{"id":23865,"date":"2026-07-31T05:58:47","date_gmt":"2026-07-31T10:58:47","guid":{"rendered":"https:\/\/staging.cirugiadeobesidad.net\/?page_id=23865"},"modified":"2026-09-03T03:16:27","modified_gmt":"2026-09-03T08:16:27","slug":"revision-surgery","status":"publish","type":"page","link":"https:\/\/cirugiadeobesidad.net\/en\/procedimientos\/cirugia-de-revision\/","title":{"rendered":"Revision Surgery"},"content":{"rendered":"Revision Surgery IN LIMA, PERU\n\t\t\t\t\t\t<h1>Revision surgery<\/h1>\t\t\t\t\t\n\t\t\t<p>It is a high-complexity procedure that is considered when a previous bariatric surgery presents complications or there is weight regain.<\/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>Experience in revision surgery<\/h2>\t\t\t\t\t\n\t\t\t\t\t<p>Dr. Dick Manrique and his surgical team<\/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>Intraoperative endoscopy<\/h2>\t\t\t\t\t\n\t\t\t\t\t<p>Increase safety in revision surgery<\/p>\t\t\t\t\n\t\t\tRevision bariatric surgery\n\t\t\t\t\t\t<h2>A personalised solution following previous bariatric surgery.<\/h2>\t\t\t\t\t\n\t\t\t<p>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.<\/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\/stomach-circle.svg\" alt=\"tummy rub\" width=\"65\" height=\"67\" \/>\n\t\t\t\t\t\t<h2>Comprehensive prior study <\/h2>\t\t\t\t\t\n\t\t\t\t\t<p>Endoscopy and contrast studies to define the cause<\/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\/shield-1.svg\" alt=\"shield\" width=\"65\" height=\"67\" \/>\n\t\t\t\t\t\t<h2>Experience in complex cases <\/h2>\t\t\t\t\t\n\t\t\t\t\t<p>Managed by surgeons experienced in reoperations and complex surgeries<\/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<h2>Intraoperative endoscopy <\/h2>\t\t\t\t\t\n\t\t\t\t\t<p>Real-time endoscopic control to rule out leaks and fistulas<\/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-circle.svg\" alt=\"checklist-circle\" width=\"65\" height=\"67\" \/>\n\t\t\t\t\t\t<h2>Ongoing medical monitoring<\/h2>\t\t\t\t\t\n\t\t\t\t\t<p>Personalised clinical, nutritional and metabolic control<\/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\/revision-surgery-intro.jpg\" alt=\"revision-surgery-intro\" height=\"702\" width=\"528\" title=\"revision-surgery-intro\" onerror=\"this.style.display='none'\" loading=\"lazy\" \/>\n\t<\/figure>\n\t\t\tREVIEW INSTRUCTIONS\n\t\t\t\t\t\t<h2>When is revision surgery necessary?<\/h2>\t\t\t\t\t\n\t\t\t<p>Revision surgery is indicated when a previous bariatric procedure presents mechanical failures, metabolic complications or weight regain. Health.<\/p>\t\t\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\/diabetes-tipo-2-illustration.jpg\" alt=\"type-2-diabetes-illustration\" height=\"433\" width=\"856\" title=\"type-2-diabetes-illustration\" onerror=\"this.style.display='none'\" loading=\"lazy\" \/>\n\t<\/figure>\n\t\t\tWeight regain\n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t<p>Regain of lost weight associated with the reappearance of metabolic comorbidities<\/p>\t\t\n\t\t\tAnatomical complications\n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t<p>Dilatation of the pouch or anastomosis, gastrogastric fistula and marginal ulcer<\/p>\t\t\n\t\t\tSevere gastro-oesophageal reflux\n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t<p>Appearance of severe or intractable reflux after gastric sleeve requiring conversion to bypass<\/p>\t\t\n\t\t\tNutritional complications\n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t<p>Severe macro or micronutrient deficiency refractory to medical supplementation<\/p>\t\t\n\t\t\tReview techniques\n\t\t\t\t\t\t<h2>What review options are there?