ACTUALIDAD. ACTUALIDAD

POSTED 25 de marzo de 2019

BIOGRAPHY - Miguel-Angel Carbajo, MD, PhD

Dr. Miguel-A Carbajo is a pioneer in the fields of Laparoscopic and Obesity Surgery in Europe, Latin America, and the Middle East.

Dr. Miguel-A Carbajo is a pioneer in the fields of
Laparoscopic and Obesity Surgery in Europe, Latin
America, and the Middle East. He was born during the postcivil
war period in a historical village in the province of
Palencia in north-central Spain called Dueñas and grew up
in a farmer family.
Dr. Carbajo studied Medicine at the University of
Valladolid (UV). Due to his early interest in history and
literature, he wrote several historical books concerning the
rates of illiteracy in deprived areas. Later, he was able to
conduct literacy campaigns for adults throughout Spain.
He graduated with honors and joined the Unit of Surgical
Pathology where he was initially responsible for the education
of interns. In 1977, after obtaining a postgraduate
degree in General and Gastrointestinal Surgery, he was
placed in charge of the Surgical Unit at the University
Clinic of Rio Hortega Hospital in Valladolid, where he
was involved in all surgical subspecialties including thoracic,
vascular, trauma, and gastrointestinal. It was there
where he developed a great interest in teaching. During
his years at the University Clinic, he taught at both the
undergraduate and postgraduate levels.
As Chairman of the Infections and Nutrition Committee,
and Planning Manager for the Emergency Unit, he developed
a keen interest in the management of sepsis and severe intraabdominal
infections. He was a member of the first programs
to implement enteral and parenteral nutrition in these patients.
This led to the publication of innovative scientific papers on
pancreatitis and peritonitis, as well as artificial nutrition and
the use of glutamine as an intestinal restorer in patients with
bowel resections and/or severe sepsis. Furthermore, as a
means to overcome the scarce technology during that time in
Spain, in 1979, he developed the first laparoscopic surgical
techniques through optical lenses and a light source,
performing hundreds of diagnostic and therapeutic
procedures.
In 1989, he was appointed Head of the General and
Gastrointestinal Surgery Unit at Medina del Campo Hospital
(Valladolid), during a time when laparoscopic surgery with a
camera was being introduced in France. After observing Dr. F.
Dubois’s procedures in Paris, he immediately started the systematic
implementation of cholecystectomy and other emerging
laparoscopic techniques, which soon allowed his hospital
to become a reference center in laparoscopic surgery both at
the national and international levels. Over the following years,
he organized more than 30 advanced laparoscopic surgery
workshops, and several symposia on endoscopic suturing.

