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Conversional surgeries (e.g., RYGB, SADI-S, DS) are effective for managing post-bariatric recurrent weight gain (RWG) and diabetes recurrence, but carry higher risks of complications compared to primary surgery.
If you are gaining weight back after bariatric surgery and other treatments have failed, ask your doctor about conversional surgeries. These are more complex procedures that can effectively manage weight and diabetes, but they carry higher risks of complications. It is crucial to go to specialized centers with experienced surgeons and undergo strict postoperative surveillance.
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Conversional surgery was found to markedly control blood glucose with higher risks of complications compared to the primary surgery.
Source
Prognosticating post-bariatric surgery outcomes and management of postoperative recurrent weight gain and diabetes recurrence
Xiao He et al. · Frontiers in Nutrition · 2024
DOI 10.3389/fnut.2024.1510403
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Read the paper DOI resolved against Crossref · corpus check 2026-06-10
More from this paper
- Post-bariatric recurrent weight gain (RWG) can be effectively managed with FDA-approved anti-obesity medications (AOMs) such as GLP-1 receptor agonists (liraglutide, semaglutide), phentermine/topiramate, naltrexone/bupropion, and orlistat, which reduce weight regain or aid weight loss.Good
- Post-bariatric recurrent weight gain (RWG) can be managed with other FDA-approved anti-obesity medications including phentermine/topiramate, naltrexone/bupropion, and orlistat, which reduce weight regain or aid weight loss.Good
- Endoscopic interventions such as Endoscopic Sleeve Gastroplasty (ESG) and Transoral Outlet Reduction (TORe) are effective minimally invasive treatments for managing post-bariatric recurrent weight gain (RWG).Good
Related findings · Energy balance
- Achieving a total body weight loss of 10-15% (or >10-15 kg) through Total Diet Replacement (TDR) induces remission of Type 2 Diabetes in individuals with short-duration disease.Strong
- Bariatric surgery is superior to medical management alone for inducing significant long-term weight loss, remission of type 2 diabetes, and reduction in mortality for patients with BMI ≥ 40 or ≥ 35 with comorbidities.Strong
- Achieving type 2 diabetes remission requires significant weight loss (≥15 kg) via major caloric restriction, independent of macronutrient composition.Strong
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