Obesity has become a worldwide pandemic that has tripled in the past 40 years, affecting children and adults and resulting in various obesity-related In a CDC report from 2016, the prevalence of adult obesity was near 40% with an estimated annual medical cost in the United States of $147 Although bariatric surgery has yielded promising results in combatting obesity, acute and chronic complications such as surgical leaks and weight regain are not uncommonly encountered. In addition, many patients are not suitable candidates for bariatric surgery or are interested in less-invasive options for weight loss. Bariatric endoscopy is an emerging subspecialty that has revolutionized the approach to patients with complications of bariatric surgery and those with obesity seeking nonsurgical weight loss therapies. It encompasses a wide array of diagnostic and therapeutic procedures ranging from diagnostic endoscopy prebariatric surgery to primary endoscopic weight loss procedures. Training in bariatric endoscopy is imperative to develop the skills necessary to understand complex bariatric anatomy and allow for safe interventions for various pathologies. Because bariatric endoscopy evolved over the past several years, there has been an increasing need for establishing welldefined training programs. We summarize the important elements for training in bariatric endoscopy and establishing a bariatric endoscopy training program. | Training in bariatric endoscopy
