Bariatric surgery in the United States of America (USA) achieved significant milestones in the past 3 decades which lead to the significant and steady decline in mortality after bariatric surgery in the USA. Currently, bariatric surgery is as safe as cholecystectomy (1). These milestones started by the wide spread use of laparoscopy to perform bariatric surgery (2). In addition, multi disciplinary bariatric surgery practice became the standard of care. Furthermore, The American Society of Metabolic and Bariatric Surgery (ASMBS) established continuous quality improvement outcome based program (MBSAQIP) to follow patients after bariatric surgery, improve quality of care and accredit bariatric surgery programs (2). MBSAQIP is a joint venture between the American College of Surgeons (ACS) and ASMBS. It includes more than 700 bariatric surgery programs and allows for risk adjusted comparison of bariatric surgery outcomes. In addition, MBSAQIP offers accreditation for program with clear criteria.
All these efforts MBSAQIP is currently not open for international bariatric surgery programs, but this is about to change. In January 2016, ASMBS will open enrollment for international bariatric surgery programs to report 100% of cases performed and get a risk adjusted report every 6 months that compares your program to >700 US bariatric surgery programs. In addition, surgeons submitting data can have the status Fellow of ASMBS (FASMBS). This is a different status than member of ASMBS. You can only achieve it by submitting bariatric surgery outcomes(3). Furthermore, program can apply for accreditation in the future by MBSAQIP. More than 10 programs from our Pan Arab region (KSA, UAE, Kuwait, Bahrain, Qatar, Lebanon, Jordan and Egypt are planning to form the first international MBSAQIP collaborative (The Pan Arab MBSAQIP collaborative). Our vision, is to be able to compare our outcomes to each other, learn from each other and achieve similar milestones our colleagues in the USA.
1. Nguyen NT ASMBS Presidential address“Achieving your vision” SOARD 11 (2015) 273-280.
2. Nguyen NT et al use of laparoscopy in general surgery operations at bariatric surgery centers SOARD 2013 (9) 1: 15-20.
3. Nguyen NTSurgery. 2011 Aug;150(2):347-51. doi: 10.1016/j.surg.2011.05.020. Predictive factors of mortality in bariatric surgery: data from the Nationwide Inpatient Sample.
4. Blonde JJ eta al Hospital Accreditation and Bariatric Surgery: Is It Important? Adv Surg. 2015;49(1):123-9.