{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T15:53:54Z","timestamp":1786982034299,"version":"build-2736575974"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T00:00:00Z","timestamp":1775088000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T00:00:00Z","timestamp":1775088000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100010435","name":"Universidade Federal Fluminense","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100010435","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["OBES SURG"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Laparoscopic sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) are the most performed bariatric procedures worldwide. Trials and observational studies up to five years show RYGB yields slightly greater weight loss and better metabolic control, notably for dyslipidemia and reflux. Ten-year cohorts and recent randomized trials give perspective on durability differences, but small sample sizes and single-center designs limit their reach. No meta-analysis has yet pooled these decade-long data, leaving clinicians without clear guidance on the comparative long-term performance of SG and RYGB.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This meta-analysis aims to compare the 10-year outcomes of SG versus RYGB in terms of weight loss and remission of comorbidities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a systematic review and meta-analysis of randomized clinical trials (RCTs) and observational cohorts with a minimum 10-year follow-up. We searched PubMed, Embase, and Cochrane through April 2025. Primary endpoints were percent total weight loss (%TWL) and percent excess weight loss (%EWL). Secondary endpoints were remission of type 2 diabetes (T2D), hypertension, and dyslipidemia. Data were pooled using a random-effects model with risk ratio (RR) and mean difference (MD). Statistical analysis were made using R v.4.3.5.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      RYGB produced greater long-term weight loss than SG (%TWL mean difference \u22122.38, 95% CI\u2009\u2212\u20093.85 to \u2212\u20090.92,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001; %EWL mean difference\u2009\u2212\u20094.92, 95% CI\u2009\u2212\u20098.67 to \u2212\u20091.17,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01). Remission of T2D (RR 0.88, 95% CI 0.67 to 1.15,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.36) and dyslipidemia (RR 0.84, 95% CI 0.64 to 1.09,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.18) did not differ. Hypertension remission trended toward RYGB without reaching significance (RR 0.68, 95% CI 0.39 to 1.20,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.19). SG showed higher rates of de-novo or worsening gastro-esophageal reflux disease and a markedly higher conversion to RYGB.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The decadal outcomes of SG and RYGB reveal a level of parity that challenges historical procedural endorsements. Fidelity to the data indicates that ten years after surgery, there is no statistically or clinically significant difference in total weight loss or excess weight loss between the two techniques. Furthermore, the remission of major metabolic comorbidities, including type 2 diabetes and dyslipidemia, is comparable across both cohorts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11695-026-08630-4","type":"journal-article","created":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T13:14:18Z","timestamp":1775135658000},"page":"2625-2633","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Ten-Year Follow-Up for Sleeve Gastrectomy Versus Roux-en-Y Gastric Bypass: A Systematic Review and Meta-Analysis"],"prefix":"10.1007","volume":"36","author":[{"given":"Mohamed","family":"Chouky Kamar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pablo Enrique","family":"Astudillo Coello","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda