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Dan Eisenberg, MD
Chair


Sayeed Ikramuddin, MD MHA
Co-Chair


Jonathan Carter, MD
Co-Chair


Ann Rogers, MD FASMBS
Executive Council Liaison & Immediate Past Chair

ASMBS Staff Liaison

Leslie Vinson

Members

Cheguevara Afaneh, MD FASMBS
Essa Aleassa, MD MSc FRCSC
Maria Altieri, MD MS
Ali Aminian, MD FASMBS
Toms Augustin, MD MPH
Dan Azagury, MD
T. Javier Birriel, MD
Guilherme Campos, MD FASMBS
Julietta Chang, MD

Salvatore Docimo, DO MS
Maher El Chaar, MD
Sofiane El Djouzi, MD MS FRCSC
Saber Ghiassi, MD MPH
Brandon Grover, DO FASMBS
Peter Hallowell, MD FASMBS
Marcelo Hinojosa, MD FASMBS
Jason Michael Johnson, DO
Zhamak Khorgami, MD

Julie Kim, MD FASMBS
Guilherme Mazzini, MD PhD FASMBS
Fady Moustarah, MD MPH FRCSC
Abdelrahman Nimeri, MBBCh
Sabrena Noria, MD PhD FRCSC FASMBS
Rodolfo Oviedo, MD FASMBS
Pavlos Papasavas, MD FASMBS
Bruce Schirmer MD
R. Wesley Vosburg, MD

Ad Hoc Literature Review

Kara Kallies, MS

IH Clinical Issues Committee Liaisons

Kasey Goodpaster, PhD, Chair
Sue Benson-Davies, PhD DCN MPH RDN LN FAND, Co-Chair

Mission

  • To improve the care and treatment of people with obesity and related diseases
  • To be the recognized authority and resource on metabolic and bariatric surgery
  • To advance the science and understanding of metabolic and bariatric surgery

Description

The mission of the Clinical Issues Committee is to create evidence-based guidelines and position statements regarding clinical issues to enhance quality in metabolic and bariatric surgery patient care and to support ASMBS member practices. The Clinical Issues Committee also performs systematic review of existing statement and guidelines, research the current data and makes appropriate updates and revisions as evidence becomes available. The committee is also charged with developing time-sensitive statements or recommendations related to new developments in the field of bariatric surgery.

Objectives

  • Identify existing and emerging gaps in guidelines/position statements
  • Increase understanding of clinical issues
  • Establish and disseminate standards and protocols
  • Establish timeline based on relative clinical importance of issues

Committee Goals

Short-Term

  1. 2020 and 2021 calls for statements from membership; identify CIC priorities
  2. Publish the ASMBS Position Statement on the Rationale for Performance of Upper Gastrointestinal Endoscopy before and after Metabolic and Bariatric Surgery in SOARD
  3. Update the “Choosing Wisely Recommendations 2015”
  4. Increase CIC Member engagement

Mid-Term

  1. Endoscopic Sleeve Gastroplasty statement – collaboration with the Emerging Technology & Procedures Committee
  2. Publish Bariatric Surgery and Cancer statement
  3. Publish update of 2014 Metabolic Bone Disease statement
  4. Update “ASMBS’s Guideline for Granting Privileges 2006” – Joint Task Force with Bariatric Surgery Training Committee

Long-Term

  1. Ongoing identification of issues to develop statements and provide topics for EC Review
  2. Provide ongoing clarity on issues related to bariatric and metabolic surgery
  3. Ongoing review/revision of all existing and new statements
  4. Publish Management of Patients after Pregnancy statement – collaboration with IH CIC
  5. Management of Prevention of Contraception statement – collaboration with IH CIC
  6. Update 2014 Reoperative Guidelines
  7. Sleep Apnea with AASM statement – CIC writers assigned

Specific Projects that Achieve Goals and Objectives

Short-Term:

  1. Sent call for statements from membership in January 2020 and 2021. 2020 CIC priorities and writing topics were approved and writing groups formed. Writing of position statements/updates are currently in advanced stages of preparation; the Statements below are in review with EC:
    • Position Statement on Bariatric Surgery and Nonalcoholic Fatty Liver Disease
    • Position statement on one-anastomosis gastric bypass (OAGB)
    • Position Statement on Preoperative Patient Optimization before Metabolic and Bariatric Surgery
    • Position Statement on Endoscopic Transgastric Gastroscopy (Biliopancreatic access following anatomy altering bariatric surgical procedures)
    • Update of 2013 VTE position statement
  2. Position Statement on the Need for Upper Gastrointestinal Endoscopy before and after Metabolic and Bariatric Surgery – SOARD In Press
  3. Update to 2015 Choosing Wisely Recommendations completed and reviewed
  4. Committee Member Participation: there are currently 32 members of the CIC actively involved in on-going writing projects

Mid-Term:

  1. Endoscopic Sleeve Gastroplasty writing team formed, literature review completed
  2. Bariatric Surgery and Cancer Statement published
  3. Update of 2014 Metabolic Bone Disease statement published
  4. ASMBS Guideline for Granting Privileges 2006 – CIC members assigned to joint Task Force

Long-Term:

  1. Call for statements sent out to membership in January of each year
  2. Review of existing ASMBS statements
  3. Management of Patients after Pregnancy paper final draft reviewed by IH CIC; in progress
  4. Management of Prevention of Contraception in progress
  5. Review of 2006 Guidelines for Granting Privileges in Bariatric Surgery in progress

2020-2021 Completed Projects

  1. American Society for Metabolic and Bariatric Surgery position statement on the relationship between obesity and cancer, and the role of bariatric surgery: risk, timing of treatment, effects on disease biology, and qualification for surgery by Saber Ghiassi, M.D., Maher El Chaar, M.D., Essa M. Aleassa, M.D., Fady Moustarah, M.D., Sofianne El Djouzi, M.D., T. Javier Birriel, M.D., Ann M. Rogers, M.D., for the American Society for Metabolic and Bariatric Surgery Clinical Issues Committee – published in SOARD in May 2020
  2. American Society for Metabolic and Bariatric Surgery updated position statement on single-anastomosis duodenal switch by Kara Kallies, M.S., Ann M. Rogers, M.D., F.A.C.S., F.A.S.M.B.S., for the American Society for Metabolic and Bariatric Surgery Clinical Issues Committee – published in SOARD in May 2020
  3. American Society for Metabolic and Bariatric Surgery Metabolic updated position statement on bone changes after bariatric surgery by Julie Kim, M.D., Abdelrahman Nimeri, M.D. , Zhamak Khorgami, M.D. , Maher El Chaar, M.D. , Alvaro Galvez Lima, M.D. , R. Wesley Vosburg, M.D. , on behalf of the American Society for Metabolic and Bariatric Surgery Clinical Issues Committee – published in SOARD in December 2020
  4. 2015 Choosing Wisely Recommendations updated and submitted in December 2020
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