Organization of future training in bariatric gastroenterology

dc.contributor.authorKoch, Timothy R.en
dc.contributor.authorShope, Timothy R.en
dc.contributor.authorGostout, Christopher J.en
dc.date.accessioned2022-08-09T20:50:36Zen
dc.date.available2022-08-09T20:50:36Zen
dc.date.issued2017-09-21en
dc.date.updated2022-08-06T21:05:25Zen
dc.description.abstractA world-wide rise in the prevalence of obesity continues. This rise increases the occurrence of, risks of, and costs of treating obesity-related medical conditions. Diet and activity programs are largely inadequate for the long-term treatment of medically-complicated obesity. Physicians who deliver gastrointestinal care after completing traditional training programs, including gastroenterologists and general surgeons, are not uniformly trained in or familiar with available bariatric care. It is certain that gastrointestinal physicians will incorporate new endoscopic methods into their practice for the treatment of individuals with medically-complicated obesity, although the longterm impact of these endoscopic techniques remains under investigation. It is presently unclear whether gastrointestinal physicians will be able to provide or coordinate important allied services in bariatric surgery, endocrinology, nutrition, psychological evaluation and support, and social work. Obtaining longitudinal results examining the effectiveness of this ad hoc approach will likely be difficult, based on prior experience with other endoscopic measures, such as the adenoma detection rates from screening colonoscopy. As a longterm approach, development of a specific curriculum incorporating one year of subspecialty training in bariatrics to the present training of gastrointestinal fellows needs to be reconsidered. This approach should be facilitated by gastrointestinal trainees' prior residency training in subspecialties that provide care for individuals with medical complications of obesity, including endocrinology, cardiology, nephrology, and neurology. Such training could incorporate additional rotations with collaborating providers in bariatric surgery, nutrition, and psychiatry. Since such training would be provided in accredited programs, longitudinal studies could be developed to examine the potential impact on accepted measures of care, such as complication rates, outcomes, and costs, in individuals with medically-complicated obesity.en
dc.description.versionPublished versionen
dc.format.extentPages 6371-6378en
dc.format.extent8 page(s)en
dc.format.mimetypeapplication/pdfen
dc.identifier.doihttps://doi.org/10.3748/wjg.v23.i35.6371en
dc.identifier.eissn2219-2840en
dc.identifier.issn1007-9327en
dc.identifier.issue35en
dc.identifier.orcidKoch, Timothy [0000-0002-8026-9653]en
dc.identifier.urihttp://hdl.handle.net/10919/111496en
dc.identifier.volume23en
dc.language.isoenen
dc.publisherBaishidengen
dc.relation.urihttp://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000411276700001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=930d57c9ac61a043676db62af60056c1en
dc.rightsCreative Commons Attribution-NonCommercial 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/en
dc.subjectObesityen
dc.subjectBariatricsen
dc.subjectBariatric surgeryen
dc.subjectIntragastric balloonen
dc.subjectEndoscopic sleeve gastroplastyen
dc.subjectNutritionen
dc.subjectEndoscopyen
dc.subjectTrainingen
dc.subjectWEIGHT-LOSSen
dc.subjectCLINICAL NUTRITIONen
dc.subjectMORBID-OBESITYen
dc.subjectRISK-FACTORSen
dc.subjectMANAGEMENTen
dc.subjectEDUCATIONen
dc.subjectEXERCISEen
dc.subjectDIETen
dc.subjectCOMPLICATIONSen
dc.subjectClinical Researchen
dc.subjectPreventionen
dc.subjectHealth Servicesen
dc.subjectDigestive Diseasesen
dc.subjectMetabolic and endocrineen
dc.subjectOral and gastrointestinalen
dc.subject.meshHumansen
dc.subject.meshObesityen
dc.subject.meshEndoscopy, Gastrointestinalen
dc.subject.meshPrevalenceen
dc.subject.meshGastroenterologyen
dc.subject.meshFellowships and Scholarshipsen
dc.subject.meshCurriculumen
dc.subject.meshInternship and Residencyen
dc.subject.meshBariatric Surgeryen
dc.subject.meshBariatric Medicineen
dc.titleOrganization of future training in bariatric gastroenterologyen
dc.title.serialWorld Journal of Gastroenterologyen
dc.typeArticleen
dc.type.dcmitypeTexten
pubs.organisational-group/Virginia Techen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicineen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/Internal Medicineen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/Internal Medicine/General IMen
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