Metabolic and Bariatric Surgeon Criteria-An International Experts' Consensus

被引：4

作者：

Kermansaravi, Mohammad ^{[1
]}

Chiappetta, Sonja ^{[2
]}

Shikora, Scott A. ^{[3
]}

Musella, Mario ^{[4
]}

Kow, Lilian ^{[5
]}

Aarts, Edo ^{[6
]}

Abbas, Syed Imran ^{[7
]}

Aly, Ahmad ^{[8
]}

Aminian, Ali ^{[9
]}

Angrisani, Luigi ^{[10
]}

Asghar, Syed Tanseer ^{[11
]}

Bashir, Ahmad ^{[12
]}

Behrens, Estuardo ^{[13
]}

Billy, Helmuth ^{[14
]}

Boza, Camilo ^{[15
]}

Brown, Wendy A. ^{[16
]}

Caina, Daniel Oscar ^{[17
]}

Carbajo, Miguel A. ^{[19
]}

Chevallier, Jean-Marc ^{[18
]}

Clapp, Benjamin ^{[19
]}

Cohen, Ricardo V. ^{[20
]}

Jazi, Amir Hossein Davarpanah ^{[1
]}

De Luca, Maurizio ^{[21
]}

Dilemans, Bruno ^{[22
]}

Fried, Martin ^{[23
]}

Gagner, Michel ^{[24
]}

Galvao Neto, Manoel ^{[25
]}

Garneau, Pierre Y. ^{[26
,27
]}

Gawdat, Khaled ^{[28
]}

Ghanem, Omar M. ^{[29
]}

Al Hadad, Mohammed ^{[30
]}

Haddad, Ashraf ^{[12
]}

ElFawal, Mohamad Hayssam ^{[31
]}

Herrera, Miguel F. ^{[32
]}

Higa, Kelvin ^{[33
]}

Himpens, Jaques ^{[34
]}

Husain, Farah ^{[35
]}

Kasama, Kazunori ^{[36
]}

Kassir, Radwan ^{[37
]}

Khoursheed, Mousa ^{[38
]}

Khwaja, Haris ^{[39
]}

Kristinsson, Jon A. ^{[40
]}

Kroh, Matthew ^{[41
]}

Kurian, Marina S. ^{[42
]}

Lakdawala, Muffazal ^{[43
]}

LaMasters, Teresa ^{[44
]}

Lee, Wei-Jei ^{[45
]}

Madhok, Brijesh ^{[46
]}

Mahawar, Kamal ^{[47
]}

Mahdy, Tarek ^{[48
]}

机构：

[1] Iran Univ Med Sci, Hazrat E Fatemeh Hosp, Minimally Invas Surg Res Ctr, Dept Surg,Div Minimally Invas & Bariatr Surg, Tehran, Iran

[2] Osped Evangel Betania, Naples, Italy

[3] Harvard Med Sch, Brigham & Womens Hosp, Ctr Metab & Bariatr Surg, Dept Surg, Boston, MA USA

[4] Univ Naples Federico II, Adv Biomed Sci Dept, Naples, Italy

[5] Flinders Univ South Australia, Adelaide Bariatr Ctr, Adelaide, Australia

[6] Weight Works Clin & Allur Clin, Amersfoort, Netherlands

[7] Iranian Hosp, Alwasl Rd, Dubai, U Arab Emirates

[8] Univ Melbourne, Austin & Repatriat Med Ctr, Heidelberg, Vic, Australia

[9] Cleveland Clin, Bariatr & Metab Inst, Dept Gen Surg, Cleveland, OH USA

[10] Federico II Univ Naples, Dept Publ Hlth, Naples, Italy

[11] CDA, Capital Hosp, Islamabad, Pakistan

[12] Jordan Hosp, Gastrointestinal Bariatr & Metab Ctr GBMC, Minimally Invas & Bariatr Surg, Amman, Jordan

[13] New Life Ctr, Guatemala City, Guatemala

[14] Ventura Adv Surg Associates, Ventura, CA USA

[15] Clin Las Condes, Nutr & Bariatr Ctr, Santiago, Chile

[16] Monash Univ, Cent Clin Sch, Dept Surg, Alfred Hlth, Melbourne, Vic, Australia