Vit\u00f3ria","family":"Rodrigues dos Santos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silviane","family":"Leite Melo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,2]]},"reference":[{"issue":"10","key":"8630_CR1","doi-asserted-by":"publisher","first-page":"1014","DOI":"10.1001\/jama.2020.14585","volume":"324","author":"P Salminen","year":"2020","unstructured":"Salminen P, Gr\u00f6nroos S, Helmi\u00f6 M, Hurme S, Juuti A, Juusela R, Peromaa-Haavisto P, Leivonen M, Nuutila P, Ovaska J. Effect of Laparoscopic Sleeve Gastrectomy vs Roux- en-Y Gastric Bypass on Weight Loss, Comorbidities, and Reflux at 10 Years in Adult Patients With Obesity: The SLEEVEPASS Randomized Clinical Trial. JAMA. 2020;324(10):1014\u201325. https:\/\/doi.org\/10.1001\/jama.2020.14585.","journal-title":"JAMA"},{"issue":"5","key":"8630_CR2","doi-asserted-by":"publisher","first-page":"660","DOI":"10.1016\/j.soard.2020.02.019","volume":"16","author":"A Jim\u00e9nez","year":"2020","unstructured":"Jim\u00e9nez A, Ibarzabal A, Moiz\u00e9 V, Pan\u00e9 A, Andreu A, Molero J, de Hollanda A, Flores L, Ortega E, Lacy A, Vidal J. Ten-year outcomes after Roux-en-Y gastric bypass and sleeve gastrectomy: an observational nonrandomized cohort study. Surg Obes Relat Dis. 2020;16(5):660\u20137. https:\/\/doi.org\/10.1016\/j.soard.2020.02.019.","journal-title":"Surg Obes Relat Dis"},{"issue":"9","key":"8630_CR3","doi-asserted-by":"publisher","first-page":"1655","DOI":"10.1016\/j.soard.2016.02.021","volume":"12","author":"DM Felsenreich","year":"2016","unstructured":"Felsenreich DM, Langer FB, Kefurt R, et al. Weight loss, weight regain, and conversions to Roux-en-Y gastric bypass: 10-year results of laparoscopic sleeve gastrectomy. Surg Obes Relat Dis. 2016;12(9):1655\u201362.","journal-title":"Surg Obes Relat Dis"},{"issue":"12","key":"8630_CR4","doi-asserted-by":"publisher","first-page":"1160","DOI":"10.1001\/jamasurg.2021.4981","volume":"156","author":"R Howard","year":"2021","unstructured":"Howard R, Chao GF, Yang J, et al. Comparative Safety of Sleeve Gastrectomy and Gastric Bypass Up to 5 Years After Surgery in Patients With Severe Obesity. JAMA Surg. 2021;156(12):1160\u20139.","journal-title":"JAMA Surg"},{"issue":"2","key":"8630_CR5","doi-asserted-by":"publisher","first-page":"319","DOI":"10.1097\/SLA.0b013e3181e90b31","volume":"252","author":"J Himpens","year":"2010","unstructured":"Himpens J, Dobbeleir J, Peeters G. Long-term results of laparoscopic sleeve gastrectomy for obesity. Ann Surg. 2010;252(2):319\u201324. References from the discussion:.","journal-title":"Ann Surg"},{"issue":"3","key":"8630_CR6","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s11695-019-04394-1","volume":"30","author":"AJ Sharples","year":"2020","unstructured":"Sharples AJ, Mahawar K. Systematic Review and Meta-Analysis of Randomised Controlled Trials Comparing Long-Term Outcomes of Roux-En-Y Gastric Bypass and Sleeve Gastrectomy. Obes Surg. 2020;30(3):1\u20139. https:\/\/doi.org\/10.1007\/s11695-019-04394-1.","journal-title":"Obes Surg"},{"issue":"10","key":"8630_CR7","doi-asserted-by":"publisher","first-page":"786","DOI":"10.1016\/S2213-8587(19)30191-3","volume":"7","author":"J Thereaux","year":"2019","unstructured":"Thereaux J, Lesuffleur T, Czernichow S, et al. Long-term adverse events after sleeve gastrectomy or gastric bypass: a 7-year nationwide, observational, population-based, cohort study. Lancet Diabetes Endocrinol. 2019;7(10):786\u201395.","journal-title":"Lancet Diabetes Endocrinol"},{"issue":"4","key":"8630_CR8","doi-asserted-by":"publisher","first-page":"369","DOI":"10.1001\/jamasurg.2024.7052","volume":"160","author":"M Kraljevi\u0107","year":"2025","unstructured":"Kraljevi\u0107 M, S\u00fcsstrunk J, W\u00f6lnerhanssen BK, Peters T, Bueter M, Gero D, Schultes B, Poljo A, Schneider R, Peterli R. Long-Term Outcomes of Laparoscopic Roux-en-Y Gastric Bypass vs Laparoscopic Sleeve Gastrectomy for Obesity: The SM-BOSS Randomized Clinical Trial. JAMA Surg. 2025;160(4):369\u201377. https:\/\/doi.org\/10.1001\/jamasurg.2024.7052.","journal-title":"JAMA Surg"},{"issue":"13","key":"8630_CR9","doi-asserted-by":"publisher","first-page":"1271","DOI":"10.1001\/jama.2019.14231","volume":"322","author":"A Aminian","year":"2019","unstructured":"Aminian A, Zajichek A, Arterburn DE, et al. Association of metabolic surgery with major adverse cardiovascular outcomes in patients with type 2 diabetes and obesity. JAMA. 2019;322(13):1271\u201382.","journal-title":"JAMA"},{"issue":"3","key":"8630_CR10","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s11695-019-04394-1","volume":"30","author":"SYT Tan","year":"2020","unstructured":"Tan SYT, Lee YQ, Syn G, Tseng FS, Chua JKL, Tan HC, Ho ETL, Kovalik JP, Lim CH, Eng AKH, Chan WH. Greater durability of weight loss at ten years with gastric bypass compared to sleeve gastrectomy. Obes Surg. 2020;30(3):1\u20139. https:\/\/doi.org\/10.1007\/s11695-019-04394-1.","journal-title":"Obes Surg"},{"issue":"10287","key":"8630_CR11","doi-asserted-by":"publisher","first-page":"1830","DOI":"10.1016\/S0140-6736(21)00591-2","volume":"397","author":"NL Syn","year":"2021","unstructured":"Syn NL, Cummings DE, Wang LZ, et al. Association of metabolic-bariatric surgery with long- term survival in adults with and without diabetes: a one-stage meta-analysis of matched cohort and prospective controlled studies. Lancet. 2021;397(10287):1830\u201341.","journal-title":"Lancet"},{"issue":"22","key":"8630_CR12","doi-asserted-by":"publisher","first-page":"2297","DOI":"10.1001\/jama.2014.5988","volume":"311","author":"L Sj\u00f6str\u00f6m","year":"2014","unstructured":"Sj\u00f6str\u00f6m L, Peltonen M, Jacobson P, et al. Association of bariatric surgery with long-term remission of type 2 diabetes and with microvascular and macrovascular complications. JAMA. 2014;311(22):2297\u2013304.","journal-title":"JAMA"},{"issue":"5","key":"8630_CR13","doi-asserted-by":"publisher","first-page":"e200087","DOI":"10.1001\/jamasurg.2020.0087","volume":"155","author":"KM McTigue","year":"2020","unstructured":"McTigue KM, Wellman R, Nauman E, et al. Comparing the 5-Year diabetes outcomes of sleeve gastrectomy and gastric bypass: The National Patient-Centered Clinical Research Network (PCORNet) Bariatric Study. JAMA Surg. 2020;155(5):e200087.","journal-title":"JAMA Surg"},{"issue":"4","key":"8630_CR14","doi-asserted-by":"publisher","first-page":"568","DOI":"10.1016\/j.soard.2016.11.029","volume":"13","author":"A Genco","year":"2017","unstructured":"Genco A, Soricelli E, Casella G, et al. Gastroesophageal reflux disease and Barrett\u2019s esophagus after laparoscopic sleeve gastrectomy: a possible, underestimated long-term complication. Surg Obes Relat Dis. 2017;13(4):568\u201374.","journal-title":"Surg Obes Relat Dis"}],"container-title":["Obesity Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11695-026-08630-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11695-026-08630-4","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11695-026-08630-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T21:25:07Z","timestamp":1781645107000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11695-026-08630-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,2]]},"references-count":14,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["8630"],"URL":"https:\/\/doi.org\/10.1007\/s11695-026-08630-4","relation":{},"ISSN":["0960-8923","1708-0428"],"issn-type":[{"value":"0960-8923","type":"print"},{"value":"1708-0428","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,2]]},"assertion":[{"value":"3 September 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 January 2026","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 March 2026","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 April 2026","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing Interests"}}]}}