In Reply We appreciate the opportunity to reply to the thoughtful letters from Fielding as well as O’Brien and Brown regarding our study¹ on reoperation rates following laparoscopic adjustable gastric band placement for morbid obesity. Their comments together raise 2 important points that apply to the gastric band as well as medical devices more broadly: (1) how should costs be factored into evaluating a new medical device? and (2) how should we address the problem of variation in outcomes after a new device or procedure is widely adopted?

中文翻译：

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可调节胃束带回复后的结果。

回复我们很高兴有机会回复菲尔丁以及奥布莱恩和布朗关于我们关于腹腔镜可调节胃束带放置病态肥胖后再手术率的研究^{1的深思熟虑的信件。}他们的评论共同提出了适用于胃束带以及更广泛的医疗器械的两个要点：（1）在评估新的医疗器械时应如何考虑成本？(2) 在新设备或程序被广泛采用后，我们应该如何解决结果变化的问题？