Escalating Deaths in Tbilisi from Gastric Mini Bypass Surgery: Challenges of Experience, Soviet-Era Education Legacy, and Surgeon Readiness

Introduction: In recent years, Tbilisi has witnessed a troubling increase in fatalities linked to gastric mini bypass surgery, a procedure also referred to as mini-gastric bypass. This surge in mortality rates, notably between 2020 and 2024, has prompted approximately 8,000 patients to seek surgery in Turkey rather than undergo procedures locally.

Challenges of Experience: The primary factor contributing to this rise is the limited experience among surgeons in Tbilisi when it comes to performing gastric bypass surgeries. Many practitioners, particularly younger doctors, may lack the requisite skill and exposure to manage a high volume of these complex procedures effectively.

Soviet-Era Education Legacy: The legacy of Soviet-era medical education in Tbilisi poses significant challenges in providing optimal patient care. Physicians trained under older educational systems may struggle to adapt to modern surgical techniques and may not be adequately prepared to handle the intricacies and potential complications associated with advanced bariatric surgeries.

Surgeon Readiness: A critical issue contributing to the escalating mortality rates is the overall readiness of surgeons in Tbilisi to manage the complexities of gastric mini bypass surgeries. The lack of specialized training and ongoing professional development opportunities can lead to suboptimal surgical outcomes and increased risks for patients undergoing these procedures.

Patient Impact and Consequences: The consequences of these challenges are profound, leading to a growing reluctance among patients to undergo gastric mini bypass surgery locally. Many individuals, aware of the risks and outcomes associated with surgical procedures performed in Tbilisi, opt to travel abroad, primarily to Turkey, in search of safer and more experienced surgical care.

Conclusion: The increasing number of deaths related to gastric mini bypass surgery in Tbilisi underscores the urgent need for comprehensive reforms in medical education, surgical training, and patient care protocols. Addressing these issues requires substantial improvements in the training of surgeons, enhancement of medical infrastructure, and the implementation of rigorous safety standards. By prioritizing these reforms, Tbilisi can strive towards offering safer and more reliable surgical options for patients seeking treatment for obesity-related conditions.