International expert consensus on the current status and future prospects of artificial intelligence in metabolic and bariatric surgery.
| Title: | International expert consensus on the current status and future prospects of artificial intelligence in metabolic and bariatric surgery. |
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| 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.; Shahabi Shahmiri 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. shshahabi@gmail.com.; Varas J; Center for Simulation and Experimental Surgery, Faculty of Medicine, Pontificia Universidad Católica de Chile, Uc-Christus Health Network, Santiago, Chile.; Parmar C; Whittington Hospital, London, UK.; Lee Y; Division of General Surgery, McMaster University, Hamilton, ON, Canada.; Dang JT; Digestive Disease Institute, Cleveland Clinic, Cleveland, OH, USA.; Shabbir A; National University of Singapore, Singapore, Singapore.; Hashimoto D; Penn Computer Assisted Surgery and Outcomes Laboratory, Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.; Davarpanah Jazi AH; 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.; Meireles OR; Surgical Artificial Intelligence and Innovation Laboratory, Department of Surgery, Massachusetts General Hospital, 15 Parkman Street, WAC339, Boston, MA, 02114, USA.; Aarts E; Weight Works Clinics and Allurion Clinics, Amersfoort, The Netherlands.; Almomani H; NMC Royal Hospital, Abu Dhabi, UAE.; Alqahtani A; New You Medical Center, King Saud University, Obesity Chair, Riyadh, Saudi Arabia.; Aminian A; Bariatric and Metabolic Institute, Cleveland Clinic, Cleveland, OH, USA.; Behrens E; New Life Center, Guatemala, Guatemala.; Birk D; Department of General Surgery, Klinikum Bietigheim-Ludwigsburg, Bietigheim-Bissingen, Germany.; Cantu FJ; Universidad México Americana del Norte UMAN, Reynosa, Tamps., Mexico.; Cohen RV; Center for the Treatment of Obesity and Diabetes, Hospital Alemão Oswaldo Cruz, Sao Paolo, Brazil.; De Luca M; Department of General Surgery, Rovigo Hospital, Rovigo, Italy.; Di Lorenzo N; Department of Surgery, Sapienza University, Roma, Italy.; Dillemans B; Department of General Surgery, Sint Jan Brugge-Oostende, Brugge, AZ, Belgium.; ElFawal MH; Makassed General Hospital, Beirut, Lebanon.; Felsenreich DM; Department of Surgery, Vienna Medical University, Vienna, Austria.; Gagner M; Department of Surgery, Westmount Square Surgical Center, Westmount, QC, Canada.; Galvan HG; Innovare Bariatria, Universidad Autónoma de Nayarit, Tepic, Mexico.; Galvani C; Department of Surgery, Louisiana State University Health Sciences Center, New Orleans, USA.; 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.; Haddad A; Minimally Invasive and Bariatric Surgery, Gastrointestinal Bariatric and Metabolic Center (GBMC)-Jordan Hospital, Amman, Jordan.; Himpens J; Bariatric Surgery Unit, Delta Chirec Hospital, Brussels, Belgium.; 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.; Kow L; Adelaide Bariatric Centre, Flinders University of South Australia, Adelaide, Australia.; Lainas P; Department of Metabolic & Bariatric Surgery, Metropolitan Hospital, Athens, Greece.; Lakdawala M; Department of General Surgery and Minimal Access Surgical Sciences, Sir H.N. Reliance Foundation Hospital, Mumbai, India.; Tello RL; Departamento de Cirugía, Hospital Clínico Universidad de Chile, Santos Dumont 999, Santiago, Chile.; Mahawar K; South Tyneside and Sunderland Foundation NHS Trust, Sunderland, UK.; Marchesini C; São Marcelino Champagnat Hospital, Curitiba, Curitiba, PR, Brazil.; Masrur MA; University of Illinois at Chicago, Chicago, IL, USA.; Meza C; Clínica RedSalud CL, RedSalud, Chile.; Musella M; Advanced Biomedical Sciences Department, Federico II' University, Naples, Italy.; Nimeri A; Department of Surgery, Center for Metabolic and Bariatric Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.; Noel P; Hospital Privé Bouchard, ELSAN, Marseille, 13006, France.; Palermo M; Department of Surgery, Centro CIEN-Diagnomed, University of Buenos Aires, Buenos Aires, Argentina.; 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.; Ponce J; Bariatric Surgery Program, CHI Memorial Hospital, Chattanooga, TN, USA.; Prager G; Department of Surgery, Vienna Medical University, Vienna, Austria.; Quiróz-Guadarrama CD; New City