Author Affiliations: Divisions of Trauma/Acute Care Surgery and Bariatric Surgery, Thomas Jefferson University Hospitals, Philadelphia, Pennsylvania.
The data from Nelson and colleagues1 challenge the notion that GB is the “Cadillac” of bariatric operations, noting a near 20% weight loss failure rate in superobese patients at 1 and 2 years postoperation compared with only 9% and 6% after DS. In a 2006 study specifically looking at follow-up after 10 years, Christou and colleagues2 also noted rates of weight loss failure after GB of 20.4% and 34.9% at mid- and long-term follow-up. Perhaps more importantly, Nelson and colleagues demonstrated that the rates of resolution of diabetes mellitus, hypertension, hyperlipidemia, and obstructive sleep apnea were higher after DS than GB.
Beekley AC. Gastric Bypass: Time for a Change? Arch Surg. 2012;147(9):854–855. doi:10.1001/archsurg.2012.1682
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