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Invited Commentary
January 2, 2019

Revisional Bariatric Surgery and Choosing the First Procedure: Twenty-Six Years of Follow-up in the SOS Study

Author Affiliations
  • 1The Center for Obesity and Diabetes, Oswaldo Cruz German Hospital, São Paulo, SP, Brazil
JAMA Surg. Published online January 2, 2019. doi:10.1001/jamasurg.2018.5107

Bariatric surgery is the most effective option to treat obesity and associated health consequences.1 However, as obesity is a progressive condition and technical problems may happen after bariatric interventions, revisional surgery needs to be part of an escalation of therapy or correction after any postoperative technical issue, as already established after some other interventions, such as in oncology, arthroplasties, and heart surgery.2 Bariatric revisional surgery numbers are increasing. However, most of the published studies are small and cover less than 5 years of follow-up.3 Moreover, choosing the best primary procedure may determine the chances of long-term success and consequently affect the possibility of surgical revisions.

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