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Review
. 2020 Jun 17:13:2631774520931978.
doi: 10.1177/2631774520931978. eCollection 2020 Jan-Dec.

Training in bariatric and metabolic endoscopy

Andrea Spota  1 , Giovanni Guglielmo Laracca  2 , Silvana Perretta  3
Affiliations
Review

Training in bariatric and metabolic endoscopy

Andrea Spota et al. Ther Adv Gastrointest Endosc. .

Abstract

The limited penetration of bariatric surgery and the scarce outcome of pharmacological therapies created a favorable space for primary bariatric endoscopic techniques. Furthermore, bariatric endoscopy is largely used to diagnose and treat surgical complications and weight regain after bariatric surgery. The increasingly essential role of endoscopy in the management of obese patients results in the need for trained professionals. Training methods are evolving, and the apprenticeship method is giving way to the simulation-based method. Existing simulation platforms include mechanical simulators, ex vivo and in vivo models, and virtual reality simulators. This review analyzes current training methods for bariatric endoscopy and available training programs with dedicated bariatric core curricula, giving a glimpse of future perspectives.

Keywords: bariatric endoscopy; bariatric training; flexible endoscopy training; metabolic endoscopy.

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Conflict of interest statement

Conflict of interest statement: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Bariatric endoscopy: adverse events management: (a) transoral outlet reduction (ToRE), (b) endoscopic internal drainage with double pigtail stents, and (c) stricture dilation with liquid-filled balloon.
Figure 2.
Figure 2.
Bariatric endoscopy: primary procedures: (a) intragastric balloon, (b) AspireAssist, and (c) endoscopic sleeve gastroplasty.
See this image and copyright information in PMC

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