{"meta":{"humanUrl":"https://es.bookimed.com/clinics/country=dominican-republic/procedure=biliopancreatic-bypass/","canonicalUrl":"https://es.bookimed.com/clinics/country=dominican-republic/procedure=biliopancreatic-bypass/","jsonUrl":"https://es.bookimed.com/clinics/country=dominican-republic/procedure=biliopancreatic-bypass/data.json","title":"Derivación biliopancreática en República Dominicana 2026: precios y las mejores clínicas","description":"Derivación biliopancreática en República Dominicana: compare 2 clínicas con opiniones verificadas y consulta gratuita.","heading":"Derivación biliopancreática en República Dominicana: clínicas verificadas y sus precios","locale":"es","schemaVersion":"ClinicListingPageDataV1","snapshotId":"65137623-f2199e52","contentVersion":"65137623","generatedAt":"2026-11-04T07:23:06.746Z"},"filters":{"country":"dominican-republic","procedure":"biliopancreatic-bypass","page":1},"pagination":{"page":1,"totalCount":2,"totalPages":1},"breadcrumbs":[{"name":"Home","url":"/"},{"name":"Clinics","url":"/clinics/"},{"name":"República Dominicana","url":"/clinics/country=dominican-republic/"},{"name":"Derivación biliopancreática","url":"/clinics/country=dominican-republic/procedure=biliopancreatic-bypass/"}],"entities":[{"name":"República Dominicana","alias":"dominican-republic","type":"country","id":185},{"name":"Derivación biliopancreática","alias":"biliopancreatic-bypass","type":"procedure","id":794}],"clinics":{"clinics":[{"text":"<p>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.</p><p>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.</p>","text_type":"short_description","reviews":[],"clinic":{"id":9881,"alias":"instituto-bariatrico-dr-luis-a-betances","name":"Instituto Bariátrico Dr. Luis A. Betances","short_description":"<p>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.</p><p>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.</p>","images":[{"base_url":"clinic/6ae3f1dfdd500","title":"Área de recepción en Instituto Bariátrico Dr. Luis A. Betances con mamparas de vidrio modernas"},{"base_url":"clinic/6ae3f1e15aca6","title":"Quirófano moderno en Instituto Bariátrico Dr. Luis A. Betances con equipo avanzado"},{"base_url":"clinic/6ae3f1e31e97d","title":"Sala de consulta en Instituto Bariátrico Dr. Luis A. Betances con camilla y equipo médico"},{"base_url":"clinic/6ae3f1e48517e","title":"Área de espera moderna en Instituto Bariátrico Dr. Luis A. Betances, Santo Domingo"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"República Dominicana","id":185,"alias":"dominican-republic","iso_code":"DO"},"city":{"name":"Santo Domingo","id":2524,"alias":"santo-domingo"},"address":"Rafael Augusto Sánchez 45, Piantini. Torre Medicalnet Suite 405, Santo Domingo, Dominican Republic"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":13,"year_foundation":2003},"accreditations":[]}},{"text":"<p>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.</p><p>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.</p>","text_type":"short_description","reviews":[],"clinic":{"id":9883,"alias":"dr-edgar-leino","name":"Dr. Edgar Leinó","short_description":"<p>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.</p><p>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.</p>","images":[{"base_url":"clinic/6ae3f359ea8e7","title":"Exterior de la clínica Dr. Edgar Leinó en Brasil, centro médico moderno en calle urbana"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"República Dominicana","id":185,"alias":"dominican-republic","iso_code":"DO"},"city":{"name":"Santo Domingo","id":2524,"alias":"santo-domingo"},"address":"C/ Manuel Maria Castillo #20, clinic CECIP, Santo Domingo, Dominican Republic"},"rating":{"rating":0,"google":4.4,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2},"accreditations":[]}}],"meta":{"total_count":2,"total_pages":1}},"clinicsMeta":{"total_count":2,"total_pages":1},"clinicsCount":2,"clinicsCountByEntity":{"clinic_count":36},"doctors":{"doctors":[],"meta":{"total_count":0,"total_pages":1}},"reviews":{"reviews":[],"meta":{"total_count":0,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{"guide_mc":{"text":"<p>Día 1 - Llegada</p><ul><li> Llegada al país y registro en su alojamiento.