3.09 CME

रोगी की आवश्यकता के अनुसार बैरिएट्रिक प्रक्रिया का चयन

वक्ता: डॉ. एनास अल अलावी

Specialist General & Laparoscopic Surgeon, HMS Al Qarhoud Hospital

लॉगिन करें प्रारंभ करें

सारांश

  • The speaker, a bariatric surgeon and medical director, emphasizes the importance of organizational culture in bariatric surgery, defining it as a reflection of values, customs, and beliefs. They express concern that the field's reputation is tarnished by the perception that surgeons prioritize operating over comprehensive patient assessment. The surgeon advocates for individualized patient assessments to determine the most appropriate intervention for each patient.
  • The presentation highlights the variety of bariatric procedures, including surgical, endoscopic, permanent, and temporary options, and stresses the need for healthcare professionals to educate themselves about these different options. The speaker also discusses the limitations of relying solely on bariatric procedures for weight loss, emphasizing the critical role of behavioral therapy in achieving and maintaining long-term success.
  • The surgeon stresses the importance of a multidisciplinary team (MDT) approach involving surgeons, dietitians, and other specialists in assessing and managing bariatric patients. The speaker criticizes the superficial approach of some practitioners who blindly follow guidelines without considering individual patient needs. The presentation argues for a more thorough evaluation of patients, including assessing the speed of gastric emptying before deciding on the type of surgery.
  • The presentation highlights the need to manage patient expectations realistically, emphasizing that weight loss surgery is not a guaranteed fix and that patients need to understand potential drawbacks and complications. The speaker shares personal experience related to a colleague's successful practice to illustrate that appropriate patient training can ensure successful outcomes.
  • The speaker criticizes the commercialization of bariatric surgery, the overuse of procedures due to their ease of performance and financial incentives, and the failure to adequately counsel patients about the psychological impacts of surgery. They express concern over a high rate of depression after sleeve gastrectomies and advocates for improvements in pre- and post-operative care.
  • They also point out limitations with the existing guidelines, with some patients gaining wait to become eligible for surgery. The surgeon notes that despite a required six month waiting period, most patients are still set on surgery by the time the period has elapsed. They advocate for stronger guidelines based on the individual.

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