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5 Developing a Successful Bariatric Surgery Program

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Minimally Invasive Bariatric Surgery

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Abstract

With nearly two-thirds of the American population deemed obese, there is a greater need to promote improved health, and bariatric surgeons are seeing a greater number of people inquiring and desiring bariatric surgery as a tool to achieve weight loss. Patients undergoing bariatric surgery may do so at dedicated medical centers with the adequate resources to provide such care. Establishing and setting up a bariatric surgery program is a major undertaking that requires a substantial amount of effort, planning, and commitment from the surgeons. It requires the multidisciplinary work by a team of medical staff and physician providers. We discuss in depth the tools needed to start and maintain a bariatric surgery practice. This includes bariatric surgery credentialing requirements, inpatient and outpatient infrastructure needs, personnel needs, education, long-term care, follow-up planning, and the costs of developing a bariatric practice.

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Abbreviations

ABS:

American Board of Surgery

ACS:

American College of Surgeons

AORN:

According to the Association of Operating Room Nurses

ASMBS:

American Society for Metabolic and Bariatric Surgery

BMI:

Body mass index

EMR:

Electronic medical record

MBSAQIP:

Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program

NIH:

National Institutes of Health

NSQIP:

National Surgical Quality Improvement Program

QI:

Quality improvement

SAGES:

Society of American Gastrointestinal and Endoscopic Surgeons

References

  1. www.cdc.gov/obesity/data/trends.html. Accessed 5 Oct 2012.

  2. Khuri SF. Safety, quality, and the National Surgical Quality Improvement Program. Am Surg. 2006;72:994–8.

    PubMed  Google Scholar 

  3. Dumon KR, Edelson PK, Raper SE, Foster-Kilgarriff K, Williams NN. Implementation of designated bariatric surgery program leads to improved clinical outcomes. Surg Obes Relat Dis. 2011;7:271–6.

    Article  PubMed  Google Scholar 

  4. Nguyen N, Paya M, Stevens M. The relationship between hospital volume and outcome in bariatric surgery at academic medical centers. Ann Surg. 2004;240:586–94.

    PubMed Central  PubMed  Google Scholar 

  5. Arregui ME. The Fellowship Council: Universal Fellowship Application and Match Service. www.fellowshipcouncil.org. 2012. https://fellowshipcouncil.org/. Accessed Nov 2012.

  6. American Society for Metabolic and Bariatric Surgery. ASMBS: American Society for Metabolic and Bariatric Surgery. 2012. http://asmbs.org/. Accessed Nov 2012.

  7. Herron DM. Establishing and organizing a Bariatric Surgery Program. In: Inabnet WB, DeMaria EJ, Ikramuddin S, editors. Laparoscopic bariatric surgery, vol. I. 1st ed. Philadelphia: Lippincott Williams and Wilkins; 2005. p. 23–31.

    Google Scholar 

  8. Thompson B. Weight loss surgery: finding the thin person hiding inside you. Tarentum: Word Association; 2003.

    Google Scholar 

  9. Makar B, Quilliot D, Zarnegar R, et al. What is the quality of information about bariatric surgery on the internet? Obes Surg. 2008;18(11):1455–9.

    Article  CAS  PubMed  Google Scholar 

  10. Frezza EE, Wachtel MS. A successful model of setting up a bariatric practice. Obes Surg. 2008;18:877–81.

    Article  PubMed  Google Scholar 

  11. Lautz DB, Jiser ME, Kelly JJ, et al. An update on best practice guidelines for specialized facilities and resources necessary for weight loss surgical programs. Obesity. 2009;17(5):911–7.

    Article  PubMed  Google Scholar 

  12. Association of periOperative Registered Nurses. AORN bariatric surgery guideline. AORN J. 2004;79:1026.

    Article  Google Scholar 

  13. Jones SB, Jones DB. Obesity surgery: patient safety and best practices, vol. I. 1st ed. Woodbury: Cine-Med; 2009.

    Google Scholar 

  14. Toppino M, Cesarani F, Comba A. The role of early radiological studies after gastric bariatric surgery. Obes Surg. 2001;11(4):447–54.

    Article  CAS  PubMed  Google Scholar 

  15. Berger NK, Carr JJ, Erickson J, et al. Path to bariatric nurse certification: the practice analysis. Surg Obes Relat Dis. 2010;6:399.