Hospital, Tijuana, México.; Rheinwalt KP; Department of Bariatric, Metabolic and Plastic Surgery, Cellitinnen Hospital St. Franziskus, Cologne, Germany.; Rodriguez JG; Ángeles Ciudad Juárez Hospital, Tijuana, Mexico.; Saber AA; Metabolic and Bariatric Institute, Newark Beth Israel Medical Center, New Jersy, USA.; Salminen P; Turku University Hospital, University of Turku, Turku, Finland.; Shikora SA; Department of Surgery, Center for Metabolic and Bariatric Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.; Stenberg E; Department of Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.; Stier CK; Department of Surgery, Medical Faculty Mannheim, Universitätsmedizin Mannheim, University of Heidelberg, Mannheim, Germany.; Suter M; Department of Surgery, Hôpital Riviera-Chablais, Rennaz, Switzerland.; Szomstein S; Bariatric and Metabolic Institute, Department of Minimally Invasive Surgery, Cleveland Clinic Florida, Weston, FL, USA.; Taskin HE; Department of Surgery, Istanbul University Cerrahpasa Medical Faculty, Istanbul, Turkey.; Vilallonga R; Endocrine, Bariatric, and Metabolic Surgery Department, University Hospital Vall Hebron, Barcelona, Spain.; Wafa A; Aljazeera International Hospital, Misurata University School of Medicine, Misurata, Libya.; Yang W; Department of Metabolic and Bariatric Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China.; Zorron R; Center for Bariatric and Metabolic Surgery, Hospital CUF Descobertas, Lisbon, Portugal.; Torres A; General and Digestive Surgery Service, Department of Surgery, Hospital Clínico San Carlos, Complutense University Medical School, Universidad Complutense de Madrid (UCM), Madrid, Spain.; Kroh M; Digestive Disease Institute, Cleveland Clinic, Cleveland, OH, USA.; Zundel N; Department of Surgery, University at Buffalo, Buffalo, NY, 14203, USA. |
| Source: | Scientific reports [Sci Rep] 2025 Mar 18; Vol. 15 (1), pp. 9312. Date of Electronic Publication: 2025 Mar 18. |
| Publication Type: | Journal Article; Consensus Statement |
| Language: | English |
| Journal Info: | Publisher: Nature Publishing Group Country of Publication: England NLM ID: 101563288 Publication Model: Electronic Cited Medium: Internet ISSN: 2045-2322 (Electronic) Linking ISSN: 20452322 NLM ISO Abbreviation: Sci Rep Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: London : Nature Publishing Group, copyright 2011- |
| MeSH Terms: | Bariatric Surgery*/methods ; Bariatric Surgery*/trends ; Artificial Intelligence*/trends; Humans ; Consensus ; Delphi Technique |
| Abstract: | Artificial intelligence (AI) is transforming the landscape of medicine, including surgical science and practice. The evolution of AI from rule-based systems to advanced machine learning and deep learning algorithms has opened new avenues for its application in metabolic and bariatric surgery (MBS). AI has the potential to enhance various aspects of MBS, including education and training, decision-making, procedure planning, cost and time efficiency, optimization of surgical techniques, outcome and complication prediction, patient education, and access to care. However, concerns persist regarding the reliability of AI-generated decisions and associated ethical considerations. This study aims to establish a consensus on the role of AI in MBS using a modified Delphi method. A panel of 68 leading metabolic and bariatric surgeons from 35 countries participated in this consensus-building process, providing expert insights into the integration of AI in MBS. Of the 28 statements evaluated, a consensus of at least 70% was achieved for all, with 25 statements reaching consensus in the first round and the remaining three in the second round. Experts agreed that AI has the potential to enhance the evaluation of surgical skills in MBS by providing objective, detailed assessments, enabling personalized feedback, and accelerating the learning curve. Most experts also recognized AI's role in identifying qualified candidates for MBS referrals, helping patient and procedure selection, and addressing specific clinical questions. However, concerns were raised about the potential overreliance on AI-generated recommendations. The consensus emphasized the need for ethical guidelines governing AI use and the inclusion of AI's role in decision-making within the patient consent process. Furthermore, the results suggest that AI education should become an essential component of future surgical training. Advancements in AI-driven robotics and AI-integrated genomic applications were also identified as promising developments that could significantly shape the future of MBS.; (© 2025. The Author(s).) |
