Bariatric Surgery Overview
Bariatric surgery encompasses a range of procedures designed to produce sustained weight loss and metabolic improvement in patients with obesity. Dr. Perales evaluates each patient's full medical history, co-morbidities, and personal goals to recommend the procedure most likely to deliver lasting results.
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Gastric Sleeve (Sleeve Gastrectomy)
The gastric sleeve removes approximately 75 to 80 percent of the stomach, creating a narrow tube that limits food intake and triggers hormonal changes that reduce hunger. It is among the most commonly performed bariatric procedures and produces significant, durable weight loss in appropriately selected patients.
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Gastric Bypass (Roux-en-Y)
Roux-en-Y gastric bypass creates a small stomach pouch and reroutes a portion of the small intestine, combining restriction with a pronounced metabolic effect. It is particularly effective for patients managing type 2 diabetes or severe metabolic disease alongside significant obesity, producing outcomes that often exceed those of sleeve gastrectomy alone.
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