International expert consensus on the current status and future prospects of artificial intelligence in metabolic and bariatric surgery.

Journal: Scientific reports
PMID: 40102585

Abstract

Artificial intelligence (AI) is transforming the landscape of medicine, including surgical science and practice. The evolution of AI from rule-based systems to advanced machine learning and deep learning algorithms has opened new avenues for its application in metabolic and bariatric surgery (MBS). AI has the potential to enhance various aspects of MBS, including education and training, decision-making, procedure planning, cost and time efficiency, optimization of surgical techniques, outcome and complication prediction, patient education, and access to care. However, concerns persist regarding the reliability of AI-generated decisions and associated ethical considerations. This study aims to establish a consensus on the role of AI in MBS using a modified Delphi method. A panel of 68 leading metabolic and bariatric surgeons from 35 countries participated in this consensus-building process, providing expert insights into the integration of AI in MBS. Of the 28 statements evaluated, a consensus of at least 70% was achieved for all, with 25 statements reaching consensus in the first round and the remaining three in the second round. Experts agreed that AI has the potential to enhance the evaluation of surgical skills in MBS by providing objective, detailed assessments, enabling personalized feedback, and accelerating the learning curve. Most experts also recognized AI's role in identifying qualified candidates for MBS referrals, helping patient and procedure selection, and addressing specific clinical questions. However, concerns were raised about the potential overreliance on AI-generated recommendations. The consensus emphasized the need for ethical guidelines governing AI use and the inclusion of AI's role in decision-making within the patient consent process. Furthermore, the results suggest that AI education should become an essential component of future surgical training. Advancements in AI-driven robotics and AI-integrated genomic applications were also identified as promising developments that could significantly shape the future of MBS.

Authors

  • Mohammad Kermansaravi
    Department of Surgery, Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, Hazrat-E Fatemeh Hospital, Iran University of Medical Sciences, Tehran, Iran. mkermansaravi@yahoo.com.
  • Sonja Chiappetta
    Ospedale Evangelico Betania, Naples, Italy.
  • Shahab Shahabi Shahmiri
    Department of Surgery, Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, Hazrat-E Fatemeh Hospital, Iran University of Medical Sciences, Tehran, Iran. shshahabi@gmail.com.
  • Julian Varas
    - Pontificia Universidad Católica de Chile, Experimental Surgery and Simulation Center, Department of Digestive Surgery - Santiago - Región Metropolitana - Chile.
  • Chetan Parmar
    Whittington Hospital, London, UK.
  • Yung Lee
    Division of General Surgery, McMaster University, Hamilton, Ontario, Canada; Harvard T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts.
  • Jerry T Dang
    Digestive Disease Institute, Cleveland Clinic, Cleveland, Ohio. Electronic address: dangj3@ccf.org.
  • Asim Shabbir
    Division of General Surgery (Upper Gastrointestinal Surgery), Department of Surgery, National University Hospital, Singapore, Singapore.
  • Daniel Hashimoto
    Penn Computer Assisted Surgery and Outcomes Laboratory, Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
  • Amir Hossein Davarpanah Jazi
    Department of Surgery, Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, Hazrat-E Fatemeh Hospital, Iran University of Medical Sciences, Tehran, Iran.
  • Ozanan R Meireles
    Department of Surgery, Massachusetts General Hospital, Boston, MA.
  • Edo Aarts
    Weight Works Clinics and Allurion Clinics, Amersfoort, The Netherlands.
  • Hazem Almomani
    NMC Royal Hospital, Abu Dhabi, UAE.
  • Aayad Alqahtani
    New You Medical Center, King Saud University, Obesity Chair, Riyadh, Saudi Arabia.
  • Ali Aminian
    Department of General Surgery, Bariatric & Metabolic Institute, Cleveland Clinic, Cleveland, OH aminiaa@ccf.org.
  • Estuardo Behrens
    New Life Center, Guatemala, Guatemala.
  • Dieter Birk
    Department of General and Visceral Surgery, Hospital Bietigheim-Vaihingen, Bietigheim-Vaihingen, Germany.
  • Felipe J Cantu
    Universidad México Americana del Norte UMAN, Reynosa, Tamps., Mexico.
  • Ricardo V Cohen
    Center for the Treatment of Obesity and Diabetes, Hospital Alemão Oswaldo Cruz, Sao Paolo, Brazil.
  • Maurizio De Luca
    Department of General Surgery, Rovigo Hospital, Rovigo, Italy.
  • Nicola Di Lorenzo
    Department of Surgery, Sapienza University, Roma, Italy.
  • Bruno Dillemans
    Department of General Surgery, Sint Jan Brugge-Oostende, Brugge, AZ, Belgium.
  • Mohamad Hayssam ElFawal
    Makassed General Hospital, Beirut, Lebanon.
  • Daniel Moritz Felsenreich
    Department of Surgery, Vienna Medical University, Vienna, Austria.
  • Michel Gagner
    Department of Surgery, Westmount Square Surgical Center, Westmount, QC, Canada.
  • Hector Gabriel Galvan
    Innovare Bariatria, