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. 2025 Jan;35(1):19-24.
doi: 10.1007/s11695-024-07279-1. Epub 2024 May 17.

Evaluation of the Impact of ChatGPT on the Selection of Surgical Technique in Bariatric Surgery

Ruth Lopez-Gonzalez  1 , Sergi Sanchez-Cordero  2 , Jordi Pujol-Gebellí  2 , Jordi Castellvi  2
Affiliations

Evaluation of the Impact of ChatGPT on the Selection of Surgical Technique in Bariatric Surgery

Ruth Lopez-Gonzalez et al. Obes Surg. 2025 Jan.

Abstract

Purpose: With the growing interest in artificial intelligence (AI) applications in medicine, this study explores ChatGPT's potential to influence surgical technique selection in metabolic and bariatric surgery (MBS), contrasting AI recommendations with established clinical guidelines and expert consensus.

Materials and methods: Conducting a single-center retrospective analysis, the study involved 161 patients who underwent MBS between January 2022 and December 2023. ChatGPT4 was used to analyze patient data, including demographics, pathological history, and BMI, to recommend the most suitable surgical technique. These AI recommendations were then compared with the hospital's algorithm-based decisions.

Results: ChatGPT recommended Roux-en-Y gastric bypass in over half of the cases. However, a significant difference was observed between AI suggestions and actual surgical techniques applied, with only a 34.16% match rate. Further analysis revealed any significant correlation between ChatGPT recommendations and the established surgical algorithm.

Conclusion: Despite ChatGPT's ability to process and analyze large datasets, its recommendations for MBS techniques do not align closely with those determined by expert surgical teams using a high success rate algorithm. Consequently, the study concludes that ChatGPT4 should not replace expert consultation in selecting MBS techniques.

Keywords: Bariatrics; ChatGPT; IA; Surgery.

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Conflict of interest statement

Declarations. Ethics Approval and Consent to Participate: The ethics committee has approved the data collection and analysis for publication purposes (PR389/23 CSI 23/99). Informed consent does not apply. Conflict of Interest: The authors declare no competing interests.

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References

    1. Mayol J. Digital solutions and health sciences. Cir Esp (Engl Ed). 2023:S2173–5077(23)00238–7. https://doi.org/10.1016/j.cireng.2023.11.011 .
    1. Nazir F, Jawed S, Tariq SM. Chat GPT and its potential role in medicine. J Pak Med Assoc. 2023;73(12):2509–10. https://doi.org/10.47391/JPMA.9558 . - DOI - PubMed
    1. Biswas SS. Role of Chat GPT in public health. Ann Biomed Eng. 2023;51(5):868–9. https://doi.org/10.1007/s10439-023-03172-7 . - DOI - PubMed
    1. Lockie E, Choi J. Evaluation of a Chat GPT generated patient information leaflet about laparoscopic cholecystectomy. ANZ J Surg. 2023. https://doi.org/10.1111/ans.18834 .
    1. Chiesa-Estomba CM, Lechien JR, Vaira LA, et al. Exploring the potential of Chat-GPT as a supportive tool for sialendoscopy clinical decision making and patient information support. Eur Arch Otorhinolaryngol. 2023. https://doi.org/10.1007/s00405-023-08104-8 . Erratum in: Eur Arch Otorhinolaryngol. 2023 Oct 11.

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