[17] Dr Federico Abete Hosp Trauma & Emergency Obes & M, Malvinas, Argentina

[18] Univ Paris 05, Paris, France

[19] Texas Tech HSC Paul Foster Sch Med, Dept Surg, El Paso, TX USA

[20] Hosp Alemao Oswaldo Cruz, Ctr Treatment Obes & Diabet, Sao Paulo, Brazil

[21] Rovigo Hosp, Dept Gen Surg, Rovigo, Italy

[22] Sint Jan Brugge Oostende, Dept Gen Surg, Brugge, AZ, Belgium

[23] OB Clin, Prague, Czech Republic

[24] Westmount Sq Surg Ctr, Dept Surg, Westmount, PQ, Canada

[25] Endovitta Inst, Sao Paulo, Brazil

[26] CIUSSS NIM, Div Bariatr Surg, Montreal, PQ, Canada

[27] Univ Montreal, Dept Surg, Montreal, PQ, Canada

[28] Ain Shams Univ, Fac Med, Bariatr Surg Unit, Cairo, Egypt

[29] Mayo Clin, Dept Surg, Div Metab & Abdominal Wall Reconstruct Surg, Rochester, MN USA

[30] Healthpoint, Bariatr & Metab Surg Ctr, Abu Dhabi, U Arab Emirates

[31] Makassed Gen Hosp, Beirut, Lebanon

[32] Univ Nacl Autonoma Mexico, Endocrine & Bariatr Surg, INCMNSZ, Mexico City, Mexico

[33] UCSF Fresno, Fresno Heart & Surg Hosp, Fresno, CA USA

[34] Delta Chirec Hosp, Bariatr Surg Unit, Brussels, Belgium

[35] Univ Arizona, Coll Med, Phoenix, AZ USA

[36] Weight Loss & Metab Surg Ctr, Yotsuya Med Cube, Tokyo, Japan

[37] View Hosp, Digest & Bariatr Surg Dept, Doha, Qatar

[38] Taiba Hosp, Kuwait, Kuwait

[39] Chelsea & Westminster Hosp, Dept Bariatr & Metab Surg, London, England

[40] Oslo Univ Hosp, Dept Endocrinol Morbid Obes & Prevent Med, Oslo, Norway

[41] Cleveland Clin, Digest Dis & Surg Inst, Foregut Surg & Surg Endoscopy, Cleveland, OH USA

[42] NYU, Dept Surg, Grossman Sch Med, New York, NY USA

[43] Sir HN Reliance Fdn Hosp, Dept Gen Surg & Minimal Access Surg Sci, Mumbai, India

[44] UnityPoint Clin Weight Loss Specialists, W Des Moines, IA USA

[45] China Med Univ, Med Weight Loss Ctr, Shinchu Hosp, Zhubei City, Taiwan

[46] Univ Hosp Derby & Burton NHS Fdn Trust, East Midlands Bariatr & Metab Inst, Derby DE22 3NE, England

[47] South Tyneside & Sunderland Fdn NHS Trust, Sunderland, England

[48] Sharjah Univ, Dept Bariatr Surg, Sharjah, U Arab Emirates

[49] NMC Royal Hosp, Abu Dhabi, U Arab Emirates

[50] Univ Crete, Heraklion Univ Hosp, Bariatr Unit, Iraklion, Greece

来源：

OBESITY SURGERY | 2024年 / 34卷 / 09期

关键词：

Metabolic surgery; Bariatric surgery; Metabolic and bariatric surgeon; Fellowship; Learning curve; Y GASTRIC BYPASS; ENDOSCOPIC MANAGEMENT; SLEEVE GASTRECTOMY; LEARNING-CURVE; COMPLICATIONS;

D O I：

10.1007/s11695-024-07395-y

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

PurposeWith 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.MethodsEighty-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.ResultsConsensus 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.ConclusionMBS 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.

引用

页码：3216 / 3228

页数：13