Metabolic and Bariatric Surgeon Criteria—An International Experts’ Consensus

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

Metabolic and Bariatric Surgeon Criteria—An International Experts’ Consensus

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 ClappRicardo 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

College of Medicine and Public Health

Research output: Contribution to journal › Comment/debate

1 Citation (Scopus)

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.

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.

Original language	English
Pages (from-to)	3216-3228
Number of pages	13
Journal	Obesity Surgery
Volume	34
Issue number	9
Early online date	24 Jul 2024
DOIs	https://doi.org/10.1007/s11695-024-07395-y
Publication status	Published - Sept 2024

Keywords

Bariatric surgery
Fellowship
Learning curve
Metabolic and bariatric surgeon
Metabolic surgery

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Kermansaravi, M., Chiappetta, S., Shikora, S. A., Musella, M., Kow, L., Aarts, E., Abbas, S. I., Aly, A., Aminian, A., Angrisani, L., Asghar, S. T., Bashir, A., Behrens, E., Billy, H., Boza, C., Brown, W. A., Caina, D. O., Carbajo, M. A., Chevallier, J.-M., ... Nimeri, A. (2024). Metabolic and Bariatric Surgeon Criteria—An International Experts’ Consensus. Obesity Surgery, 34(9), 3216-3228. https://doi.org/10.1007/s11695-024-07395-y

@article{39c028ca30844c35a9be709943c2b7c9,

title = "Metabolic and Bariatric Surgeon Criteria—An International Experts{\textquoteright} Consensus",

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. 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{\textquoteright} 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.",

keywords = "Bariatric surgery, Fellowship, Learning curve, Metabolic and bariatric surgeon, Metabolic surgery",

author = "Mohammad Kermansaravi and Sonja Chiappetta and Shikora, {Scott A} and Mario Musella and Lilian Kow and Edo Aarts and Abbas, {Syed Imran} and Ahmad Aly and Ali Aminian and Luigi Angrisani and Asghar, {Syed Tanseer} and Ahmad Bashir and Estuardo Behrens and Helmuth Billy and Camilo Boza and Brown, {Wendy A} and Caina, {Daniel Oscar} and Carbajo, {Miguel A} and Jean-Marc Chevallier and Benjamin Clapp and Cohen, {Ricardo V} and Jazi, {Amir Hossein Davarpanah} and {De Luca}, Maurizio and Bruno Dilemans and Martin Fried and Michel Gagner and Neto, {Manoel Galvao} and Garneau, {Pierre Y} and Khaled Gawdat and Ghanem, {Omar M} and {Al Hadad}, Mohammed and Ashraf Haddad and ElFawal, {Mohamad Hayssam} and Herrera, {Miguel F} and Kelvin Higa and Jaques Himpens and Farah Husain and Kazunori Kasama and Radwan Kassir and Mousa Khoursheed and Haris Khwaja and Kristinsson, {Jon A} and Matthew Kroh and Kurian, {Marina S} and Muffazal Lakdawala and Teresa LaMasters and Wei-Jei Lee and Brijesh Madhok and Kamal Mahawar and Tarek Mahdy and Hazem Almomani and John Melissas and Karl Miller and Alexander Neimark and Taryel Omarov and Mariano Palermo and Papasavas, {Pavlos K} and Chetan Parmar and Abdolreza Pazouki and Ralph Peterli and Tadeja Pintar and Luis Poggi and Jaime Ponce and Arun Prasad and Pratt, {Janey S A} and Ramos, {Almino C} and Masoud Rezvani and Karl Rheinwalt and Rui Ribeiro and Elena Ruiz-Ucar and Karim Sabry and Bassem Safadi and Asim Shabbir and Shahab ShahabiShahmiri and Erik Stenberg and Michel Suter and Safwan Taha and Taskin, {Halit Eren} and Antonio Torres and Sergio Verboonen and Ramon Vilallonga and Kelvin Voon and Ala Wafa and Cunchuan Wang and Rudolf Weiner and Wah Yang and Natan Zundel and Gerhard Prager and Abdelrahman Nimeri",

year = "2024",

month = sep,

doi = "10.1007/s11695-024-07395-y",

language = "English",

volume = "34",

pages = "3216--3228",

journal = "Obesity Surgery",

issn = "0960-8923",

publisher = "Springer ",

number = "9",

}

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, J-M, 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, W-J, 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 2024, 'Metabolic and Bariatric Surgeon Criteria—An International Experts’ Consensus', Obesity Surgery, vol. 34, no. 9, pp. 3216-3228. https://doi.org/10.1007/s11695-024-07395-y

