Publication Name	World Journal of Gastrointestinal Surgery
Manuscript ID	124831
DOI	10.4240/wjgs.124831
Country	Egypt

Category	Gastroenterology & Hepatology
Manuscript Type	Minireviews
Article Title	Beyond weight loss: Predicting and personalizing liver outcomes after metabolic-bariatric surgery in metabolic dysfunction-associated steatotic liver disease
Manuscript Source	Invited Manuscript
All Author List	Ahmed Salman, Ahmed Elewa, Ahmad Marwan and Mohamed AbdAlla Salman
Funding Agency and Grant Number
Corresponding Author	Ahmed Salman, FRACP, FRCP, Department of Internal Medicine, Faculty of Medicine, Cairo University, Zahraa El Maadi, Cairo 12111, Al Qāhirah, Egypt. awea844@gmail.com
Key Words	Metabolic dysfunction-associated steatotic liver disease; Metabolic-bariatric surgery; Liver fibrosis; Non-invasive tests; Artificial intelligence; Precision medicine
Core Tip	Metabolic-bariatric surgery improves steatohepatitis and can promote fibrosis regression; however, individual response remains difficult to predict. This review distinguishes established outcome evidence from baseline risk markers and hypothesis-generating mechanisms. It proposes an explicitly unvalidated three-tier framework in which routine clinical variables and basic non-invasive tests are essential, elastography and magnetic resonance methods are optional, and genetics, multi-omics, and machine learning remain research tools. Monitoring can identify an incomplete trajectory; treatment should follow approved indications and specialist assessment until surgery-specific prediction models are externally validated.
Citation	Salman A, Elewa A, Marwan A, Salman MA. Beyond weight loss: Predicting and personalizing liver outcomes after metabolic-bariatric surgery in metabolic dysfunction-associated steatotic liver disease. World J Gastrointest Surg 2026; In press DOI: https://doi.org/10.4240/wjgs.124831
PDF	124831-in-press.pdf

Received	2026-06-25 06:34
Peer-Review Started	2026-06-25 06:34
First Decision by Editorial Office Director
Return for Revision	2026-08-28 08:22
Revised	2026-09-05 14:09
Publication Fee Transferred
Second Decision by Editor	2026-11-02 02:19
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-11-02 03:54
Articles in Press	2026-11-02 03:54
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-9366 (online)
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Copyright	© The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
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