{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,25]],"date-time":"2026-10-25T00:14:25Z","timestamp":1792887265592,"version":"4.5.0"},"reference-count":50,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Uncomplicated surgical approaches that minimize anastomotic complications while improving revisional metabolic\/bariatric surgical (MBS) outcomes are needed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This prospective single\u2010center study assessed the feasibility, safety, and efficacy of the novel linear magnetic anastomosis system (LMAS [3\u00a0cm]) in performing a side\u2010to\u2010side duodeno\u2010ileostomy (MagDI) bipartition to revise clinically suboptimal primary sleeve gastrectomy (SG). Patients with severe obesity with\/without type 2 diabetes (T2D) with suboptimal weight loss, regain, and\/or T2D recurrence post SG underwent revisional MagDI. A distal and proximal magnet were delivered endoscopically to the ileum and duodenum and aligned via laparoscopic assistance. Gradual magnet fusion formed a DI bipartition. Primary endpoints: technical feasibility, safety (Clavien\u2010Dindo [CD] severe adverse event classification) at 1\u00a0year. Secondary endpoints: MBS weight and T2D reduction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>July 29, 2022\u2013March 28, 2023, 24 patients (95.8% female, mean age 44.9\u00a0\u00b1\u00a01.5\u00a0years, and body mass index [BMI] 39.4\u00a0\u00b1\u00a01.3\u00a0kg\/m<jats:sup>2<\/jats:sup>) underwent MagDI. Feasibility was attained via correct magnet placement (mean operative time 63.5\u00a0\u00b1\u00a03.3\u00a0min), patent anastomoses created, and magnet passage per anus in 100.0% of patients. There were 4 CD\u2010III mild or moderate severe AEs, 0.0% associated with the LMAS or MagDI: 0.0% anastomotic leakage, obstruction, bleeding, infection, reintervention, or death. Mean BMI reduction was 2.1\u00a0kg\/m<jats:sup>2<\/jats:sup> (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.05); total weight loss 5.3%, excess weight loss 16.4%; and the patient with T2D improved.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The single\u2010anastomosis MagDI procedure using the novel 3\u2010cm LMAS to revise clinically suboptimal SG was technically straightforward, incurred no major complications, mitigated weight regain, and renewed clinically meaningful weight loss.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinicaltrials.gov Identifier<\/jats:title><jats:p>NCT05322122.<\/jats:p><\/jats:sec>","DOI":"10.1002\/wjs.12304","type":"journal-article","created":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T23:45:38Z","timestamp":1722555938000},"page":"2337-2348","source":"Crossref","is-referenced-by-count":20,"title":["Magnetic single\u2010anastomosis side\u2010to\u2010side duodeno\u2010ileostomy for revision of sleeve gastrectomy in adults with severe obesity: 1\u2010year outcomes"],"prefix":"10.1002","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6068-0333","authenticated-orcid":false,"given":"Michel","family":"Gagner","sequence":"first","affiliation":[{"name":"Westmount Square Surgical Center  Westmount Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lamees","family":"Almutlaq","sequence":"additional","affiliation":[{"name":"Westmount Square Surgical Center  Westmount Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gismonde","family":"Gnanhoue","sequence":"additional","affiliation":[{"name":"Westmount Square Surgical Center  Westmount Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. 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