Publication

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

Journal Paper/Review - Aug 19, 2009

Units
PubMed
Doi

Citation
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.
Type
Journal Paper/Review (English)
Journal
Patient Saf Surg 2009; 3
Publication Date
Aug 19, 2009
Issn Electronic
1754-9493
Pages
20
Brief description/objective

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.