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01-03-2011 | Guidelines

Guidelines for institutions granting bariatric privileges utilizing laparoscopic techniques

Authors: Ronald Clements, Alan Saber, Julio Teixeira, David Provost, Robert Fanelli, William Richardson

Published in: Surgical Endoscopy | Issue 3/2011

Excerpt

The Society of American Gastrointestinal Endoscopic Surgeons (SAGES) recommends the following guidelines for privileging qualified surgeons in the performance of laparoscopic bariatric surgical procedures. The basic premise is that the surgeon must have the judgment and training to safely complete the procedure as intended, as well as have the capability of immediately proceeding to a traditional open procedure when circumstances so indicate [1‐14]. Moreover, this assumes that the surgeon practices as part of a bariatric team to provide adequate preoperative care and long-term follow-up. …

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Dent TL (1991) Clinical privileges for laparoscopic general surgery. Am J Surg 161:399–403PubMedCrossRef

E.A.E.S. Guidelines (1994) Training and assessment of competence. Surg Endosc 8:721–722CrossRef

Greene FL (1991) Training credentialing and privileging for minimally invasive surgery. Probl Gen Surg 8:502–506

Jakimowicz J (1994) The European Association for Endoscopic Surgery, recommendations for training in laparoscopic surgery. Ann Chir Gynaecol 83:137–141PubMed

JCAHO (2001) Automated comprehensive accreditation manual for hospitals. Update 2 May 2001

Laparoscopic surgery. New York State Department of Health Memorandum, Series 92-20, Albany, New York, June 12, 1992

Ooi LLPJ (1996) Training in laparoscopic surgery: have we got it right yet? Ann Acad Med 25:732–736

Schwaitzberg SD, Connolly RJ, Sant GR, Reindollar R, Cleveland RJ (1996) Planning, development, and execution of an international training program in laparoscopy. Surg Laparosc Endosc 6:10–15PubMedCrossRef

See WA, Cooper CS, Fisher RJ (1993) Predictors of laparoscopic complications after formal training in laparoscopic surgery. JAMA 270:2689–2692PubMedCrossRef

10.

Society of American Gastrointestinal Endoscopic Surgeons (1994) Framework for post-residency surgical education and training: a SAGES guideline. Publication #0017. Surg Endosc 8:1137–1142CrossRef

11.

Society of American Gastrointestinal Endoscopic Surgeons (1991) Granting of privileges for laparoscopic general surgery. Am J Surg 161:324–325CrossRef

12.

Society of American Gastrointestinal Endoscopic Surgeons (2001) SAGES position statement—statement on first assistants. Available by request from SAGES

13.

Wexner SD, Weiss EG (1994) A recommended training schema for laparoscopic surgery: the future of laparoscopy in oncology. Surg Oncol Clin N Am 3:759–765

14.

Wexner SD, Weiss EG (1994) Training and preparation for laparoscopic colectomy. Semin Colon Rectal Surg 5:224–227

15.

Maher J et al (2008) Four hundred fifty consecutive laparoscopic Roux-en-Y gastric bypasses with no mortality and declining leak rates and lengths of stay in a bariatric training program. JACS 206(5):940–944

16.

Frezza E et al (2004) Bariatric and associated operations in private and academic practices. Obes Surg 14(10):1406–1408PubMedCrossRef

17.

Trieu HT et al (2007) Safety and outcomes of laparoscopic gastric bypass surgery in patients 60 years of age and older. Surg Obes Related Dis 3(3):383–386CrossRef

18.

Madan AK et al (2007) Establishing a laparoscopic bariatric program in a safety net hospital. Surg Endosc 21(5):801–804PubMedCrossRef

19.

Kothari SN et al (2005) Training of a minimally invasive bariatric surgeon: are laparoscopic fellowships the answer? Obes Surg 15(3):323–329PubMedCrossRef

20.

Nguyen NT et al (2004) The practice of bariatric surgery at academic medical centers. J Gastrointest Surg 8(7):856–860PubMedCrossRef

21.

Belle SH et al (2007) Safety and efficacy of bariatric surgery: longitudinal assessment of bariatric surgery. Surg Obes Related Dis 3(2):116–126CrossRef

22.

Livingston EH et al (2006) National Surgical Quality Improvement Program analysis of bariatric operations: modifiable risk factors contribute to bariatric surgical adverse outcomes. JACS 203(5):625–633

23.

Rosenthal RJ et al (2006) Laparoscopic surgery for morbid obesity: 1001 consecutive bariatric operations performed at The Bariatric Institute, Cleveland Clinic Florida. Obes Surg 16(2):119–124PubMedCrossRef

24.

Burhop J et al (2005) Laparoscopic bariatric surgery can be performed safely in the community hospital setting. WMJ 104(5):48–53PubMed

25.

Rendon SE et al (2005) Quality assurance in bariatric surgery. Surg Clin N Am 85(4):757–771, vi–viiPubMedCrossRef

26.

Kelly JJ, Shikora S, Jones DB, Hutter MH, Robinson MK, Romanelli J, Buckley F, Lederman A, Blackburn GL, Lautz D (2009) Best practice updates for surgical care in weight loss surgery. Obesity (Silver Spring) 17(5):863–870CrossRef

27.

Jones SB, Jones DB (2009) Obesity surgery: patient safety and best practices. Cine-Med Inc., Woodbury

Title: Guidelines for institutions granting bariatric privileges utilizing laparoscopic techniques
Authors: Ronald Clements
Alan Saber
Julio Teixeira
David Provost
Robert Fanelli
William Richardson
Publication date: 01-03-2011
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 3/2011
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-010-1364-8

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Guidelines for institutions granting bariatric privileges utilizing laparoscopic techniques

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