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ASMBS: things to generally avoid when having surgery
The American Society for Metabolic and Bariatric Surgery (ASMBS) has released a list of five things to generally avoid when patients undergo bariatric surgery. The creation of the list is part of ABIM Foundation’s Choosing Wisely initiative, which raises professional and public awareness about procedures, tests and treatments whose necessity should be questioned and discussed by health care professionals and patients.
“These are evidence-based recommendations that will help improve patient care and outcomes and help avoid the routine use of procedures and treatments that may be unnecessary for most patients,” said Dr John M Morton, President of the ASMBS.
The ASMBS issued the following “Five things physicians and patients should question”:
- Avoid an open approach for primary bariatric surgical procedures
- Avoid routine postoperative antibiotics
- Don’t routinely use the intensive care unit for postoperative monitoring
- Don’t routinely remove the gallbladder unless clinically indicated
- Avoid routine use of intra-operative invasive monitoring
"The Clinical Issues Committee of the ASMBS, which is made up of bariatric surgeons with significant contributions to high quality publications in the field of bariatric surgery, submitted proposals which were then vetted and prioritized by the Executive Leadership of ASMBS. All five recommendations have strong evidence in the literature to support them," said Dr Shanu N Kothari, Chair of the ASMBS Clinical Issues Committee.
Since the launch of the Choosing Wisely initiative in 2012, more than 70 specialty society partners have released recommendations with the goal of advancing a national dialogue on avoiding wasteful or unnecessary medical tests, treatments and procedures.