Bariatric Surgery in Dominican Republic

Bariatric surgery is a group of weight-loss surgeries that involves making changes to the digestive system, some of which are non-reversible. The idea behind these types of surgeries is to help patients lose weight by either limiting the amount of food they can consume/digest at any one time or reducing their body’s ability to absorb nutrients. Some procedures do both. 

Bariatric surgeries should only ever be the final option when diet and exercise have proved inadequate and there are now serious health concerns caused by a person's weight. In general, these surgeries can only be an option for patients whose body mass index (BMI) is 40 or higher (extreme obesity). In certain cases, patients whose BMI is 30 to 39.9 may qualify for certain types of bariatric surgery if they have serious weight-related problems, such as type 2 diabetes.

The three most common types of Bariatric Surgeries are as follows:

1. Gastric Sleeve – The most common surgery, in which about 80% of the stomach is irreversibly removed, resulting in a sleeve or tube-like structure. This smaller stomach will not be able to hold as much food and produces less of the hormone that regulates appetite (ghrelin), which can lessen the patient’s desire to eat. 
2. Gastric Bypass – A more complicated procedure in which the stomach is divided into two parts; a small upper pouch and a large lower ‘remnant’ pouch. The small intestine is rearranged to bypass the large pouch. As a result, the volume of the stomach is significantly reduced. This causes food to go into the small upper pouch of the stomach and then directly into the small intestine. The small upper pouch can only hold around an ounce of food. Gastric Bypass is typically not reversible. 
3. Gastric Band – Involves an inflatable silicone device that is fitted around the top portion of the stomach to create a smaller stomach pouch. This procedure causes the patient to feel fuller with less food but still allows the body to digest food as usual, without malabsorption. The device can be removed when the patient reaches their desired weight.

The bariatric surgeries mentioned above are typically performed laparoscopically, in which the surgeon creates around one to five small incisions in the abdomen to insert a laparoscope (a long narrow tube with a camera) and surgical tools. The patients are usually given a general anesthetic, so they will not feel anything throughout the surgery.

How Long Should I Stay in Dominican Republic?

After bariatric surgery, an overnight stay in the hospital is usually required. In some cases, you may need to stay longer (around 3 to 5 days). However, it is not advisable to leave Dominican Republic as soon as you are discharged from the hospital. Stay at least 10 to 14 days following your surgery for initial recovery and follow-up checkups. During the follow-up checkups, your surgeon will remove your stitches and check your overall condition.

What's the Expected Recovery Time?

The recovery time may take around 3 to 6 weeks until you are allowed to go back to your normal activities, including work, with some restrictions. You must avoid heavy work and strenuous activities, such as lifting, pushing, or carrying heavy loads for at least the first three months after surgery. You should also avoid sitting and standing without moving for long periods to avoid blood clots forming in your legs.

What Aftercare is Required?

You will be given a special diet plan immediately after your surgery, as well as detailed post-operative instructions. Make sure to follow the diet plan and instructions to avoid complications and speed up your recovery. In order to maximize and maintain weight loss, it is important that you commit to healthy eating and regular exercise. There may be restrictions on how much food you can consume. You may also need to change your eating habits, such as eating 6 small meals instead of 3 large meals each day. You should take vitamins and mineral supplements to ensure proper nutrition. 

What's the Success Rate?

The success rates vary for each of the different types of bariatric surgery. In general, within the first six months following the surgery, most patients lose around 30% to 55% of their excess weight. Then, as early as 12 months after surgery, most patients lose over 70% of their excess weight. Patients could also maintain a 50% to 60% loss of excess weight for 10 to 14 years after their bariatric surgery. Although the success rates are high, there are risks associated with bariatric surgery, such as bleeding, deep vein thrombosis, infections, spleen injury, stenosis, and infections.

Are there Alternatives?

There is a non-surgical Bariatric procedure, known as the Gastric Balloon. This involves an inflatable device that is temporarily inserted into the stomach via endoscopic placement. A sizable area of the stomach is obstructed by the balloon or balloons, thus reducing the amount of food it can contain at any one time, leading to eventual weight loss. The balloons are usually removed after 6 or 12 months. 

If you cannot or do not want to undergo any surgery or medical procedure, you may be able to work with a doctor who is experienced in treating extreme obesity and a dietician as the alternative. They may recommend you to change your diet, adding physical activity, and prescribe medications.

Bariatric Surgery in and around Dominican Republic

About the Dominican Republic

The Dominican Republic can be found on the island of Hispaniola and is a part of the island group, the Great Antilles. The nation has diverse natural environments and land features. Characterized by rugged mountains on one side and the other side consist of low lying valleys and coastal plains. It is the world’s leading producer of professional baseball players. It is also home to the highest mountain, Pico Duarte, and the largest lake, Lago Enriquillo in the Caribbean Region.

In recent times, the Dominican Republic has become popular with medical tourists. Tourists, particularly from the United States, visit the country for Plastic and Reconstructive surgeries, especially for Breast Augmentation procedure. About 25,000 to 30,000 patients visit the Dominican Republic yearly for various medical treatments. The most sought-after services are general, Plastic and cosmetic surgeries, dental procedures, weight-loss, oncology, and orthopedic treatments.

