Obesity Surgery

, Volume 29, Issue 2, pp 637–639 | Cite as

Reply to Gagner’s Letter RE Features of MGB and OAGB

  • Mario MusellaEmail author
  • Mervyn Deitel
  • K. S. Kular
  • Miguel-A. Carbajo
  • Karl P. Rheinwalt
  • Chetan Parmar
  • Arun Prasad
  • Enrique Luque-de-Leon
  • Gurvinder Jammu
  • Roger Luciani
  • David Hargroder
  • Cesare Pereaglie
  • Jean Marc Chevallier
Letter to the Editor

We read with interest and some perplexity Dr. Gagner’s letter regarding the Mini-One Anastomosis Gastric Bypass (MGB-OAGB) [1]. Indeed, the reader might sense that he is criticizing not the third most frequently performed bariatric operation [2], but rather an experimental surgery that a few stubborn surgeons continue to perform and casually present, despite poor results.

Actually, his criticism pertains to IFSO, where after a thorough literature review, the MGB-OAGB was endorsed [3]. Dr. Gagner states that this is “a decision based on unknown incidence of bile gastritis and its effects long-term, late occurrences of life-threatening marginal ulcers, and inadequate nutritional long-term data.” It is noteworthy that the group entrusted by IFSO was a balanced mix of authors who perform the MGB-OAGB and authors who do not perform the operation.

We comment, according to published scientific evidence, on some observations by Gagner.

Bile reflux in the stomach (but not in esophagus) [4] has...


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Conflict of Interest

The authors declare that they have no conflict of interest.

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Does not apply.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Mario Musella
    • 1
    Email author
  • Mervyn Deitel
    • 2
  • K. S. Kular
    • 3
  • Miguel-A. Carbajo
    • 4
  • Karl P. Rheinwalt
    • 5
  • Chetan Parmar
    • 6
  • Arun Prasad
    • 7
  • Enrique Luque-de-Leon
    • 8
  • Gurvinder Jammu
    • 9
  • Roger Luciani
    • 10
  • David Hargroder
    • 11
  • Cesare Pereaglie
    • 12
  • Jean Marc Chevallier
    • 13
  1. 1.Past-President MGB-OAGB Club, Member SICOB Executive Committee, Advanced Biomedical Sciences DepartmentFederico II University - Medical SchoolNaplesItaly
  2. 2.Director MGB-OAGB Club, Editor-in-Chief Emeritus Obesity SurgeryFounding Member (Past-President) ASMBS, Founding (Honorary) Member IFSOTorontoCanada
  3. 3.Founding President MGB-OAGB ClubKular Research InstituteBijaIndia
  4. 4.President MGB-OAGB Club, Director Center of Excellence for the Study & Treatment of Obesity and Diabetes, EAC for Bariatric Surgery of IFSOValladolidSpain
  5. 5.President Elect MGB-OAGB Club, Head Department of Obesity, Metabolic and Plastic SurgerySt. Franziskus-HospitalCologneGermany
  6. 6.Treasurer MGB-OAGB ClubWhittington Health NHSLondonUK
  7. 7.Head of Department of Surgery - Surgical Gastroenterolgy & Bariatric Surgery, President of Obesity Surgery Society of India (OSSI)Manipal HospitalDwarkaIndia
  8. 8.Vice-President MGB-OAGB Club, Center of Excellence for the Study and Treatment of Obesity and Diabetes (Valladolid, Spain), Center of Excellence for the Study and Treatment of Obesity and Diabetes – Latinamerican Affiliated Subsidiary / The American British Cowdray Medical Center, I.A.P. / Hospital de Especialidades - Centro Médico Nacional / IMSSMéxico CityMexico
  9. 9.Near Sports CollegeJammu HospitalJalandharIndia
  10. 10.Digestive and Bariatric Surgery, Groupement Hospitalier les Portes du Sud Lyon VenissieuxVénissieuxFrance
  11. 11.Mercy Clinic General and Specialty SurgeryJoplinUSA
  12. 12.Heart of Florida Regional Medical CenterDavenportUSA
  13. 13.President Elect IFSO EC- SOFFCO-MM, Digestive and General SurgeryHôpital Européen Georges PompidouParis cedex 15France

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