| Competing Interests: | Declarations. Competing interests: The authors declare no competing interests. |
| References: | Surg Endosc. 2021 Jan;35(1):182-191. (PMID: 31953733); Cureus. 2024 Jan 10;16(1):e52035. (PMID: 38344556); Updates Surg. 2023 Jan;75(1):85-93. (PMID: 36131182); Br J Anaesth. 2019 Dec;123(6):877-886. (PMID: 31627890); Bioengineering (Basel). 2024 Mar 29;11(4):. (PMID: 38671759); Sci Rep. 2025 Jan 19;15(1):2455. (PMID: 39828726); Am Surg. 2023 Jan;89(1):31-35. (PMID: 35722685); Bull World Health Organ. 2020 Apr 1;98(4):251-256. (PMID: 32284648); Int J Surg. 2025 Mar 01;111(3):2376-2384. (PMID: 39878073); Obes Surg. 2024 Oct;34(10):3627-3638. (PMID: 39271585); Lancet Digit Health. 2023 Oct;5(10):e692-e702. (PMID: 37652841); Cureus. 2023 Oct 29;15(10):e47924. (PMID: 37908699); Obes Surg. 2023 Jun;33(6):1831-1837. (PMID: 37118641); Surg Endosc. 2023 Jul;37(7):5665-5672. (PMID: 36658282); Surg Obes Relat Dis. 2024 Jul;20(7):609-613. (PMID: 38782611); Obes Surg. 2022 Aug;32(8):2717-2733. (PMID: 35616768); Surg Obes Relat Dis. 2024 Jul;20(7):603-608. (PMID: 38644078); Obes Surg. 2025 Jan;35(1):19-24. (PMID: 38760650); BMC Med Inform Decis Mak. 2023 Apr 20;23(1):73. (PMID: 37081503); J Bioeth Inq. 2024 Sep;21(3):475-489. (PMID: 38300443); Ann Med Surg (Lond). 2024 Aug 1;86(9):5401-5409. (PMID: 39238994); JAMA Surg. 2015 Oct;150(10):999-1005. (PMID: 26222655); Rev Endocr Metab Disord. 2023 Oct;24(5):775-793. (PMID: 37032403); Ann Surg. 2022 Jun 1;275(6):1137-1142. (PMID: 33074896); Int J Mol Sci. 2023 Jun 26;24(13):. (PMID: 37445852); J Gastrointest Surg. 2024 Jun;28(6):956-965. (PMID: 38556418); Obes Surg. 2024 Feb;34(2):330-336. (PMID: 38180619); BMC Med Educ. 2023 Sep 22;23(1):689. (PMID: 37740191); Cureus. 2023 Dec 27;15(12):e51150. (PMID: 38283483); Obes Surg. 2024 Sep;34(9):3216-3228. (PMID: 39046625); BMJ Health Care Inform. 2024 Aug 24;31(1):. (PMID: 39181545); Surg Endosc. 2024 Jan;38(1):229-239. (PMID: 37973639); J Surg Res. 2025 Feb;306:43-53. (PMID: 39742657); Diabetes Care. 2018 Oct;41(10):2086-2095. (PMID: 30082327); Surg Innov. 2023 Jun;30(3):366-382. (PMID: 36412148); Front Nutr. 2024 Aug 07;11:1398450. (PMID: 39171108); Surg Obes Relat Dis. 2024 Dec;20(12):1234-1243. (PMID: 39117560); Obes Surg. 2025 Feb;35(2):638-641. (PMID: 39733375); World J Transplant. 2023 Feb 18;13(2):36-43. (PMID: 36908307); NPJ Genom Med. 2016 Oct 26;1:16035. (PMID: 29263820); Cureus. 2023 Dec 12;15(12):e50415. (PMID: 38222213); Rev Col Bras Cir. 2023 Aug 25;50:e20233605. (PMID: 37646729); Obes Surg. 2024 Jul;34(7):2399-2410. (PMID: 38862752); Biomedicines. 2024 May 25;12(6):. (PMID: 38927382); Clin Obes. 2025 Apr;15(2):e12722. (PMID: 39673462); Obes Surg. 2024 Jul;34(7):2718-2724. (PMID: 38758515); Heliyon. 2024 Feb 15;10(4):e26297. (PMID: 38384518); Surg Obes Relat Dis. 2023 Nov;19(11):1236-1244. (PMID: 37455158); J Anesth Analg Crit Care. 2022 Jan 15;2(1):2. (PMID: 37386544); Surgery. 2022 Sep;172(3):955-961. (PMID: 35710534); Front Med (Lausanne). 2023 Aug 30;10:1241508. (PMID: 37711734); Obes Surg. 2018 Feb;28(2):303-312. (PMID: 29243145); Obes Surg. 2025 Feb;35(2):645-650. (PMID: 39821906); Front Surg. 2024 May 09;11:1393898. (PMID: 38783862); Obes Surg. 2024 Jun;34(6):2054-2065. (PMID: 38662251); Obes Surg. 2023 Jun;33(6):1790-1796. (PMID: 37106269); Curr Oncol. 2024 May 11;31(5):2727-2747. (PMID: 38785488); Obes Surg. 2023 Dec;33(12):3971-3980. (PMID: 37889368); World J Gastrointest Surg. 2024 Apr 27;16(4):1097-1108. (PMID: 38690043); Clin Radiol. 2009 Apr;64(4):373-80. (PMID: 19264181) |
| Contributed Indexing: | Keywords: Artificial intelligence; Bariatric surgery; Machine learning; Metabolic surgery; Simulation training; Virtual reality |
| Entry Date(s): | Date Created: 20250319 Date Completed: 20250513 Latest Revision: 20260127 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC11920084 |
| DOI: | 10.1038/s41598-025-94335-0 |
| PMID: | 40102585 |
| Database: | MEDLINE |
Journal Article; Consensus Statement