Mohammad Kermansaravi, Sonja Chiappetta, Scott A Shikora, Mario Musella, Lilian Kow, Edo Aarts, Syed Imran Abbas, Ahmad Aly, Ali Aminian, Luigi Angrisani, Syed Tanseer Asghar, Ahmad Bashir, Estuardo Behrens, Helmuth Billy, Camilo Boza, Wendy A Brown, Daniel Oscar Caina, Miguel A Carbajo, Jean-Marc Chevallier, Benjamin Clapp, Ricardo V Cohen, Amir Hossein Davarpanah Jazi, Maurizio De Luca, Bruno Dilemans, Martin Fried, Michel Gagner, Manoel Galvao Neto, Pierre Y Garneau, Khaled Gawdat, Omar M Ghanem, Mohammed Al Hadad, Ashraf Haddad, Mohamad Hayssam ElFawal, Miguel F Herrera, Kelvin Higa, Jaques Himpens, Farah Husain, Kazunori Kasama, Radwan Kassir, Mousa Khoursheed, Haris Khwaja, Jon A Kristinsson, Matthew Kroh, Marina S Kurian, Muffazal Lakdawala, Teresa LaMasters, Wei-Jei Lee, Brijesh Madhok, Kamal Mahawar, Tarek Mahdy, Hazem Almomani, John Melissas, Karl Miller, Alexander Neimark, Taryel Omarov, Mariano Palermo, Pavlos K Papasavas, Chetan Parmar, Abdolreza Pazouki, Ralph Peterli, Tadeja Pintar, Luis Poggi, Jaime Ponce, Arun Prasad, Janey S A Pratt, Almino C Ramos, Masoud Rezvani, Karl Rheinwalt, Rui Ribeiro, Elena Ruiz-Ucar, Karim Sabry, Bassem Safadi, Asim Shabbir, Shahab ShahabiShahmiri, Erik Stenberg, Michel Suter, Safwan Taha, Halit Eren Taskin, Antonio Torres, Sergio Verboonen, Ramon Vilallonga, Kelvin Voon, Ala Wafa, Cunchuan Wang, Rudolf Weiner, Wah Yang, Natan Zundel, Gerhard Prager, Abdelrahman Nimeri
{"title":"代谢与减肥外科医生标准--国际专家共识。","authors":"Mohammad Kermansaravi, Sonja Chiappetta, Scott A Shikora, Mario Musella, Lilian Kow, Edo Aarts, Syed Imran Abbas, Ahmad Aly, Ali Aminian, Luigi Angrisani, Syed Tanseer Asghar, Ahmad Bashir, Estuardo Behrens, Helmuth Billy, Camilo Boza, Wendy A Brown, Daniel Oscar Caina, Miguel A Carbajo, Jean-Marc Chevallier, Benjamin Clapp, Ricardo V Cohen, Amir Hossein Davarpanah Jazi, Maurizio De Luca, Bruno Dilemans, Martin Fried, Michel Gagner, Manoel Galvao Neto, Pierre Y Garneau, Khaled Gawdat, Omar M Ghanem, Mohammed Al Hadad, Ashraf Haddad, Mohamad Hayssam ElFawal, Miguel F Herrera, Kelvin Higa, Jaques Himpens, Farah Husain, Kazunori Kasama, Radwan Kassir, Mousa Khoursheed, Haris Khwaja, Jon A Kristinsson, Matthew Kroh, Marina S Kurian, Muffazal Lakdawala, Teresa LaMasters, Wei-Jei Lee, Brijesh Madhok, Kamal Mahawar, Tarek Mahdy, Hazem Almomani, John Melissas, Karl Miller, Alexander Neimark, Taryel Omarov, Mariano Palermo, Pavlos K Papasavas, Chetan Parmar, Abdolreza Pazouki, Ralph Peterli, Tadeja Pintar, Luis Poggi, Jaime Ponce, Arun Prasad, Janey S A Pratt, Almino C Ramos, Masoud Rezvani, Karl Rheinwalt, Rui Ribeiro, Elena Ruiz-Ucar, Karim Sabry, Bassem Safadi, Asim Shabbir, Shahab ShahabiShahmiri, Erik Stenberg, Michel Suter, Safwan Taha, Halit Eren Taskin, Antonio Torres, Sergio Verboonen, Ramon Vilallonga, Kelvin Voon, Ala Wafa, Cunchuan Wang, Rudolf Weiner, Wah Yang, Natan Zundel, Gerhard Prager, Abdelrahman Nimeri","doi":"10.1007/s11695-024-07395-y","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":19460,"journal":{"name":"Obesity Surgery","volume":null,"pages":null},"PeriodicalIF":2.9000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Metabolic and Bariatric Surgeon Criteria-An International Experts' Consensus.