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Letter to the Editor|Articles in Press

Reply to Schlottmann et al.

Published:February 05, 2023DOI:https://doi.org/10.1016/j.soard.2023.01.024
      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?” [
      • 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?.
      ]. 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 [
      • Schlottmann F.
      • Sarr M.
      • Fernando A.
      • Herbella F.A.
      • Patti M.G.
      Bariatric surgery: need for data rather than opinions.
      ]. They correctly point out the dismal worldwide follow-up of bariatric patients [
      • Himpens J.
      • Ramos A.
      • Welbourn R.
      • Dixon J.
      • Kinsman R.
      • Walton P.
      Fourth IFSO global registry report 2018.
      ]. 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 [
      • Zaigham H.
      • Ekelund M.
      • Regnér S.
      • Olsson Å.
      Abdominal pain after gastric bypass in the acute general surgical care setting.
      ].
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      References

        • 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
        • 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.)
        • 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
        • Clapp B.
        • Ponce J.
        • DeMaria E.
        • et al.
        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

      Linked Article

      • Bariatric surgery: need for data rather than opinions
        Surgery for Obesity and Related Diseases
        • Preview
          Weight 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 [1]. Moreover, bariatric surgery has been associated with a significantly lower incidence of obesity-associated cancer and cancer-related mortality [2].
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