{"id":817,"date":"2026-08-20T00:50:42","date_gmt":"2026-08-20T00:50:42","guid":{"rendered":"https:\/\/doctorjosecastaneda.com\/?page_id=817"},"modified":"2026-08-25T04:26:18","modified_gmt":"2026-08-25T04:26:18","slug":"soluciones-quirurgicas-avanzadas","status":"publish","type":"page","link":"https:\/\/doctorjosecastaneda.com\/en\/soluciones-quirurgicas-avanzadas\/","title":{"rendered":"Soluciones quir\u00fargicas avanzadas"},"content":{"rendered":"
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Tratments<\/h2>\n\t\t\t\t\t

At our clinic, treatment selection is based not only on weight, but on a comprehensive metabolic\nassessment. Through our Metabolic Rescue 360 program, we classify your care into three\nstrategic pathways:<\/p>\n\t\t\n<\/div>\n

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Pathway A. Rescue After Medications and GLP-1s<\/h2>\n\t\t\t\t\t

Designed for patients who have not achieved their goals with medication, regained weight after\ndiscontinuing treatment, or experienced muscle loss. Our approach includes:

Supervised Medical Management:
Management of side effects and dose optimization.

Nutritional and Strength Support:
Preservation of protein intake and muscle mass.<\/p>\n\t\t\n<\/div>\n

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Pathway B. Rescue After Surgery (Revisional Surgery)<\/h2>\n\t\t\t\t\t

Dr. Casta\u00f1eda has extensive experience correcting or enhancing previous bariatric procedures,\nincluding cases involving a dilated sleeve, reflux, or weight regain.

\u2022 Gastric Bypass: Modifies the digestive pathway to improve metabolic outcomes.

\u2022 Duodenal Switch: One of the most powerful procedures for weight loss and severe\nmetabolic disease management.

\u2022 SASI and SADI-S: Modern techniques that combine sleeve gastrectomy with partial\nintestinal bypass to achieve a more balanced approach to nutrient absorption.<\/p>\n\t\t\n<\/div>\n

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Pathway C. Prevention and Initial Treatment<\/h2>\n\t\t\t\t\t

For patients who have not yet undergone medication or surgery, or who are beginning to\nexperience weight gain.

* Lifestyle changes
* Nutrition
* Exercise
* Medical treatment
* Digital follow-up<\/p>\n\t\t\n<\/div>\n\n<\/div>\n\n<\/div>\n\n<\/div>\n\n<\/div>\n

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Advanced Surgical Solutions to Lose Weight\nand Reclaim Your Health<\/h2>\n\t\t\t\t\t

Dr. Jos\u00e9 Casta\u00f1eda offers a comprehensive range of bariatric and metabolic procedures designed\nto help each patient achieve effective, safe, and sustainable weight loss.

Each treatment is recommended on an individualized basis, taking into consideration your health status, medical history, and long-term goals.<\/p>\n\t\t\n<\/div>\n\n<\/div>\n\n<\/div>\n

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Each treatment is recommended on an individualized basis, taking into consideration your health status, medical history, and long-term goals.<\/p>\n\t\t\n<\/div>\n

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Gastric Bypass<\/h2>\n\t\t\t\t\t

One of the most extensively studied and effective procedures for long-term weight loss.

It involves reducing the size of the stomach and modifying the digestive pathway, helping to\nreduce the amount of food you can consume while also improving metabolic function.

In addition to weight loss, gastric bypass can significantly contribute to the control or remission\nof conditions such as type 2 diabetes.<\/p>\n\t\t\t\t

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\n\t\t\n\t\t\t\n\t\t\t\n\t\t\t\t\t\t\t\t\tAgenda una consulta<\/span>\n\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t<\/path><\/svg><\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t<\/a>\n\n\t\t\t\t<\/div>\n\t\n\t\n\t\t\t\t\t<\/div>\n\t\t\n<\/div>\n\n<\/div>\n\n<\/div>\n
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Gastric Sleeve (Sleeve Gastrectomy)<\/h2>\n\t\t\t\t\t

Sleeve gastrectomy reduces the size of the stomach by approximately 70\u201380%, helping you feel satisfied with smaller amounts of food.

It also produces hormonal changes that can help reduce appetite and improve metabolic function.