Most medical service providers are situated around the capital city Santa Domingo and Santiago. The medical establishments offer competitive healthcare services with highly-qualified and internationally-trained surgeons. The following clinics can be found in Santa Domingo: Dr. Rafael E. Estevez - Plastic, Reconstructive, and Aesthetic Surgeon, Dr. Gustavo Almanzar Plastic Surgery Clinic, Alba Reyes Skin, and Hair Transplant Institute and Dr. Ivan Strachan Bariatric Clinic.

Popular Parts of Dominican Republic

The Dominican Republic is an unmatched destination with amazing natural sceneries, intriguing history, and diverse culture. It offers ecotourism adventures in splendid national parks, mountain ranges, beaches, and rivers.

Top attractions of the Dominican Republic:

• Santa Domingo – The capital city is where Christopher Columbus first set foot in the Americas. It is home to century-old buildings, most of which function as restaurants, shops, quaint hotels, and museums. Zona Colonial is the historic central area of Santa Domingo. It is the oldest European settlement and a UNESCO World Heritage Site.  
• Punta Cana –Is a premier resort destination, bordering the Caribbean Sea and the Atlantic Ocean. It offers about 20 miles of white sandy beaches. The Bavaro Beach area and Punta Cana together form the Coconut Coast, an area of luxurious resorts. It is famous for water activities such as zip-lining, kayaking, windsurfing, and sailing.
• Samara Province –Is a city overlooking the Samana Bay. Its unique feature is the breeding point for thousands of humpback whales during their mating season in winter.
• Parque Nacional Del Este – Meaning the ‘Eastern National Park’, is one of the largest marine parks in the Caribbean. It also has an offshore coral reef system. Divers can watch a multitude of marine life within its waters. It is also home to hundreds of different species of birds, tropical forests and beaches.
• Lago Enriquillo – The massive hypersaline lake lies 140 feet below the sea level. You will see a large population of American crocodiles as well as pink flamingos, and various other bird species and you will even find iguanas at the entrance of the lake.
• El Limon Waterfalls – Being the tallest falls of the country, it is perfect for hiking and horseback riding through the rugged and steep mountain trail. The hike gives you a stunning view of the Caribbean landscape. The crystal-clear natural pool at its foot is a perfect place to cool off and relax.
• Kite Beach, Cabarete –Is a unique beach, about 20 minutes on foot from the main Cabarete Beach. Kiteboarders fill the otherwise quiet beach in the afternoons when the wind picks up.

Jarabacoa, Sosua, La Romana, Las Aguilas, and Puerto Plata & Playa Dorada are several other popular tourist spots in the Dominican Republic.

Weather and Climate in the Dominican Republic

The Dominican Republic has a tropical weather climate, and constant temperature throughout the year, with average yearly temperature, is around 77°F.

The hottest and humid period is from May to October. The mild winter season is from December to March. The period between November and April are the moderate seasons.

Rainfall is seasonal. The eastern and southern coasts experience rains between April and October. The northern coast receives rains throughout the year due to the influence of the north-eastern trade winds. The southern region is prone to hurricanes, with most striking in the months of August and September.

Getting Around in the Dominican Republic

The Dominican Republic offers easy access to the rest of the world with a myriad of flight options from North America and Europe. The main ports of entry into the country by air are the international airports in Santa Domingo, Punta Cana, and Puerto Plata. Santiago and Samana airports are other points of entry.

There are many flights from major cities of Canada and the US. The most frequent flights are from New York, Miami, Toronto, and Montreal. JetBlue, the budget airlines, operates flights from North America to Santo Domingo, Santiago, and Puerto Plata.

The Dominican Republic has a well-developed inter-country transport infrastructure with a large network of roads. It has many types of public transportation for moving around within cities such as buses, the metro, carro publicos, guaguas, and the motoconchos.

Carro Publicos are small car-public taxis and have a specific route displayed on their roof. Guaguas are privately-owned minivans and pick up travelers from any point and drop them off close to their desired location. Motoconchos are private motorcycle taxis that have reasonable fares and are ideal for short journeys.

Tourist Visas in the Dominican Republic

Citizens of countries such as the UK, USA, and Canada, and Schengen countries are not required to have a tourist visa to enter the Dominican Republic, under a bilateral agreement between the countries. However, they do need to:

• Carry a tourist card (Tourist cards allow you to stay for 30 days and allow an extension to stay beyond 30 days).
• Have a valid passport not expiring before six months with at least one blank page
• Carry proof of onward and return journeys and sufficient funds.

Nationals of countries like India, Sri Lanka, China, and Russia need to get a tourist visa to travel to the Dominican Republic. The visas are multiple-entry type and are valid for 60 days.

Additional Information

• The Dominican Peso (RD$) is the official currency of the country. As of April 2019, one US Dollar is worth about 51 RD$. Major tourist areas like Punta Cana accept US Dollars.
• You can find many ATMs in Santa Domingo and other popular tourist cities. Dominican Republic banks are members of the Maestro, Citrus, and PLUS networks. Hence, you can use the affiliate credit and debit cards here.
• Spanish is the official and major language of the country. Dominican Spanish forms its dialect. Very few locals understand and speak English.
• 93% of the population follow Roman Catholicism. However, many Dominicans do not go to church on a regular basis.
• Major holidays of the Dominican Republic are religious. While others are non-religious and national holidays. Other than Christmas and Good Friday, the Day of Our Lady of Altagracia (January 21), Corpus Christi (June 17) and the Feast of Our Lady of Mercy (September 24) are the religious holidays. Juan Pablo Duarte (January 26), Independence Day (February 27), and Dominican Restoration Day (August 16) are the national holidays specific to the country.