Bariatric surgery has improved greatly in recent years. The specialisation of the surgeons who are dedicated to it has made our results much better. Unfortunately, we are receiving more and more frequently patients who, having been operated on many years ago with old techniques or less recently in inexperienced centres, have gained weight again.

The failure of a bariatric surgery can be due to many causes, some attributable to the change of life and diet and others, the most frequent, to the surgical technique used. For example, a gastric by-pass made with an uncalibrated stomach outlet channel will cause, in the long term, a dilation of the intestine and finally an increase in weight.

These situations can be solved thanks to current tools such as gastric band placement over gastric or biliopancreatic bypass or as the Apollo endoscopic suture method that allows low-risk methods to correct the problem.

Causes of weight regain after gastric bypass and how to correct them:

Cause Correction
Gastric reservoir dilation Band over by pass
Exit channel expansion Endoscopic Apollo Suture
Gastric reserve fistula Endoscopic closure with Apollo

Causes of weight regain after biliopancreatic by-pass (Scopinaro) and how to correct them:

Cause Correction
Excessive carbohydrate intake Band on Scopinaro
Incorrect measurements of the small intestine Correction by surgery

Causes of weight regain after tubular gastroplasty or sleeve gastrectomy and how to correct them:

Cause Correction
Incorrectly calibrated tube in surgery Re tubulization
Gastric tubular dilation Re tubulization

Obesity

Surgery

Apollo Method

It is a suture that is applied endoscopically, that is, reaching the digestive tract through the mouth. With this method we can give points in various areas of the digestive tract such as the gastric reservoir or the outlet channel between the stomach and the intestine in an old by-pass and modify them. We can reduce the stomach or its output to regain satiety, reduce the volume of food we eat and lose weight again.

Banda Gástrica Video
Reparar estomago con sobrepeso
Técnica estomago con sobrepeso
Trabajo estomago con sobrepeso

Band Over By Pass

When there has been a dilation of the gastric reservoir after a bypass or an excessive intake of solid carbohydrates is occurring after a Scopinaro, an adjustable gastric band can be placed, which in the same way will again cause an early feeling of satiety.

We must not forget that cases of weight gain after obesity surgery are tremendously individual and before proposing any technique it is necessary to make a correct prior assessment, with tests such as contrast transit or endoscopy, in order to propose the most appropriate method of correction.

Your ideal weight

The IMC/BMI is used to classify the state of the person, and is calculated from the formula: weight (kg) / height (m2). This is a common calculation for both men and women. Remember that this nutritional index only applies to adults.

  • IMC/BMI is less than 18.5, it corresponds to "underweight."
  • IMC/BMI between 18.5 and 24.9, "normal" or healthy weight value.
  • IMC/BMI is between 25.0 and 29.9, it corresponds to “overweight”.
  • IMC/BMI is 30.0 or higher, it corresponds to “obesity”.
  • To calculate your IMC/BMI, see the IMC/BMI Calculator.
Last update / January 8, 2024
ICOMEM
Clínica Fuensanta
Miembro SECE
Centro autorizado por la Comunidad de Madrid
Miembro SECO
Miembro SEEDO
AE Cirujanos
World Professional Association for Transgender Health
Sociedad Española de Directivos de la Salud
International Federation for the Surgery of Obesity
European College of Aesthetic Medicine & Surgery