To the Editor I read with great interest the article by Hjorth et al,1 where nonrandomized patients from the Swedish Obese Subjects (SOS) study were examined for revisional bariatric surgeries (ie, banding, vertical banded gastroplasty [VBG], and gastric bypass [GBP]). Revisions were frequent after banding (40.7%) and VBG (28.3%) but rare after GBP (7.5%). This article, dealing with reoperations, should have included all kinds of interventions. Ingmar Näslund, MD, PhD, one of the authors,1 reported increased admissions for gastrointestinal tract surgery (24.4%), gallstone problems (7.3%), and internal hernia (4.3%) following GBP.2 The combined aspects would boost reoperations to more than 30%.
Identify all potential conflicts of interest that might be relevant to your comment.
Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.
Err on the side of full disclosure.
If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.
Not all submitted comments are published. Please see our commenting policy for details.
Gagner M. Revisions of Gastric Bypass—A Moral Obligation. JAMA Surg. Published online June 19, 2019. doi:10.1001/jamasurg.2019.1740
Browse and subscribe to JAMA Network podcasts!
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: