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VIDEO: IBD surgical care must go beyond tertiary centers

ORLANDO — In this exclusive video from Advances in IBD 2018, Feza Remzi, MD, professor of surgery at NYU Langone Medical Center, discusses centralization of surgical care of patients with inflammatory bowel disease.

“So many studies show that experience, volume, matters, decreasing the morbidity, mortality when we serve our patients with inflammatory bowel disease in surgical setting,” Remzi told Healio Gastroenterology and Liver Disease. “This is something we’ve started to look at more and made the institutions, physicians, and as a group, as a collective care provider, accountable to our patients.”

Remzi said he focuses on the “Four As”; availability, affability, ability and accountability. Remzi said recent studies have shown that surgical care of these patients needs to be handled not only in tertiary care centers, but also at centers higher up in quaternary care.

“The management of these patients can be very tough and complex,” Remzi said. “In many of these patients, when the surgery had some issues when it’s not done in these high-volume or quaternary care centers, it can create more problems for our patients.”

Disclosures: Remzi reports no relevant financial disclosures.

 

 

 

 

ORLANDO — In this exclusive video from Advances in IBD 2018, Feza Remzi, MD, professor of surgery at NYU Langone Medical Center, discusses centralization of surgical care of patients with inflammatory bowel disease.

“So many studies show that experience, volume, matters, decreasing the morbidity, mortality when we serve our patients with inflammatory bowel disease in surgical setting,” Remzi told Healio Gastroenterology and Liver Disease. “This is something we’ve started to look at more and made the institutions, physicians, and as a group, as a collective care provider, accountable to our patients.”

Remzi said he focuses on the “Four As”; availability, affability, ability and accountability. Remzi said recent studies have shown that surgical care of these patients needs to be handled not only in tertiary care centers, but also at centers higher up in quaternary care.

“The management of these patients can be very tough and complex,” Remzi said. “In many of these patients, when the surgery had some issues when it’s not done in these high-volume or quaternary care centers, it can create more problems for our patients.”

Disclosures: Remzi reports no relevant financial disclosures.

 

 

 

 

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