Endoscopy 2023; 55(03): 276-293
DOI: 10.1055/a-2003-5818
Position Statement

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

Authors

  • Ivo Boškoski 

     1   Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy

  • Valerio Pontecorvi

     1   Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy

  • Mostafa Ibrahim

     2   Department of Gastroenterology and Hepatology, Theodor Bilharz Research Institute, Cairo, Egypt

  • Vincent Huberty

     3   Department of Gastroenterology, Hepatopancreatology and Digestive Oncology, Erasme Hospital, Université libre de Bruxelles (ULB), Brussels, Belgium

  • Roberta Maselli

     4   Department of Gastroenterology, IRCCS Humanitas Research Hospital, Rozzano, Italy

  • Stefan K. Gölder 

     5   Department of Internal Medicine, Ostalb Klinikum Aalen, Aalen, Germany

  • Jan Kral

     6   Department of Hepatogastroenterology, Institute for Clinical and Experimental Medicine, Prague, Czech Republic

  • Jayanta Samanta 

     7   Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India

  • Árpád V. Patai

     8   Division of Gastroenterology, Department of Surgery, Transplantation and Gastroenterology, Semmelweis University, Budapest, Hungary

  • Rehan Haidry

     9   Department of Gastroenterology, University College London Hospital, London, UK

  • Marcus Hollenbach 

    10   Medical Department II, Division of Gastroenterology, University of Leipzig Medical Center, Leipzig, Germany

  • Enrique Pérez-Cuadrado-Robles 

    11   Department of Gastroenterology, Georges-Pompidou European Hospital, Paris, France

  • Marco Silva 

    12   Gastroenterology Department, Centro Hospitalar São João, Porto, Portugal

  • Helmut Messmann

    13   Department of Gastroenterology, Universitätsklinikum Augsburg, Augsburg, Germany

  • Tony C. Tham 

    14   Division of Gastroenterology, Ulster Hospital, Dundonald, Belfast, Northern Ireland

  • Raf Bisschops 

    15   Department of Gastroenterology and Hepatology, University Hospital Leuven, TARGID, KU Leuven, Leuven, Belgium
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Main recommendations

Obesity 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.



Publication History

Article published online:
25 January 2023

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