Obesity Surgery (also know as bariatric and metabolic surgery) is one of the most common reasons people engage in so-called “Medical Tourism”-WHEREN EARAVEL to Another Country For A Procure Usually offered a much lower price than in their home country.

However, such procedus can sometimes be botched and lead to infections, temporary or permanent injuries and/or scarring, and in thewst cases, can be fatal. In europe, there is currently no published data evaluating how to improve the safety of obesity surgery medical tourism.

Seeking this type of obesity surgery medical tourism is particularly Common for People Living In the UK and Ireland Due to Long Waiting Lists for Obesity Surgery, Whichmitimes Reach Sears in the State Health Systems of these countries. Within the uk there are likely thosands of cases every year, but it is very different to get accurate estimates as this type of medical tourism is unregulated, and health care professionals in the uk can be able Not receive the discharge letters / operative notes from wherever the surgery has taken place.

A collaboration Between Key Organizations in the Field-the European Association for the Study of Obesity (EASO), The International Federation for Obesity and Metabolic Disorders European Chapter And the european collation for people living with obesity (eCPO) – his gathered opinions from members of all three organizations to agree to a set of standards to apply to medical tourism in the CONTEXTXTXTXTXTXTXTEXTEXTEXTEX Surgery.

Their Consensus Paper is Published in the International Journal of SurgeryAnd Its Authors Include Dr. Laurence Dobbie, National Institute for Health and Care Research (NIHR) Academic Clinical Fellow in General Practice, School of Life Course & Population Sciences, Kings College London, UK; Professor Volkan Yumuk, President of the Easo and Based at ISTANBUL University-Cerrahpaşa, Cerrahpaşa Medical Faculty, Istanbul, Turkey; And Bariatric surgeons Professor Ralph Peterli, St. Clara Hospital and University Hospital, Basel, Switzerland and Professor Barbara McGowan, Co-Chair of Easo’s Obesity Management Task Force; And Susie Birney, Operations Director at ECPO, Dublin, Ireland.

IFSO-EC, Easo and Ecpo Initiated a Task Force to Delineate Safe Practices in Obesity Surgery. Two Expert European Panels was convened, one compared of health care professionals (identified from easo and ifso-fit) and the other of patients (Identified from Ecpo). A total of 119 Health Care Professionals and 88 Patient representatives Participated from 26 Countries.

The Health Care Professional Panel Included 66 Bariatric Surgeons, 28 Endocrinologists, 18 dietitians, Three Nurses, Two Psychologists, One General Practitioner and One Gastroenterologist. A total of 135 questions on obesity surgery practices and recommendations were put to the experts, and consensusus was defined as 70% agrement.

The recommendations were divided into Six Areas, and Included:

Regulation

• Bariatric and metabolic surgery in europe should only be performed at centers of obesity management which are accredited by either emotion by either emot Representative National Bariatric and Metabolic Surgery (BMS) Society or Surgical Society.
• Only surgical procedures/methods which are accredited by eather IFSO (International Federation for the Surgery of Obesity and Metabolic Disorders) or a National Bariatric and Metabolic Social Society, etc. Regularly evaluates surgical procedus, should be performed in the context of surgical tourism.
• Bariatric and metabolic surgical procedus in the stages of research development should not be performed in the context of medical tourism.

Provision of care

• In the context of surgical tourism, bariatric follow-up should be provided for twoyears by the unit performing the surgery.
• Prior to bariatric surgery, patients should be provided with clear information about the risks and benefits of the surgery, increded risk of having this surgery away from,
• Patients Should have written and verbal consent taken prior to bariatric and metabolic surgery

Eligibility

• In the context of medical tourism, patients with BMI <30 kg/m ² Should not undergo bariatric and metabolic surgery.
• A copy of the patient’s medical records, from the patient’s home count, should be assessed for the medical history, Prior to Proceeding with Bariatric surgery abroad.

Operative care questions

• In the context of medical tourism, patients should stay at least five days post-operatively in the geographical location of the Bariatric and Metabolic Surgery Before Jacks.
• In the context of medical tourism, the operating bariatric surgeon should liaise with the patient’s treatment doctor/general practice in their home count to face.
• Patients should be advised on the changes in the absorption of some medicines (IE, Anti-Epileptics, Anticoagulants, Psychotropic medicines) Following bariatric and metabolic surgery.
• In the context of medical tourism, when patients have significant complications following bariatric and metabolic surgery, they should only be cleared to travel These have been addressed.

Advertising and Online Information

• When discounted rates or special offers for bariatric and metabolic surgery are offered by bariatric centers, this raises concern about the quality of the care.
• Bariatric centers should provide publicly available available information regarding the financial cost and required payment methods for bariatric surgery at their site.
• Bariatric Centers Should Provide Publicly available available information Regarding the type of accreditation their surgeons have,

Patient representative panel results

• PATIENTS MUSTE BE Informed WHETHER The Bariatric Surgery Being Offred is Internationally recognized.
• Patients must be provided with all relevant Clinical Document from their bariatric surgery to allow them to have safe safe follow-up in their home country.
• Patients must be provided with a translator if they cannot speak the same language as their bariatric surgeon.

Among their conclusions, The Authors Say, “We recommend multiple aspects in providing bariatric surgical care abroad, aligning with interactive standards. Follow-up, in line with published literature.

“The Multi-Disciplinary Team (MDT) is Central to Bariatric Care; evaluation before obesity surgery, as a recent study shows patients undergoing obesity surgery have Various endoscopic pathology, potentily impacting procedure ChocE.

“For lifestyle, we recommend pre-operative alcohol screening and counseling on Limiting alcohol intake pre- and post-operatively due to the increased risk of alcohol use alcohol use projects Following Obesity Surgery.”

Dr. Dobbie Says, “Across Europe, People Living With Obesity often Wait Several Years, or Lack Access Entrely, to Obesity Surgery in their home counters, Prompting Many to Seek Treatment Aroad. Unfortunately, some of these provides fail to meet basic standards of care, resulting in serial injuries and, tragically, even death.

“This new guidelines -deeeloped in collaboration with health care professionals and patients from access Europe – Set out clear Standards for Obesity Surgery in the Medical Tourism Sector, with the aim of imperoving Patient Safety and Preventing Further Harm. “

Easo President Professor Yumuk Says, “There have been too many cases of poorly performed, and in some cases, unsafe obesity surgery surgery carried out abroad Under What We WLDICAL TOURLDIL TOURLDICAL TOURISMM. In producing these guidelines, the obesity communication has come togeether to make sure obesity surgery in europe is safe and mets appropriate and mets approves approves standards, wherever it takes place. “

Dr. Peterli Says, “in my view, the interdisciplinary and interprofessional work involved in the development of this consensus paper was very important in ordera to protect patients Help in their own country for the treatment of severe obesity.

“At the same time, it was also very instructive for me to learn about the most important aspects of the problem togethr with patients with patients and that affected. Work togeether to eliminate or at least minimize the negative effects of surgical tourism, whil acneowledging there is also surgical tourism that is also surface for

Professor McGovan Adds, “This is an important consensus which highlights the standards people Considerations and the importance of post-operative after care.

Susie Birney, Operations Director at ECPO, Dublin, Ireland, Says, “Patient safety is our perority and unfortunately many many many many many members across europe who has had unfortunate incidences while seeking surgery abroad.

“What is even more disturbing is the knowledge that there many more stories untold because people Feel Feel Sighmatized and Judged for their Actions. This is a time when patients need counted support and guidance and are Important to see this consensus highlight the minimum standards patients should demand, and deeserve, when it come to treatment. “

Provided by european association for the study of obesity