减肥手术的医疗旅游。
Medical tourism in bariatric surgery.
机构信息
Center for the Advancement of Minimally Invasive Surgery, Royal Alexandra Hospital, 10240 Kingsway, Edmonton, Alberta, T5H 3V9 Canada.
出版信息
Am J Surg. 2010 May;199(5):604-8. doi: 10.1016/j.amjsurg.2010.01.002. Epub 2010 Mar 25.
BACKGROUND
The number of Canadians who self-refer for bariatric surgery outside of Canada or to private clinics within Canada remains undefined. The outcomes from this questionable practice have not been evaluated systematically to date.
METHODS
We completed a chart review of known cases referred to our center for complications related to medical tourism and bariatric surgery.
RESULTS
We present a series of patients who have experienced complications because of medical tourism for bariatric surgery and required urgent surgical management at a tertiary care center within Canada. Complications have resulted from 3 commonly used procedures: adjustable gastric banding, gastric sleeve resection, and Roux-en-Y gastric bypass.
CONCLUSIONS
Because of this review, we propose that a medical tourism approach to the surgical management of obesity-a chronic disease-is inappropriate and raises clear ethical and moral issues.
背景
在加拿大境外或在加拿大的私人诊所自行转诊进行减肥手术的加拿大人的数量尚未确定。迄今为止，尚未对这种有问题的做法的结果进行系统评估。
方法
我们对转诊到我们中心的与医疗旅游和减肥手术相关的并发症的已知病例进行了图表回顾。
结果
我们提出了一系列因减肥手术的医疗旅游而出现并发症并需要在加拿大的三级护理中心进行紧急手术治疗的患者。并发症是由 3 种常用手术引起的：可调胃束带术、胃袖状切除术和 Roux-en-Y 胃旁路术。
结论
由于此次审查，我们提出，将医疗旅游方法用于肥胖症这一慢性疾病的手术治疗是不恰当的，并且引发了明确的道德和伦理问题。
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