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Pujol-Rafols J, Carmona-Maurici J, Felsenreich DM, Shikora SA, Prager G, Di Lorenzo N, De Luca M, Uyanik O, Mazzarella M, D'Arco S, Angrisani L, Pardina E, Balibrea JM. Indications and Coverage of Metabolic and Bariatric Surgery: A Worldwide IFSO Survey Comparing Different National Guidelines. Obes Surg 2024; 34:1395-1404. [PMID: 38472706 DOI: 10.1007/s11695-024-07142-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2023] [Revised: 01/19/2024] [Accepted: 02/27/2024] [Indexed: 03/14/2024]
Abstract
INTRODUCTION Knowing how metabolic and bariatric surgery (MBS) is indicated in different countries is essential information for the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO). AIM To analyze the indications for MBS recommended by each of the national societies that comprise the IFSO and how MBS is financed in their countries. METHODS All IFSO societies were asked to fill out a survey asking whether they have, and which are their national guidelines, and if MBS is covered by their public health service. RESULTS Sixty-three out of the 72 IFSO national societies answered the form (87.5%). Among them, 74.6% have some kind of guidelines regarding indications for MBS. Twenty-two percent are still based on the US National Institute of Health (NIH) 1991 recommendations, 43.5% possess guidelines midway the 1991s and ASMBS/IFSO 2022 ones, and 34% have already adopted the latest ASMBS/IFSO 2022 guidelines. MBS was financially covered in 65% of the countries. CONCLUSIONS Most of the IFSO member societies have MBS guidelines. While more than a third of them have already shifted to the most updated ASMBS/IFSO 2022 ones, another significant number of countries are still following the NIH 1991 guidelines or even do not have any at all. Besides, there is a significant number of countries in which surgical treatment is not yet financially covered. More effort is needed to standardize indications worldwide and to influence insurers and health policymakers to increase the coverage of MBS.
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Affiliation(s)
- J Pujol-Rafols
- Metabolic and Bariatric Surgery Unit (UCOM), Clínica Mi Tres Torres and Hospital HM Delfos, Barcelona, Spain.
| | - J Carmona-Maurici
- Departament de Bioquímica i Biomedicina Molecular, Facultat de Biologia, Universitat de Barcelona, Barcelona, Spain
| | - D M Felsenreich
- Division of Visceral Surgery, Department of General Surgery, Medical University of Vienna, Vienna, Austria
| | - S A Shikora
- Harvard Medical School, Department of Surgery Brigham and Women's Hospital, Boston, MA, USA
| | - G Prager
- Division of Visceral Surgery, Department of General Surgery, Medical University of Vienna, Vienna, Austria
| | - N Di Lorenzo
- Dept. of Surgical Sciences, Università di Roma Tor Vergata, Roma, Italy
| | - M De Luca
- Department of Surgery, Rovigo Hospital, Italy
| | - O Uyanik
- Department of General and Digestive Surgery, Hospital Consorci Alt Penedes i Garraf, Hospital Residencia Sant Camil, Sant Pere de Ribes, Barcelona, Spain
| | | | - S D'Arco
- IFSO Headquarters, Naples, Italy
| | - L Angrisani
- Department of Public Health, Federico II" University of Naples, Naples, Italy
| | - E Pardina
- Departament de Bioquímica i Biomedicina Molecular, Facultat de Biologia, Universitat de Barcelona, Barcelona, Spain
| | - J M Balibrea
- Endocrine, Metabolic and Bariatric Surgery Unit, Department of Surgery, Germans Trias i Pujol University Hospital, Badalona, Barcelona, Spain
- Department of Surgery, Universitat Autònoma de Barcelona, Barcelona, Spain
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Pena R, Borja de Lacy F, Balibrea JM, Lacy AM. Locoregional recurrence after transanal total mesorectal excision: an emotional rollercoaster. Br J Surg 2021; 108:e138-e139. [PMID: 33793725 DOI: 10.1093/bjs/znaa174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2020] [Accepted: 12/13/2020] [Indexed: 11/12/2022]
Abstract
Transanal total mesorectal excision is a complex technique that should be performed in expert centers.
