Metabolic and Bariatric Surgeon Criteria-An International Experts' Consensus.

Autor: 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.
Jazyk: angličtina
Zdroj: Obesity surgery [Obes Surg] 2024 Sep; Vol. 34 (9), pp. 3216-3228. Date of Electronic Publication: 2024 Jul 24.
DOI: 10.1007/s11695-024-07395-y
Abstrakt: 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.)
Databáze: MEDLINE
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