<\/h2>\t\t\t\t\t\n\t\t\t<p>Based on your previous surgery and clinical diagnosis, the revision plan is personalised using the following surgical alternatives:<\/p>\t\t\n\t<section\n    aria-labelledby=\"dm-revision-techniques-title\">\n        <article>\n                <h3>Corrective surgery<\/h3>\n                \n                    Correct an initial anatomical defect without altering the previous procedure.\n                \n        <\/article>\n        <article>\n                <h3>Gender-affirming surgery<\/h3>\n                \n                    Transform a previous technique into another to resolve severe flaws or backflow.\n                \n        <\/article>\n        <article>\n                <h3>Reversal surgery<\/h3>\n                \n                    It restores normal gastrointestinal continuity in the face of severe complications.\n                \n        <\/article>\n        <article>\n                <h3>Endoscopic review<\/h3>\n                \n                    Reduce the diameter of the reservoir or anastomosis endoscopically.\n                \n        <\/article>\n<\/section>\n<style>\n.dm-revision-techniques {\n    --dm-navy: #071a36;\n    --dm-gold: #e9a846;\n    --dm-text: #4f5561;\n    --dm-line: rgba(7, 26, 54, 0.17);\n    width: 100%;\n    margin: 0;\n    padding: 0;\n    color: var(--dm-navy);\n    font-family: inherit;\n}\n.dm-revision-techniques,\n.dm-revision-techniques * {\n    box-sizing: border-box;\n}\n.dm-revision-techniques-intro {\n    max-width: 720px;\n    margin: 0 auto 42px;\n    text-align: center;\n}\n.dm-revision-techniques-eyebrow {\n    margin: 0 0 8px;\n    color: var(--dm-gold);\n    font-size: 11px;\n    font-weight: 700;\n    line-height: 1.2;\n    letter-spacing: 1.5px;\n    text-transform: uppercase;\n}\n.dm-revision-techniques-intro h2 {\n    margin: 0 0 8px;\n    color: var(--dm-navy);\n    font-size: 30px;\n    font-weight: 600;\n    line-height: 1.2;\n}\n.dm-revision-techniques-intro p {\n    margin: 0;\n    color: var(--dm-text);\n    font-size: 14px;\n    line-height: 1.6;\n}\n\/* Tijdlijn zoals de gerecyclede referentiesectie *\/\n.dm-revision-techniques-grid {\n    position: relative;\n    display: grid;\n    grid-template-columns: repeat(4, minmax(0, 1fr));\n    width: 100%;\n}\n.dm-revision-techniques-line {\n    position: absolute;\n    z-index: 0;\n    top: 18px;\n    right: 0;\n    left: 0;\n    height: 2px;\n    background: var(--dm-gold);\n}\n.dm-revision-techniques-line::before,\n.dm-revision-techniques-line::after {\n    content: \"\";\n    position: absolute;\n    top: 50%;\n    width: 7px;\n    height: 7px;\n    border-radius: 50%;\n    background: var(--dm-gold);\n    transform: translateY(-50%);\n}\n.dm-revision-techniques-line::before {\n    left: 0;\n}\n.dm-revision-techniques-line::after {\n    right: 0;\n}\n.dm-revision-technique {\n    position: relative;\n    z-index: 1;\n    min-width: 0;\n}\n.dm-revision-technique-marker {\n    position: relative;\n    width: 36px;\n    height: 36px;\n    margin: 0 auto 25px;\n    border: 8px solid #fff;\n    border-radius: 50%;\n    background: var(--dm-navy);\n}\n.dm-revision-technique-marker::after {\n    content: \"\";\n    position: absolute;\n    inset: 50% auto auto 50%;\n    width: 5px;\n    height: 5px;\n    border-radius: 50%;\n    background: var(--dm-gold);\n    transform: translate(-50%, -50%);\n}\n.dm-revision-technique-content {\n min-height: 110px;\n    padding: 0 25px 12px;\n    border-left: 1px solid var(--dm-line);\n    text-align: center;\n}\n.dm-revision-technique:last-child .dm-revision-technique-content {\n    border-right: 1px solid var(--dm-line);\n}\n.dm-revision-technique-content h3 {\n    margin: 0 0 11px;\n    color: var(--dm-navy);\n    font-size: 16px;\n    font-weight: 600;\n    line-height: 1.35;\n}\n.dm-revision-technique-content p {\n    max-width: 250px;\n    margin: 0 auto;\n    color: var(--dm-text);\n    font-size: 14px;\n    font-weight: 400;\n    line-height: 1.62;\n}\n\/* Mobiel: dezelfde tijdlijn verticaal *\/\n@media (max-width: 900px) {\n    .dm-revision-techniques-intro {\n        margin-bottom: 32px;\n    }\n    .dm-revision-techniques-grid {\n        display: block;\n    }\n    .dm-revision-techniques-line {\n        display: none;\n    }\n    .dm-revision-technique {\n        display: grid;\n        grid-template-columns: 56px minmax(0, 1fr);\n        min-height: 142px;\n    }\n    .dm-revision-technique:not(:last-child)::before {\n        content: \"\";\n        position: absolute;\n        z-index: 0;\n        top: 18px;\n        bottom: -18px;\n        left: 18px;\n        width: 2px;\n        background: var(--dm-gold);\n        transform: translateX(-50%);\n    }\n    .dm-revision-technique-marker {\n        z-index: 1;\n        width: 36px;\n        height: 36px;\n        margin: 0;\n    }\n    .dm-revision-technique-content,\n    .dm-revision-technique:last-child .dm-revision-technique-content {\n        min-height: 0;\n        margin: 0 0 24px 14px;\n        padding: 0 0 24px;\n        border-top: 0;\n        border-right: 0;\n        border-bottom: 1px solid var(--dm-line);\n        border-left: 0;\n        text-align: left;\n    }\n    .dm-revision-technique:last-child .dm-revision-technique-content {\n        margin-bottom: 0;\n        border-bottom: 0;\n    }\n    .dm-revision-technique-content p {\n        max-width: none;\n        margin: 0;\n    }\n}\n@media (max-width: 580px) {\n    .dm-revision-techniques-intro h2 {\n        font-size: 26px;\n    }\n    .dm-revision-technique-content h3 {\n        font-size: 15px;\n    }\n    .dm-revision-technique-content p {\n        font-size: 13px;\n    }\n}\n<\/style>\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<section\n    aria-labelledby=\"dm-endo-title\">\n                \n                    Intraoperative endoscopy\n                \n            <h2 id=\"dm-endo-title\">\n                Real-time endoscopic control\n            <\/h2>\n            \n                La endoscop\u00eda intraoperatoria es un control \u00aben tiempo real\u00bb dentro del\n                quir\u00f3fano: se introduce un endoscopio flexible durante la cirug\u00eda para\n                ver por dentro el est\u00f3mago y las uniones, y as\u00ed detectar y corregir de\n                inmediato fugas, estrecheces o sangrado, algo especialmente \u00fatil en\n                cirug\u00edas de revisi\u00f3n, donde la anatom\u00eda est\u00e1 alterada por la cirug\u00eda previa.\n            \n            <h3>\n                Benefits of endoscopic monitoring\n            <\/h3>\n                <!-- Beneficio 1 -->\n                <article>\n                        <img decoding=\"async\" src=\"\/wp-content\/uploads\/2026\/07\/shield-1.svg\"\n                            alt=\"\"\n                            aria-hidden=\"true\"\/>\n                        <h4>Pneumatic leak test<\/h4>\n                        \n                            Confirm the airtightness of the staple lines \/ anastomoses\n                        \n                <\/article>\n                <!-- Beneficio 2 -->\n                <article>\n                        <img decoding=\"async\" src=\"\/wp-content\/uploads\/2026\/08\/expand.svg\"\n                            alt=\"\"\n                            aria-hidden=\"true\"\/>\n                        <h4>Prevention of stenosis<\/h4>\n                        \n                            Identify angulations or narrowing in the new anatomy\n                        \n                <\/article>\n                <!-- Beneficio 3 -->\n                <article>\n                        <img decoding=\"async\" src=\"\/wp-content\/uploads\/2026\/07\/drop.svg\"\n                            alt=\"\"\n                            aria-hidden=\"true\"\/>\n                        <h4>Active bleeding control<\/h4>\n                        \n                            Help locate and treat intraluminal bleeding\n                        \n                <\/article>\n                <!