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Affiliation(s)
- R Pena
- Department of Gastrointestinal Surgery, Hospital Clinic of Barcelona, Barcelona, Spain
| | - F Borja de Lacy
- Department of Gastrointestinal Surgery, Hospital Clinic of Barcelona, Barcelona, Spain
| | - J M Balibrea
- Department of Gastrointestinal Surgery, Hospital Clinic of Barcelona, Barcelona, Spain
| | - A M Lacy
- Department of Gastrointestinal Surgery, Hospital Clinic of Barcelona, Barcelona, Spain
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Balibrea JM, Morales-Conde S. Position Statement of the Surgery-AEC-COVID Working Group of the Spanish Association of Surgeons on the Planning of Surgical Activity During the Second Wave of the SARS-CoV-2 Pandemic: Surgery Must Continue. Cir Esp 2021; 99:77-79. [PMID: 33228971 PMCID: PMC7598531 DOI: 10.1016/j.ciresp.2020.10.013] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2020] [Accepted: 10/28/2020] [Indexed: 11/24/2022]
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Curell A, Vidal L, Balibrea JM, Dopazo C, Charco R, Gómez-Gavara C. Pyogenic liver abscess: a complication after primary obesity surgery endolumenal (POSE) procedure. Surg Obes Relat Dis 2020; 16:1561-1562. [PMID: 32620377 DOI: 10.1016/j.soard.2020.05.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2020] [Revised: 05/02/2020] [Accepted: 05/05/2020] [Indexed: 11/26/2022]
Affiliation(s)
- A Curell
- Hospital Universitari Vall d'Hebron, Barcelona, Spain
| | - L Vidal
- Hospital Universitari Vall d'Hebron, Barcelona, Spain
| | | | - C Dopazo
- Hospital Clínic de Barcelona, Barcelona, Spain
| | - R Charco
- Hospital Universitari Vall d'Hebron, Barcelona, Spain
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Cano-Valderrama O, Morales X, Ferrigni CJ, Martín-Antona E, Turrado V, García A, Cuñarro-López Y, Zarain-Obrador L, Duran-Poveda M, Balibrea JM, Torres AJ. Reduction in emergency surgery activity during COVID-19 pandemic in three Spanish hospitals. Br J Surg 2020; 107:e239. [PMID: 32406929 PMCID: PMC7273046 DOI: 10.1002/bjs.11667] [Citation(s) in RCA: 52] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2020] [Accepted: 04/14/2020] [Indexed: 02/06/2023]
Affiliation(s)
- O Cano-Valderrama
- Department of Surgery, Hospital Clínico San Carlos, Madrid, Spain.,Department of Surgery, Universidad Complutense, Madrid, Spain.,Instituto de Investigación Sanitaria San Carlos, Madrid, Spain
| | - X Morales
- Department of Gastrointestinal Surgery, Hospital Clínic, Barcelona, Spain
| | - C J Ferrigni
- Department of Surgery, Hospital Rey Juan Carlos, Madrid, Spain
| | - E Martín-Antona
- Department of Surgery, Hospital Clínico San Carlos, Madrid, Spain.,Department of Surgery, Universidad Complutense, Madrid, Spain.,Instituto de Investigación Sanitaria San Carlos, Madrid, Spain
| | - V Turrado
- Department of Gastrointestinal Surgery, Hospital Clínic, Barcelona, Spain
| | - A García
- Department of Surgery, Hospital Rey Juan Carlos, Madrid, Spain
| | - Y Cuñarro-López
- Department of Gynaecology and Obstetrics, Hospital Gregorio Marañón, Madrid, Spain
| | | | - M Duran-Poveda
- Department of Surgery, Hospital Rey Juan Carlos, Madrid, Spain
| | - J M Balibrea
- Department of Gastrointestinal Surgery, Hospital Clínic, Barcelona, Spain.,Department of Surgery, Universidad Autónoma, Barcelona, Spain
| | - A J Torres