It is an effective option for patients seeking progressive and sustainable weight loss.<\/p>\n\t\t\t\t

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\n\t\t\n\t\t\t\n\t\t\t\n\t\t\t\t\t\t\t\t\tAgenda una consulta<\/span>\n\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t<\/path><\/svg><\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t<\/a>\n\n\t\t\t\t<\/div>\n\t\n\t\n\t\t\t\t\t<\/div>\n\t\t\n<\/div>\n\n<\/div>\n\n<\/div>\n
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Gastric Band<\/h2>\n\t\t\t\t\t

Gastric banding involves placing an adjustable device around the upper portion of the stomach to\nlimit the amount of food that can be consumed.

Although it was one of the most commonly performed bariatric procedures in the past, it is now recommended only in specific cases and following careful medical evaluation.<\/p>\n\t\t\t\t

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\n\t\t\n\t\t\t\n\t\t\t\n\t\t\t\t\t\t\t\t\tAgenda una consulta<\/span>\n\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t<\/path><\/svg><\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t<\/a>\n\n\t\t\t\t<\/div>\n\t\n\t\n\t\t\t\t\t<\/div>\n\t\t\n<\/div>\n\n<\/div>\n\n<\/div>\n
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SASI (Single Anastomosis Sleeve Ileal Bypass)<\/h2>\n\t\t\t\t\t

A procedure that combines sleeve gastrectomy with a partial intestinal bypass.

It allows for significant weight loss while maintaining a more balanced absorption of nutrients compared with more aggressive procedures.<\/p>\n\t\t\t\t

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\n\t\t\n\t\t\t\n\t\t\t\n\t\t\t\t\t\t\t\t\tAgenda una consulta<\/span>\n\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t<\/path><\/svg><\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t<\/a>\n\n\t\t\t\t<\/div>\n\t\n\t\n\t\t\t\t\t<\/div>\n\t\t\n<\/div>\n\n<\/div>\n\n<\/div>\n
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SADI-S (Single Anastomosis Duodeno-Ileal Bypass)<\/h2>\n\t\t\t\t\t

An advanced technique that combines stomach reduction with a modification of the small\nintestine.

It is particularly useful for patients with severe obesity or in cases where greater weight loss and\nmetabolic control are needed.<\/p>\n\t\t\t\t

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\n\t\t\n\t\t\t\n\t\t\t\n\t\t\t\t\t\t\t\t\tAgenda una consulta<\/span>\n\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t<\/path><\/svg><\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t<\/a>\n\n\t\t\t\t<\/div>\n\t\n\t\n\t\t\t\t\t<\/div>\n\t\t\n<\/div>\n\n<\/div>\n\n<\/div>\n
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Duodenal switch<\/h2>\n\t\t\t\t\t

One of the most comprehensive and effective procedures for weight loss.

It combines stomach reduction with a more extensive intestinal bypass, allowing for significant\nweight loss and substantial improvements in metabolic conditions.

Close medical follow-up is required due to changes in nutrient absorption.<\/p>\n\t\t\t\t

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\n\t\t\n\t\t\t\n\t\t\t\n\t\t\t\t\t\t\t\t\tAgenda una consulta<\/span>\n\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t<\/path><\/svg><\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t<\/a>\n\n\t\t\t\t<\/div>\n\t\n\t\n\t\t\t\t\t<\/div>\n\t\t\n<\/div>\n\n<\/div>\n\n<\/div>\n
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Ileal Transposition<\/h2>\n\t\t\t\t\t

An innovative metabolic surgery focused on the treatment of type 2 diabetes.

It involves repositioning a portion of the small intestine to improve the body\u2019s hormonal\nresponse and glucose control.

It may be an option even for patients who do not have severe obesity.<\/p>\n\t\t\t\t

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\n\t\t\n\t\t\t\n\t\t\t\n\t\t\t\t\t\t\t\t\tAgenda una consulta<\/span>\n\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t<\/path><\/svg><\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t<\/a>\n\n\t\t\t\t<\/div>\n\t\n\t\n\t\t\t\t\t<\/div>\n\t\t\n<\/div>\n\n<\/div>\n\n<\/div>\n
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Bariatric Revision<\/h2>\n\t\t\t\t\t

Some patients who have previously undergone bariatric surgery may require revision or\nadjustment of their original procedure.

