{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T11:03:08Z","timestamp":1790074988674,"version":"4.0.1"},"reference-count":15,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T00:00:00Z","timestamp":1780876800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic & Advanced Surgical Techniques"],"published-print":{"date-parts":[[2026,11,1]]},"abstract":"\n Background:<\/jats:title>\n Sleeve gastrectomy (SG) has become the most common bariatric procedure worldwide. Unfortunately, a significant number of patients require conversion to Roux-en-Y gastric bypass (RYGB) or single-anastomosis duodeno-ileal bypass (SADI) because of recurrent weight gain. This study aimed to determine the rates of complications and mortality associated with conversion from SG to RYGB (SG-RYGB) compared with conversion from SG to SADI (SG-SADI).<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n This retrospective analysis used data from the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database from 2020 to 2022. Patients undergoing SG-RYGB or SG-SADI were included. Thirty-day operative outcomes, intraoperative and postoperative events, and mortality were analyzed.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n A total of 28,758 patients were included. Of these, 27,412 (95.3%) underwent SG-RYGB and 1346 (4.6%) underwent SG-SADI. The mean preoperative body mass index was 39.7 kg\/m\n 2<\/jats:sup>\n for SG-RYGB and 45.3 kg\/m\n 2<\/jats:sup>\n for SG-SADI (\n P<\/jats:italic>\n < .001). SG-RYGB was associated with a higher frequency of intraoperative\/postoperative complications within the first 30 days (5.9% versus 3.4%,\n P<\/jats:italic>\n < .001), including transfusion (1.3% versus 0.4%,\n P<\/jats:italic>\n = .004), readmission (7.3% versus 4.6%,\n P<\/jats:italic>\n < .001), and emergency department visits (12.5% versus 8.5%,\n P<\/jats:italic>\n < .001). Although SG-SADI was associated with a higher rate of anastomotic leak (0.4% versus 1.1%,\n P<\/jats:italic>\n < .001), there was no difference in reoperation rates (2.8% versus 2.5%) or deaths (0.02% versus 0%). Overall, SG-SADI-S was associated with a lower risk of intraoperative\/postoperative complications, with an adjusted odds ratio of 0.741 (95% confidence interval: 0.543\u20130.901,\n P<\/jats:italic>\n = .041).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Both revisional procedures are safe. Although SG-RYGB was associated with a higher frequency of intraoperative\/postoperative complications within the first 30 days, SG-SADI had a higher rate of anastomotic leaks, with no difference in reoperation rates or deaths.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/10926429261458534","type":"journal-article","created":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T05:30:07Z","timestamp":1780983007000},"page":"834-839","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Safety and Feasibility of Sleeve Gastrectomy Conversion to Roux-en-Y Gastric Bypass Versus Single Anastomosis Duodeno-Ileal Bypass: An MBSAQIP Analysis"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9077-1460","authenticated-orcid":false,"given":"Yeisson","family":"Rivero-Moreno","sequence":"first","affiliation":[{"name":"Department of Surgery, Montefiore Medical Center, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arturo","family":"Estrada","sequence":"additional","affiliation":[{"name":"Department of Surgery, Montefiore Medical Center, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentina","family":"Viscarret","sequence":"additional","affiliation":[{"name":"Department of Surgery, Montefiore Medical Center, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin","family":"Moran-Atkin","sequence":"additional","affiliation":[{"name":"Department of Surgery, Montefiore Medical Center, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenny","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Montefiore Medical Center, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diego","family":"Camacho","sequence":"additional","affiliation":[{"name":"Department of Surgery, Montefiore Medical Center, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,8]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2023.8526"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2016.08.011"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2020.05.021"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-024-10765-3"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-023-06602-6"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-024-03557-9"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-020-05031-z"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-022-06068-y"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13304-022-01381-8"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2024.09.011"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12185975"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-010-0247-3"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2018.01.020"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(25)01070-0"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2023.07.011"}],"container-title":["Journal of Laparoendoscopic & Advanced Surgical Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10926429261458534","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10926429261458534","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10926429261458534","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T10:16:34Z","timestamp":1790072194000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10926429261458534"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,8]]},"references-count":15,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2026,11,1]]}},"alternative-id":["10.1177\/10926429261458534"],"URL":"https:\/\/doi.org\/10.1177\/10926429261458534","relation":{},"ISSN":["1092-6429","1557-9034"],"issn-type":[{"value":"1092-6429","type":"print"},{"value":"1557-9034","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,8]]}}}