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Comment on: Chronic abdominal pain and quality of life after Roux-en-Y gastric bypass and sleeve gastrectomy – a cross-cohort analysis of two prospective longitudinal observational studies (SOARD-22-446R1)

      A constant in the history of metabolic and bariatric surgery (MBS) has been the shift in use of various procedures throughout the decades. Differences in their outcomes have become evident through studies which compared them and ultimately guided their utilization [
      • Sugerman HJ
      • Starkey JV
      • Birkenhauer R
      A randomized prospective trial of gastric bypass versus vertical banded gastroplasty for morbid obesity and their effects on sweets versus non-sweets eaters.
      ]. Now among the safest commonly performed operations, MBS procedures offer an excellent risk-to-benefit ratio for peri-operative (30-day) morbidity and mortality [
      • Aminian A
      • Brethauer SA
      • Kirwan JP
      • Kashyap SR
      • Burguera B
      • Schauer PR
      How safe is metabolic/diabetes surgery?.
      ]. An interest is now also developing to study the prevalence of long-term effects and how they differ among the modern-day operations. Chronic symptoms after MBS may be extremely complex to describe and assess in the setting of massive weight-loss and overall health improvements. While most patients enjoy long-term benefits after MBS, this outcome is not necessarily universal or guaranteed. The prevalence of chronic abdominal pain (CAP), changes in quality of life (QOL) and their predictive factors merit more clinical scrutiny and scientific evaluation.
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