Aparato Digestivo y Endoscopia, Hospital Universitari Dexeus, España.
Aparato Digestivo. Endoscopia Digestiva-Bariátrica, Centro Médico Teknon.
Rev Esp Enferm Dig. 2023 Nov;115(11):652-653. doi: 10.17235/reed.2023.9476/2023.
Bariatric endoscopy treats obesity as a disease, in addition to its multiple associated comorbidities, so it should be considered in the "care-curative" field and not as "satisfying, voluntary or outcoming" medicine. Insufficient weight loss cases, or complications may occur. This, in parallel with the greater diffusion of these techniques, results an increase in the risk of complaints and judicial claims, which will presumably grow during next years. In this sense, we consider that all Bariatric Endoscopic Units working with medical-scientific rigor, must be able to be accredited and have legal support by the Scientific Societies. We propose to create a Medical-Legal Advisory Committee, composed of a medical team and a specialized law firm, which allows advising and guiding the endoscopist when incurring in a conflict.
减重内镜术将肥胖视为一种疾病，除了其多种相关的合并症外，因此应将其视为“治疗性护理”领域，而不是“满足需求、自愿或可选择”的医学。可能会出现减肥效果不足或出现并发症的情况。这种情况，再加上这些技术的广泛传播，导致投诉和法律诉讼的风险增加，预计未来几年这一数字还会增加。在这方面，我们认为所有以医学科学严谨性开展工作的减重内镜科室，都必须能够得到科学协会的认证和法律支持。我们建议创建一个医疗法律咨询委员会，由医疗团队和专业律师事务所组成，以便在发生冲突时为内镜医生提供咨询和指导。