-- Beneficio 4 -->\n                <article>\n                        <img decoding=\"async\" src=\"\/wp-content\/uploads\/2026\/07\/adjust.svg\"\n                            alt=\"\"\n                            aria-hidden=\"true\"\/>\n                        <h4>Reservoir calibration<\/h4>\n                        \n                            Ensure the appropriate reservoir size for better tolerance\n                        \n                <\/article>\n \n    Dr. Dick Manrique performs laparoscopic bariatric surgery alongside intraoperative endoscopy to immediately detect and correct potential problems, thereby reducing complications.\n\n        <!-- Afbeelding -->\n            <img decoding=\"async\" src=\"\/wp-content\/uploads\/2026\/08\/EDA-SOP-scaled.jpg\"\n                alt=\"Intraoperative endoscopy during revision surgery\"\/>\n<\/section>\n<style>\n.dm-endo-summary {\n    max-width: 780px;\n    margin: 26px 0 0;\n    color: var(--dm-navy);\n    font-size: 14px;\n    font-weight: 500;\n    line-height: 1.6;\n}\n@media (max-width: 767px) {\n    .dm-endo-summary {\n        margin-top: 24px;\n        font-size: 15px;\n    }\n}\n.dm-endo-section {\n    --dm-navy: #071a36;\n    --dm-gold: #e9a846;\n    --dm-text: #323b49;\n    --dm-icon-bg: #faf3e8;\n    width: 100%;\n    margin: 0;\n    padding: 20px 0;\n    color: var(--dm-navy);\n    font-family: inherit;\n}\n.dm-endo-section,\n.dm-endo-section * {\n    box-sizing: border-box;\n}\n.dm-endo-grid {\n    display: grid;\n    grid-template-columns: minmax(0, 1.65fr) minmax(340px, 0.85fr);\n    gap: 65px;\n    align-items: center;\n    width: 100%;\n}\n\/* Eyebrow *\/\n.dm-endo-heading {\n    display: flex;\n    align-items: center;\n    gap: 17px;\n    margin: 0 0 10px;\n}\n.dm-endo-heading-line {\n    flex: 0 0 48px;\n    width: 48px;\n    height: 2px;\n    background: var(--dm-gold);\n}\n.dm-endo-eyebrow {\n    margin: 0;\n    color: var(--dm-gold);\n    font-size: 16px;\n    font-weight: 600;\n    line-height: 1.4;\n    letter-spacing: 1.4px;\n    text-transform: uppercase;\n}\n\/* Titel en hoofdtekst *\/\n.dm-endo-content > h2 {\n    margin: 0 0 15px;\n    color: var(--dm-navy);\n    font-size: 35px;\n    font-weight: 500;\n    line-height: 1.2;\n}\n.dm-endo-intro {\n    max-width: 780px;\n    margin: 0;\n    color: var(--dm-text);\n    font-size: 15px;\n    font-weight: 400;\n    line-height: 1.6;\n}\n.dm-endo-benefits-heading {\n    margin: 28px 0 20px;\n    color: var(--dm-navy);\n    font-size: 15px;\n    font-weight: 600;\n    line-height: 1.4;\n    letter-spacing: 0.8px;\n    text-transform: uppercase;\n}\n\/* Voordelen *\/\n.dm-endo-benefits {\n    display: grid;\n    grid-template-columns: repeat(2, minmax(0, 1fr));\n    gap: 22px 36px;\n}\n.dm-endo-benefit {\n    display: grid;\n    grid-template-columns: 68px minmax(0, 1fr);\n    gap: 16px;\n    align-items: center;\n    min-width: 0;\n    margin: 0;\n}\n.dm-endo-icon {\n    width: 66px;\n    height: 66px;\n    display: flex;\n    align-items: center;\n    justify-content: center;\n    background: transparent;\n}\n.dm-endo-icon img {\n    display: block;\n    width: 66px;\n    height: 66px;\n    object-fit: contain;\n}\n.dm-endo-benefit-text h4 {\n    margin: 0 0 5px;\n    color: var(--dm-navy);\n    font-size: 15px;\n    font-weight: 600;\n    line-height: 1.4;\n}\n.dm-endo-benefit-text p {\n    margin: 0;\n    color: var(--dm-text);\n    font-size: 15px;\n    font-weight: 400;\n    line-height: 1.55;\n}\n\/* Afbeelding *\/\n.dm-endo-media {\n    position: relative;\n    width: 100%;\n    min-height: 440px;\n    overflow: hidden;\n    border-radius: 9px;\n}\n.dm-endo-media img {\n    position: absolute;\n    inset: 0;\n    display: block;\n    width: 