Copyright ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Sep 21, 2017; 23(35): 6371-6378
Published online Sep 21, 2017. doi: 10.3748/wjg.v23.i35.6371
Organization of future training in bariatric gastroenterology
Timothy R Koch, Timothy R Shope, Christopher J Gostout
Timothy R Koch, Timothy R Shope, Center for Advanced Laparoscopic General and Bariatric Surgery, MedStar Washington Hospital Center and Georgetown University School of Medicine, Washington, DC 20010, United States
Christopher J Gostout, Professor Emeritus, Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN 55905, United States
Author contributions: Koch TR, Shope TR and Gostout CJ outlined and wrote the manuscript.
Conflict-of-interest statement: Koch TR has no conflict of interest to declare. Shope TR has received fees for serving as a Consultant for Ethicon Inc., Somerville, NJ, United States. Gostout CJ has received fees for serving as a Consultant for Olympus Medical Systems, Japan, as Chief Medical Officer is an employee of Apollo Endosurgery, Austin, TX, United States, and has equity in Apollo Endosurgery, Austin, TX, United States.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Timothy R Koch, MD, Professor of Medicine (Gastroenterology), Georgetown University School of Medicine, Center for Advanced Laparoscopic General and Bariatric Surgery, POB South, Suite 301, MedStar-Washington Hospital Center, 110 Irving Street, NW, Washington, DC 20010, United States. timothy.r.koch@medstar.net
Telephone: +1-202-8777788 Fax: +1-877-6808198
Received: July 11, 2017
Peer-review started: July 12, 2017
First decision: August 10, 2017
Revised: August 18, 2017
Accepted: September 5, 2017
Article in press: September 5, 2017
Published online: September 21, 2017
Core Tip

Core tip: A world-wide rise in the prevalence of obesity and obesity-related medical conditions needs to be addressed. Newer endoscopic methods will be incorporated into the clinical practice of gastrointestinal physicians, although the long-term impact of these endoscopic methods on medically-complicated obesity remains under investigation. As a potential long-term approach, development of a curriculum designed to incorporate one year of subspecialty training in bariatrics to the present training of gastrointestinal fellows needs to be reconsidered. Longitudinal studies could be performed to examine the impact of subspecialty training on medical complications, outcomes, and costs in treating individuals with medically-complicated obesity.