{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T17:54:02Z","timestamp":1781632442330,"version":"3.54.5"},"reference-count":24,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T00:00:00Z","timestamp":1769385600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T00:00:00Z","timestamp":1769385600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100004375","name":"Tel Aviv University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100004375","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["OBES SURG"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Recurrent weight gain (RWG) and Suboptimal Clinical Response (SCR) after primary metabolic and bariatric surgery (MBS) are common, often necessitating revisional procedures. Single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) has emerged as a promising conversion option.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively reviewed patients who underwent laparoscopic conversion to SADI-S for RWG\/SCR between 2018 and 2024. Eligible patients had prior MBS after meeting national guidelines. Data included demographics, weight-loss outcomes, complications and nutritional\/metabolic markers. The primary outcomes were percent of total weight loss (%TWL) and excess weight loss (%EWL). Long-term complications and need for revisional surgery were also assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sixty-nine patients (mean age 42.7\u2009\u00b1\u20099.8 years; 66.7% female) were included. Most (65.2%) were converted from sleeve gastrectomy. Mean follow-up was 2.2\u2009\u00b1\u20091.4 years. Mean %TWL was 36.4%, 37.8%, and 34.5% at 1, 3, and 5 years, respectively, and %EWL exceeded 90% at all time points. Major complications (Clavien-Dindo\u2009\u2265\u20093b) occurred in 5.8% within 90 days, with 4 reoperations in the perioperative period. No conversional surgeries were required during the follow-up period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Conversion to SADI-S is a safe and effective option for RWG\/SCR following primary MBS, yielding durable weight loss and metabolic improvement with low complication rates. These findings support its use as a conversion strategy, warranting further prospective validation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11695-025-08483-3","type":"journal-article","created":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T18:55:30Z","timestamp":1769453730000},"page":"1143-1150","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["SADI-S as a Conversion for Suboptimal Clinical Response and Recurrent Weight Gain Following Bariatric Surgery: A Retrospective Cohort Study"],"prefix":"10.1007","volume":"36","author":[{"given":"Reut","family":"El-On","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adi","family":"Litmanovich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Abu-Abeid","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Idan","family":"Carmeli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shlomi","family":"Rayman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shai Meron","family":"Eldar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrei","family":"Keidar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,1,26]]},"reference":[{"key":"8483_CR1","doi-asserted-by":"publisher","first-page":"1326","DOI":"10.1007\/s11695-016-2152-x","volume":"26","author":"M Lauti","year":"2016","unstructured":"Lauti M, Kularatna M, Hill AG, MacCormick AD. 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