Metabolic and Bariatric Surgeon Criteria-An International Experts' Consensus.
| Title: | Metabolic and Bariatric Surgeon Criteria-An International Experts' Consensus. |
|---|---|
| Authors: | Kermansaravi M; Department of Surgery, Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, Hazrat-E Fatemeh Hospital, Iran University of Medical Sciences, Tehran, Iran. mkermansaravi@yahoo.com.; Chiappetta S; Ospedale Evangelico Betania, Naples, Italy. drschiappetta@gmail.com.; Shikora SA; Department of Surgery, Center for Metabolic and Bariatric Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.; Musella M; Advanced Biomedical Sciences Department, Federico II' University, Naples, Italy.; Kow L; Adelaide Bariatric Centre, Flinders University of South Australia, Adelaide, Australia.; Aarts E; Weight Works Clinics and Allurion Clinics, Amersfoort, The Netherlands.; Abbas SI; Iranian Hospital, Alwasl Road, Dubai, UAE.; Aly A; Austin and Repatriation Medical Centre, University of Melbourne, Heidelberg, VIC, Australia.; Aminian A; Director, Bariatric and Metabolic Institute, Department of General Surgery, Cleveland Clinic, Cleveland, OH, USA.; Angrisani L; Department of Public Health, Federico II University of Naples, Naples, Italy.; Asghar ST; Capital Hospital, CDA, Islamabad, Pakistan.; Bashir A; Minimally Invasive and Bariatric Surgery, Gastrointestinal Bariatric and Metabolic Center (GBMC)-Jordan Hospital, Amman, Jordan.; Behrens E; New Life Center, Guatemala, Guatemala.; Billy H; Ventura Advanced Surgical Associates, Ventura, CA, USA.; Boza C; Nutrition and Bariatric Center, Clinica Las Condes, Santiago de Chile, Chile.; Brown WA; Department of Surgery, Central Clinical School, Alfred Health, Monash University, Melbourne, VIC, Australia.; Caina DO; Dr. Federico Abete Hospital for Trauma and Emergency, Obesity and Metabolic Center, Malvinas, Argentina.; Carbajo MA; Valladolid, Spain.; Chevallier JM; Université Paris 5, Paris, France.; Clapp B; Department of Surgery, Texas Tech HSC Paul Foster School of Medicine, El Paso, TX, USA.; Cohen RV; Center for the Treatment of Obesity and Diabetes, Hospital Alemão Oswaldo Cruz, Sao Paolo, Brazil.; Jazi AHD; Department of Surgery, Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, Hazrat-E Fatemeh Hospital, Iran University of Medical Sciences, Tehran, Iran.; De Luca M; Department of General Surgery, Rovigo Hospital, Rovigo, Italy.; Dilemans B; Department of General Surgery, Sint Jan Brugge-Oostende, Brugge, AZ, Belgium.; Fried M; OB Clinic, Prague, Czech Republic.; Gagner M; Department of Surgery, Westmount Square Surgical Center, Westmount, QC, Canada.; Neto MG; Endovitta Institute, São Paulo, Brazil.; Garneau PY; Division of Bariatric Surgery, CIUSSS-NIM, Montreal, Canada.; Department of Surgery, Université de Montréal, Montréal, Canada.; Gawdat K; Bariatric Surgery Unit, Faculty of Medicine, Ain Shams University, Cairo, Egypt.; Ghanem OM; Division of Metabolic & Abdominal Wall Reconstructive Surgery, Department of Surgery, Mayo Clinic, Rochester, MN, USA.; Al Hadad M; Bariatric and Metabolic Surgery Centre, Healthpoint, Abu Dhabi, UAE.; Haddad A; Minimally Invasive and Bariatric Surgery, Gastrointestinal Bariatric and Metabolic Center (GBMC)-Jordan Hospital, Amman, Jordan.; ElFawal MH; Makassed General Hospital, Beirut, Lebanon.; Herrera MF; Endocrine and Bariatric Surgery, UNAM at INCMNSZ, Mexico City, México.; Higa K; Fresno Heart and Surgical Hospital, UCSF Fresno, Fresno, CA, USA.; Himpens J; Bariatric Surgery Unit, Delta Chirec Hospital, Brussels, Belgium.; Husain F; University of Arizona College of Medicine, Phoenix, USA.; Kasama K; Weight Loss and Metabolic Surgery Center, Yotsuya Medical Cube, Tokyo, Japan.; Kassir R; Digestive and Bariatric Surgery Department, The View Hospital, Doha, Qatar.; Khoursheed M; Taiba Hospital, Kuwait City, Kuwait.; Khwaja H; Department of Bariatric and Metabolic Surgery, Chelsea and Westminster Hospital, London, UK.; Kristinsson