Spota Andrea, Laracca Giovanni Guglielmo, Perretta Silvana
Scuola di Specializzazione in Chirurgia Generale, Università degli Studi di Milano, Milano, Italy.
Surgery, IRCAD, Strasbourg, France.
Ther Adv Gastrointest Endosc. 2020 Jun 17;13:2631774520931978. doi: 10.1177/2631774520931978. eCollection 2020 Jan-Dec.
The limited penetration of bariatric surgery and the scarce outcome of pharmacological therapies created a favorable space for primary bariatric endoscopic techniques. Furthermore, bariatric endoscopy is largely used to diagnose and treat surgical complications and weight regain after bariatric surgery. The increasingly essential role of endoscopy in the management of obese patients results in the need for trained professionals. Training methods are evolving, and the apprenticeship method is giving way to the simulation-based method. Existing simulation platforms include mechanical simulators, ex vivo and in vivo models, and virtual reality simulators. This review analyzes current training methods for bariatric endoscopy and available training programs with dedicated bariatric core curricula, giving a glimpse of future perspectives.
减重手术的有限普及以及药物治疗的欠佳效果为原发性减重内镜技术创造了有利空间。此外，减重内镜检查在很大程度上用于诊断和治疗减重手术后的手术并发症及体重反弹。内镜检查在肥胖患者管理中日益重要的作用导致需要训练有素的专业人员。培训方法在不断发展，学徒制正逐渐被基于模拟的方法所取代。现有的模拟平台包括机械模拟器、离体和体内模型以及虚拟现实模拟器。本综述分析了当前减重内镜检查的培训方法以及具备专门减重核心课程的可用培训项目，并展望了未来前景。