100%;\n    height: 100%;\n    object-fit: cover;\n    object-position: center;\n}\n\/* Tablet *\/\n@media (max-width: 1050px) {\n    .dm-endo-grid {\n        grid-template-columns: minmax(0, 1.25fr) minmax(300px, 0.75fr);\n        gap: 38px;\n    }\n    .dm-endo-benefits {\n        grid-template-columns: 1fr;\n        gap: 18px;\n    }\n    .dm-endo-media {\n        min-height: 500px;\n    }\n}\n\/* Mobiel *\/\n@media (max-width: 767px) {\n    .dm-endo-grid {\n        display: flex;\n        flex-direction: column;\n        gap: 32px;\n        align-items: stretch;\n    }\n    .dm-endo-content {\n        order: 1;\n    }\n    .dm-endo-media {\n        order: 2;\n        min-height: 280px;\n    }\n    .dm-endo-heading {\n        align-items: flex-start;\n        gap: 12px;\n    }\n    .dm-endo-heading-line {\n        flex-basis: 32px;\n        width: 32px;\n        margin-top: 10px;\n    }\n    .dm-endo-eyebrow {\n        font-size: 16px;\n    }\n    .dm-endo-content > h2 {\n        font-size: 35px;\n    }\n    .dm-endo-intro,\n    .dm-endo-benefit-text h4,\n    .dm-endo-benefit-text p,\n    .dm-endo-benefits-heading {\n        font-size: 15px;\n    }\n    .dm-endo-benefits {\n        grid-template-columns: 1fr;\n        gap: 20px;\n    }\n    .dm-endo-benefit {\n        grid-template-columns: 62px minmax(0, 1fr);\n    }\n    .dm-endo-icon {\n        width: 60px;\n        height: 60px;\n    }\n    .dm-endo-icon img {\n        width: 60px;\n        height: 60px;\n    }\n}\n<\/style>\n\t\t\tComprehensive Care\n\t\t\t\t\t\t<h2>Weight loss and post-bariatric care<\/h2>\t\t\t\t\t\n\t\t\t<p>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.<\/p>\t\t\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\/9c6a15a8-4b8e-4b03-8bef-2b7b206b1f35-4-2.jpg\" alt=\"9c6a15a8-4b8e-4b03-8bef-2b7b206b1f35 4\" height=\"329\" width=\"648\" title=\"9c6a15a8-4b8e-4b03-8bef-2b7b206b1f35 4\" onerror=\"this.style.display='none'\" loading=\"lazy\" \/>\n\t<\/figure>\n<h3>\n\t\t\tBariatric procedures\t<\/h3>\n\t<p>Bariatric options tailored to your health and weight loss goals<\/p>\n    <ul>\n        <li>\n            <a href=\"https:\/\/cirugiadeobesidad.net\/en\/procedures\/gastric-bypass\/\">\n                Gastric Bypass\n            <\/a>\n        <\/li>\n        <li>\n            <a href=\"\/en\/procedures\/gastric-sleeve\/\">\n                Gastric sleeve\n            <\/a>\n        <\/li>\n        <li>\n            <a href=\"\/en\/procedures\/gastric-band\/\">\n                Gastric band\n            <\/a>\n        <\/li>\n        <li>\n            <a href=\"\/en\/procedures\/gastric-balloon\/\">\n                Intragastric balloon\n            <\/a>\n        <\/li>\n        <li>\n            <a href=\"\/en\/procedures\/type-2-diabetes-surgery\/\">\n                Type 2 Diabetes Surgery\n            <\/a>\n        <\/li>\n        <li>\n            <a href=\"\/en\/procedures\/revision-surgery\/\">\n                Revision Surgery\n            <\/a>\n        <\/li>\n    <\/ul>\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\/9c6a15a8-4b8e-4b03-8bef-2b7b206b1f35-4.jpg\" alt=\"9c6a15a8-4b8e-4b03-8bef-2b7b206b1f35 4\" height=\"305\" width=\"597\" title=\"9c6a15a8-4b8e-4b03-8bef-2b7b206b1f35 4\" onerror=\"this.style.display='none'\" loading=\"lazy\" \/>\n\t<\/figure>\n<h3>\n\t\t\tBariatric Support\t<\/h3>\n\t<p>Nutrition, psychological support and long-term follow-up<\/p>\n    <ul>\n        <li>\n            <a href=\"\/en\/bariatric-support\/bariatric-control\/\">\n                Bariatric Control\n            <\/a>\n        <\/li>\n        <li>\n            <a href=\"\/en\/bariatric-support\/nutritional-monitoring\/\">\n                Nutritional Control\n            <\/a>\n        <\/li>\n        <li>\n            <a href=\"\/en\/bariatric-support\/psychological-control\/\">\n                Psychological