JA; Department of Endocrinology, Morbid Obesity and Preventive Medicine, Oslo University Hospital, Oslo, Norway.; Kroh M; Foregut Surgery and Surgical Endoscopy, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA.; Kurian MS; Department of Surgery, New York University Grossman School of Medicine, New York, NY, USA.; Lakdawala M; Department of General Surgery and Minimal Access Surgical Sciences, Sir H.N. Reliance Foundation Hospital, Mumbai, India.; LaMasters T; UnityPoint Clinic Weight Loss Specialists, West Des Moines, IA, USA.; Lee WJ; Medical Weight Loss Center, China Medical University Shinchu Hospital, Zhubei City, Taiwan.; Madhok B; East Midlands Bariatric and Metabolic Institute, University Hospital of Derby and Burton NHS Foundation Trust, Derby, DE22 3NE, UK.; Mahawar K; South Tyneside and Sunderland Foundation NHS Trust, Sunderland, UK.; Mahdy T; Department of Bariatric Surgery, Sharjah University, Sharjah, UAE.; Almomani H; NMC Royal Hospital, Abu Dhabi, UAE.; Melissas J; Bariatric Unit, Heraklion University Hospital, University of Crete, Crete, Greece.; Miller K; Diakonissen Wehrle Private Hospital, Salzburg, Austria.; Neimark A; Laboratory of Surgery for Metabolic Disorders, Almazov National Medical Research Centre, Saint Petersburg, Russian Federation.; Omarov T; Department of Surgery, Azerbaijan Medical University, Baku, Azerbaijan.; Palermo M; Department of Surgery, Centro CIEN-Diagnomed, University of Buenos Aires, Buenos Aires, Argentina.; Papasavas PK; Division of Metabolic and Bariatric Surgery, Hartford Hospital, Hartford, CT, USA.; Parmar C; Whittington Hospital, London, UK.; Pazouki A; Department of Surgery, Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, Hazrat-E Fatemeh Hospital, Iran University of Medical Sciences, Tehran, Iran.; Peterli R; Department of Visceral Surgery, Clarunis-University Center for Gastrointestinal and Liver Diseases, St. Claraspital, and University Hospital Basel, Basel, Switzerland.; Pintar T; Department of Abdominal Surgery and Medical Faculty, UMC Ljubljana, Ljubljana, Slovenia.; Poggi L; Department of Surgery Clinica Anglo Americana, Universidad Nacional Mayor de San Marcos, Lima, Peru.; Ponce J; Bariatric Surgery Program, CHI Memorial Hospital, Chattanooga, TN, USA.; Prasad A; Department of Surgery, Indraprastha Apollo Hospitals, New Delhi, India.; Pratt JSA; Department of Surgery, Stanford School of Medicine, VA Palo Alto Health Care System, 3801 Miranda Avenue, GS 112, Palo Alto, CA, 94304, USA.; Ramos AC; Institute for Metabolic Optimization, Sao Paulo, Brazil.; Rezvani M; Department of Surgery, Davis Hwy, Inova Fair Oaks Hospital, JeffersonSuite 205, Woodbridge, VA, 14904, USA.; Rheinwalt K; St. Franziskus Hospital, Cologne, Germany.; Ribeiro R; Centro Multidisciplinar Do Tratamento da Obesidade, Hospital Lusíadas Amadora E Lisbon, Amadora, Portugal.; Ruiz-Ucar E; Department of Bariatric and Endocrine Surgery, Fuenlabrada University Hospital, Madrid, Spain.; Sabry K; Department of Surgery, Ain Shams University, Ain Shams, Egypt.; Safadi B; Aman Hospital, Doha, Qatar.; Shabbir A; National University of Singapore, Singapore, Singapore.; ShahabiShahmiri S; Department of Surgery, Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, Hazrat-E Fatemeh Hospital, Iran University of Medical Sciences, Tehran, Iran.; Stenberg E; Department of Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.; Suter M; Department of Surgery, Riviera-Chablais Hospital, Rennaz, Switzerland.; Taha S; Mediclinic Hospital Airport Road, Abu Dhabi, UAE.; Taskin HE; Department of Surgery, Istanbul University Cerrahpasa Medical Faculty, Istanbul, Turkey.; Torres A; Professor of Surgery, Department of Surgery, Hospital Clínico San Carlos, Complutense University of Madrid, Calle del Prof Martín Lagos, S/N, 28040, Madrid, Spain.; Verboonen S; Obesity Goodbye Center, Tijuana, Mexico.; Vilallonga R; Endocrine, Bariatric, and Metabolic Surgery Department, University Hospital Vall