International Federation for the Surgery and Other Therapies for Obesity (IFSO) global consensus recommendations for optimizingoutcomes after sleeve gastrectomy ➡️ doi.org/10.1093/bjs/znaf188 ⚖️ Sleeve gastrectomy (SG) is the most performed bariatric procedure worldwide, but long-term issues such as suboptimal weight loss, recurrent weight gain, and de novo GORD are common compared with Roux-en-Y gastric bypass (RYGB). 📊 Long-term RCTs show that up to 33% of SG patients achieve <20% total weight loss, with de novo GORD in ~40–50% and higher rates of oesophagitis than after RYGB. 🧠 An IFSO international Delphi consensus (2025) established standardized definitions for suboptimal response and relapse, emphasizing composite outcomes (weight loss metabolic control). 💊 Obesity management medications (notably liraglutide) are recommended before revisional surgery, within a multidisciplinary care model. 🔄 For refractory GORD or poor outcomes, conversion to RYGB is the preferred option, while other conversions may yield greater weight loss at the cost of higher nutritional and surgical risk, underscoring the need for individualized decision-making. Work by Ricardo V Cohen , Mohammad Kermansaravi , Randy Levinson , Muffazal Lakdawala , Chetan Parmar , Yosuke Seki , Gerhard Prager , Paulina Salminen , members of the Global Consensus Recommendations for Optimizing Outcomes after Sleeve Gastrectomy #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #some4UGI #uppergi #esophagealcancer #gastriccancer #reflux @ISDE_net @Augishealth @roux_group @T4UGIS @SARONG_Trial @YoungIFSO #bariatricsurgery

People who make the most of how situations unfold tend to experience the best outcomes. #OptimizingOutcomes #MakingTheMost #Adapting #success #MaximizingOpportunities #ThrivingThroughChallenges #Cr8careers #careerdevelopment

Tackling bands of text complexity with an amazing group of educators!@litcoachburrell @WoodsELACoach #optimizingoutcomes @CFBISD

Shout out 📣 to the eighth grade @BlalackMS science team for sharing how they ENGAGE students with content using creativity, community connections , and relationships! @CFBISD @PatrickPulliam5 #gameon #cfbsciencestrong💪🏽 #optimizingoutcomes

Another great day of learning with our amazing @CFBISD teachers! They understand that writing matters. We did the work today by tackling the short and extended constructed response! 📝@litcoachburrell @MsCarrollCFB @litcoachRoldan #optimizingoutcomes

@EspeHilts @Sra_Nguyen thank you for this #optimizingoutcomes training. Can’t wait to set language goals in math classrooms. @CFBElem_Bil_ESL #cfbmath

Stations in secondary science you say? After O.O., @CFBISD teachers know how to station away! @Karen26Harper #GameOn #optimizingoutcomes #cfbsciencestrong 💪🏽

Classroom Management with the Armchair QB & the Real MVP! Powerhouse hour of real world examples by audience request? Say what? A phenomenal session! #optimizingoutcomes @CFBISD_BilESL

Empowering EBs through Linguistic Goal Setting ! @CFBElem_Bil_ESL and @CFBISD_BilESL educators were incredibly focused! #optimizingoutcomes #LanguageFocused

You know it’s getting good when @OwlsfromPolk gets on a chair leading teachers through @AVID4College Inside/Outside/Outside 🎉👏🏼🎓 @coachhyde79 @TedPolkMS #OptimizingOutcomes

Day 1 ✅ Sharpening our teaching skills to inspire and educate. Learning together at OptimizingOutcomes - we can’t wait to see our eagles soon! #WeArePerry #Limitless #WatchUsSoar #EaglesRising #cfbproud

We've unlocked the code to decoding! It was amazing to see the collaboration from Kinder to High School teachers! #optimizingoutcomes #cfbproud

Our K-2 teachers kicked off the morning with a Phonics party! 🤩Great session today. They now have a deeper understanding of the principals of the Phonics units! @CFBISD @litcoachburrell #optimizingoutcomes

There’s nothing better than a teacher led session! Thank you to Kalee Measles and Alison Wimberley for leading our teachers in a “Student Choice and Voice” session! Teachers loved the Choose Your Own Adventures! 📚 #optimizingoutcomes @CFBISD

Thank you to @coachhyde79 for instilling your AVID wisdom with our social studies teachers today! We’ve never seen so many nodding heads in a room which speaks to how much our teachers related to your session 👏🏻 @AVID4College #optimizingoutcomes #GameOn #gameonCFB #AVIDforALL

Cup filled! OUR students are the WHY! I can’t wait to support teachers in UDL! @CFBISD @leeannjung @mstranstem @Megan_Britton15 @PatrickPulliam5 @Karen26Harper @M_L_Rogers #cfbsciencestrong💪🏽 #gameon #optimizingoutcomes

Thanks to @BradburySciGirl and @Region10ESC for supporting @CFBISD science teachers and filling our toolbox 🧰 with instructional strategies for our science 📓 notebooks! #gameon #optimizingoutcomes #cfbsciencestrong💪🏽

Thanks to @dwculp and @mstranstem for an awesome VEX IQ collaboration session with middle school and elementary STEM teachers! @CFBISD #gameon #optimizingoutcomes #cfbSTEMstrong💪🏽

Had a great 1st Day back to work! One thing we learned about was Spacial Reasoning Skills at #optimizingoutcomes @CFBISD

📌Decoding is challenging when… #optimizingoutcomes #cfbproud #sheffieldSHINES