Do Early Outcomes of Sleeve Gastrectomy Improve the First Year after Completing a Bariatric Surgery Fellowship?

Dvir Froylich*, Eden Gerszman, Edress Khatib, Christopher R. Daigle, Shai M. Eldar, David Hazzan

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Background: It has been suggested that fellowship training can reduce patient morbidity and mortality related to the learning curve. There are limited data comparing the outcomes before and after bariatric surgery training. The aim of this study was to evaluate the impact of bariatric surgery fellowship training during a surgeon's early experience on perioperative outcomes. Methods: All patients who underwent sleeve gastrectomy (SG) by a single surgeon before and after bariatric surgery fellowship were included. Results: There were 49 and 117 patients who underwent SG before and after fellowship respectively. SG patients before fellowship were significantly younger 36.4 ± 11.7 versus 42.3 ± 14.6 years old (p = 0.01), with lower American Society of Anesthesiology score 2.1 ± 0.3 versus 2.29 ± 0.4 (p = 0.02). Intraoperative complications occurred in 1 (2.0%) versus 2 (1.7%) (p = n/s) before fellowship and after fellowship periods, respectively. There were no mortalities. The 30-day overall morbidity was 5 (10.2%) versus 4 (3.4%) (p = 0.07). Major complications were significantly lower after the fellowship; 1 (1.7%) versus 3 (6.1%) (p = 0.04). No significant differences in weight loss were found at the latest follow-up. Conclusions: Designated bariatric surgery training is associated with reduced major postoperative complications for SG. Surgeons should pursue a formal bariatric surgery training program before starting their practice.

Original languageEnglish
Pages (from-to)29-33
Number of pages5
JournalBariatric Surgical Patient Care
Issue number1
StatePublished - Mar 2022
Externally publishedYes


  • bariatric surgery
  • complications
  • fellowship
  • laparoscopy
  • learning curve
  • surgical training


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