Reply to Gagner’s Letter RE Features of MGB and OAGB
We read with interest and some perplexity Dr. Gagner’s letter regarding the Mini-One Anastomosis Gastric Bypass (MGB-OAGB) . Indeed, the reader might sense that he is criticizing not the third most frequently performed bariatric operation , 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 . 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)  has...
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflict of interest.
Does not apply.
Does not apply.
- 15.Luukkonen P, Kalima T, Kivilaako E. Decreased risk of gastric stump carcinoma after partial gastrectomy. Hepato-Gastroenterology. 1990;37:392–4.Google Scholar
- 31.Weiner RA, Theodoridou S, Weiner S. Failure of laparoscopic sleeve gastrectomy – further procedure? Obes Facts. 2011;1:4–6.Google Scholar
- 40.Ruiz-Tovar J, Carbajo MA, Jimenez JM, et al. Long-term follow-up after sleeve gastrectomy versus Roux-en-Y gastric bypass versus one-anastomosis gastric bypass: a prospective randomized comparative study of weight loss and remission of comorbidities. Surg Endosc. 2018; https://doi.org/10.1007/s00464-018-6307-9.