{"id":8771,"date":"2021-01-19T17:24:39","date_gmt":"2021-01-19T22:24:39","guid":{"rendered":"https:\/\/cirugiadeobesidad.net\/?page_id=8771"},"modified":"2026-09-23T03:56:26","modified_gmt":"2026-09-23T08:56:26","slug":"gastric-sleeve","status":"publish","type":"page","link":"https:\/\/cirugiadeobesidad.net\/en\/procedimientos\/manga-gastrica\/","title":{"rendered":"Gastric sleeve"},"content":{"rendered":"GASTRIC SLEEVE IN LIMA, PERU\n\t\t\t\t\t\t<h1>Gastric sleeve<\/h1>\t\t\t\t\t\n\t\t\t<p>The gastric sleeve is a safe and effective procedure that reduces the size of the stomach and promotes better control of food intake and appetite through hormonal changes related to satiety.<\/p>\t\t\n<a href=\"\/en\/contact\/#appointment\" target=\"_self\">Book an appointment<\/a>\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/trophy-icon.svg\" alt=\"trophy icon\" width=\"44\" height=\"42\" \/>\n\t\t\t\t\t\t<h2>+4,000 bariatric procedures<\/h2>\t\t\t\t\t\n\t\t\t\t\t<p>carried out by Dr Dick Manrique.<\/p>\t\t\t\t\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/checklist.svg\" alt=\"checklist\" width=\"50\" height=\"45\" \/>\n\t\t\t\t\t\t<h2>Consolidated procedure<\/h2>\t\t\t\t\t\n\t\t\t\t\t<p>One of the most frequently performed surgeries<\/p>\t\t\t\t\n\t\t\tWhat is a gastric sleeve?\n\t\t\t\t\t\t<h2>Gastric sleeve<\/h2>\t\t\t\t\t\n\t\t\t<p>La manga g\u00e1strica (gastrectom\u00eda en manga) es una cirug\u00eda laparosc\u00f3pica en la que se retira de forma permanente ~75-85% del est\u00f3mago, dejando un reservorio m\u00e1s estrecho y en forma de tubo. Esto ayuda a comer menos, reduce el apetito y mejora el control de la glucosa por cambios hormonales, sin bypass intestinal.<\/p>\t\t\n<h2>\n\t\t\tHealth benefits\t<\/h2>\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/stomach.svg\" alt=\"stomach\" width=\"54\" height=\"55\" \/>\n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t<p>Reduce stomach capacity<\/p>\t\t\t\t\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/scale.svg\" alt=\"scale\" width=\"54\" height=\"55\" \/>\n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t<p>Promotes significant and lasting weight loss<\/p>\t\t\t\t\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/clock.svg\" alt=\"clock\" width=\"54\" height=\"55\" \/>\n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t<p>It allows you to eat less and feel full<\/p>\t\t\t\t\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/heartbeat-heart.svg\" alt=\"heartbeat-heart\" width=\"54\" height=\"55\" \/>\n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t<p>Contributes to better metabolic health<\/p>\t\t\t\t\n\t<a href=\"\/en\/contact\/#appointment\" target=\"_self\">BOOK AN APPOINTMENT<\/a><a href=\"\/en\/contact\/\" target=\"_self\">CONTACT US<\/a>\n<figure itemscope itemtype=\"https:\/\/schema.org\/ImageObject\">\n\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/08\/manga-gastrica-illustration.png\" alt=\"gastric-sleeve-illustration\" height=\"1254\" width=\"1254\" title=\"gastric-sleeve-illustration\" onerror=\"this.style.display='none'\" loading=\"lazy\" \/>\n\t<\/figure>\n\t\t\tINSTRUCTIONS\n\t\t\t\t\t\t<h2>When is a gastric sleeve recommended?<\/h2>\t\t\t\t\t\n\t\t\t<p>The gastric sleeve is indicated for patients with obesity who are looking to achieve lasting weight loss and improve metabolic health.<\/p>\t\t\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/person-outline.svg\" alt=\"person outline\" width=\"40\" height=\"41\" \/>\n\t\t\t\t\t\t<h3>BMI \u2265 40<\/h3>\t\t\t\t\t\n\t<p>With or without associated metabolic comorbidities<\/p>\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/heartbeat-outline.svg\" alt=\"heartbeat-outline\" width=\"40\" height=\"40\" \/>\n\t\t\t\t\t\t<h3>BMI \u2265 35<\/h3>\t\t\t\t\t\n\t<p>\u00a0With comorbidities such as type 2 diabetes, hypertension, dyslipidaemia, MASLD (fatty liver) or severe osteoarthritis<\/p>\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/heartbeat-outline.svg\" alt=\"heartbeat-outline\" width=\"40\" height=\"40\" \/>\n\t\t\t\t\t\t<h3>BMI \u2265 30<\/h3>\t\t\t\t\t\n\t<p>with type 2 diabetes or uncontrolled high blood pressure despite optimal medical treatment<\/p>\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/reverse-outline.svg\" alt=\"reverse-outline\" width=\"40\" height=\"40\" \/>\n\t\t\t\t\t\t<h3>Bypass surgery<\/h3>\t\t\t\t\t\n\t<p>\u00a0Transplant (liver, kidney or heart) or a complex abdominal wall reconstruction<\/p>\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/clipboard-outline.svg\" alt=\"clipboard-outline\" width=\"39\" height=\"39\" \/>\n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t<p>Every case is unique. A personal assessment will allow us to define the most appropriate treatment for you.<\/p>\t\t\t\t\n\t\t\tRESULTS AND BENEFITS\n\t\t\t\t\t\t<h2>Gastric sleeve: evidence and efficacy<\/h2>\t\t\t\t\t\n\t\t\t<p>Gastric sleeve surgery is backed by clinical evidence: it achieves lasting weight loss, improves metabolic health and reduces comorbidities, with a positive impact on quality of life.<\/p>\t\t\n\t<section aria-labelledby=\"manga-clinical-evidence-title\">\n  <h2 id=\"manga-clinical-evidence-title\">\n    Backed by clinical evidence\n  <\/h2>\n    <article>\n        <h3>Type 2 diabetes<\/h3>\n        <p>It improves glycaemic control, but long-term remission is usually lower than with gastric bypass<\/p>\n        <cite>OSEBERG RCT<br \/>Lancet Diabetes Endocrinol, 2025<\/cite>\n    <\/article>\n    <article>\n        <h3>Weight loss<\/h3>\n        <p>Clinically significant and sustained weight loss, superior to intensive medical treatment<\/p>\n        <cite>STAMPEDE RCT<br \/>NEJM, 2017<\/cite>\n    <\/article>\n    <article>\n        <h3>Blood pressure<\/h3>\n        <p>Improve control and reduce medication use, remission is usually greater with gastric bypass<\/p>\n        <cite>The SLEEVEPASS RCT<br \/>JAMA, 2024<\/cite>\n    <\/article>\n    <article>\n        <h3>Liver health (MASH)<\/h3>\n        <p>Higher probability of histological resolution without worsening fibrosis vs lifestyle alone<\/p>\n        <cite>BRAVES RCT<br \/>Lancet, 2023<\/cite>\n    <\/article>\n    <article>\n        <h3>Dyslipidaemia<\/h3>\n        <p>It improves triglycerides and HDL, and the decrease in LDL cholesterol is usually greater with gastric bypass<\/p>\n        <cite>OSEBERG RCT<br \/>Lancet Diabetes Endocrinol, 2025<\/cite>\n    <\/article>\n    <article>\n        <h3>GORD (reflux)<\/h3>\n        <p>It increases the risk of onset or worsening; if reflux is significant, gastric bypass is preferred.<\/p>\n        <cite>SM-BOSS RCT<br \/>JAMA, 2018<\/cite>\n    <\/article>\n    <article>\n        <h3>Sleep Apnoea<\/h3>\n        <p>Improvement or remission is frequent, and is similar in the long term compared to gastric bypass<\/p>\n        <cite>SLEEVEPASS &#8211; SM-BOSS RCT<br \/>British Journal of Surgery, 2020<\/cite>\n    <\/article>\n    <article>\n        <h3>Nutritional security<\/h3>\n        <p>Fewer late major complications than with bypass in long-term trials<\/p>\n        <cite>SLEEVEPASS RCT<br \/>JAMA, 2018<\/cite>\n    <\/article>\n    \n      The gastric sleeve is one of the most thoroughly researched bariatric procedures, backed by high-quality clinical trials and long-term scientific evidence\n    \n<\/section>\n\t\t\tEXPLORE YOUR OPTIONS\n\t\t\t\t\t\t<h2>Which bariatric option is right for you?<\/h2>\t\t\t\t\t\n\t\t\t<p>Results vary depending on your health, habits and adherence to the treatment plan.<\/p>\t\t\n\t<!--\n  HERGEBRUIK OP ALLE PAGINA'S\n  Wijzig alleen de tweede class op de section:\n  Bypass: <section>\n  Manga:  <section>\n  Banda:  <section>\n  Bal\u00f3n:  <section>\n  De gekozen class:\n  1. highlight de huidige kolom;\n  2. maakt de titel van die kolom goud;\n  3. verbergt de link naar de huidige pagina.\n  Controleer alleen nog of de vier href-URL's overeenkomen met jouw WordPress-slugs.