Comparative seven year outcomes of RYGB and SADI-S as revisional procedures for weight recurrence regain after sleeve gastrectomy: weight loss trajectory, reflux control, and metabolic safety - Takeaways - MDSpire
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Long-term Outcomes of RYGB versus SADI-S as Revision Surgeries for Weight Regain Following Sleeve Gastrectomy: Analyzing Weight Loss Patterns, Reflux Management, and Metabolic Safety

  • By

  • Asaad F. Salama

  • Abdelwahed Yahmadi

  • Hamzah El Baba

  • Jawher Baazaoui

  • Khadija Gibreal

  • Mohamed Bougmiza

  • Mohammed Al Kuwari

  • March 16, 2026

Share

  • 1

    Obesity is a significant global health issue, with bariatric surgery being the most effective long-term treatment for severe obesity.

  • 2

    Roux-en-Y gastric bypass (RYGB) is the standard revisional procedure for patients with severe gastroesophageal reflux disease (GERD) after sleeve gastrectomy.

  • 3

    Single-anastomosis duodeno-ileal bypass (SADI-S) is gaining attention for its technical feasibility and metabolic benefits, but long-term data is limited.

  • 4

    Nutritional safety is a critical consideration in revisional surgery, as both RYGB and SADI-S have potential complications related to micronutrient deficiencies.

  • 5

    This study provides insights into the long-term outcomes of RYGB and SADI-S, supporting a more individualized approach to revisional bariatric surgery.

Original Source(s)

Comparative seven year outcomes of RYGB and SADI-S as revisional procedures for weight recurrence regain after sleeve gastrectomy: weight loss trajectory, reflux control, and metabolic safety

  • by Asaad F. Salama, Abdelwahed Yahmadi, Hamzah El Baba, Jawher Baazaoui, Khadija Gibreal, Mohamed Bougmiza, Mohammed Al Kuwari

  • March 16, 2026

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