Control\n            <\/a>\n        <\/li>\n        <li>\n            <a href=\"\/en\/bariatric-support\/endoscopic-follow-up\/\">\n                Endoscopic Control\n            <\/a>\n        <\/li>\n        <li>\n            <a href=\"\/en\/bariatric-support\/weight-loss-medication\/\">\n               Obesity medication \n            <\/a>\n        <\/li>\n    <\/ul>\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\/Bariatric-Laser-Unit-s_tattoo.jpg\" alt=\"Bariatric Laser Unit s_tattoo\" height=\"308\" width=\"597\" title=\"Bariatric Laser Unit s_tattoo\" onerror=\"this.style.display='none'\" loading=\"lazy\" \/>\n\t<\/figure>\n<h3>\n\t\t\tBariatric Laser Unit\t<\/h3>\n\t<p>Body contouring treatments to support your post-bariatric recovery<\/p>\n    <ul>\n        <li>\n            <a href=\"\/en\/bariatric-laser-unit\/gynelase\/\">\n                Stress urinary incontinence\n            <\/a>\n        <\/li>\n        <li>\n            <a href=\"\/en\/bariatric-laser-unit\/gynelase\/\">\n                Vaginal rejuvenation\n            <\/a>\n        <\/li>\n        <li>\n            <a href=\"\/en\/bariatric-laser-unit\/emslim\/\">\n                Increase your muscle mass\n            <\/a>\n        <\/li>\n        <li>\n            <a href=\"\/en\/bariatric-laser-unit\/verjuice\/\">\n                Body contouring\n            <\/a>\n        <\/li>\n        <li>\n            <a href=\"\/en\/bariatric-laser-unit\/venus-velocity\/\">\n                Permanent hair removal\n            <\/a>\n        <\/li>\n    <\/ul>\n        <ul>\n            <li>\n                <a href=\"\/en\/bariatric-laser-unit\/venus-freeze\/\">\n                    Sagging\n                <\/a>\n            <\/li>\n            <li>\n                <a href=\"\/en\/bariatric-laser-unit\/verjuice\/\">\n                    Body contouring and cellulite\n                <\/a>\n            <\/li>\n            <li>\n                <a href=\"\/en\/bariatric-laser-unit\/laparoscopic-nissen-fundoplication\/\">\n                    Gastro-oesophageal reflux\n                <\/a>\n            <\/li>\n            <li>\n                <a href=\"\/en\/bariatric-laser-unit\/laparoscopic-cholecystectomy\/\">\n                    Gallstones\n                <\/a>\n            <\/li>\n            <li>\n                <a href=\"\/en\/bariatric-laser-unit\/ligasure-haemorrhoidectomy\/\">\n                    Hemorrhoidectomy with LigaSure\u00ae\n                <\/a>\n            <\/li>\n            <li>\n                <a href=\"\/en\/bariatric-laser-unit\/laser-haemorrhoidectomy\/\">\n                    Laser haemorrhoidectomy\n                <\/a>\n            <\/li>\n        <\/ul>\n    <button\n        type=\"button\"\n        aria-expanded=\"false\">\n            View all treatments\n    <\/button>\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\tWhat treatment is ideal for you?\t<\/h2>\n\t<p>Our specialists are at your disposal to evaluate the best options according to your needs and long-term health goals.<\/p>\n<a href=\"\/en\/contact\/#appointment\" target=\"_self\">BOOK AN APPOINTMENT<\/a>\n\t<p>We are here to help you take the next step.<\/p>\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\/2024\/10\/Anggie.jpg\" 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\/2024\/10\/Anggie.jpg\" alt=\"\" srcset=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Anggie.jpg 1080w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Anggie-216x300.jpg 216w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Anggie-736x1024.jpg 736w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Anggie-768x1068.jpg 768w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Anggie-9x12.jpg 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\/2024\/10\/Sandro-1.jpg\" 