Numerous surgeons, not only from different regions of Spain,
but also from other countries, participated.
Dr. Carbajo developed the first laparoscopic method to
repair medium, large, and massive incisional ventral hernias,
without external sutures, later known as the “doublecrown
technique.” Moreover, he was able to conduct and
publish the first prospective randomized trial comparing
open versus laparoscopic approaches to repair incisional
hernias. These achievements led him to conduct weekly
live surgical demonstrations for Spanish surgeons, as well
as during numerous congresses and courses worldwide.
In 1990, he performed a successful vertical-banded
gastroplasty in a high risk, super obese patient. This intervention
reinforced his interest in Bariatric Surgery, a
field in which he would work for the rest of his life. Dr.
Carbajo published the first series of Lap-Bands in Spain
and the world’s first case of an adjustable gastric banding
penetrated into the stomach, which was successfully treated
by a conversion to a Roux-en-Y gastric bypass
(RYGB). Disappointed by purely restrictive procedures,
he focused his efforts on the RYGB, performing them
initially in a laparoscopic-assisted manner, and then in a
fully laparoscopic fashion. At that time, he suggested that
making the RYGB more malabsorptive was needed in
order to improve outcomes.
In 1997, he co-founded SECO (Spanish Society of
Obesity Surgery), and joined IFSO. He organized and presided
over the 2004 SECO Congress in Valladolid, which
had an unprecedented attendance and academic program.
He was also a Co-Founder of SECLAR (Spanish Society of
Laparoscopic and Robotic Surgery), serving as their
President in 2003, and MMESA (Mediterranean and
Middle Eastern Endoscopic Surgery Association) where
he was also the President during 2005–2006. This latter
Association led him to host multiple seminars and courses
which expanded training and knowledge in laparoscopic
and bariatric surgery all around the Mediterranean basin.
Dr. Carbajo rounded out his presidency by chairing an
International Congress held in Malaga (Spain).
Dr. Carbajo represented Spain for several years in
FELAC (Latin American Federation of Surgery) and in
ALACE (Latin American Association of Endoscopic
Surgery), where he also served on its Executive Board. In
fact, he is currently an active member of more than 20
national and international scientific associations, being
the Founder and Board Member of several of them.
Moreover, he was named an Honorary Member of various
Portuguese and Latin American Associations, and a
Member of the Review Committee of the EAC-BS
(European Accreditation Council in Bariatric Surgery) for
Centers of Excellence of IFSO.
Conscious of regional needs, in 2000, Dr. Carbajo
founded the Center of Excellence for the Study and
Treatment of Obesity and Diabetes. Two years later, he created
the Association for the Promotion of Laparoscopic and
Endoscopic Surgery, serving to this day as Director of both.
Since their inception, these multidisciplinary institutions have
served to bring a standardized service of excellence to thousands
of patients, train hundreds of surgeons from different
countries, and perform scientific investigations. These research
efforts have resulted in a close partnership with the
Endocrinology and Nutrition Research Center at the UV
where he currently leads several projects related to obesity
and its comorbidities, as well as their fate after surgical treatment.
In 2011, his Center of Excellence was approved by the
EAC-BS (European Accreditation Council in Bariatric
Surgery) of IFSO. Periodical auditing by this Council and
their rigorous requisites for recertification have indeed validated
the center’s methods and guided efforts to improve
outcomes.
After performing most of the operative techniques in
bariatric surgery, both open and laparoscopic, in 2002,
Dr. Carbajo assessed the concept of the Mini-Gastric
Bypass (MGB). He embraced its potential benefits, but
noted that several conceptual changes were needed in order
to make it safer and more effective. As others, he was
especially concerned about alkaline reflux and its potential
consequences, thus, among other modifications, he developed
an antireflux mechanism. The term BAGUA (Bypass
Gastrico de una Anastomosis–in Spanish) or OAGB (One
Anastomosis Gastric Bypass) was coined for him for this
modified technique. He was also a pioneer in promoting
use of robotic assisted technology for bariatric operations.
Even though the OAGB initially faced strong skepticism,
after performing the procedure in more than 3000 patients,
and teaching it to hundreds of surgeons who have also
reproduced the technique successfully, the OAGB has
slowly become a sound alternative in bariatric and metabolic
surgery. Multiple publications attest to this fact and
several consensus conferences have also reached this conclusion.
Along with other surgeons, he founded the MGBOAGB
International Scientific Club in Vienna during
IFSO’s 2015 Congress. He is currently the President of
the club, and is organizing and chairing its annual meeting
in Valladolid in June of 2018.
Dr. Carbajo’s academic determination led him to pursue
further postgraduate titles. In 1992, he earned a PhD degree
and was awarded the Cum Laude distinction in
Medicine and Surgery by the UV. His thesis about the
crisis of hunger, immunosuppression, and high mortality
rates seen until the beginning of the twentieth century
was recognized and published by the local government.
In 1998, he graduated as “Doctor in Philosophy and
Tradition Studies” from the UV. He wrote a doctoral thesis
about hospitals and “barber” surgeon’s working methods
from the sixteenth to nineteenth centuries.

Dr. Carbajo’s scientific links with the University continue
through his extensive collaboration with the Experimental
Surgery Research Chair, where he has co-directed several experimental
theses regarding models of short bowel syndrome,
small bowel transplants, hepatic and intestinal ischemia, absorption
of micronutrients, fatty liver, and synthetic surgical
sealants. He recently coordinated the first Doctoral Thesis
concerning outcomes of morbidly obese patients submitted
to OAGB, which was awarded a Cum Laude Distinction.
With regard to his editorial production, he serves as a member
of the Editorial Board of several international scientific
journals and a reviewer of numerous obesity and laparoscopic
projects. Dr. Carbajo’s innovative spirit is deeply linked with
scientific breakthroughs. Co-author of 15 chapters in laparoscopic
and bariatric surgery books, he also authored more than
170 scientific articles and participated in close to 600 conferences,
including oral presentations, videos, and other scientific
and practical hands-on activities. He has also published
more than 200 informative articles and appeared in the media
in order to raise awareness about the serious risks and complications
of sedentary lifestyle, bad eating habits, overweight,
and obesity.
Besides his academic and scientific interests, Dr. Carbajo
has a great passion for writing, art, poetry, history, and more
recently, photographic safaris. In 2009, he was ordained
Knight of the “Order of Saint James” (Santiago de
Compostela), which dates back to medieval times. He currently
lives in Valladolid with his lovely wife Inmaculada who
also works at the Center of Excellence. She is a bariatric psychologist
but also dynamically coordinates many of the center’s
activities. Their older son is a lawyer who lives in Russia
and has given them two beautiful grandchildren. Their younger
daughter recently finished high school and studies filmmaking
in London’s University. They all love to travel and try
to reunite the family whenever possible.
 
TESTIMONIOS
Descubre porqué el Dr. Carbajo es una eminencia mundial.
Yolanda
Yolanda
A los tres meses
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Patrinchin
Patrinchin
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Sofia Saiz
Sofia Saiz
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Francisca
Francisca
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Miguel Ángel
Miguel Ángel
En pleno proceso de adelgazamiento
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Ángel
Ángel
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