— Bariatric Surgery at Pompeii

Bariatric Revision Surgery

A personalized follow-up procedure that may modify, repair, resize, or convert a previous weight-loss surgery to address weight regain, insufficient weight loss, reflux, or complications.

— Understanding the procedure

What is bariatric revision surgery?

Bariatric revision surgery is a follow-up procedure performed when a previous weight-loss surgery needs to be modified, repaired, resized, or converted into another procedure.

For example, a gastric sleeve may be revised to a gastric bypass to support additional weight loss or help manage certain medical concerns. The appropriate revision depends on your surgical history, current health, symptoms, anatomy, and individual goals.

01

Insufficient Weight Loss or Weight Regain

A revision may improve the original procedure’s effectiveness when expected weight loss was not achieved or significant weight was regained.

02

Complications From the Previous Procedure

Revision may address severe reflux, swallowing difficulty, nausea, ulcers, narrowing, leakage, or problems related to a gastric band.

03

Additional Weight-Loss Support

A second procedure may provide additional support when progress has stopped and more help is needed to continue toward a healthier weight.

— Personalized surgical planning

Exploring your revision options.

The recommended procedure depends on your previous bariatric surgery, current symptoms, medical history, anatomy, and weight-loss goals.

After Dr. Sergio Quiñones reviews your medical records and original operative report, your coordinator will explain the available options and guide you through the next steps.

— Procedures we perform

Bariatric revision options.

Every revision plan is selected after individualized medical review.

Gastric Sleeve to Mini Gastric Bypass

The sleeve is converted into a longer, narrow stomach pouch connected to the small intestine through a single connection for added weight-loss and metabolic support.

Re-Sleeve Surgery

A previously created gastric sleeve is resized when the stomach has stretched or remains larger than intended, restoring restriction and supporting continued weight loss.

Lap-Band Conversion to Sleeve or Bypass

The gastric band and its components are removed, and the stomach is converted into a gastric sleeve or gastric bypass based on anatomy, symptoms, and medical history.

ESG to Gastric Sleeve

Previous endoscopic sutures are evaluated, and the stomach is surgically reshaped into a gastric sleeve for stronger and more permanent restriction.

Medical approval required: All revision procedures require approval from Dr. Sergio Quiñones. After reviewing your medical history, prior operative report, current symptoms, anatomy, and weight-loss goals, Dr. Quiñones will determine the safest and most appropriate procedure for your individual needs.

Gastric Sleeve to Gastric Bypass

The existing sleeve is converted into a gastric bypass by creating a small stomach pouch and rerouting part of the small intestine. This may support additional weight loss and improve severe acid reflux.

Mini Gastric Bypass to Traditional Gastric Bypass

The mini bypass is converted into a traditional Roux-en-Y gastric bypass by creating a second intestinal connection, which may address bile reflux or other digestive concerns.

Gastric Pouch Reduction

An enlarged stomach pouch or connection is reduced in size to help patients feel full sooner when anatomical stretching has contributed to weight regain.

Gastric Balloon to Gastric Sleeve

The intragastric balloon is removed, and a portion of the stomach is surgically removed to create a gastric sleeve that provides a more permanent form of restriction.

— Individualized eligibility

You may qualify for revision surgery if:

Final eligibility is determined only after your complete medical history, operative report, anatomy, symptoms, and goals have been reviewed.

You experienced insufficient weight loss or significant weight regain.

You have severe acid reflux or persistent digestive problems.

Your stomach pouch, sleeve, or surgical connection stretched or enlarged.

Your progress stopped despite consistent nutrition and lifestyle changes.

Your original procedure needs to be repaired, resized, or converted.

You developed complications related to your previous bariatric procedure.

Bariatric Revision Package

$5,800

USD · All-inclusive care

— Straightforward pricing

Complete revision care from arrival to aftercare

  • Pre-op testing and consultation

  • Surgery with Dr. Quiñones’ team

  • 4–5 nights at the surgery center

  • Anesthesia and all medications

  • Ground transportation

  • On-site nutritionist visits

  • Complication insurance

  • Lifetime aftercare and community

All revision procedures require approval from Dr. Sergio Quiñones. The appropriate procedure and length of stay are determined after your medical review.

— Ready when you are

Start your personalized revision evaluation.

Complete a brief health questionnaire and prepare your previous operative report for review by our bariatric team.