\n-->\n<section\n  aria-labelledby=\"procedure-comparison-title\">\n        <table>\n        <caption>\n          Comparison between gastric bypass, gastric sleeve, gastric band, and gastric balloon\n        <\/caption>\n        <colgroup>\n          <col \/>\n          <col \/>\n          <col \/>\n          <col \/>\n          <col \/>\n        <\/colgroup>\n        <thead>\n          <tr>\n            <th scope=\"col\">Comparison<\/th>\n            <th scope=\"col\" data-procedure=\"bypass\">Gastric bypass<\/th>\n            <th scope=\"col\" data-procedure=\"manga\">Gastric sleeve<\/th>\n            <th scope=\"col\" data-procedure=\"banda\">Gastric band<\/th>\n            <th scope=\"col\" data-procedure=\"balon\">Gastric balloon<\/th>\n          <\/tr>\n        <\/thead>\n        <tbody>\n          <tr>\n            <th scope=\"row\">Ideal for<\/th>\n            <td data-procedure=\"bypass\">\n              BMI \u2265 35 with comorbidities or gastro-oesophageal reflux\n            <\/td>\n            <td data-procedure=\"manga\">\n              BMI \u2265 35 with associated comorbidities\n            <\/td>\n            <td data-procedure=\"banda\">\n              Obesity with comorbidities\n            <\/td>\n            <td data-procedure=\"balon\">\n              BMI \u2265 27 with any comorbidity\n            <\/td>\n          <\/tr>\n          <tr>\n            <th scope=\"row\">Main objective<\/th>\n            <td data-procedure=\"bypass\">\n             Weight loss and metabolic control\n            <\/td>\n            <td data-procedure=\"manga\">\n              Weight loss and metabolic control\n            <\/td>\n            <td data-procedure=\"banda\">\n              Weight loss\n            <\/td>\n            <td data-procedure=\"balon\">\n              Weight loss and lifestyle change\n            <\/td>\n          <\/tr>\n          <tr>\n            <th scope=\"row\">Average weight loss<\/th>\n            <td data-procedure=\"bypass\">\n              32.8% TBWL\n            <\/td>\n            <td data-procedure=\"manga\">\n              28.9% TBWL\n            <\/td>\n            <td data-procedure=\"banda\">\n              17.3% TBWL\n            <\/td>\n            <td data-procedure=\"balon\">\n              15% TBWL (Spatz3 balloon)\n            <\/td>\n          <\/tr>\n          <tr>\n            <th scope=\"row\">Inpatient care<\/th>\n            <td data-procedure=\"bypass\">1 day<\/td>\n            <td data-procedure=\"manga\">1 day<\/td>\n            <td data-procedure=\"banda\">Same-day discharge<\/td>\n            <td data-procedure=\"balon\">Same-day discharge<\/td>\n          <\/tr>\n          <tr>\n            <th scope=\"row\">Return to activities<\/th>\n            <td data-procedure=\"bypass\">1 week<\/td>\n            <td data-procedure=\"manga\">1 week<\/td>\n            <td data-procedure=\"banda\">1 week<\/td>\n            <td data-procedure=\"balon\">3 days<\/td>\n          <\/tr>\n          <tr>\n            <th scope=\"row\">Duration<\/th>\n            <td data-procedure=\"bypass\">Permit<\/td>\n            <td data-procedure=\"manga\">Permit<\/td>\n            <td data-procedure=\"banda\">Adjustable and reversible<\/td>\n            <td data-procedure=\"balon\">Temporal (4-12 meses)<\/td>\n          <\/tr>\n          <tr>\n            <th scope=\"row\">Important aspects<\/th>\n            <td data-procedure=\"bypass\">\n              Greater type 2 diabetes remission and improvement in reflux\n            <\/td>\n            <td data-procedure=\"manga\">\n              No bowel bypass \u2022 Reflux may appear or worsen\n            <\/td>\n            <td data-procedure=\"banda\">\n              Reversible \u2022 Requires adjustments\n            <\/td>\n            <td data-procedure=\"balon\">\n              Non-surgical \u2022 Endoscopic or via ingestible capsule\n            <\/td>\n          <\/tr>\n        <\/tbody>\n        <\/table>\n      <nav aria-label=\"M\u00e1s informaci\u00f3n sobre los procedimientos\">\n        <a\n          href=\"\/en\/procedures\/gastric-bypass\/\">\n          More information\n          <img decoding=\"async\" src=\"\/wp-content\/uploads\/2026\/07\/Arrow-button.svg\"\n            alt=\"\"\n            aria-hidden=\"true\"\/>\n        <\/a>\n        <a\n          href=\"\/en\/procedures\/gastric-sleeve\/\">\n          More information\n          <img decoding=\"async\" src=\"\/wp-content\/uploads\/2026\/07\/Arrow-button.svg\"\n            alt=\"\"\n            aria-hidden=\"true\"\/>\n        <\/a>\n        <a\n          href=\"\/en\/procedures\/gastric-band\/\">\n          More information\n          <img decoding=\"async\" src=\"\/wp-content\/uploads\/2026\/07\/Arrow-button.svg\"\n            alt=\"\"\n            aria-hidden=\"true\"\/>\n        <\/a>\n        <a\n          href=\"\/en\/procedures\/gastric-balloon\/\">\n          More information\n          <img decoding=\"async\" src=\"\/wp-content\/uploads\/2026\/07\/Arrow-button.svg\"\n            alt=\"\"\n            aria-hidden=\"true\"\/>\n        <\/a>\n      <\/nav>\n  <!-- Mobiele kaartweergave: geen horizontale scroll nodig -->\n    <article data-procedure=\"bypass\">\n      <h3>Gastric bypass<\/h3>\n      <dl>\n          <dt>Ideal for<\/dt>\n          <dd>BMI \u226535 with associated comorbidities or GORD<\/dd>\n          <dt>Main objective<\/dt>\n          <dd>Weight loss + metabolic control<\/dd>\n          <dt>Average weight loss<\/dt>\n          <dd>\n            32.8% TBWL\n          <\/dd>\n          <dt>Inpatient care<\/dt>\n          <dd>1 day<\/dd>\n          <dt>Return to activities<\/dt>\n          <dd>1 week<\/dd>\n          <dt>Duration<\/dt>\n          <dd>Permit<\/dd>\n          <dt>Important aspects<\/dt>\n          <dd>Greater remission of type 2 diabetes \u2022 Improvement of GORD<\/dd>\n      <\/dl>\n      <a\n        href=\"\/en\/procedures\/gastric-bypass\/\">\n        More information\n        <img decoding=\"async\" src=\"\/wp-content\/uploads\/2026\/07\/Arrow-button.svg\"\n          alt=\"\"\n          aria-hidden=\"true\"\/>\n      <\/a>\n    <\/article>\n    <article data-procedure=\"manga\">\n      <h3>Gastric sleeve<\/h3>\n      <dl>\n          <dt>Ideal for<\/dt>\n          <dd>BMI \u226535 with associated conditions<\/dd>\n          <dt>Main objective<\/dt>\n          <dd>Weight loss + metabolic control<\/dd>\n          <dt>Average weight loss<\/dt>\n          <dd>\n            28.9% TBWL\n          <\/dd>\n          <dt>Inpatient care<\/dt>\n          <dd>1 day<\/dd>\n          <dt>Return to activities<\/dt>\n          <dd>1 week<\/dd>\n          <dt>Duration<\/dt>\n          <dd>Permit<\/dd>\n          <dt>Important aspects<\/dt>\n          <dd>\u2022 No intestinal diversion \u2022 GORD may appear or worsen<\/dd>\n      <\/dl>\n      <a\n        href=\"\/en\/procedures\/gastric-sleeve\/\">\n        More information\n        <img decoding=\"async\" src=\"\/wp-content\/uploads\/2026\/07\/Arrow-button.svg\"\n          alt=\"\"\n          aria-hidden=\"true\"\/>\n      <\/a>\n    <\/article>\n    <article data-procedure=\"banda\">\n      <h3>Gastric band<\/h3>\n      <dl>\n          <dt>Ideal for<\/dt>\n          <dd>Obesity with comorbidities<\/dd>\n          <dt>Main objective<\/dt>\n          <dd>Weight loss<\/dd>\n          <dt>Average weight loss<\/dt>\n          <dd>\n            17.3% TBWL\n          <\/dd>\n          <dt>Inpatient care<\/dt>\n          <dd>Same-day discharge<\/dd>\n          <dt>Return to activities<\/dt>\n          <dd>1 week<\/dd>\n          <dt>Duration<\/dt>\n          <dd>Adjustable and reversible<\/dd>\n          <dt>Important aspects<\/dt>\n          <dd>Reversible \u2022 Requires adjustments<\/dd>\n      <\/dl>\n      <a\n        href=\"\/en\/procedures\/gastric-band\/\">\n        More information\n        <img decoding=\"async\" src=\"\/wp-content\/uploads\/2026\/07\/Arrow-button.svg\"\n          alt=\"\"\n          aria-hidden=\"true\"\/>\n      <\/a>\n    <\/article>\n    <article data-procedure=\"balon\">\n      <h3>Gastric balloon<\/h3>\n      <dl>\n          <dt>Ideal for<\/dt>\n          <dd>BMI \u226527 with one