- Department of Surgery, Hospital Clínico San Carlos, Madrid, Spain.,Department of Surgery, Universidad Complutense, Madrid, Spain.,Instituto de Investigación Sanitaria San Carlos, Madrid, Spain
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Lacy AM, De Lacy FB, Balibrea JM. Considerations for transanal total mesorectal excision (TaTME) use during the COVID-19 pandemic. Br J Surg 2020; 107:e203. [PMID: 32383490 PMCID: PMC7267642 DOI: 10.1002/bjs.11685] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2020] [Accepted: 04/17/2020] [Indexed: 01/27/2023]
Affiliation(s)
- A M Lacy
- Department of Gastrointestinal Surgery, Hospital Clínic de Barcelona, Barcelona, Spain
| | - F B De Lacy
- Department of Gastrointestinal Surgery, Hospital Clínic de Barcelona, Barcelona, Spain
| | - J M Balibrea
- Department of Gastrointestinal Surgery, Hospital Clínic de Barcelona, Barcelona, Spain
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Lacy AM, Bravo R, Otero-Piñeiro AM, Pena R, De Lacy FB, Menchaca R, Balibrea JM. 5G-assisted telementored surgery. Br J Surg 2019; 106:1576-1579. [PMID: 31483054 DOI: 10.1002/bjs.11364] [Citation(s) in RCA: 66] [Impact Index Per Article: 13.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2019] [Revised: 08/19/2019] [Accepted: 08/21/2019] [Indexed: 01/10/2023]
Abstract
Safe and effective implementation of remote surgery and telementoring can have significant limitations. Fifth-generation (5G) wireless networks could be useful in overcoming these drawbacks. As a proof of concept, the authors present technical and clinical details of two procedures assisted by telementoring using 5G that were also broadcast live. Secure remote access advice.
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Affiliation(s)
- A M Lacy
- Department of Gastrointestinal Surgery, Hospital Clínic de Barcelona, Barcelona, Spain.,AIS Channel, Barcelona, Spain
| | - R Bravo
- Department of Gastrointestinal Surgery, Hospital Clínic de Barcelona, Barcelona, Spain
| | - A M Otero-Piñeiro
- Department of Gastrointestinal Surgery, Hospital Clínic de Barcelona, Barcelona, Spain.,AIS Channel, Barcelona, Spain
| | - R Pena
- Department of Gastrointestinal Surgery, Hospital Clínic de Barcelona, Barcelona, Spain.,AIS Channel, Barcelona, Spain
| | - F B De Lacy
- Department of Gastrointestinal Surgery, Hospital Clínic de Barcelona, Barcelona, Spain.,AIS Channel, Barcelona, Spain
| | | | - J M Balibrea
- Department of Gastrointestinal Surgery, Hospital Clínic de Barcelona, Barcelona, Spain.,AIS Channel, Barcelona, Spain
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Zuloaga J, Arias-Díaz J, Fernández-Díez S, Balibrea JM, Balibrea JL. [Late ischemic stricture following anterior rectal resection]. Rev Esp Enferm Dig 2008; 100:49-52. [PMID: 18358062 DOI: 10.4321/s1130-01082008000100010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
A considerable incidence of colonic strictures after oncologic low anterior resections has been reported. The present paper describes a colonic stricture 5 years after the surgery, and not related to radiotherapy, that required a challenging differential diagnosis with local recurrence of rectal cancer. The role of endoscopy in the management of this condition is discussed.
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Affiliation(s)
- J Zuloaga
- Servicio de Cirugía 2, Hospital Clínico San Carlos, Universidad Complutense de Madrid.
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