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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.
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Dr. Castro Beltrán trained at the Instituto Tecnológico de Monterrey in Mexico. She also holds obesity surgery credentials from Universidad Francisco de Vitoria. SODOCIMEB and IFSO accredit the practice. Patients have reported weight losses of over 150 pounds. Case stories show the resolution of diabetes and hypertension. A multidisciplinary team gives nutrition support and remote follow-up. International patients come from Florida, New York, and Puerto Rico.
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Dr. Castro Beltrán trained at the Instituto Tecnológico de Monterrey in Mexico. She also holds obesity surgery credentials from Universidad Francisco de Vitoria. SODOCIMEB and IFSO accredit the practice. Patients have reported weight losses of over 150 pounds. Case stories show the resolution of diabetes and hypertension. A multidisciplinary team gives nutrition support and remote follow-up. International patients come from Florida, New York, and Puerto Rico.
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Dr. Castro Beltrán trained at the Instituto Tecnológico de Monterrey in Mexico. She also holds obesity surgery credentials from Universidad Francisco de Vitoria. SODOCIMEB and IFSO accredit the practice. Patients have reported weight losses of over 150 pounds. Case stories show the resolution of diabetes and hypertension. A multidisciplinary team gives nutrition support and remote follow-up. International patients come from Florida, New York, and Puerto Rico.
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"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":3,"days_in_country":7,"rehabilitation_days":14,"satisfied_percent":78,"treatment_duration_hours":4},"illness_kind_details":{"requests_processed":6674}},"direction":{"id":8,"name":"Endocrinología","alias":"endocrinology"},"illness_kind":{"id":8,"name":{"en":"Endocrinology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":14,"max":42,"unit":"days","qualifier":"Desk-based work after uncomplicated laparoscopic sleeve or gastric bypass; physical work needs longer."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any postoperative complication within 30-90 days; major complications such as leak or bleeding about 1-4%."},"contraindications":["Inability to tolerate general anesthesia or unacceptable cardiopulmonary risk","Uncontrolled severe psychiatric illness or active substance abuse","Active untreated eating disorder","Unable to commit to lifelong supplements and follow-up","Pregnancy or planned pregnancy in the near term","Advanced liver failure with portal hypertension or prohibitive risk (relative)","Active malignancy or severe untreated gastric disease (relative, procedure-dependent)"],"days_in_clinic":{"min":1,"max":3,"unit":"nights","qualifier":"Uncomplicated laparoscopic sleeve gastrectomy or gastric bypass; same-day discharge is uncommon."},"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":"Walking encouraged early; heavy lifting and strenuous core exercise restricted for about 4-6 weeks."},"final_result_months":{"min":12,"max":18,"unit":"months","qualifier":"Time to maximal weight loss and metabolic improvement after common bariatric-metabolic operations; individual response varies."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"After uncomplicated laparoscopic surgery, once the surgeon confirms stable recovery, hydration and no thrombosis or leak signs."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":21,"unit":"days","qualifier":"First postoperative review, typically 1-3 weeks after surgery."}},{"purpose":"assessment","requirement":"routine","after":{"min":80,"max":100,"unit":"days","qualifier":"Around 3 months: weight, nutrition, diabetes/medication review."}},{"purpose":"result_review","requirement":"routine","after":{"min":170,"max":200,"unit":"days","qualifier":"Around 6 months, then periodic lifelong follow-up."