    Article  PubMed  Google Scholar 

  16. Alvarez-Leite JI. Nutrient deficiencies secondary to bariatric surgery. Curr Opin Clin Nutr Metab Care. 2004;7:569.

    Article  PubMed  Google Scholar 

  17. Lizer NH, Papageorgeon H, Glembot TM. Nutritional and pharmacologic challenges in the bariatric surgery patient. Obes Surg. 2010;20:1654.

    Article  PubMed  Google Scholar 

  18. Greenberg I, Sogg S, Perna F. Behavioral and psychological care in weight loss surgery: best practice update. Obesity. 2009;17:880.

    Article  PubMed  Google Scholar 

  19. Kinzi JF, Schrattenecker M, Traweger C. Psychosocial predictors of weight loss after bariatric surgery. Obes Surg. 2006;16(12):1609–14.

    Article  Google Scholar 

  20. Omalu BI, Cho P, Shakir AM. Suicides following bariatric surgery for the treatment of obesity. Surg Obes Relat Dis. 2005;1:447.

    Article  PubMed  Google Scholar 

  21. Bauchowitz AU, Gonder-Frederick LA, Olbrisch ME. Psychosocial evaluation of bariatric surgery candidates: a survey of present practices. Psychosom Med. 2005;67:625–832.

    Article  Google Scholar 

  22. Poole NA, Al AA, Kuhanendran D. Compliance with surgical after-care following bariatric surgery for morbid obesity: a retrospective study. Obes Surg. 2005;15:261–5.

    Article  PubMed  Google Scholar 

  23. Wheeler E, Prettyman A, Lenhard MJ, Tran K. Adherence to outpatient program postoperative appointments after bariatric surgery. Surg Obes Relat Dis. 2008;4:515–20.

    Article  PubMed  Google Scholar 

  24. Heldebrandt SE. Effects of participation in bariatric support group after Roux-en-Y gastric bypass. Obes Surg. 1998;8:535–42.

    Article  Google Scholar 

  25. Elakkary E, Elhorr A, Aziz F. Do Support groups play a role in weight loss after laparoscopic adjustable gastric banding? Obes Surg. 2006;16:331–4.

    Article  PubMed  Google Scholar 

  26. Angstadt J, Whipple O. Developing a New Bariatric Surgery Program. Am Surg. 2007;73:1092–7.

    PubMed  Google Scholar 

  27. Tate DF. Effects of internet behavioral counseling on weight loss in adults at risk for type 2 diabetes. J Am Med Assoc. 2003;289(14):1833–6.

    Article  Google Scholar 

  28. Kalmbach WC. Covering your assets—estate planning. Paper presented at Master’s postgraduate course, American Society for Bariatric Surgery Annual Meeting, June 18, 2003; Boston, MA.

    Google Scholar 

  29. Mccarthy J. Risk-management foundation. In: Jones SB, Jones DB, editors. Obesity surgery: patient safety and best practices, vol 1. 1st ed. Woodbury: Cine-Med; 2009. p. 443–62.

    Google Scholar 

  30. Claims common in bariatrics, but outcomes often favor surgeons. General Surgery News. 2012;39:10.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Metabolic, Endocrine, and Minimally Invasive Surgery, Mount Sinai School of Medicine, 100 McGregor Street, New York, NY, 03102, USA

    Andrew S. Wu M.D.

  2. Department of Surgery, Mount Sinai School of Medicine, 5 East 98th street, 15th floor, 1259, New York, NY, 10029, USA

    Daniel M. Herron M.D., F.A.C.S.

Authors
  1. Andrew S. Wu M.D.
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  2. Daniel M. Herron M.D., F.A.C.S.
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Corresponding author

Correspondence to Daniel M. Herron M.D., F.A.C.S. .

Editor information

Editors and Affiliations

  1. Cleveland Clinic Lerner College of Medicine, Bariatric and Metabolic Institute, Cleveland Clinic, Cleveland, Ohio, USA

    Stacy A. Brethauer

  2. Cleveland Clinic Lerner College of Medicine, Bariatric and Metabolic Institute, Cleveland Clinic, Cleveland, Ohio, USA

    Philip R. Schauer

  3. Department of Surgery, Health Sciences Center, University of Virginia Health System, Charlottesville, Virginia, USA

    Bruce D. Schirmer

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Wu, A.S., Herron, D.M. (2015). 5 Developing a Successful Bariatric Surgery Program. In: Brethauer, S., Schauer, P., Schirmer, B. (eds) Minimally Invasive Bariatric Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1637-5_5

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  • DOI: https://doi.org/10.1007/978-1-4939-1637-5_5

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1636-8

  • Online ISBN: 978-1-4939-1637-5

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