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Related Experiment Video

Updated: Jul 20, 2026

Sleeve Gastrectomy in Mice using Surgical Clips

Sleeve Gastrectomy in Mice using Surgical Clips

Published on: November 14, 2020

Does establishing a bariatric surgery fellowship training program influence operative outcomes?

R Gonzalez¹, L G Nelson, M M Murr

¹Interdisciplinary Obesity Treatment Group, Department of Surgery, University of South Florida College of Medicine, c/o Tampa General Hospital, P.O. Box 1289, Tampa, FL 33601, USA.

Surgical Endoscopy

|September 9, 2006

Summary

Establishing a fellowship program for Roux-en-Y gastric bypass (RYGB) surgery significantly reduces operative times for both open and laparoscopic procedures. This training program enhances surgical team experience without increasing patient complications.

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Area of Science:

Bariatric Surgery
Surgical Education
Minimally Invasive Surgery

Background:

Roux-en-Y gastric bypass (RYGB) surgery has a notable learning curve impacting operative outcomes.
Assessing the influence of fellow training on surgical program results is crucial.

Purpose of the Study:

To evaluate the impact of establishing a fellowship training program on the operative outcomes of Roux-en-Y gastric bypass (RYGB).

Main Methods:

Prospectively collected data from 150 consecutive patients undergoing RYGB.
Comparison of operative outcomes before (group 1) and after (group 2) the implementation of a fellowship program.

Main Results:

Group 2 showed increased laparoscopic RYGB (LRYGB) utilization (63% vs 46%).

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Operative times for both open RYGB (ORYGB) and LRYGB were significantly shorter in group 2.

No increase in complication rates was observed in group 2, despite higher patient BMI and prior abdominal surgeries.

Conclusions:

Fellowship programs shorten operative times for RYGB (both open and laparoscopic).
Training programs enhance surgical team experience and expand bariatric practice scope without compromising patient safety.