}}],"indications":["BMI ≥35, or ≥30 with comorbidity, after failed non-surgical treatment","Type 2 diabetes with obesity, aimed at improving glycemic control","Obesity-related hypertension, sleep apnea, dyslipidemia, fatty liver"],"main_risks":["Bleeding","Staple-line or anastomotic leak and infection","Venous thromboembolism","Stricture or obstruction, internal hernia (bypass)","Gastroesophageal reflux (especially after sleeve)","Nutritional deficiencies (iron, B12, vitamin D, calcium, protein)","Dumping syndrome or hypoglycemia","Gallstones","Weight regain or inadequate response","Anesthesia-related complications","Need for reoperation"],"pain":"Moderate postoperative abdominal and shoulder discomfort for several days after laparoscopic surgery, usually controlled with oral analgesics; improves over 1-2 weeks.","preparation":["Multidisciplinary assessment (surgeon, endocrinologist/physician, dietitian, psychologist)","Blood tests, cardiopulmonary assessment, sleep apnea screening as indicated","Upper endoscopy or imaging when indicated","Preoperative liver-reduction diet","Smoking cessation","Fasting before surgery per anesthesia instructions","Education on postoperative diet progression and lifelong supplementation"],"recovery_timeline":[{"phase":"Hospital stay (days 0-3)","description":"Early mobilization, thromboprophylaxis, pain control and start of liquids.","restrictions":["Frequent small sips of fluids","No heavy lifting"]},{"phase":"Early recovery (weeks 1-2)","description":"Liquid then pureed diet; increasing walking; return to light activity.","restrictions":["Avoid lifting heavy objects","Follow staged diet"]},{"phase":"Weeks 2-6","description":"Progression to soft then regular-texture small meals; many return to desk work.","restrictions":["Avoid strenuous exercise and heavy lifting until cleared"]},{"phase":"Months 3-12+","description":"Ongoing weight loss, supplementation and metabolic monitoring; full activity.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery after uncomplicated laparoscopic surgery; no formal physiotherapy program usually needed."},"result_longevity":"Weight loss and metabolic improvement are generally durable over many years, but some weight regain is common. Lasting results depend on the operation, diet, supplementation and lifelong follow-up.","revision_rate_pct":{"min":3,"max":15,"unit":"percent","qualifier":"Reoperation or conversion for complications, reflux or weight regain within about 5-10 years."},"scars":"Typically several small laparoscopic incisions (about 0.5-1.5 cm) on the abdomen that fade over months; larger scars if open surgery is required.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for a primary laparoscopic procedure."},"stages":[{"code":"surgery","label":"Laparoscopic metabolic/bariatric operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of admission."}}],"qualifier":"Primary single-stage operation; staged approaches are exceptional."},"success":{"metric":"Excess weight loss after surgery","value":65,"unit":"percent of excess body weight","horizon":"12-18 months","population":"Adults with severe obesity after primary sleeve gastrectomy or gastric bypass","evidence_status":"proven"},"techniques":[{"name":"Laparoscopic sleeve gastrectomy","suits_whom":"Patients with obesity with or without type 2 diabetes who want a non-bypass option; less suited to severe reflux.","recovery":"Hospital stay about 1-2 nights; return to desk work in about 2-3 weeks."},{"name":"Laparoscopic Roux-en-Y gastric bypass","suits_whom":"Patients with obesity and type 2 diabetes, or significant reflux, often favored for stronger metabolic effect.","recovery":"Hospital stay about 2-3 nights; return to desk work in about 2-4 weeks."},{"name":"One-anastomosis (mini) gastric bypass","suits_whom":"Selected patients with obesity or diabetes; practiced in many centers.","recovery":"Hospital stay about 1-3 nights; similar recovery to gastric bypass."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1,"max":3,"unit":"hours","qualifier":"Operating time for one primary laparoscopic operation; sleeve gastrectomy at the shorter end, gastric bypass longer."},"initial_assessment_documents":["Recent HbA1c and fasting glucose results","List of diabetes medications and insulin doses","Previous abdominal surgery reports","Upper endoscopy or gastroscopy report","Recent blood tests with lipid profile"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-10 days including 1-3 hospital nights. Follow-up visits usually done remotely or at home."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/procedure=metabolicheskaya-hirurgiya/page=7/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":191},"manualSeo":[],"updatedAt":"2026-11-01T21:21:31.955Z","activeCountries":["ES","US","MX","TH"],"hasVideoReviewsByContext":false,"hasCriticalApiFallback":false}