Obesity Treatment in Dr. Gian Contreras
About the clinic
Obesity care at Dr. Gian Contreras Bariatric Surgery Center in Santo Domingo, Dominican Republic, includes assessment and four bariatric procedures. Dr. Gian Contreras is a board-certified bariatric surgeon and a member of ASMBS, with training in Mexico and Colombia.
Assessment before surgery
The pathway starts with a surgical evaluation and screening by a multidisciplinary obesity team. Eligibility may include a BMI over 40, or over 35 with health problems such as type 2 diabetes or hypertension. The team also considers prior diet and exercise efforts, readiness for long-term lifestyle changes, and understanding of surgical risks and benefits.
- Initial surgical evaluation: Assessment by the surgeon.
- Nutritionist consultation: Part of the pre-surgery evaluation and personalized plan.
- BMI and candidacy screening: Reviews BMI and whether surgery may be suitable.
- Multidisciplinary specialist evaluation: Involves the obesity care team.
Bariatric procedures
- Sleeve gastrectomy: Laparoscopic surgery removes 60–80% of the stomach, leaving a narrow tube. This limits food intake and lowers ghrelin, a hormone that stimulates appetite. The listed hospital stay is about 2 days, with an expected loss of about 70% of excess weight.
- Gastric bypass (RYGB): Creates a small stomach pouch connected to the lower intestine, bypassing the duodenum and about 2 meters of small bowel. It reduces stomach capacity and absorption of fats and carbohydrates. It may suit people with obesity, especially those with type 2 diabetes.
- SADI-S: Combines sleeve gastrectomy with a connection to a fixed 250 cm section of small bowel. It preserves the pylorus and combines stomach restriction with reduced absorption. The listed expected outcome is 50–75% excess weight loss within one year.
- Revision bariatric surgery: May address complications or insufficient results after a gastric band, bypass, or sleeve gastrectomy.
Procedures use a laparoscopic approach with cameras, sutures, tissue hooks, forceps, and lasers. After surgery, the center provides specialized monitoring, multidisciplinary follow-up, and a virtual support group led by Dr. Contreras. Patients can request a consultation through Bookimed.
Highlights
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Treatments prices in the clinic
| treatment | Price | |
|---|---|---|
| Gastric bypass | Price on request |
Clinic Doctors
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Dr. Gian Contreras: more details about the clinic
Specialized Medical Team
Dr. Gian Contreras is a board-certified bariatric surgeon who manages the clinical pathway for every patient. He holds professional memberships in several major organizations:
- American Society for Bariatric and Metabolic Surgery (ASMBS)
- Dominican College of Surgeons (CDC)
- Dominican Medical Association (CMD)
- Dominican Association for the Study of Obesity (ASODEO)
Dr. Contreras completed his surgical training at Hospital Salvador B. Gautier. He then obtained specialized bariatric certification at Hospital Ángeles Tijuana in Mexico. He also holds a recertification in laparoscopic and bariatric surgery from Clínica Reyna Sofía in Colombia. A multidisciplinary team assists him with patient coordination and operating room logistics.
Bariatric Surgery Procedures
The clinic offers several surgical options for weight reduction. Each procedure follows a structured medical pathway.
Sleeve Gastrectomy involves removing approximately 60–80% of the stomach. This creates a slender gastric tube that limits food intake. The procedure also removes the portion of the stomach that produces ghrelin. With less of this hunger hormone, patients feel fuller sooner and experience reduced appetite. Hospital stays typically last 2 days. This method can lead to roughly 70% excess-weight loss.
The clinic also offers SADI-S – a single anastomosis duodeno-ileal bypass with sleeve gastrectomy. This procedure combines a gastric sleeve with a simplified intestinal bypass. During surgery, the small bowel length is typically fixed at 250 cm. This technique suits patients needing significant metabolic intervention.
Bypass SADI is a combined surgical option available at the clinic. Patients can lose 50–75% of their excess weight within one year. The surgical team evaluates each patient to determine which bypass or sleeve method fits their health profile.
Eligibility and Treatment Pathway
The practice uses specific medical criteria to identify surgery candidates. Patients must show that traditional diet and exercise have not worked for at least six months. The clinic accepts patients who meet these requirements:
- A BMI greater than 40
- A BMI greater than 35 with obesity-related health problems
- Commitment to permanent lifestyle changes
Treatment begins with an initial evaluation and a nutritionist consultation. Specialists work together to create a personalized plan for every patient. This approach addresses all health factors before surgery.
Support Services for Patients
Follow-up care is central to the clinic's obesity treatment program. The team provides specialized post-surgical monitoring to manage recovery. This focus on long-term care helps patients maintain their weight loss results.
Patients can join a virtual support group led by Dr. Contreras. This group provides guidance through each phase of the bariatric journey. The clinic team also coordinates care for international patients traveling to the Dominican Republic. All support helps patients understand the risks and benefits of their chosen procedure.
Additional services
Patient reviews
Maria Isabel Louis
Juliet Gratereaux
judy rodriguez
Yoanny Almonte
chantal marie
Abeli Javier
Ámbar Herasme
Yaneli Jaime
Yeleiny Lima Peréz
Yinelda Amaro
Torre Profesional Corazones Unidos, Santo Domingo, República Dominicana
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