TY - JOUR

T1 - Metabolic and Bariatric Surgeon Criteria—An International Experts’ Consensus

AU - Kermansaravi, Mohammad

AU - Chiappetta, Sonja

AU - Shikora, Scott A

AU - Musella, Mario

AU - Kow, Lilian

AU - Aarts, Edo

AU - Abbas, Syed Imran

AU - Aly, Ahmad

AU - Aminian, Ali

AU - Angrisani, Luigi

AU - Asghar, Syed Tanseer

AU - Bashir, Ahmad

AU - Behrens, Estuardo

AU - Billy, Helmuth

AU - Boza, Camilo

AU - Brown, Wendy A

AU - Caina, Daniel Oscar

AU - Carbajo, Miguel A

AU - Chevallier, Jean-Marc

AU - Clapp, Benjamin

AU - Cohen, Ricardo V

AU - Jazi, Amir Hossein Davarpanah

AU - De Luca, Maurizio

AU - Dilemans, Bruno

AU - Fried, Martin

AU - Gagner, Michel

AU - Neto, Manoel Galvao

AU - Garneau, Pierre Y

AU - Gawdat, Khaled

AU - Ghanem, Omar M

AU - Al Hadad, Mohammed

AU - Haddad, Ashraf

AU - ElFawal, Mohamad Hayssam

AU - Herrera, Miguel F

AU - Higa, Kelvin

AU - Himpens, Jaques

AU - Husain, Farah

AU - Kasama, Kazunori

AU - Kassir, Radwan

AU - Khoursheed, Mousa

AU - Khwaja, Haris

AU - Kristinsson, Jon A

AU - Kroh, Matthew

AU - Kurian, Marina S

AU - Lakdawala, Muffazal

AU - LaMasters, Teresa

AU - Lee, Wei-Jei

AU - Madhok, Brijesh

AU - Mahawar, Kamal

AU - Mahdy, Tarek

AU - Almomani, Hazem

AU - Melissas, John

AU - Miller, Karl

AU - Neimark, Alexander

AU - Omarov, Taryel

AU - Palermo, Mariano

AU - Papasavas, Pavlos K

AU - Parmar, Chetan

AU - Pazouki, Abdolreza

AU - Peterli, Ralph

AU - Pintar, Tadeja

AU - Poggi, Luis

AU - Ponce, Jaime

AU - Prasad, Arun

AU - Pratt, Janey S A

AU - Ramos, Almino C

AU - Rezvani, Masoud

AU - Rheinwalt, Karl

AU - Ribeiro, Rui

AU - Ruiz-Ucar, Elena

AU - Sabry, Karim

AU - Safadi, Bassem

AU - Shabbir, Asim

AU - ShahabiShahmiri, Shahab

AU - Stenberg, Erik

AU - Suter, Michel

AU - Taha, Safwan

AU - Taskin, Halit Eren

AU - Torres, Antonio

AU - Verboonen, Sergio

AU - Vilallonga, Ramon

AU - Voon, Kelvin

AU - Wafa, Ala

AU - Wang, Cunchuan

AU - Weiner, Rudolf

AU - Yang, Wah

AU - Zundel, Natan

AU - Prager, Gerhard

AU - Nimeri, Abdelrahman

PY - 2024/9

Y1 - 2024/9

N2 - 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.

AB - 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.

KW - Bariatric surgery

KW - Fellowship

KW - Learning curve

KW - Metabolic and bariatric surgeon

KW - Metabolic surgery

UR - http://www.scopus.com/inward/record.url?scp=85199438082&partnerID=8YFLogxK

U2 - 10.1007/s11695-024-07395-y

DO - 10.1007/s11695-024-07395-y

M3 - Comment/debate

C2 - 39046625

AN - SCOPUS:85199438082

SN - 0960-8923

VL - 34

SP - 3216

EP - 3228

JO - Obesity Surgery

JF - Obesity Surgery

IS - 9

ER -

Metabolic and Bariatric Surgeon Criteria—An International Experts’ Consensus

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Keywords

UN SDGs

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