</li><li> Visite la clínica para la consulta inicial.</li><li> Reúnase con un cirujano bariátrico para un examen físico.</li></ul><p> Día 2 - Preoperatorio</p><ul><li> Someterse a las pruebas médicas necesarias (análisis de sangre, ECG, ecografía).</li><li> Asistir a una consulta preoperatoria con un anestesiólogo.</li><li> Siga una dieta preoperatoria prescrita.</li></ul><p> Día 3 - Día de la operación</p><ul><li> Llegar a la clínica en ayunas.</li><li> Someterse a derivación biliopancreática bajo anestesia general.</li><li> La operación suele durar de 4 a 6 horas.</li></ul><p> Día 4 a Día 14 - Postoperatorio</p><ul><li> Permanezca en la clínica para el cuidado y seguimiento postoperatorio.</li><li> Comenzar una dieta líquida progresando gradualmente a alimentos blandos.</li><li> Inicie actividades físicas ligeras según lo recomendado por el médico.</li></ul><p> Semana 3 a Semana 6 - Rehabilitación</p><ul><li> Continúe con las visitas regulares de seguimiento con el cirujano.</li><li> Comience una dieta posoperatoria especialmente diseñada.</li><li> Aumente gradualmente las actividades físicas.</li></ul><p> Semana 7 en adelante</p><ul><li> El regreso al trabajo, al deporte y a otras actividades suele ser posible.</li><li> Continúe con la dieta y el régimen de ejercicios para obtener resultados óptimos.</li><li> El resultado final generalmente se ve después de 12-18 meses.</li></ul><p> <i>Tenga en cuenta que el cronograma y los procedimientos pueden variar según las condiciones individuales del paciente y la tasa de recuperación. Consulte siempre a su cirujano para obtener información personalizada.</i></p>"}}},"relations":{"countries":[{"name":"Alemania","alias":"germany","iso_code":"DE"},{"name":"Corea del Sur","alias":"republic-of-korea","iso_code":"KR"},{"name":"España","alias":"spain","iso_code":"ES"},{"name":"Estados Unidos","alias":"united-states","iso_code":"US"},{"name":"Grecia","alias":"greece","iso_code":"GR"},{"name":"India","alias":"india","iso_code":"IN"},{"name":"Israel","alias":"israel","iso_code":"IL"},{"name":"Italia","alias":"italy","iso_code":"IT"},{"name":"México","alias":"mexico","iso_code":"MX"},{"name":"Polonia","alias":"poland","iso_code":"PL"},{"name":"República Dominicana","alias":"dominican-republic","iso_code":"DO"},{"name":"Tailandia","alias":"thailand","iso_code":"TH"},{"name":"Turquía","alias":"turkey","iso_code":"TR"},{"name":"Ucrania","alias":"ukraine","iso_code":"UA"}],"cities":[{"name":"Santo Domingo","alias":"santo-domingo"}],"operations":[{"name":"Cirugía de manga gástrica (Gastrectomía en manga)","alias":"sleeve-resection"},{"name":"Bypass gástrico","alias":"roux-en-y-gastric-bypass"},{"name":"Cirugía de bypass gástrico Da Vinci","alias":"da-vinci-gastric-bypass-surgery"},{"name":"Banda gástrica","alias":"adjustable-gastric-band"},{"name":"Balón gástrico","alias":"gastric-balloon"},{"name":"Cirugía metabólica","alias":"metabolic-surgery"},{"name":"Derivación biliopancreática","alias":"biliopancreatic-bypass"},{"name":"Cirugía de Manga Gástrica Da Vinci","alias":"da-vinci-gastric-sleeve-surgery"},{"name":"Bypass gástrico en Y de Roux","alias":"roux-en-y-gastric-bypass"},{"name":"Bypass gástrico mini","alias":"mini-gastric-bypass"},{"name":"Gastrectomía en manga robótica","alias":"robotic-sleeve-gastrectomy"},{"name":"Bypass gástrico robótico en Y de Roux","alias":"robotic-roux-en-y-gastric-bypass"}],"diagnostics":[{"name":"Consulta de Cirugía Bariátrica","alias":"bariatric-surgery-consultation"},{"name":"Consulta con creación de plan de tratamiento","alias":"consultation-with-creation-of-treatment-plan"},{"name":"Consulta