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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Gagner M. Revisions of Gastric Bypass—A Moral Obligation. JAMA Surg. Published online June 19, 2019. doi:10.1001/jamasurg.2019.1740
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