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\/2024\/10\/Sandro-1.jpg\" alt=\"\" srcset=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Sandro-1.jpg 1080w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Sandro-1-216x300.jpg 216w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Sandro-1-736x1024.jpg 736w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Sandro-1-768x1068.jpg 768w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Sandro-1-9x12.jpg 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\/2024\/10\/Adriana.jpg\" 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\/2024\/10\/Adriana.jpg\" alt=\"\" srcset=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Adriana.jpg 1080w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Adriana-216x300.jpg 216w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Adriana-736x1024.jpg 736w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Adriana-768x1068.jpg 768w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Adriana-9x12.jpg 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\/2024\/10\/Alejandra.jpg\" 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\/2024\/10\/Alejandra.jpg\" alt=\"\" srcset=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Alejandra.jpg 1080w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Alejandra-216x300.jpg 216w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Alejandra-736x1024.jpg 736w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Alejandra-768x1068.jpg 768w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Alejandra-9x12.jpg 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\/2024\/10\/Ismael.jpg\" 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\/2024\/10\/Ismael.jpg\" alt=\"\" srcset=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Ismael.jpg 1080w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Ismael-216x300.jpg 216w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Ismael-736x1024.jpg 736w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Ismael-768x1068.jpg 768w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Ismael-9x12.jpg 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\/2024\/10\/Maria-Alexandra.jpg\" 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\/2024\/10\/Maria-Alexandra.jpg\" alt=\"\" srcset=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Maria-Alexandra.jpg 1080w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Maria-Alexandra-216x300.jpg 216w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Maria-Alexandra-736x1024.jpg 736w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Maria-Alexandra-768x1068.jpg 768w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Maria-Alexandra-9x12.jpg 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>","protected":false},"excerpt":{"rendered":"<p>Cirug\u00eda de Revisi\u00f3n EN LIMA, PER\u00da Cirug\u00eda de revisi\u00f3n Es un procedimiento de alta complejidad que se considera cuando una cirug\u00eda bari\u00e1trica previa presenta complicaciones o hay reganancia de peso. Agende una cita Experiencia en cirug\u00eda revisional Dr. Dick Manrique y su equipo quir\u00fargico Endoscopia intraoperatoria Aumenta seguridad en cirug\u00eda de revisi\u00f3n CIRUG\u00cdA BARI\u00c1TRICA DE&hellip;<\/p>","protected":false},"author":13,"featured_media":23181,"parent":8749,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"footnotes":""},"class_list":["post-23865","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>Cirug\u00eda de Revisi\u00f3n - 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 - Per\u00fa.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cirugiadeobesidad.net\/en\/procedures\/revision-surgery\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cirug\u00eda de Revisi\u00f3n - Dr. Dick Manrique\" \/>\n<meta property=\"og: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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