional recovery to routine daily activities after uncomplicated resection; no formal rehabilitation program usually needed."},"result_longevity":"The resection is permanent: removed bowel does not regrow, and the anastomosis heals within weeks. Long-term outcome depends on the underlying disease, such as Crohn's recurrence or tumor follow-up, and on bowel length removed.","revision_rate_pct":{"min":3,"max":8,"unit":"percent","qualifier":"Unplanned return to theatre within 30-90 days, e.g. for leak, bleeding or obstruction."},"scars":"Laparoscopic approach leaves several small scars (about 0.5-1.2 cm) plus a small extraction incision; open surgery leaves a midline or other abdominal scar. Scars fade over months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation in the typical elective uncomplicated case."},"stages":[{"code":"resection_anastomosis","label":"Resection of the diseased bowel segment with primary anastomosis","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed during the single operation."}}],"qualifier":"Staged surgery with a stoma is exceptional and not the typical protocol."},"success":{"metric":"Successful resection with restored bowel continuity, no reoperation","value":93,"unit":"percent of patients","horizon":"30 days after surgery","population":"Adults undergoing elective segmental small bowel resection with primary anastomosis","evidence_status":"limited"},"techniques":[{"name":"Laparoscopic small bowel resection with anastomosis","suits_whom":"Stable patients with localized disease and without extensive adhesions or hostile abdomen.","recovery":"Usually shorter hospital stay and faster return to activity."},{"name":"Open small bowel resection with anastomosis","suits_whom":"Emergencies, extensive adhesions, large tumors, previous multiple surgeries or unstable patients.","recovery":"Longer hospital stay and recovery, larger scar."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1.5,"max":4,"unit":"hours","qualifier":"Operating time for a single uncomplicated segmental resection with anastomosis; longer for extensive or complex disease."},"initial_assessment_documents":["Abdominal CT or MR enterography report","Recent abdominal CT images on disc","Capsule endoscopy or small bowel follow-through report","Biopsy or pathology report","Previous abdominal surgery operative reports","Recent blood test results"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single operation with primary anastomosis; stay 7-14 days including hospital nights and fitness-to-fly check. Follow-up can be local or remote."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=united-states/procedure=rezekciya-tonkoj-kishki/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"illnessesByOperation":[{"id":309,"alias":"small-intestine-cancer","name":"سرطان الأمعاء الدقيقة"}],"rendersOffersList":false}