Building Bariatric Endoscopy Practice for the Surgeon

  • Josemberg Campos
  • Maíra Danielle Gomes de Souza
  • Manoel Galvao Neto
  • Milton Ignacio Carvalho Tube
  • Luiz Gustavo de Quadros


Training in bariatric endoscopy has traditionally been carried out informally at an endoscopy unit in a manner similar to other areas of professional education. Bariatric endoscopy is currently evolving, using more sophisticated and more durable equipment, requiring the presence of a well-trained multidisciplinary team including surgeons, clinicians, endocrinologists, psychologists, nurses, physiotherapists, and nutritionists to reduce the likelihood of postoperative complications.

This chapter presents solutions to surgical challenges involving bariatric endoscopy and shows the importance of a team specialized in bariatric endoscopy for training of endoscopists/surgeons in diagnostic and therapeutic bariatric endoscopy.


Bariatric surgery Training Endoscopy Surgeon Treatment 


  1. 1.
    Campos JM, Neto MPG, Moura EGH, Silva CEJ. Endoscopia Pré e Peroperatoria. In: Campos et al. Endoscopia em Cirurgia da obesidade.1nded. São Paulo: Santos; 2008. p. 49.Google Scholar
  2. 2.
    Cai JX, Schweitzer MA, Kumbhari V. Endoscopic management of bariatric surgery complications. Surg Laparosc Endosc Percutan Tech. 2016;26(2):93–101.CrossRefPubMedGoogle Scholar
  3. 3.
    Sullivan S, Kumar N, Edmundowicz SA, Abu Dayyeh BK, Jonnalagadda SS, Larsen M, et al. ASGE position statement on endoscopic bariatric therapies in clinical practice. Gastrointest Endosc. 2015;82(5):767–72.CrossRefPubMedGoogle Scholar
  4. 4.
    Maluf Filho F, Lima MS. The role of endoscopy in bariatric surgery. Einstein. 2006;Supl 1:S114–9. Disponivel em:
  5. 5.
    Waschke KA, Anderson J, Macintosh D, Valori RM. Training the gastrointestinal endoscopy trainer. Best Pract Res Clin Gastroenterol. 2016;30(3):409–19.CrossRefPubMedGoogle Scholar
  6. 6.
    Galvão-Neto MP, Zilberstein B, Guimarães P, Figueroa C, et al. Treinamento videocirurgico em animal de laboratório. Laparoscopic surgical training in laboratory animals. Res Gate. 2003;(2):38–42.Google Scholar
  7. 7.
    Ruco A, Walsh CM, Cooper MA, Rabeneck L. Training non-physicians to do endoscopy: feasibility, effectiveness and cost-effectiveness. Best Pract Res Clin Gastroenterol. 2016;30(3):389–96.CrossRefPubMedGoogle Scholar
  8. 8.
    Tube MIC, Netto FACS, Costa E, Lafayette DSA, Lima GAFCA, Menezes JIS, et al. Chest drainage teaching and training for medical students. Use of a surgical ex vivo pig model. Acta Cir Bras. 2016;31:353–63.CrossRefPubMedGoogle Scholar
  9. 9.
    Campos JM, Pereira EF, Evangelista LF, Siqueira L, Neto MG, Dib V, et al. Gastrobronchial fistula after sleeve gastrectomy and gastric bypass: endoscopic management and prevention. Obes Surg. 2011;21(10):1520–9.CrossRefPubMedGoogle Scholar
  10. 10.
    Campos JM, Mello FS, Ferraz AA, Brito JN, Nassif PA, Galvao-Neto Mdos P. Endoscopic dilation of gastrojejunal anastomosis after gastric bypass. Arq Bras Cir Dig: ABCD = Braz Arch Dig Surg. 2012;25(4):283–9.CrossRefGoogle Scholar
  11. 11.
    Puli SR, Spofford IS, Thompson CC. Use of self-expandable stents in the treatment of bariatric surgery leaks: a systematic review and meta-analysis. Gastrointest Endosc. 2012;75(2):287–93.CrossRefPubMedGoogle Scholar
  12. 12.
    Perisse LG, Perisse PC, Bernardo JC. Endoscopic treatment of the fistulas after laparoscopic sleeve gastrectomy and roux-en-Y gastric bypass. Revista do Colegio Brasileiro de Cirurgioes. 2015;42(3):159–64.CrossRefPubMedGoogle Scholar
  13. 13.
    Murino A, Arvanitakis M, Le Moine O, Blero D, Deviere J, Eisendrath P. Effectiveness of endoscopic management using self-expandable metal stents in a large cohort of patients with post-bariatric leaks. Obes Surg. 2015;25(9):1569–76.CrossRefPubMedGoogle Scholar
  14. 14.
    Leenders BJ, Stronkhorst A, Smulders FJ, Nieuwenhuijzen GA, Gilissen LP. Removable and repositionable covered metal self-expandable stents for leaks after upper gastrointestinal surgery: experiences in a tertiary referral hospital. Surg Endosc. 2013;27(8):2751–9.CrossRefPubMedGoogle Scholar
  15. 15.
    Baker RS, Foote J, Kemmeter P, Brady R, Vroegop T, Serveld M. The science of stapling and leaks. Obes Surg. 2004;14(10):1290–8.CrossRefPubMedGoogle Scholar
  16. 16.
    O’Rourke RW, Andrus J, Diggs BS, Scholz M, McConnell DB, Deveney CW. Perioperative morbidity associated with bariatric surgery: an academic center experience. Arch Surg (Chicago Ill: 1960). 2006;141(3):262–8.CrossRefGoogle Scholar
  17. 17.
    Baretta G, Campos J, Correia S, Alhinho H, Marchesini JB, Lima JH, et al. Bariatric postoperative fistula: a life-saving endoscopic procedure. Surg Endosc. 2015;29(7):1714–20.CrossRefPubMedGoogle Scholar
  18. 18.
    Podnos YD, Jimenez JC, Wilson SE, Stevens CM, Nguyen NT. Complications after laparoscopic gastric bypass: a review of 3464 cases. Arch Surg (Chicago Ill: 1960). 2003;138(9):957–61.CrossRefGoogle Scholar
  19. 19.
    Adams J, Sheppard B, Andersen P, Myers B, Deveney C, Everts E, et al. Zenker’s diverticulostomy with cricopharyngeal myotomy: the endoscopic approach. Surg Endosc. 2001;15(1):34–7.CrossRefPubMedGoogle Scholar
  20. 20.
    Campos JM, Siqueira LT, Ferraz AA, Ferraz EM. Gastrobronchial fistula after obesity surgery. J Am Coll Surg. 2007;204(4):711.CrossRefPubMedGoogle Scholar
  21. 21.
    Niitsu H, Hirabayashi N, Yoshimitsu M, Mimura T, Taomoto J, Sugiyama Y, et al. Using the objective structured assessment of technical skills (OSATS) global rating scale to evaluate the skills of surgical trainees in the operating room. Surg Today. 2013;43(3):271–5.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Josemberg Campos
    • 1
  • Maíra Danielle Gomes de Souza
    • 2
  • Manoel Galvao Neto
    • 3
  • Milton Ignacio Carvalho Tube
    • 2
  • Luiz Gustavo de Quadros
    • 4
  1. 1.Department of SurgeryFederal University of PernambucoRecifeBrazil
  2. 2.Department of SurgeryUniversity Federal of PernambucoRecifeBrazil
  3. 3.Department of SurgeryHerbert Wertheim College of Medicine – Florida International UniversityDoralUSA
  4. 4.Department of SurgeryABC Medical SchoolSao Jose Do Rio PretoBrazil

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