Skip to main content

Components of a Metabolic and Bariatric Surgery Center

  • Chapter
  • First Online:
  • 1742 Accesses

Abstract

As the number of metabolic and bariatric procedures being performed annually has increased significantly over the last decade, there is an important need for developing and maintaining metabolic and bariatric surgery centers with rigorous organizational and operational standards to ensure patients receive safe care. This chapter will describe the essential components of a successful, comprehensive metabolic and bariatric center based on the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP). We will also briefly describe some tips to prepare for an MBSAQIP site survey and outline the most common deficiencies encountered during site surveys.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Hales CM, Fryar CD, Carroll MD, Freedman DS, Ogden CL. Trends in obesity and severe obesity prevalence in US youth and adults by sex and age, 2007-2008 to 2015-2016. JAMA. United States. 2018:1723–5.

    Google Scholar 

  2. NIH conference. Gastrointestinal surgery for severe obesity. Consensus Development Conference Panel. Ann Intern Med 1991;115:956–61.

    Google Scholar 

  3. Resource Category: Estimate of Bariatric Surgery Numbers|American Society for Metabolic and Bariatric Surgery. 2019. at asmbs.org/resource-categories/estimate-of-bariatric-surgery-numbers.

  4. Birkmeyer JD, Edward E. Mason lecture: strategies for improving the quality of bariatric surgery. Surg Obes Relat Dis. 2013;9:604–8.

    Article  Google Scholar 

  5. English WJ, DeMaria EJ, Brethauer SA, Mattar SG, Rosenthal RJ, Morton JM. American Society for Metabolic and Bariatric Surgery estimation of metabolic and bariatric procedures performed in the United States in 2016. Surg Obes Relat Dis. 2018;14:259–63.

    Article  Google Scholar 

  6. Silber JH, Williams SV, Krakauer H, Schwartz JS. Hospital and patient characteristics associated with death after surgery. A study of adverse occurrence and failure to rescue. Med Care. 1992;30:615–29.

    Article  CAS  Google Scholar 

  7. Alkhenizan A, Shaw C. Impact of accreditation on the quality of healthcare services: a systematic review of the literature. Ann Saudi Med. 2011;31:407–16.

    Article  Google Scholar 

  8. Desveaux L, Mitchell JI, Shaw J, Ivers NM. Understanding the impact of accreditation on quality in healthcare: a grounded theory approach. Int J Qual Health Care. 2018;30:241.

    Article  CAS  Google Scholar 

  9. Inabnet WB 3rd, Bour E, Carlin AM, et al. Joint task force recommendations for credentialing of bariatric surgeons. Surg Obes Relat Dis. 2013;9:595–7.

    Article  Google Scholar 

  10. American Society for Bariatric Surgery’s guidelines for granting privileges in bariatric surgery. Surg Obes Relat Dis. 2006;2:65–7.

    Google Scholar 

  11. Clements R, Saber A, Teixeira J, Provost D, Fanelli R, Richardson W. Guidelines for institutions granting bariatric privileges utilizing laparoscopic techniques. Society of American Gastrointestinal and Endoscopic Surgeons guidelines committee. Surg Endosc. 2011;25:671–6.

    Article  Google Scholar 

  12. Schirmer B, Jones DB. The American College of Surgeons bariatric surgery center network: establishing standards. Bull Am Coll Surg. 2007;92:21–7.

    PubMed  Google Scholar 

  13. Garg T, Birge K, Ulysses R, Azagury D, Rivas H, Morton JM. A postoperative nutritional consult improves bariatric surgery outcomes. Surg Obes Relat Dis. 2016;12:1052–6.

    Article  Google Scholar 

  14. Kushner RF, Neff LM. Bariatric surgery: a key role for registered dietitians. J Am Diet Assoc. 2010;110:524–6.

    Article  Google Scholar 

  15. Beckman L, Earthman C. Nutritional implications of bariatric surgery and the role of registered dietitians. J Acad Nutr Diet. 2013;113:398–9.

    Article  Google Scholar 

  16. Henrickson HC, Ashton KR, Windover AK, Heinberg LJ. Psychological considerations for bariatric surgery among older adults. Obes Surg. 2009;19:211–6.

    Article  Google Scholar 

  17. Kushner RF, Sarwer DB. Medical and behavioral evaluation of patients with obesity. Psychiatr Clin North Am. 2011;34:797–812.

    Article  Google Scholar 

  18. Litz M, Rigby A, Rogers AM, Leslie DL, Hollenbeak CS. The impact of mental health disorders on 30-day readmission after bariatric surgery. Surg Obes Relat Dis. 2018;14:325–31.

    Article  Google Scholar 

  19. Blackburn AN, Hajnal A, Leggio L. The gut in the brain: the effects of bariatric surgery on alcohol consumption. Addict Biol. 2017;22:1540–53.

