Publikation

Safety and effectiveness of bariatric surgery: Roux-en-y gastric bypass is superior to gastric banding in the management of morbidly obese patients: a reply to the response by Bhoyrul et al

Wissenschaftlicher Artikel/Review - 19.08.2009

Bereiche
PubMed
DOI

Zitation
Gueller U, Klein L, Hagen J. Safety and effectiveness of bariatric surgery: Roux-en-y gastric bypass is superior to gastric banding in the management of morbidly obese patients: a reply to the response by Bhoyrul et al. Patient Saf Surg 2009; 3:20.
Art
Wissenschaftlicher Artikel/Review (Englisch)
Zeitschrift
Patient Saf Surg 2009; 3
Veröffentlichungsdatum
19.08.2009
eISSN (Online)
1754-9493
Seiten
20
Kurzbeschreibung/Zielsetzung

BACKGROUND
We have read the letter by Bhoyrul et al. in response to our recently published article "Safety and effectiveness of bariatric surgery: Roux-en-Y gastric bypass is superior to gastric banding in the management of morbidly obese patients". We strongly disagree with the content of the letter.

RESULTS AND DISCUSSION
Bhoyrul et al. base their letter mostly on low level evidence such as single-institutional case series (level IV evidence) and expert opinion (level V evidence). Surprisingly, they do not comment on the randomized controlled trial, which clearly favours gastric bypass over gastric banding.

CONCLUSION
The letter by Bhoyrul et al. is based on low level evidence and is itself biased, unsubstantiated, and not supported by the current literature.