Five-Year Outcomes of Robotic Revisional Surgery for Insufficient Weight Loss and Weight Regain After Sleeve Gastrectomy

Clicks: 1
ID: 315799
2026
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal

Ranked #315 of 432 articles by views in the british journal of surgery

Most read Least read

Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 432 in total.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
Abstract Background Sleeve gastrectomy (SG) is the most performed bariatric procedure worldwide, yet the reported rate of surgical conversions due to insufficient weight loss (IWL) or weight regain (WR) is 10-20%. Aims The aim of this study was to determine the best metabolic response after robotic SG conversions for IWL/WR and identify the most appropriate surgical option. Methods We analysed prospective registry data from eight expert centres across three continents. Included patients underwent either secondary robotic Roux-en-Y gastric bypass (rRYGB) or robotic biliopancreatic diversion with duodenal switch (rBPD-DS) for IWL/WR after SG. Perioperative outcomes, postoperative morbidity assessed using the Comprehensive Complication Index (CCI®), total bodyweight loss (TBWL), and SFBARI scores were compared at 90 days, 1 year and 5 years. Results 148 patients were included; 79·7% were females, with a mean (SD) age of 44·0 (10·1) years and baseline BMI of 45·2 (8·4) kg/m². 55 (37·2%) underwent rRYGB and 93 (62·8%) rBPD-DS. Baseline characteristics were comparable. Median hospital stay was 2 days in both groups (p=0·84). An uneventful 90-day postoperative course occurred in 92·7% of patients undergoing rRYGB and 82·8% undergoing rBPD-DS (p=0·088). At 1 year, follow-up was available for 79·1% of patients; TBWL did not differ between groups (17·7% for rRYGB vs 19·2% for rBPD-DS; p=0·36), nor did SFBARI scores (33·9 vs 36·1; p=0·52). At 5 years, follow-up was available for 53·4% of patients; rBPD-DS was associated with greater TBWL (25·3% vs 14·1%; p=0·003) and higher SFBARI scores (45·1 vs 24·6; p=0·006). Conclusion As a secondary procedure for IWL/WR after SG, rBPD–DS was associated with a 9.9% higher 90-day morbidity compared to rRYGB. At 5-year follow-up, rBPD–DS was associated with significantly greater weight loss and higher SFBARI scores, suggesting a potential long-term advantage over rRYGB.
Reference Key
openalex_W7163363680 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors S Bartoletti, G Giudicelli, G Galvao Goncalves, L Bauerle, A S Medhorn, T Hamon, M Vladimirov, M Kalifi, C de Meyere, F Nuytens, M Robert, M Vix, J Beckmann, M El Chaar, A Teixeira, D Gero, M Jung
Journal the british journal of surgery
Year 2026
DOI
10.1093/bjs/znag055.003
URL
https://doi.org/10.1093/bjs/znag055.003
Keywords Keywords not found

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.