    Article  Google Scholar 

  20. Mitchell JE, Crosby R, de Zwaan M, et al. Possible risk factors for increased suicide following bariatric surgery. Obesity (Silver Spring). 2013;21:665–72.

    Article  Google Scholar 

  21. Castaneda D, Popov VB, Wander P, Thompson CC. Risk of suicide and self-harm is increased after bariatric surgery-a systematic review and meta-analysis. Obes Surg. 2019;29:322–33.

    Article  Google Scholar 

  22. Backman O, Stockeld D, Rasmussen F, Naslund E, Marsk R. Alcohol and substance abuse, depression and suicide attempts after roux-en-Y gastric bypass surgery. Br J Surg. 2016;103:1336–42.

    Article  CAS  Google Scholar 

  23. American medical association house of delegates recognition of obesity as a disease – resolution: 420. 2013. at https://media.npr.org/documents/2013/jun/ama-resolution-obesity.pdf.

  24. Merrill E, Grassley J. Women’s stories of their experiences as overweight patients. J Adv Nurs. 2008;64:139–46.

    Article  Google Scholar 

  25. Schumann R, Jones SB, Cooper B, et al. Update on best practice recommendations for anesthetic perioperative care and pain management in weight loss surgery, 2004-2007. Obesity (Silver Spring). 2009;17:889–94.

    Article  Google Scholar 

  26. Giusti V, De Lucia A, Di Vetta V, et al. Impact of preoperative teaching on surgical option of patients qualifying for bariatric surgery. Obes Surg. 2004;14:1241–6.

    Article  CAS  Google Scholar 

  27. Beck NN, Johannsen M, Stoving RK, Mehlsen M, Zachariae R. Do postoperative psychotherapeutic interventions and support groups influence weight loss following bariatric surgery? A systematic review and meta-analysis of randomized and nonrandomized trials. Obes Surg. 2012;22:1790–7.

    Article  Google Scholar 

  28. Finks JF, Kole KL, Yenumula PR, et al. Predicting risk for serious complications with bariatric surgery: results from the Michigan bariatric surgery collaborative. Ann Surg. 2011;254:633–40.

    Article  Google Scholar 

  29. Ramanan B, Gupta PK, Gupta H, Fang X, Forse RA. Development and validation of a bariatric surgery mortality risk calculator. J Am Coll Surg. 2012;214:892–900.

    Article  Google Scholar 

  30. Gupta PK, Franck C, Miller WJ, Gupta H, Forse RA. Development and validation of a bariatric surgery morbidity risk calculator using the prospective, multicenter NSQIP dataset. J Am Coll Surg. 2011;212:301–9.

    Article  Google Scholar 

  31. Benotti P, Wood GC, Winegar DA, et al. Risk factors associated with mortality after roux-en-Y gastric bypass surgery. Ann Surg. 2014;259:123–30.

    Article  Google Scholar 

  32. Thompson LA, Dawson K, Ferdig R, et al. The intersection of online social networking with medical professionalism. J Gen Intern Med. 2008;23:954–7.

    Article  Google Scholar 

  33. Farnan JM, Snyder Sulmasy L, Worster BK, Chaudhry HJ, Rhyne JA, Arora VM. Online medical professionalism: patient and public relationships: policy statement from the American College of Physicians and the Federation of State Medical Boards. Ann Intern Med. 2013;158:620–7.

    Article  Google Scholar 

  34. Pratt JSA, Browne A, Browne NT, et al. ASMBS pediatric metabolic and bariatric surgery guidelines, 2018. Surg Obes Relat Dis. 2018;14:882–901.

    Article  Google Scholar 

  35. Inge TH, Zeller MH, Jenkins TM, et al. Perioperative outcomes of adolescents undergoing bariatric surgery: the teen-longitudinal assessment of bariatric surgery (teen-LABS) study. JAMA Pediatr. 2014;168:47–53.

    Article  Google Scholar 

  36. Zeitler P, Hirst K, Pyle L, et al. A clinical trial to maintain glycemic control in youth with type 2 diabetes. N Engl J Med. 2012;366:2247–56.

    Article  CAS  Google Scholar 

  37. Ibele AR, Mattar SG. Adolescent bariatric surgery. Surg Clin North Am. 2011;91:1339–51.

    Article  Google Scholar 

  38. Provost D, Jones D, English W, et al. Lessons learned from metabolic and bariatric surgery accreditation and quality improvement program (MBSAQIP) site surveys: Most common deficiencies and corrective actions – science direct. Surg Obes Relat Dis. 2017:S13.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Wayne J. English .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

English, W.J., Williams, D.B., Bolduc, A. (2020). Components of a Metabolic and Bariatric Surgery Center. In: Nguyen, N., Brethauer, S., Morton, J., Ponce, J., Rosenthal, R. (eds) The ASMBS Textbook of Bariatric Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-27021-6_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-27021-6_9

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-27020-9

  • Online ISBN: 978-3-030-27021-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics