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Updated: Sep 28, 2025

Sleeve Gastrectomy in Mice using Surgical Clips
Published on: November 14, 2020
Treatment Options for Weight Regain or Insufficient Weight Loss After Sleeve Gastrectomy: a Systematic Review and
Rutger J Franken1, Nina R Sluiter2, Josephine Franken2
1Department of Surgery, Spaarne Gasthuis Hoofddorp, Spaarnepoort 1, 2134 TM, Hoofddorp, The Netherlands. frankenrj@gmail.com.
Abstract:
Weight failure after sleeve gastrectomy (SG) is frequently observed. Consensus on the most effective treatment is lacking. The aim of this meta-analysis was to assess revisional strategies for weight regain (WR) or insufficient weight loss (IWL) following SG. The included studies reported on endoscopic gastroplasty (ESG), re-sleeve gastrectomy (re-SG), Roux-en-Y gastric bypass (RYGB), one-anastomosis gastric bypass (OAGB), single-anastomosis duodeno-ileal bypass (SADI), and duodenal switch (DS). All techniques resulted in clinically relevant weight loss. Although our data suggest that revisional OAGB was the most effective procedure, the lack of direct comparisons precludes strong conclusions. All procedures were feasible but differed regarding complication rates. Choice of procedure is depending on patient's characteristics and surgeons' expertise.
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