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Comment & Response
June 19, 2018

Bariatric Surgery and Hypertension—Reply

Author Affiliations
  • 1JAMA, Chicago, Illinois
JAMA. 2018;319(23):2441-2442. doi:10.1001/jama.2018.4470

In Reply Bariatric surgery has a credibility problem. Aggressive claims were made in the past about the benefits of the jejunoileal bypass, banded gastroplasty, and the laparoscopic banding procedure—all of which proved wrong once long-term outcomes were known. In contrast, there is high-quality evidence that the Roux-en-Y and gastric sleeve resection effectively result in long-term weight loss and diabetes control. Despite these successes, clinicians remain skeptical about bariatric surgery in part because of a long history of the bariatric community overstating the benefits of weight loss operations.