Abstract
Background
The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) Masters Program designated bariatric surgery as a clinical pathway. Among the tiers of the Masters Program, revisional bariatric surgery is the highest tier of “mastery” within the pathway. This article presents the top 10 seminal studies representing the current landscape of revisional bariatrics.
Methods
The literature was systematically searched and seminal articles designated by consensus agreement of the SAGES Metabolic and Bariatric Surgery committee using multiple criteria, including impact on the field, citation frequency, and expert opinion. Articles were reviewed by committee members and presented in summarized fashion.
Results
The top 10 papers are presented in grouped thematic categories covering the early evolution of revisional bariatrics, changing criteria for reoperative bariatric surgery, divergence of revision versus conversion bariatric surgery, and recent technologic innovations in revisional bariatric surgery. Each summary is presented with expert appraisal and commentary.
Conclusion
These seminal papers represent a snapshot of the dynamic field of revisional bariatric surgery and emphasize the need to not only remain current with contemporary trends but also keep a patient-oriented perspective on patient and intervention selection for optimal success.
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References
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The following authors declare relevant disclosures: Dr. Farah Husain—Speaker’s bureau for Ethicon/J&J and W.L. Gore; Dr. Mustafa Hussain—Speaker’s bureau for W.L. Gore; travel and educational support from Intuitive; Dr. Shaina Eckhouse—Funding from BJH Foundational Grant; consultant for W.L. Gore; Dr. Shaneeta Johnson—Funding from Baxter; Dr. Carlos Galvani—Royalties from Aesculap; speaker’s bureau for Intuitive, W.L. Gore, and Medtronic; Dr. Marina Kurian—Speaker’s bureau for Medtronic, Ethicon, Novo Nordisk, Stryker, W.L. Gore, Vivus, G21Surgery; Dr. James Bittner—Consultant for CMR Surgical; speaker’s bureau for Intuitive, BD, and Cook Biotech; Dr. Ann M Rogers—Honoraria/proctoring for Intuitive, Medtronic, and W.L. Gore. Dr. Thomas Shin, Dr. Jerry Dang, Dr. Omar Ghanem, Dr. Nicole Fearing, Dr. Enrique Elli, Dr. Bipan Chand, Dr. Yagnik Pandya, and Dr. Matthew Kroh have no conflict of interest or financial ties to disclose.
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Shin, T.H., Dang, J., Howell, M. et al. The SAGES MASTERS program bariatric surgery pathway selects 10 seminal publications on revisional bariatrics. Surg Endosc 38, 2309–2314 (2024). https://doi.org/10.1007/s00464-024-10811-0
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DOI: https://doi.org/10.1007/s00464-024-10811-0