Revision surgery
It is a high-complexity procedure that is considered when a previous bariatric surgery presents complications or there is weight regain.
Experience in revision surgery
Dr. Dick Manrique and his surgical team
Intraoperative endoscopy
Increase safety in revision surgery
A personalised solution following previous bariatric surgery.
It is a high-complexity surgical procedure designed to correct, modify or revise a previous bariatric surgery. It is indicated when the patient experiences anatomical complications, severe reflux or unwanted weight regain.
Comprehensive prior study
Endoscopy and contrast studies to define the cause
Experience in complex cases
Managed by surgeons experienced in reoperations and complex surgeries
Intraoperative endoscopy
Real-time endoscopic control to rule out leaks and fistulas
Ongoing medical monitoring
Personalised clinical, nutritional and metabolic control
When is revision surgery necessary?
Revision surgery is indicated when a previous bariatric procedure presents mechanical failures, metabolic complications or weight regain. Health.
Regain of lost weight associated with the reappearance of metabolic comorbidities
Dilatation of the pouch or anastomosis, gastrogastric fistula and marginal ulcer
Appearance of severe or intractable reflux after gastric sleeve requiring conversion to bypass
Severe macro or micronutrient deficiency refractory to medical supplementation
What review options are there?
Based on your previous surgery and clinical diagnosis, the revision plan is personalised using the following surgical alternatives:
Corrective surgery
Correct an initial anatomical defect without altering the previous procedure.
Gender-affirming surgery
Transform a previous technique into another to resolve severe flaws or backflow.
Reversal surgery
It restores normal gastrointestinal continuity in the face of severe complications.
Endoscopic review
Reduce the diameter of the reservoir or anastomosis endoscopically.
Ready to take the next step?
Speak with our bariatric surgery specialists.
Intraoperative endoscopy
Real-time endoscopic control
Intraoperative endoscopy is a “real-time” check inside the operating theatre: a flexible endoscope is inserted during surgery to view the inside of the stomach and junctions, thereby detecting and immediately correcting leaks, strictures or bleeding, which is especially useful in revision surgeries, where the anatomy is altered by previous surgery.
Benefits of endoscopic monitoring
Pneumatic leak test
Confirm the airtightness of the staple lines / anastomoses
Prevention of stenosis
Identify angulations or narrowing in the new anatomy
Active bleeding control
Help locate and treat intraluminal bleeding
Reservoir calibration
Ensure the appropriate reservoir size for better tolerance
Dr. Dick Manrique performs laparoscopic bariatric surgery alongside intraoperative endoscopy to immediately detect and correct potential problems, thereby reducing complications.
Weight loss and post-bariatric care
Dr Dick Manrique and his team offer bariatric procedures, long-term follow-up and body contouring options, with a personalised plan to sustain your progress over time.
Bariatric procedures
Bariatric options tailored to your health and weight loss goals
Bariatric Support
Nutrition, psychological support and long-term follow-up
Bariatric Laser Unit
Body contouring treatments to support your post-bariatric recovery
What treatment is ideal for you?
Our specialists are at your disposal to evaluate the best options according to your needs and long-term health goals.
We are here to help you take the next step.
Our patient results
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.
From the first appointment to post-bariatric care
His process goes beyond the procedure: comprehensive initial assessment and long-term multidisciplinary follow-up to sustain his progress and well-being
First appointment and assessment
Evaluate your case with Dr Dick Manrique's team to define your goals, clarify any questions and explore your treatment options
Personalised plan
Every patient is unique. We design a plan tailored to your health profile, lifestyle and long-term goals
Bariatric procedure
With an international career and reputation, Dr Dick Manrique performs his procedure with the utmost precision and safety
Continuous monitoring
Lasting results require follow-up; our team will support you after the procedure