Surgical Management of weight loss failure after sleeve gastrectomy operations (comparative study between Re-sleeve gastrectomy and Minigastric bypass)

Background: Obesity is a major public health concern around the world and a precursor to many other debilitating conditions, including cardiovascular disease, cancer, psychiatric disorders, musculoskeletal disorders, osteoarthritis, and type 2 diabetes. As a result, the World Health Organization has made combating obesity a key priority.Aim: When a sleeve gastrectomy fails, patients often seek out alternative surgical procedures, such as laparoscopic mini gastric bypass or re-sleeve gastrectomy.Subjects and methods: Between August 2023 and January 2025, thirty patients (20 females and 10 males) presenting with complaints of sleeve gastrectomy failure participated in this prospective non-randomized clinical trial at El-Hussain & Sayed Galal Hospitals, which are part of Al-Azhar University in Cairo, Egypt.Results: The OAGB-group had the highest mean TBWL after 6 months (23.65±5.56), followed by the Re-sleeve-group (18.75±3.06), with a statistically highly significant (P-value