Patient Information – Dr. Jesús Lago
Safe and effective solutions when the first surgery was unsuccessful
In some cases, people who have undergone bariatric surgery (such as gastric bypass, gastric sleeve, or gastric banding) do not achieve the expected results or experience complications. For these patients, there is an option: bariatric rescue surgery, also called revision or secondary surgery.
At Clínica 3 de Mayo, we are specialists in advanced bariatric surgery and comprehensive obesity treatments. We offer an expert and safe approach for patients who have undergone previous surgeries and need a review, correction, or a new surgical strategy.
Rescue surgery involves modifying, correcting, or replacing a previous bariatric procedure that has not achieved its goal (adequate weight loss, resolution of comorbidities, or patient stability).
This type of surgery requires a high degree of specialization, as it involves operating on a previously operated digestive tract, with possible adhesions, anatomical changes, or nutritional deficiencies.
The main situations in which bariatric rescue surgery may be indicated are:
Treatment will depend on the type of previous surgery and the patient’s current condition. Dr. Jesús Lago performs a complete evaluation before recommending one of the following options:
Conversion from gastric band to gastric bypass or sleeve gastrectomy
The gastric band may cause complications or intolerance and may need to be removed and replaced by a procedure such as Roux-en-Y gastric bypass or vertical sleeve gastrectomy (gastric sleeve).
Gastric bypass revision
The bypass can be reconfigured if there has been dilation of the gastric reservoir or intestinal loop, or if there are mechanical complications. Sometimes a distal bypass is performed to increase malabsorption or place a band over the bypass.
Gastric sleeve revision
When a gastric sleeve loses its effectiveness (due to dilation), it can be converted into a gastric bypass or a duodenal switch, which are more effective techniques for weight loss and metabolic control.
Correction of anatomical complications
This includes fistulas, internal hernias, stenosis, or functional disorders. It requires specific experience in revision digestive surgery and multidisciplinary follow-up.
Dr. Jesús Lago conducts a comprehensive study with imaging tests (endoscopy, digestive CT scan, intestinal transit), complete blood work, and nutritional and psychological evaluation.
This comprehensive approach allows us to make the best surgical decision in each case, considering the risks, benefits, and expectations of the patient.
Rescue surgery can enable:
The outcome depends on multiple factors: type of previous surgery, patient age, level of commitment to treatment, and postoperative follow-up.
If you had surgery years ago and are dissatisfied with the results or experience discomfort, you are not alone. Many patients require a second approach with a new strategy.
Dr. Jesús Lago explains rescue surgeries
Yes, it is more technically demanding and carries a higher surgical risk, but when performed in experienced centers such as Dr. Lago’s, the results are usually very good. Postoperative follow-up is key.
Yes. Many patients lose weight gradually and safely, especially if they follow an appropriate nutritional, psychological, and physical activity plan after the procedure.
It depends on your health, any complications you have, and how your weight is progressing. In general, it is considered after 12 months, although this may vary.
It depends on the autonomous community and the clinical case. In many cases, it is performed in private centers because they are complex surgeries or do not meet public criteria.
Digestive endoscopy, abdominal imaging tests, complete blood work, psychological and nutritional assessment, among others. Dr. Lago coordinates everything from his office.
In addition to applying our knowledge in the field of aesthetics, which is the result of our training, we strive to always provide the best personal treatment to our patients, achieve the best results in each case, and thus ensure their maximum satisfaction.
IMPORTANT: The information contained on this website is for general guidance only. It is not intended to replace a personal consultation where your particular case will be assessed and an accurate diagnosis will be made. If you wish, you can request a consultation without obligation so that we can assess your case. We take care to ensure that your information is correct, but if you do not understand any word or explanation, please do not hesitate to contact us.
Rescue surgeries are surgical treatments intended to treat or modify complications or negative outcomes from a previous surgical treatment performed at another center.
