Reply to the Article Moszkowicz D, Arienzo R, Khettab I, Rahmi G, Zinzindohoué F, Berger A, Chevallier JM. Sleeve gastrectomy severe complications: Is it always a reasonable surgical option? Obes Surg. 2013 feb 12

摘要

We read with interest the recent article by Moszkowicz et al. entitled "Sleeve Gastrectomy Severe Complications: Is It Always a Reasonable Surgical Option?" [1]. In this interesting paper, the authors analyzed 22 patients who had undergone laparoscopic sleeve gastrectomy (LSG) in another hospital and who suffered severe complications: 18 patients a postoperative leak and 4 patients a significant stenosis. Whereas we believe it is useful to point out the possible severe complications of a bariatric procedure, one must place these data in the perspective of the actual incidence of complications occurring in a recognized bariatric center. In the literature, a similar approach towards selecting out complications used by Johnson et al. [2] led to the conclusion that the mini-gastric bypass favored by Moszkowicz et al. should in fact be abandoned.