con un nutricionista","alias":"consultation-of-a-nutritionist"}],"illnesses":[{"name":"Obesidad","alias":"obesity"}],"illnessKinds":[{"name":"Cirugía de pérdida de peso","alias":"weight-loss-surgery"}],"illness_kinds":[{"name":"Cirugía de pérdida de peso","alias":"weight-loss-surgery"}]},"popularSearches":[{"name":"Balón gástrico","alias":"gastric-balloon","type":"operation","id":380},{"name":"Cirugía de manga gástrica (Gastrectomía en manga)","alias":"sleeve-resection","type":"operation","id":379},{"name":"Bypass gástrico","alias":"roux-en-y-gastric-bypass","type":"operation","id":352},{"name":"Gastroplastia endoscópica en manga (ESG)","alias":"endoscopic-sleeve-gastroplasty-esg","type":"operation","id":1070},{"name":"Resección de estómago","alias":"stomach-resection","type":"operation","id":218},{"name":"Consulta con creación de plan de tratamiento","alias":"consultation-with-creation-of-treatment-plan","type":"diagnostic","id":457},{"name":"Consulta de Cirugía Bariátrica","alias":"bariatric-surgery-consultation","type":"diagnostic","id":527},{"name":"Consulta con un nutricionista","alias":"consultation-of-a-nutritionist","type":"diagnostic","id":437},{"name":"Obesidad","alias":"obesity","type":"illness","id":47}],"operationPrices":{"operation_prices":{"352":{"operation":{"name":"Bypass gástrico","alias":"roux-en-y-gastric-bypass","use_for_listing":true},"country_price":{"US":{"amount":22000,"max_amount":34000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"MX":{"amount":6700,"max_amount":8000,"currency":"USD","clinic_count":12,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":8700,"max_amount":14000,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":9800,"max_amount":13500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"MX":true,"TH":true,"ES":true},"description":"<p>Esta operación ayuda a perder peso al alterar el procesamiento de los alimentos que consume en el estómago y el intestino delgado.</p>"},"380":{"operation":{"name":"Balón gástrico","alias":"gastric-balloon","use_for_listing":true},"country_price":{"US":{"amount":6500,"max_amount":9800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"MX":{"amount":2500,"max_amount":2800,"currency":"USD","clinic_count":9,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":3800,"max_amount":5200,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":4500,"max_amount":5400,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"MX":true,"TH":true,"ES":true},"description":"<p>Esta terapia consiste en colocar un globo en el estómago, lo que ayuda a perder peso al limitar la ingesta de alimentos y reducir el hambre.</p>"},"381":{"operation":{"name":"Cirugía metabólica","alias":"metabolic-surgery","use_for_listing":true},"country_price":{"US":{"amount":18000,"max_amount":30000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"MX":{"amount":6600,"max_amount":9500,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":8500,"max_amount":14000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":9500,"max_amount":14000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"MX":true,"TH":false,"ES":true},"description":"<p>Este procedimiento, para la obesidad y la diabetes, altera el intestino para mejorar las regulaciones metabólicas y la salud del cuerpo.</p>"},"674":{"operation":{"name":"Grapado de estómago","alias":"stomach-stapling","use_for_listing":true},"country_price":{"US":{"amount":17500,"max_amount":26000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"MX":{"amount":3800,"max_amount":4400,"currency":"USD","clinic_count":5,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":8000,"max_amount":13000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":9000,"max_amount":11000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"MX":true,"TH":false,"ES":true},"description":"<p>Esta operación reduce el tamaño del estómago, favoreciendo la pérdida de peso. Es rápido, relativamente seguro y notablemente efectivo.