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Comment & Response
June 19, 2019

Revisions of Gastric Bypass—A Moral Obligation

Author Affiliations
  • 1Herbert Wertheim School of Medicine, Florida International University, Hôpital du Sacré Coeur, Montreal, Quebec, Canada
JAMA Surg. Published online June 19, 2019. doi:10.1001/jamasurg.2019.1740

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%.

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