comorbidity<\/dd>\n          <dt>Main objective<\/dt>\n          <dd>Weight loss and lifestyle change<\/dd>\n          <dt>Average weight loss<\/dt>\n          <dd>\n            15% TBWL (Spatz3 balloon)\n          <\/dd>\n          <dt>Inpatient care<\/dt>\n          <dd>Same-day discharge<\/dd>\n          <dt>Return to activities<\/dt>\n          <dd>3 days<\/dd>\n          <dt>Duration<\/dt>\n          <dd>Temporal (4-12 meses)<\/dd>\n          <dt>Important aspects<\/dt>\n          <dd>Non-surgical \u2022 Endoscopic or via ingestible capsule<\/dd>\n      <\/dl>\n      <a\n        href=\"\/en\/procedures\/gastric-balloon\/\">\n        More information\n        <img decoding=\"async\" src=\"\/wp-content\/uploads\/2026\/07\/Arrow-button.svg\"\n          alt=\"\"\n          aria-hidden=\"true\"\/>\n      <\/a>\n    <\/article>\n<\/section>\n<figure itemscope itemtype=\"https:\/\/schema.org\/ImageObject\">\n\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/chatballoon-outline.svg\" alt=\"speech bubble outline\" height=\"85\" width=\"85\" title=\"speech bubble outline\" onerror=\"this.style.display='none'\" loading=\"lazy\" \/>\n\t<\/figure>\n<h2>\n\t\t\tReady to take the next step?\t<\/h2>\n\t<p>Speak with our bariatric surgery specialists.<\/p>\n\t<a href=\"\/en\/contact\/\" target=\"_self\">CONTACT<\/a><a href=\"\/en\/contact\/#appointment\" target=\"_self\">BOOK AN APPOINTMENT<\/a>\n\t\t\tChanges and experiences\n\t\t\t\t\t\t<h2>Our patient results<\/h2>\t\t\t\t\t\n\t\t\t<p>Thousands of patients have trusted Dr Dick Manrique and his multidisciplinary team to transform their health, regain their confidence and improve their quality of life.<\/p>\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Diego-Bypass.png\" target=\"_self\" data-caption=\"\" aria-label=\"\">\n\t\t\t\t\t\t<figure>\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Diego-Bypass.png\" alt=\"\" srcset=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Diego-Bypass.png 1080w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Diego-Bypass-216x300.png 216w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Diego-Bypass-736x1024.png 736w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Diego-Bypass-768x1068.png 768w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Diego-Bypass-9x12.png 9w\" width=\"1080\" height=\"1502\" \/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Millie.png\" target=\"_self\" data-caption=\"\" aria-label=\"\">\n\t\t\t\t\t\t<figure>\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Millie.png\" alt=\"\" srcset=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Millie.png 1080w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Millie-216x300.png 216w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Millie-736x1024.png 736w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Millie-768x1068.png 768w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Millie-9x12.png 9w\" width=\"1080\" height=\"1502\" \/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Sergio.png\" target=\"_self\" data-caption=\"\" aria-label=\"\">\n\t\t\t\t\t\t<figure>\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Sergio.png\" alt=\"\" srcset=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Sergio.png 1080w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Sergio-216x300.png 216w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Sergio-736x1024.png 736w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Sergio-768x1068.png 768w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Sergio-9x12.png 9w\" width=\"1080\" height=\"1502\" \/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Shirley.png\" target=\"_self\" data-caption=\"\" aria-label=\"\">\n\t\t\t\t\t\t<figure>\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Shirley.png\" alt=\"\" srcset=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Shirley.png 1080w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Shirley-216x300.png 216w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Shirley-736x1024.png 736w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Shirley-768x1068.png 768w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Shirley-9x12.png 9w\" width=\"1080\" height=\"1502\" \/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Vania.png\" target=\"_self\" data-caption=\"\" aria-label=\"\">\n\t\t\t\t\t\t<figure>\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Vania.png\" alt=\"\" srcset=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Vania.png 1080w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Vania-216x300.png 216w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Vania-736x1024.png 736w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Vania-768x1068.png 768w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Vania-9x12.png 9w\" width=\"1080\" height=\"1502\" \/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Maria-Jose.png\" target=\"_self\" data-caption=\"\" aria-label=\"\">\n\t\t\t\t\t\t<figure>\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Maria-Jose.png\" alt=\"\" srcset=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Maria-Jose.png 1080w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Maria-Jose-216x300.png 216w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Maria-Jose-736x1024.png 736w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Maria-Jose-768x1068.png 768w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/09\/Maria-Jose-9x12.png 9w\" width=\"1080\" height=\"1502\" \/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t<!-- navigation arrows -->\n\t\t<button aria-label=\"Previous slide\" role=\"button\" tabindex=\"0\">\n\t\t\t\t\t<\/button>\n\t\t<button aria-label=\"Next slide\" role=\"button\" tabindex=\"0\">\n\t\t\t\t\t<\/button>\n<a href=\"\/en\/results\/photo-gallery\/\" target=\"_self\">See all results<\/a><figure itemscope itemtype=\"https:\/\/schema.org\/ImageObject\">\n\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/consult-section-consultation.jpg\" alt=\"consult-section-consultation\" height=\"462\" width=\"874\" title=\"consult-section-consultation\" onerror=\"this.style.display='none'\" loading=\"lazy\" \/>\n\t<\/figure>\n\t\t\tProcess stages\n\t\t\t\t\t\t<h2>From the first appointment to post-bariatric care<\/h2>\t\t\t\t\t\n\t<p>His process goes beyond the procedure: comprehensive initial assessment and long-term multidisciplinary follow-up to sustain his progress and well-being<\/p>\n<a href=\"\/en\/contact\/#appointment\" target=\"_self\">Complete the form<\/a>\n    <!-- Stap 1 -->\n    <article>\n            01.\n                <img decoding=\"async\" src=\"\/wp-content\/uploads\/2026\/07\/consult.svg\"\n                    alt=\"\"\n                    aria-hidden=\"true\"\/>\n            <h3>First appointment and assessment<\/h3>\n            \n                Evaluate your case with Dr Dick Manrique's team to define your goals, clarify any questions and explore your treatment options\n            \n    <\/article>\n    <!-- Stap 2 -->\n    <article>\n            02.\n                <img decoding=\"async\" src=\"\/wp-content\/uploads\/2026\/07\/treatmentplan.svg\"\n                    alt=\"\"\n                    aria-hidden=\"true\"\/>\n            <h3>Personalised plan<\/h3>\n            \n                 Every patient is unique. We design a plan tailored to your health profile, lifestyle and long-term goals\n            \n    <\/article>\n    <!-- Stap 3 -->\n    <article>\n            03.\n                <img decoding=\"async\" src=\"\/wp-content\/uploads\/2026\/07\/procedure.svg\"\n                    alt=\"\"\n                    aria-hidden=\"true\"\/>\n            <h3>Bariatric procedure<\/h3>\n            \n                 With an international career and reputation, Dr Dick Manrique performs his procedure with the utmost precision and safety\n            \n    <\/article>\n    <!-- Stap 4 -->\n    <article>\n            04.