\",\"authors\":\"Mohammad Kermansaravi, Sonja Chiappetta, Scott A Shikora, Mario Musella, Lilian Kow, Edo Aarts, Syed Imran Abbas, Ahmad Aly, Ali Aminian, Luigi Angrisani, Syed Tanseer Asghar, Ahmad Bashir, Estuardo Behrens, Helmuth Billy, Camilo Boza, Wendy A Brown, Daniel Oscar Caina, Miguel A Carbajo, Jean-Marc Chevallier, Benjamin Clapp, Ricardo V Cohen, Amir Hossein Davarpanah Jazi, Maurizio De Luca, Bruno Dilemans, Martin Fried, Michel Gagner, Manoel Galvao Neto, Pierre Y Garneau, Khaled Gawdat, Omar M Ghanem, Mohammed Al Hadad, Ashraf Haddad, Mohamad Hayssam ElFawal, Miguel F Herrera, Kelvin Higa, Jaques Himpens, Farah Husain, Kazunori Kasama, Radwan Kassir, Mousa Khoursheed, Haris Khwaja, Jon A Kristinsson, Matthew Kroh, Marina S Kurian, Muffazal Lakdawala, Teresa LaMasters, Wei-Jei Lee, Brijesh Madhok, Kamal Mahawar, Tarek Mahdy, Hazem Almomani, John Melissas, Karl Miller, Alexander Neimark, Taryel Omarov, Mariano Palermo, Pavlos K Papasavas, Chetan Parmar, Abdolreza Pazouki, Ralph Peterli, Tadeja Pintar, Luis Poggi, Jaime Ponce, Arun Prasad, Janey S A Pratt, Almino C Ramos, Masoud Rezvani, Karl Rheinwalt, Rui Ribeiro, Elena Ruiz-Ucar, Karim Sabry, Bassem Safadi, Asim Shabbir, Shahab ShahabiShahmiri, Erik Stenberg, Michel Suter, Safwan Taha, Halit Eren Taskin, Antonio Torres, Sergio Verboonen, Ramon Vilallonga, Kelvin Voon, Ala Wafa, Cunchuan Wang, Rudolf Weiner, Wah Yang, Natan Zundel, Gerhard Prager, Abdelrahman Nimeri\",\"doi\":\"10.1007/s11695-024-07395-y\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":19460,\"journal\":{\"name\":\"Obesity Surgery\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.9000,\"publicationDate\":\"2024-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Obesity Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s11695-024-07395-y\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/7/24 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q1\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Obesity Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s11695-024-07395-y","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/7/24 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"SURGERY","Score":null,"Total":0}
Metabolic and Bariatric Surgeon Criteria-An International Experts' Consensus.
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.
期刊介绍：
Obesity Surgery is the official journal of the International Federation for the Surgery of Obesity and metabolic disorders (IFSO). A journal for bariatric/metabolic surgeons, Obesity Surgery provides an international, interdisciplinary forum for communicating the latest research, surgical and laparoscopic techniques, for treatment of massive obesity and metabolic disorders. Topics covered include original research, clinical reports, current status, guidelines, historical notes, invited commentaries, letters to the editor, medicolegal issues, meeting abstracts, modern surgery/technical innovations, new concepts, reviews, scholarly presentations and opinions.
Obesity Surgery benefits surgeons performing obesity/metabolic surgery, general surgeons and surgical residents, endoscopists, anesthetists, support staff, nurses, dietitians, psychiatrists, psychologists, plastic surgeons, internists including endocrinologists and diabetologists, nutritional scientists, and those dealing with eating disorders.
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