Hebron, Barcelona, Spain.; Voon K; Department of General Surgery, Penang General Hospital, George Town, Penang, Malaysia.; Wafa A; Aljazeera International Hospital, Misurata University School of Medicine, Misurata, Libya.; Wang C; Department of Metabolic and Bariatric Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China.; Weiner R; Sana Clinic Offenbach, Offenbach, Germany.; Yang W; Department of Metabolic and Bariatric Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China.; Zundel N; Department of Surgery, State University of New York, Buffalo, NY, USA.; Prager G; Department of Surgery, Vienna Medical University, Vienna, Austria.; Nimeri A; Department of Surgery, Center for Metabolic and Bariatric Surgery, Brigham and Women's Hospital, Director of Bariatric and Metabolic Surgery, Harvard Medical School, Boston, MA, USA. |
| Source: | Obesity surgery [Obes Surg] 2024 Sep; Vol. 34 (9), pp. 3216-3228. Date of Electronic Publication: 2024 Jul 24. |
| Publication Type: | Journal Article; Consensus Statement |
| Language: | English |
| Journal Info: | Publisher: Springer Science + Business Media Country of Publication: United States NLM ID: 9106714 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1708-0428 (Electronic) Linking ISSN: 09608923 NLM ISO Abbreviation: Obes Surg Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2006- : New York : Springer Science + Business Media; Original Publication: Oxford, OX, UK : Rapid Communications of Oxford, [1991- |
| MeSH Terms: | Bariatric Surgery*/standards ; Bariatric Surgery*/education ; Delphi Technique*; Surgeons/standards ; Surgeons/education ; Fellowships and Scholarships/standards ; Clinical Competence/standards ; Obesity, Morbid/surgery ; Humans ; Female ; Male ; Learning Curve |
| Abstract: | Purpose: With the global epidemic of obesity, the importance of metabolic and bariatric surgery (MBS) is greater than ever before. Performing these surgeries requires academic training and the completion of a dedicated fellowship training program. This study aimed to develop guidelines based on expert consensus using a modified Delphi method to create the criteria for metabolic and bariatric surgeons that must be mastered before obtaining privileges to perform MBS.; Methods: Eighty-nine recognized MBS surgeons from 42 countries participated in the Modified Delphi consensus to vote on 30 statements in two rounds. An agreement/disagreement among ≥ 70.0% of the experts was regarded to indicate a consensus.; Results: Consensus was reached on 29 out of 30 statements. Most experts agreed that before getting privileges to perform MBS, surgeons must hold a general surgery degree and complete or have completed a dedicated fellowship training program. The experts agreed that the learning curves for the various operative procedures are approximately 25-50 operations for the LSG, 50-75 for the OAGB, and 75-100 for the RYGB. 93.1% of experts agreed that MBS surgeons should diligently record patients' data in their National or Global database.; Conclusion: MBS surgeons should have a degree in general surgery and have been enrolled in a dedicated fellowship training program with a structured curriculum. The learning curve of MBS procedures is procedure dependent. MBS surgeons must demonstrate proficiency in managing postoperative complications, collaborate within a multidisciplinary team, commit to a minimum 2-year patient follow-up, and actively engage in national and international MBS societies.; (© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.) |
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| Contributed Indexing: | Keywords: Bariatric surgery; Fellowship; Learning curve; Metabolic and bariatric surgeon; Metabolic surgery |
| Entry Date(s): | Date Created: 20240724 Date Completed: 20240827 Latest Revision: 20260423 |
| Update Code: | 20260424 |
| DOI: | 10.1007/s11695-024-07395-y |
| PMID: | 39046625 |
| Database: | MEDLINE |
Journal Article; Consensus Statement