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This study aimed to present an updated and comprehensive comparison among the presently available revisional surgeries employed explicitly in cases of inadequate outcomes after SG, which is the most frequently performed bariatric surgery in contemporary practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This network meta\u2010analysis included studies that compared the outcomes of different revisional bariatric procedures after an inadequate outcome of SG.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Searching across the electronic databases yielded 31 eligible articles. Re\u2010SG was associated with the highest rate of significant complications. Patients treated with single anastomosis duodenal\u2010ileal bypass (SADI) had a significantly higher percentage of total weight loss (%TWL) than those treated with one anastomosis gastric bypass (OAGB) and Roux\u2010en\u2010Y gastric bypass (RYGB). The percentage of excess weight loss (%EWL) at the end of the follow\u2010up period was significantly higher in patients in the SADI group compared to those in the RYGB group and the OAGB, and re\u2010SG exhibited the least values compared to SADI, biliopancreatic diversion with duodenal switch (BPD\/DS), and OAGB. Significantly lower rates of reflux worsening\/de novo development were observed in the SADI group compared to the OAGB group and the re\u2010SG group, which showed significantly higher rates than SADI and RYGB.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our comprehensive network meta\u2010analysis highlights SADI as a promising revisional option post\u2010SG, demonstrating superior weight loss outcomes, lower significant complication rates, and a favorable impact on reflux compared to other procedures. While acknowledging the limitations of our study, these findings support the potential efficacy of SADI in addressing the challenges of inadequate weight loss after sleeve gastrectomy.<\/jats:p><\/jats:sec>","DOI":"10.1002\/wjs.12293","type":"journal-article","created":{"date-parts":[[2024,7,29]],"date-time":"2024-07-29T03:18:50Z","timestamp":1722223130000},"page":"2040-2057","source":"Crossref","is-referenced-by-count":16,"title":["Outcomes of revisional surgery options after inadequate sleeve gastrectomy: A comprehensive network meta\u2010analysis"],"prefix":"10.1002","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5445-6415","authenticated-orcid":false,"given":"Mohamed AbdAlla","family":"Salman","sequence":"first","affiliation":[{"name":"General Surgery Department Kasralainy School of Medicine Cairo University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Salman","sequence":"additional","affiliation":[{"name":"Internal Medicine Department Kasralainy School of Medicine Cairo University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Elewa","sequence":"additional","affiliation":[{"name":"General Surgery Department National Hepatology and Tropical Medicine Research Institute  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Elsherbiny","sequence":"additional","affiliation":[{"name":"General Surgery Department United Lincolnshire NHS Trust  Lincoln UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Tourkey","sequence":"additional","affiliation":[{"name":"General Surgery Department Great Western Hospital  Swindon UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stewart","family":"Chikukuza","sequence":"additional","affiliation":[{"name":"General Surgery Department Great Western Hospital  Swindon UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed A.","family":"Gadallah","sequence":"additional","affiliation":[{"name":"Department of General Surgery Faculty of Medicine Al\u2010Azhar University Assuit Branch  Assuit Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed Abdelaziz","family":"Ismail","sequence":"additional","affiliation":[{"name":"Anesthesia and Pain Management Department Kasralainy School of Medicine Cairo University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed Mahmoud","family":"Hussein","sequence":"additional","affiliation":[{"name":"General Surgery Department Kasralainy School of Medicine Cairo University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,7,28]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695\u2010018\u20103593\u20101"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.f5934"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695\u2010020\u201005207\u20107"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2018.02.027"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695\u2010022\u201006229\u2010z"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695\u2010016\u20102152\u2010x"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2022.06.284"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2011.04.232"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2019.01.022"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2018.11.006"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.2147\/dmso.s295162"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2022.11.004"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00423\u2010023\u201003175\u2010x"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695\u2010022\u201006326\u2010z"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695\u2010019\u201003842\u20103"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2022.106677"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b2700"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.7326\/m14\u20102385"},{"key":"e_1_2_11_20_1","unstructured":"Van Valkenhoef G. 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