I thank Schlottmann et al. for their interest in my paper, “5-Year Follow-Up at an Accredited Community Bariatric Practice: What Is an Acceptable Follow-Up Rate?” [
]. Schlottmann et al. use this occasion as a call to action, and correctly term the lack of long-term follow-up the “Achilles heel” of metabolic and bariatric surgery [
- Clapp B.
- Grasso S.
- Harper B.
- Amin M.A.
- Kim J.
- Davis B.
5-year follow-up at an accredited community bariatric practice: what is an acceptable follow-up rate?.
Surg Obes Relat Dis. 2022; 18: 505-510
]. They correctly point out the dismal worldwide follow-up of bariatric patients [
- Schlottmann F.
- Sarr M.
- Fernando A.
- Herbella F.A.
- Patti M.G.
Bariatric surgery: need for data rather than opinions.
Surg Obes Relat Dis. 2023; (Epub ahead of print. https://doi.org/10.1016/j.soard.2023.01.019.)
]. Even in countries with socialized healthcare, follow-up is poor. For example, in Sweden, there are regional differences in follow-up, with some areas reporting only 15% follow-up at 2 years [
- Himpens J.
- Ramos A.
- Welbourn R.
- Dixon J.
- Kinsman R.
- Walton P.
Fourth IFSO global registry report 2018.
Dendrite Clinical Systems Ltd., Henley-on-Thames (UK)2018
- Zaigham H.
- Ekelund M.
- Regnér S.
- Olsson Å.
Abdominal pain after gastric bypass in the acute general surgical care setting.
Surg Obes Relat Dis. 2020; 16: 2058-2067
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- 5-year follow-up at an accredited community bariatric practice: what is an acceptable follow-up rate?.Surg Obes Relat Dis. 2022; 18: 505-510
- Bariatric surgery: need for data rather than opinions.Surg Obes Relat Dis. 2023; (Epub ahead of print. https://doi.org/10.1016/j.soard.2023.01.019.)
- Fourth IFSO global registry report 2018.Dendrite Clinical Systems Ltd., Henley-on-Thames (UK)2018
- Abdominal pain after gastric bypass in the acute general surgical care setting.Surg Obes Relat Dis. 2020; 16: 2058-2067
- American Society for Metabolic and Bariatric Surgery 2020 estimate of metabolic and bariatric procedures performed in the United States.Surg Obes Relat Dis. 2022; 18: 1134-1140
Published online: February 05, 2023
Publication stageIn Press Journal Pre-Proof
© 2023 American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc. All rights reserved.
ScienceDirectAccess this article on ScienceDirect
- Bariatric surgery: need for data rather than opinionsSurgery for Obesity and Related Diseases
- PreviewWeight loss surgery is a highly effective treatment for patients with morbid obesity, and over the last decade the number of bariatric operations has increased steadily. Bariatric surgery not only decreases the body mass index but has also a positive effect on patients’ co-morbidities, such as type 2 diabetes, hypertension, and sleep apnea, thus extending life expectancy . Moreover, bariatric surgery has been associated with a significantly lower incidence of obesity-associated cancer and cancer-related mortality .