Dr. Casta\u00f1eda has extensive experience in revisional bariatric surgery, evaluating each case\nindividually to determine the most appropriate solution.<\/p>\n\t\t\t\t

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\n\t\t\n\t\t\t\n\t\t\t\n\t\t\t\t\t\t\t\t\tAgenda una consulta<\/span>\n\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t<\/path><\/svg><\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t<\/a>\n\n\t\t\t\t<\/div>\n\t\n\t\n\t\t\t\t\t<\/div>\n\t\t\n<\/div>\n\n<\/div>\n\n<\/div>\n
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Which Treatment Is Right for You?<\/strong><\/p>\n\t\t\t\t\t

Every patient is different. That is why the choice of procedure is not based solely on weight, but\non multiple medical and personal factors.
A comprehensive evaluation will help determine the best option for you, always prioritizing your\nsafety, health, and long-term results.<\/p>\n\t\t\n<\/div>\n

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Support Throughout Your Journey<\/h2>\n\t\t\t\t\t

From your initial consultation through post-surgical follow-up, Dr. Casta\u00f1eda and his team\nsupport you every step of the way.

The goal is not simply weight loss, but achieving a real and sustainable improvement in your\nquality of life.<\/p>\n\t\t\t\t

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\n\t\t\n\t\t\t\n\t\t\t\n\t\t\t\t\t\t\t\t\tAgenda una consulta<\/span>\n\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t<\/path><\/svg><\/span>\n\t\t\t\t\t\t\t<\/span>\n\t\t<\/a>\n\n\t\t\t\t<\/div>\n\t\n\t\n\t\t\t\t\t<\/div>\n\t\t\n<\/div>\n
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<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\n<\/div>\n\n<\/div>\n\n<\/div>\n\t\t<\/div>","protected":false},"excerpt":{"rendered":"