</p>"},"794":{"operation":{"name":"Derivación biliopancreática","alias":"biliopancreatic-bypass","use_for_listing":true},"country_price":{"US":{"amount":24000,"max_amount":35000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"MX":{"amount":6500,"max_amount":15500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":10500,"max_amount":13500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":12500,"max_amount":17000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"MX":true,"TH":false,"ES":false},"description":"<p>La operación es una cirugía de pérdida de peso que redirige la digestión, reduciendo sustancialmente la absorción de calorías.</p>"},"1013":{"operation":{"name":"Cirugía de bypass gástrico Da Vinci","alias":"da-vinci-gastric-bypass-surgery","use_for_listing":true},"country_price":{"US":{"amount":24000,"max_amount":35000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"MX":{"amount":10000,"max_amount":15000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":11500,"max_amount":17000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":11500,"max_amount":15500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"MX":false,"TH":false,"ES":false},"description":"<p>Esta cirugía promueve la pérdida de peso a través de una técnica asistida por robot, restringiendo el tamaño del estómago y desviando el intestino delgado.</p>"},"1021":{"operation":{"name":"Bypass gástrico en Y de Roux","alias":"roux-en-y-gastric-bypass","use_for_listing":true},"country_price":{"US":{"amount":22000,"max_amount":32000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"MX":{"amount":5500,"max_amount":6800,"currency":"USD","clinic_count":5,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":9500,"max_amount":14000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":11500,"max_amount":15500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"MX":true,"TH":false,"ES":false},"description":"<p>Esta operación reduce el tamaño del estómago y desvía la ruta de los alimentos para bajar de peso, mejorando problemas de salud como la diabetes.</p>"},"1070":{"operation":{"name":"Gastroplastia endoscópica en manga (ESG)","alias":"endoscopic-sleeve-gastroplasty-esg","use_for_listing":true},"country_price":{"US":{"amount":9000,"max_amount":13500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"MX":{"amount":5500,"max_amount":8200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":6500,"max_amount":9500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":5500,"max_amount":8500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"MX":true,"TH":true,"ES":true},"description":"<p>Esta operación reduce el tamaño del estómago a través de suturas, promoviendo la pérdida de peso sin invasión quirúrgica, ofreciendo beneficios de recuperación rápida.</p>"}}},"videoReviews":[{"id":"20ce7228-9507-474a-920a-52c420145925","link":"https://player.vimeo.com/video/1031183933?badge=0&amp;autopause=0&amp;player_id=0&amp;app_id=58479","description":"Combiné mis vacaciones en Antalya con un chequeo médico.","userName":"Dayana","user_name":"Dayana","preview":"https://i.vimeocdn.com/video/1951869155-cc5953653c6f3fdc1a482e7ff45640465899941031f7f430f49f353b618a4ace-d?mw=1000&mh=1778&q=70","updated_at":"2025-03-07T07:58:27.635+00:00","clinicName":"Memorial Antalya Hospital","clinic":{"name":"Memorial Antalya Hospital","alias":"memorial-antalya-hospital"},"clinicUrl":"/clinic/memorial-antalya-hospital/","relations":{"diagnostics":[{"name":"Chequeo femenino","alias":"check-up-for-women"},{"name":"Chequeo auditivo","alias":"hearing-survey"}]}},{"id":"0d843a77-508d-4506-9950-8353b50e4086","link":"https://player.vimeo.com/video/1004433703?badge=0&amp;autopause=0&amp;player_id=0&amp;app_id=58479","description":"¡Fue genial! Traslados, alojamiento, tratamiento, todo