Curriculum for bariatric endoscopy and endoscopic treatment of the complications of bariatric surgery: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement

Theodor Bilharz Research Institute

Bibliographic Information

Authors: Boškoski I.; Pontecorvi V.; Ibrahim M.; Huberty V.; Maselli R.; Gölder S.K.; Kral J.; Samanta J.; Patai Á.V.; Haidry R.; Hollenbach M.; Pérez-Cuadrado-Robles E.; Silva M.; Messmann H.; Tham T.C.; Bisschops R.

Journal: Endoscopy

Publisher: Georg Thieme Verlag

Publication Date: 25 January 2023

Volume / Issue: Volume 55 / Issue 3

Pages: 276–293

ISSN: 0013726X

DOI: 10.1055/a-2003-5818

Scopus: View on Scopus

PubMed: 36696907

Document Type: Article

Access: All Open Access; Bronze Open Access

Authors and Affiliations

Boškoski I., Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy; Pontecorvi V., Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy; Ibrahim M., Department of Gastroenterology and Hepatology, Theodor Bilharz Research Institute, Cairo, Egypt; Huberty V., Department of Gastroenterology, Hepatopancreatology and Digestive Oncology, Erasme Hospital, Université Libre de Bruxelles (ULB), Brussels, Belgium; Maselli R., Department of Gastroenterology, IRCCS Humanitas Research Hospital, Rozzano, Italy; Gölder S.K., Department of Internal Medicine, Ostalb Klinikum Aalen, Aalen, Germany; Kral J., Department of Hepatogastroenterology, Institute for Clinical and Experimental Medicine, Prague, Czech Republic; Samanta J., Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India; Patai Á.V., Division of Gastroenterology, Department of Surgery, Transplantation and Gastroenterology, Semmelweis University, Budapest, Hungary; Haidry R., Department of Gastroenterology, University College London Hospital, London, United Kingdom; Hollenbach M., Medical Department II, Division of Gastroenterology, University of Leipzig Medical Center, Leipzig, Germany; Pérez-Cuadrado-Robles E., Department of Gastroenterology, Georges-Pompidou European Hospital, Paris, France; Silva M., Gastroenterology Department, Centro Hospitalar São João, Porto, Portugal; Messmann H., Department of Gastroenterology, Universitätsklinikum Augsburg, Augsburg, Germany; Tham T.C., Division of Gastroenterology, Ulster Hospital, Dundonald, Belfast, United Kingdom; Bisschops R., Department of Gastroenterology and Hepatology, University Hospital Leuven, TARGID, KU Leuven, Leuven, Belgium

Abstract

Main recommendationsObesity is a chronic, relapsing, degenerative, multifactorial disease that is associated with many co-morbidities. The global increasing burden of obesity has led to calls for an urgent need for additional treatment options. Given the rapid expansion of bariatric endoscopy and bariatric surgery across Europe, the European Society of Gastrointestinal Endoscopy (ESGE) has recognized the need to formalize and enhance training in bariatric endoscopy and the endoscopic treatment of bariatric surgical adverse events. This manuscript represents the outcome of a formal Delphi process resulting in an official Position Statement of the ESGE and provides a framework to develop and maintain skills in bariatric endoscopy and the endoscopic treatment of bariatric surgical adverse events. This curriculum is set out in terms of the prerequisites prior to training, minimum number of procedures, the steps for training and quality of training, and how competence should be defined and evidenced before independent practice. 1 ESGE recommends that every endoscopist should have achieved competence in upper gastrointestinal endoscopy before commencing training in bariatric endoscopy and the endoscopic treatment of bariatric surgical adverse events. 2 Trainees in bariatric endoscopy and the endoscopic treatment of the complications of bariatric surgery should have basic knowledge of the definition, classification, and social impact of obesity, its pathophysiology, and its related co-morbidities. The recognition and management of gastrointestinal diseases that are more common in patients with obesity, along with participation in multidisciplinary teams where obese patients are evaluated, are mandatory. 3 ESGE recommends that competency in bariatric endoscopy and the endoscopic treatment of the complications of bariatric surgery can be learned by attending validated training courses on simulators initially, structured training courses, and then hands-on training in tertiary referral centers. © 2023 Georg Thieme Verlag. All rights reserved.

Keywords

Bariatric Surgery; Curriculum; Endoscopy, Gastrointestinal; Europe; Humans; Obesity; Article; clinical competence; comorbidity; Delphi study; endoscopic surgery; endoscopist; gastrointestinal disease; gastrointestinal endoscopy; human; learning; medical society; medical student; multidisciplinary team; obese patient; postoperative complication; reoperation; self evaluation; simulation training; surgical training; tertiary care center; time; work environment; adverse event; procedures

Citation Information

Scopus Citations: 16

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