Tratamientos En nuestra cl\u00ednica, la elecci\u00f3n del tratamiento no se basa solo en el peso, sino en una valoraci\u00f3n metab\u00f3lica profunda. Bajo nuestro programa Metabolic Rescue 360, clasificamos tu atenci\u00f3n en tres rutas estrat\u00e9gicas: Ruta A. Rescate despu\u00e9s de Medicamentos y GLP-1 Dise\u00f1ada para pacientes que no lograron sus objetivos con f\u00e1rmacos, recuperaron peso al suspenderlos o perdieron masa muscular. Integramos: Manejo Farmacol\u00f3gico Supervisado: Control de efectos secundarios y optimizaci\u00f3n de dosis. Apoyo Nutricional y Fuerza: Preservaci\u00f3n de prote\u00ednas y m\u00fasculo.\u2028 Ruta B. Rescate despu\u00e9s de Cirug\u00eda (Cirug\u00eda de Revisi\u00f3n) El Dr. Casta\u00f1eda cuenta con amplia experiencia en corregir o potenciar procedimientos previos (mangas dilatadas, reflujo o regancia de peso). \u2022 Bypass G\u00e1strico: Modifica el tr\u00e1nsito intestinal para mejorar el metabolismo. \u2022 Switch Duodenal: El procedimiento m\u00e1s potente para p\u00e9rdida de peso y control metab\u00f3lico severo. \u2022 SASI y SADI-S: T\u00e9cnicas modernas que combinan la manga con bypass parcial para una absorci\u00f3n equilibrada de nutrientes. Ruta C. Prevenci\u00f3n y Tratamiento Inicial Para pacientes que a\u00fan no han usado medicamentos ni cirug\u00eda, o que est\u00e1n empezando a ganar peso. * Cambio de h\u00e1bitos. * Nutrici\u00f3n. * Ejercicio. * Tratamiento m\u00e9dico. * Seguimiento digital. Soluciones quir\u00fargicas avanzadas para perder peso y recuperar tu salud El Dr. Jos\u00e9 Casta\u00f1eda ofrece una amplia gama de procedimientos bari\u00e1tricos y metab\u00f3licos dise\u00f1ados para ayudar a cada paciente a lograr una p\u00e9rdida de peso efectiva, segura y sostenible. Cada tratamiento se recomienda de manera personalizada, considerando tu estado de salud, historial cl\u00ednico y objetivos a largo plazo. Cada tratamiento se recomienda de manera personalizada, considerando tu estado de salud, historial cl\u00ednico y objetivos a largo plazo. Bypass g\u00e1strico Uno de los procedimientos m\u00e1s estudiados y efectivos para la p\u00e9rdida de peso a largo plazo. Consiste en reducir el tama\u00f1o del est\u00f3mago y modificar el tr\u00e1nsito intestinal, lo que ayuda a disminuir la cantidad de alimentos que consumes y a mejorar el metabolismo. Adem\u00e1s de la p\u00e9rdida de peso, el bypass g\u00e1strico puede contribuir significativamente al control o remisi\u00f3n de enfermedades como la diabetes tipo 2. Agenda una consulta Manga g\u00e1strica (Sleeve) La manga g\u00e1strica es un procedimiento que reduce el tama\u00f1o del est\u00f3mago aproximadamente en un 70\u201380%, ayudando a que te sientas satisfecho con \u043c\u0435nor cantidad de alimento. Tambi\u00e9n genera cambios hormonales que contribuyen a disminuir el apetito y mejorar el metabolismo. Es una opci\u00f3n efectiva para pacientes que buscan una p\u00e9rdida de peso progresiva y sostenida. Agenda una consulta Banda g\u00e1strica La banda g\u00e1strica es un dispositivo ajustable que se coloca alrededor de la parte superior del est\u00f3mago para limitar la cantidad de alimento que se puede consumir. Aunque fue uno de los procedimientos m\u00e1s utilizados en el pasado, actualmente se indica en casos espec\u00edficos y bajo una valoraci\u00f3n m\u00e9dica cuidadosa. Agenda una consulta SASI (Single Anastomosis Sleeve Ileal Bypass) Un procedimiento que combina la manga g\u00e1strica con un bypass intestinal parcial. Permite una p\u00e9rdida de peso significativa mientras mantiene una absorci\u00f3n m\u00e1s equilibrada de nutrientes en comparaci\u00f3n con otros procedimientos m\u00e1s agresivos. Agenda una consulta SADI-S (Single Anastomosis Duodeno-Ileal Bypass) Una t\u00e9cnica avanzada que combina la reducci\u00f3n del est\u00f3mago con una modificaci\u00f3n del intestino delgado. Es especialmente \u00fatil en pacientes con obesidad severa o en casos donde se requiere una mayor p\u00e9rdida de peso y control metab\u00f3lico. Agenda una consulta Switch duodenal Uno de los procedimientos m\u00e1s completos y efectivos para la p\u00e9rdida de peso. Combina una reducci\u00f3n del est\u00f3mago con un desv\u00edo intestinal m\u00e1s amplio, lo que permite una p\u00e9rdida de peso significativa y mejoras importantes en enfermedades metab\u00f3licas. Requiere seguimiento m\u00e9dico cercano debido a los cambios en la absorci\u00f3n de nutrientes. Agenda una consulta Transposici\u00f3n ileal Una cirug\u00eda metab\u00f3lica innovadora enfocada en el tratamiento de la diabetes tipo 2. Consiste en reposicionar una parte del intestino delgado para mejorar la respuesta hormonal del cuerpo y el control de la glucosa. Puede ser una opci\u00f3n incluso para pacientes que no presentan obesidad severa. Agenda una consulta Revisi\u00f3n bari\u00e1trica Algunos pacientes que se han sometido previamente a cirug\u00eda bari\u00e1trica pueden requerir una revisi\u00f3n o ajuste del procedimiento inicial. El Dr. Casta\u00f1eda cuenta con amplia experiencia en cirug\u00edas de revisi\u00f3n, evaluando cada caso de manera individual para ofrecer la mejor soluci\u00f3n posible. Agenda una consulta \u00bfCu\u00e1l es el tratamiento adecuado para ti? Cada paciente es diferente. Por eso, la elecci\u00f3n del procedimiento no se basa \u00fanicamente en el peso, sino en m\u00faltiples factores m\u00e9dicos y personales. Una valoraci\u00f3n integral permitir\u00e1 definir la mejor opci\u00f3n para ti, priorizando siempre tu seguridad, salud y resultados a largo plazo. Acompa\u00f1amiento en todo el proceso Desde la primera consulta hasta el seguimiento posterior a la cirug\u00eda, el equipo del Dr. Casta\u00f1eda te acompa\u00f1a en cada etapa. El objetivo no es solo la p\u00e9rdida de peso, sino lograr un cambio real y sostenible en tu calidad de vida. Agenda una consulta<\/p>","protected":false},"author":1,"featured_media":406,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"","ast-site-content-layout":"full-width-container","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"_joinchat":[],"footnotes":""},"class_list":["post-817","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"\nSoluciones quir\u00fargicas avanzadas - Dr Jose Casta\u00f1eda<\/title>\n<meta name=\"description\" content=\"Soluciones quir\u00fargicas avanzadas para perder peso y recuperar tu salud. 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