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To the Editor:—
In the May 15 issue (200:638), in an editorial on "Complications of Intestinal Bypass for Obesity," a rather discouraging picture was painted about the outcome and complications of these operations. The original article in question, in the May issue of the Archives of Surgery (94:707), goes as far as to conclude that, "at the present time we cannot advocate the use of intestinal bypass procedure as a routine operation for the control of human obesity". I heartily agree with their conclusion, but I am quick to point out that perhaps therein lies the problem with their complications, and the key word here is routine. No operation should be routine; one does not do a routine gastric resection or a routine vagotomy-pyloroplasty. After adequate evaluation, the operation is tailored to the patient and not vice versa. In the words of Dr. J.H. Payne, who has done
Kantor S. Intestinal Bypass for Obesity. JAMA. 1967;201(7):562-563. doi:10.1001/jama.1967.03130070082033