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Bariatric surgery: Canadian doctors warned

After 27 medico-legal cases involving bariatric surgery have ended up in Canadian courts in the past five years, the Canadian Medical Protective Association (CMPA) has issued new risk management guidelines for its members. A CMPA review of the cases found that the most common procedures involved were gastric banding, laparoscopic Roux-en-Y gastric bypass and open biliopancreatic bypass. The only CMPA members involved were general surgeons. All but six of the 26 cases were settled.

15 Oct 2012

After 27 medico-legal cases involving bariatric surgery have ended up in Canadian courts in the past five years, the Canadian Medical Protective Association (CMPA) has issued new risk management guidelines for its members.

A CMPA review of the cases found that the most common procedures involved were gastric banding, laparoscopic Roux-en-Y gastric bypass and open biliopancreatic bypass. The only CMPA members involved were general surgeons. All but six of the 26 cases were settled.

The review reported that no concerns were expressed about whether or not each procedure was appropriate. Instead, the main allegations made by patients were that consent discussions were lacking and that histories were inadequate.

The new, six-point risk management guidelines for bariatric surgery offered by the CMPA - “based on the opinions of the surgical experts who examined the clinical care in the cases” – cover pre-operative, inter-operative and post-operative management.

DN


Published: 15 Oct 2012