{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T23:04:50Z","timestamp":1782860690452,"version":"3.54.5"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T00:00:00Z","timestamp":1769040000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T00:00:00Z","timestamp":1769040000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Surg Endosc"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Recurrent weight gain (RWG) after Roux-en-Y gastric bypass (RYGB) is an increasingly common challenge. Biliopancreatic diversion with duodenal switch (BPD\/DS) and single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) are surgical options available for achieving optimal clinical response in these patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to compare the characteristics and outcomes of patients who underwent either BPD\/DS or SADI-S following RYGB.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database was conducted, focusing on patients from 2020 to 2022 who underwent BPD\/DS or SADI-S following a primary RYGB. Postoperative bariatric outcomes, complication rates, and weight loss metrics\u2014including percentage of excess weight loss (%EWL), total weight loss (%TWL), and excess BMI loss (%EBMIL) at 30\u00a0days\u2014were evaluated. A stratified analysis was also performed to assess differences between the procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 616 patients were included. 75.5% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009465) underwent BPD\/DS and 24.5% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009151) SADI after RYGB. The majority of patients were female (90.7%,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009559), with a mean age of 48.2\u2009\u00b1\u20099.1\u00a0years. The mean preoperative body mass index (BMI) was 47.5\u2009\u00b1\u20098.3 for patients undergoing BPD\/DS and 44.5\u2009\u00b1\u20096.8 for those undergoing SADI (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Patients who underwent BPD\/DS had a higher prevalence of hypertension (47% vs. 33.7%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.004) and ASA IV classification (12.2% vs. 1.3%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), but a lower rate of drain placement compared to those who underwent SADI (31.8% vs. 45%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003). There was no statistically significant difference in terms of length of stay, operative time, or intraoperative\/postoperative complications in the first 30\u00a0days. Weight loss outcomes at 30\u00a0days were comparable between the BPD\/DS and SADI approaches.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Among patients undergoing conversion after RYGB, BPD\/DS and SADI demonstrated comparable short-term bariatric outcomes, with similar 30-day postoperative complication rates.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00464-025-12556-w","type":"journal-article","created":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T19:13:52Z","timestamp":1769109232000},"page":"3074-3079","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Safety and feasibility of conversion of Roux-en-Y gastric bypass to BPD\/DS versus SADI: an analysis of MBSAQIP database"],"prefix":"10.1007","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-0369-7966","authenticated-orcid":false,"given":"J. 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Joaquin Lisandro Serra, Arturo Estrada, Yeisson Rivero-Moreno, Nawaf Hindosh, Jenny Choi, Erin Moran-Atkin, and Diego Camacho have no conflicts of interest or financial ties to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosures"}}]}}