RESUMEN
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.
Asunto(s)
Cirugía Bariátrica , Enfermedades Metabólicas , Obesidad Mórbida , Humanos , Obesidad Mórbida/cirugía , Obesidad/cirugía , Enfermedades Metabólicas/cirugía , Sociedades MédicasAsunto(s)
COVID-19 , Planificación en Salud , Accesibilidad a los Servicios de Salud , Control de Infecciones , Procedimientos Quirúrgicos Operativos , Humanos , COVID-19/epidemiología , COVID-19/prevención & control , Planificación en Salud/normas , Accesibilidad a los Servicios de Salud/normas , Control de Infecciones/métodos , Control de Infecciones/normas , Pandemias , España/epidemiología , Procedimientos Quirúrgicos Operativos/métodos , Procedimientos Quirúrgicos Operativos/normas , Guías de Práctica Clínica como AsuntoAsunto(s)
Betacoronavirus , Neumonía Viral/epidemiología , COVID-19 , Infecciones por Coronavirus , Humanos , Pandemias , SARS-CoV-2Asunto(s)
Betacoronavirus , Infecciones por Coronavirus/transmisión , Transmisión de Enfermedad Infecciosa de Paciente a Profesional/prevención & control , Neumonía Viral/transmisión , Proctectomía/métodos , Neoplasias del Recto/cirugía , Cirugía Endoscópica Transanal/métodos , COVID-19 , Infecciones por Coronavirus/complicaciones , Infecciones por Coronavirus/prevención & control , Humanos , Pandemias/prevención & control , Neumonía Viral/complicaciones , Neumonía Viral/prevención & control , Neoplasias del Recto/virología , SARS-CoV-2RESUMEN
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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Laparoscopía/educación , Tutoría/métodos , Telemedicina/métodos , Adenocarcinoma/cirugía , Anciano , Femenino , Humanos , Internet , Pólipos Intestinales/cirugía , Masculino , Persona de Mediana Edad , Prueba de Estudio Conceptual , Neoplasias del Recto/cirugíaRESUMEN
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.
Asunto(s)
Colitis Isquémica/complicaciones , Enfermedades del Colon/diagnóstico , Enfermedades del Colon/etiología , Obstrucción Intestinal/diagnóstico , Obstrucción Intestinal/etiología , Complicaciones Posoperatorias/diagnóstico , Complicaciones Posoperatorias/etiología , Recto/cirugía , Anciano , Humanos , Masculino , Factores de TiempoRESUMEN
Breast cancer gastrointestinal and soft tissue metastases are extremely rare. We present the case of a woman with perianal metastases from a primary lobular breast carcinoma 11 years after mastectomy and local radiotherapy.