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

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

Authors :
Kermansaravi M
Chiappetta S
Shikora SA
Musella M
Kow L
Aarts E
Abbas SI
Aly A
Aminian A
Angrisani L
Asghar ST
Bashir A
Behrens E
Billy H
Boza C
Brown WA
Caina DO
Carbajo MA
Chevallier JM
Clapp B
Cohen RV
Jazi AHD
De Luca M
Dilemans B
Fried M
Gagner M
Neto MG
Garneau PY
Gawdat K
Ghanem OM
Al Hadad M
Haddad A
ElFawal MH
Herrera MF
Higa K
Himpens J
Husain F
Kasama K
Kassir R
Khoursheed M
Khwaja H
Kristinsson JA
Kroh M
Kurian MS
Lakdawala M
LaMasters T
Lee WJ
Madhok B
Mahawar K
Mahdy T
Almomani H
Melissas J
Miller K
Neimark A
Omarov T
Palermo M
Papasavas PK
Parmar C
Pazouki A
Peterli R
Pintar T
Poggi L
Ponce J
Prasad A
Pratt JSA
Ramos AC
Rezvani M
Rheinwalt K
Ribeiro R
Ruiz-Ucar E
Sabry K
Safadi B
Shabbir A
ShahabiShahmiri S
Stenberg E
Suter M
Taha S
Taskin HE
Torres A
Verboonen S
Vilallonga R
Voon K
Wafa A
Wang C
Weiner R
Yang W
Zundel N
Prager G
Nimeri A
Source :
Obesity surgery [Obes Surg] 2024 Sep; Vol. 34 (9), pp. 3216-3228. Date of Electronic Publication: 2024 Jul 24.
Publication Year :
2024

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.<br />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.<br />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.<br />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.<br /> (© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)

Details

Language :
English
ISSN :
1708-0428
Volume :
34
Issue :
9
Database :
MEDLINE
Journal :
Obesity surgery
Publication Type :
Academic Journal
Accession number :
39046625
Full Text :
https://doi.org/10.1007/s11695-024-07395-y