\n                <img decoding=\"async\" src=\"\/wp-content\/uploads\/2026\/07\/support.svg\"\n                    alt=\"\"\n                    aria-hidden=\"true\"\/>\n            <h3>Continuous monitoring<\/h3>\n            \n                Lasting results require follow-up; our team will support you after the procedure\n            \n    <\/article>\n<style>\n.dm-process{\n    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(max-width:767px){\n    .dm-process{\n        display:block;\n    }\n    .dm-process-step{\n        display:grid;\n        grid-template-columns:76px minmax(0, 1fr);\n        column-gap:22px;\n        padding-bottom:40px;\n    }\n    .dm-process-step::before{\n        content:\"\";\n        position:absolute;\n        left:37px;\n        top:88px;\n        bottom:-2px;\n        width:2px;\n        background:var(--dm-gold);\n    }\n    .dm-process-step:last-child::before{\n        display:none;\n    }\n    .dm-process-top{\n        min-height:0;\n    }\n    .dm-process-number{\n        margin-bottom:9px;\n        margin-top:10px;\n        font-size:21px;\n    }\n    .dm-process-icon{\n        width:62px;\n        height:62px;\n        box-shadow:0 0 0 5px #fff;\n    }\n    .dm-process-icon img{\n        width:50px;\n        height:50px;\n    }\n    .dm-process-content{\n        min-height:0;\n        padding:4px 0 0;\n        border:0 !important;\n    }\n    .dm-process-content h3{\n        margin-bottom:11px;\n        font-size:18px;\n        line-height:1.4;\n    }\n    .dm-process-content p{\n        font-size:15px;\n        line-height:1.6;\n    }\n    \/* Geen hoverbeweging op touchscreens *\/\n    .dm-process-step:hover .dm-process-icon,\n    .dm-process-step:hover .dm-process-content,\n    .dm-process-step:hover .dm-process-number{\n        transform:none;\n    }\n    .dm-process-step:hover .dm-process-icon img{\n        transform:none;\n    }\n}\n\/* Bewegingsvoorkeur respecteren *\/\n@media (prefers-reduced-motion:reduce){\n    .dm-process-icon,\n    .dm-process-icon img,\n    .dm-process-number,\n    .dm-process-content{\n        transition:none;\n    }\n}\n<\/style>\n\t\t\tOur modern facilities\n\t\t\t\t\t\t<h2>Designed for your comfort<\/h2>\t\t\t\t\t\n\t\t\t<p>Every detail of our spaces has been carefully designed to offer you a private, modern and completely tranquil experience from start to finish.<\/p>\t\t\n<a href=\"\/en\/contact\/#appointment\" target=\"_self\">Take a tour of our facilities<\/a><\/section><\/section><\/section><\/section>","protected":false},"excerpt":{"rendered":"<p>MANGA G\u00c1STRICA EN LIMA, PER\u00da Manga g\u00e1strica La manga g\u00e1strica es una t\u00e9cnica segura y eficaz que reduce el tama\u00f1o del est\u00f3mago y favorece un mejor control de la ingesta y del apetito mediante cambios hormonales de saciedad. Agende una cita +4,000 procedimientos bari\u00e1tricos realizados por el Dr. Dick Manrique. Procedimiento consolidado Una de las&hellip;<\/p>","protected":false},"author":11,"featured_media":23181,"parent":8749,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"footnotes":""},"class_list":["post-8771","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Manga G\u00e1strica - Dr. Dick Manrique<\/title>\n<meta name=\"description\" content=\"El Dr. Dick Manrique Mansilla MD, FASMBS es un destacado Cirujano Bariatra, fundador y actual Director M\u00e9dico del Centro de Cirug\u00eda de Obesidad de Lima, prestigiosa instituci\u00f3n donde se realizan procedimientos de Bypass G\u00e1strico, Manga G\u00e1strica, Banda G\u00e1strica, Bal\u00f3n G\u00e1strico y Cirug\u00eda Metab\u00f3lica.El Centro de Cirug\u00eda de Obesidad de Lima se encuentra ubicado en el distrito de San Isidro y cuenta con la \u00fanica Unidad L\u00e1ser Post-Bari\u00e1trica de Am\u00e9rica Latina, donde se realizan una amplia gama de procedimientos l\u00e1ser de \u00faltimas generaciones destinadas a la recuperaci\u00f3n del paciente post-bari\u00e1trico.El Dr. Dick Manrique es Jefe de la Unidad de Cirug\u00eda Bari\u00e1trica y Metab\u00f3lica de la Cl\u00ednica Oncosalud, Lima - 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