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Global Certifications for Surgeons and Centers

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Global Bariatric Surgery

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Abstract

The increasing prevalence of morbid obesity throughout the world presents an opportunity for bariatric surgeons to improve the longevity and quality of life for patients afflicted with this disease and its associated comorbidities. However, this opportunity also challenges the international bariatric community to ensure that bariatric providers have adequate training and resources to provide the best outcomes. Surgeons, for example, must acquire the requisite skill set and experience to perform technically demanding procedures, such as the laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG). Mastery of this procedure requires a significant learning curve, estimated at 75–100 procedures. During this learning curve, complication rates may be significantly higher. Additionally, patient selection, preoperative optimization, and long-term follow-up are crucial for excellent outcomes. In order to maximize safety and establish an effective, standardized training curriculum in the USA, the American Society for Metabolic and Bariatric Surgery (ASMBS) published guidelines for bariatric privileges in 2006. With similar intentions, the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) published guidelines in 2007. Unlike the USA, however, many countries do not have well-established fellowship programs that allow junior surgeons to perform bariatric procedures under the supervision of experienced mentors. Heterogeneity, variability, and inconsistency in bariatric training are therefore among the challenges that must be addressed in order to meet the worldwide demand for skilled bariatric surgeons.

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Abbreviations

ASMBS:

American Society for Metabolic and Bariatric Surgery

IFSO:

International Federation for the Surgery of Obesity and Metabolic Disorders

LRYGB:

Laparoscopic Roux-en-Y gastric bypass

LSG:

Laparoscopic sleeve gastrectomy

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Author information

Authors and Affiliations

  1. General Surgery, The Everett Clinic, Everett, WA, USA

    Joseph Mark Drosdeck

  2. Swedish Weight Loss Services, Swedish Medical Center, Seattle, WA, USA

    Samer G. Mattar

Authors
  1. Joseph Mark Drosdeck
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  2. Samer G. Mattar
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Correspondence to Samer G. Mattar .

Editor information

Editors and Affiliations

  1. University of Illinois at Chicago, Chicago, IL, USA

    Rami Lutfi

  2. University of Buenos Aires, Buenos Aires, Argentina

    Mariano Palermo

  3. Saint-Pierre University Hospital, European School of Laparoscopic Surgery, Brussels, Belgium

    Guy-Bernard Cadière

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Drosdeck, J.M., Mattar, S.G. (2018). Global Certifications for Surgeons and Centers. In: Lutfi, R., Palermo, M., Cadière, GB. (eds) Global Bariatric Surgery . Springer, Cham. https://doi.org/10.1007/978-3-319-93545-4_4

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  • DOI: https://doi.org/10.1007/978-3-319-93545-4_4

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  • Online ISBN: 978-3-319-93545-4

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