incluido.","userName":"Igor","user_name":"Igor","preview":"https://i.vimeocdn.com/video/1920970384-d98a1858eee0afdea9fb4b88e2c27c1bf2fd75f293cc35249343d2d371e4bb52-d?mw=800&mh=1418&q=70","updated_at":"2025-03-07T08:20:09.093+00:00","clinicName":"WestDent Clinic","clinic":{"name":"WestDent Clinic","alias":"westdent-clinic"},"clinicUrl":"/clinic/westdent-clinic/","relations":{"operations":[{"name":"Implante dental","alias":"dental-implant"},{"name":"Instalación de un implante dental con corona","alias":"installation-of-a-dental-implant-with-crown"}]}},{"id":"267c5e6d-746b-494d-9dad-0b0bacc7e0c4","link":"https://player.vimeo.com/video/1003598025","description":"Bookimed se encargó de todo. No tuve que preocuparme por nada.","userName":"Marina","user_name":"Marina","preview":"https://i.vimeocdn.com/video/1920033876-ade65ad191fc8cdbaffa3a5f5e7f52101a1d20c803cdd8fa7dedf1e5d8ecbb78-d?mw=800&mh=1418&q=70","updated_at":"2025-03-07T08:03:16.951+00:00","clinicName":"Hospital Severance (Severance Hospital)","clinic":{"name":"Hospital Severance (Severance Hospital)","alias":"severance-hospital"},"clinicUrl":"/clinic/severance-hospital/","relations":{"diagnostics":[{"name":"Chequeo femenino","alias":"check-up-for-women"},{"name":"Chequeo para mujeres mayores de 40","alias":"check-up-for-women-over-40"}]}},{"id":"ac41621c-4ed9-4dac-b13b-c2887c544996","link":"https://player.vimeo.com/video/1004504880?badge=0&amp;autopause=0&amp;player_id=0&amp;app_id=58479","description":"He cumplido mi sueño. ¡Por fin dejaré de llorar por mi cabello!","userName":"Oksana","user_name":"Oksana","preview":"https://i.vimeocdn.com/video/1921052463-9441b899d97f025bdf15ea4444c6bad76896438435507f931f9dbade65aa9fd2-d?mw=800&mh=1418&q=70","updated_at":"2025-03-07T08:05:42.652+00:00","clinicName":"Dr. MED Clinic","clinic":{"name":"Dr. MED Clinic","alias":"doctor-med"},"clinicUrl":"/clinic/doctor-med/","relations":{"operations":[{"name":"Injerto capilar","alias":"hair-transplant"},{"name":"FUE injerto capilar","alias":"fue-hair-transplant"}]}}],"hasVideoReviewsByContext":false,"updatedAt":"2026-11-01T21:21:31.955Z","activeCountries":["DO","ES","US","MX","TH"],"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":5,"days_in_country":10,"rehabilitation_days":30,"satisfied_percent":78,"treatment_duration_hours":4},"illness_kind_details":{"requests_processed":6652}},"direction":{"id":57,"name":"Cirugía de pérdida de peso","alias":"weight-loss-surgery","name_forms":{"base_form":"Cirugía de pérdida de peso","form_4":"cirujano bariátrico","form_6":"cirujanos bariátricos","form_11":"cirujanos bariátricos"}},"illness_kind":{"id":57,"name":{"en":"Weight Loss Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":14,"max":28,"unit":"days","qualifier":"Typical for desk-based work after laparoscopic BPD (with or without duodenal switch); physically demanding work usually takes longer."},"complication_rate_pct":{"min":15,"max":40,"unit":"percent","qualifier":"Any early or late complication including nutritional deficiencies; serious perioperative complications about 3-8%."},"contraindications":["Pregnancy or planned pregnancy in the near term","Uncontrolled severe psychiatric illness or active substance abuse","Prohibitive cardiopulmonary or anesthetic risk","Severe liver disease or cirrhosis with portal hypertension (relative)","Active malignancy or untreated life-limiting illness","Severe malabsorptive or inflammatory bowel disease (relative)","Untreated eating disorders (relative)","Severe coagulopathy","Alcohol dependence requires rehabilitation before surgery"],"days_in_clinic":{"min":2,"max":4,"unit":"nights","qualifier":"Typical inpatient stay after uncomplicated laparoscopic BPD."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":6,"unit":"weeks","qualifier":"Light activity such as walking early; 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":"Diabetes tipo 2"},{"id":47,"alias":"obesity","name":"Obesidad"}],"rendersOffersList":false}