Felsenreich Daniel Moritz, Batista Dantas Anna Carolina, Shahabi Shahab, Abdelbaki Tamer N, Zakeri Roxanna, Nagy Mostafa E, Gero Daniel, Ruiz-Úcar Elena, Dong Zhi-Yong, Yang Wah, Jenkins Megan, Chiappetta Sonja
Division of Visceral Surgery, Department of General Surgery, Medical University of Vienna, Vienna, Austria.
Departamento de Cirurgia, Universidade Federal do Rio Grande do Norte (UFRN), Natal, Brazil.
Obes Surg. 2025 Jun 3. doi: 10.1007/s11695-025-07915-4.
With the increasing complexity of metabolic and bariatric surgery (MBS) techniques, the integration of endoscopic modalities has become indispensable in both pre-, intra-, and postoperative management. This survey aimed to evaluate the current landscape of endoscopic training, practice patterns, and proficiency among early-career surgeons.
Cross-sectional study based on online survey voluntary and open to all Young-IFSO members (surgeons aged ≤ 45 years) between September and December 2024. The questionnaire addressed participants' socio-demographic characteristics, professional background, and details regarding their endoscopic training and practice. Particular emphasis was placed on current engagement in endoscopic management of MBS-related complications and endoscopic bariatric therapies (EBTs).
A total of 273 respondents from 49 countries completed the survey. Endoscopic training was included in the general surgery curriculum for half of the participants, yet 33.8% do not perform endoscopy in current practice. Nearly half (46.9%) reported lacking confidence in managing MBS complications endoscopically. Although EBTs are available in half of the respondents' institutions, only 23.9% perform these procedures themselves.
This Young-IFSO survey highlights the limited endoscopic involvement of early-career metabolic and bariatric surgeons and the need for structured training to meet the demands of modern MBS.
随着代谢和减重手术（MBS）技术日益复杂，内镜技术在术前、术中和术后管理中的整合已变得不可或缺。本调查旨在评估早期职业外科医生在内镜培训、实践模式和熟练程度方面的现状。
基于在线调查的横断面研究，于2024年9月至12月对所有国际肥胖与代谢病外科联盟青年会员（年龄≤45岁的外科医生）自愿开放。问卷涉及参与者的社会人口统计学特征、专业背景以及他们内镜培训和实践的详细情况。特别强调了目前参与MBS相关并发症的内镜管理和内镜减重治疗（EBTs）的情况。
来自49个国家的273名受访者完成了调查。一半的参与者在内科手术课程中接受过内镜培训，但33.8%的人目前在实践中不进行内镜检查。近一半（46.9%）的人表示对内镜处理MBS并发症缺乏信心。尽管一半受访者所在机构提供EBTs，但只有23.9%的人自己开展这些手术。
这项国际肥胖与代谢病外科联盟青年会员调查凸显了早期职业代谢和减重外科医生在内镜方面参与有限，以及需要进行结构化培训以满足现代MBS需求的情况。
