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Comment on: Bariatric surgery and secondary hyperparathyroidism: a meta-analysis

Published:November 04, 2022DOI:https://doi.org/10.1016/j.soard.2022.10.032
      I was recently asked by a younger bariatric surgeon why a general surgeon with no formal bariatric fellowship training was allowed to perform laparoscopic sleeve gastrostomies in her town. I explained that there are many bariatric surgeons in our great subspeciality who either were grandfathered into their career path before minimally invasive fellowships were in existence or perfected their bariatric skill sets by other means outside of a formal fellowship training paradigm. These options are perfectly acceptable within the confines and standards set forth in the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program [

      American College of Surgeons (ACS) [Internet]. Chicago: The College; c1996–2002; [updated 2022 Oct; cited 2022 Oct 9]. Optimal Resources for Metabolic and Bariatric Surgery, MBSAQIP Standard Manual [about 2 screens]. Available from: https://www.facs.org/quality-programs/accreditation-and-verification/metabolic-and-bariatric-surgery-accreditation-and-quality-improvement-program/standards/.

      ]. Although local credentialing varies from hospital to hospital, no additional training and no additional competency testing is required in the United States to perform bariatric surgical procedures, according to the current rules and regulations of the American Board of Surgery (ABS). To the board, bariatric surgery is general surgery.
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      References

      1. American College of Surgeons (ACS) [Internet]. Chicago: The College; c1996–2002; [updated 2022 Oct; cited 2022 Oct 9]. Optimal Resources for Metabolic and Bariatric Surgery, MBSAQIP Standard Manual [about 2 screens]. Available from: https://www.facs.org/quality-programs/accreditation-and-verification/metabolic-and-bariatric-surgery-accreditation-and-quality-improvement-program/standards/.

      2. American Board of Surgery (ABS) [Internet]. Philadelphia: The Board; c2003–2022 [cited 2022 Oct 9]. Metabolic and Bariatric Surgery Focused Practice Designation [about 5 screens]. Available from: https://www.absurgery.org/default.jsp?certfpd_mbs#:∼:text=ABS%20is%20now%20offering%20a,field%20of%20medicine%20or%20surgery.

        • Cai Z.
        • Zhang Q.
        • Jiang Y.
        • Zhang J.
        • Liu W.
        Bariatric surgery and secondary hyperparathyroidism: a meta-analysis.
        Surg Obes Relat Dis. Epub 2022 Sep 23;
        • Maciejewski M.L.
        • Arterburn D.E.
        • Van Scoyoc L.
        • et al.
        Bariatric surgery and long-term durability of weight loss.
        JAMA Surg. 2016; 151: 1046-1055
        • Puzziferri N.
        • Roshek 3rd, T.B.
        • Mayo H.G.
        • Gallagher R.
        • Belle S.H.
        • Livingston E.H.
        Long-term follow-up after bariatric surgery: a systematic review.
        JAMA. 2014; 312: 934-942

      Linked Article

      • Comment on: Bariatric surgery and secondary hyperparathyroidism: a meta-analysis
        Surgery for Obesity and Related Diseases
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          I thank Cai et al. [1] for their excellent meta-analysis addressing the important topic of secondary hyperparathyroidism and metabolic and bariatric surgery (MBS). This meta-analysis represents the first quantitative summary of the effect of MBS on secondary hyperparathyroidism (SHPT) risk and includes a large sample size of patients. This meta-analysis included a total of 5585 patients from 9 studies with a mean follow-up time of 3.5 years (range, .25–5). In addition to comparing the impact of MBS on SHPT, this meta-analysis compared the impact of follow-up time and surgical procedure on SHPT.
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      • Bariatric surgery and secondary hyperparathyroidism: a meta-analysis
        Surgery for Obesity and Related Diseases
        • Preview
          Obesity increases the risk of obesity-related medical problems. Weight loss after metabolic and bariatric surgery (MBS) has been well studied. However, the effects of MBS on parathyroid function remain unclear.
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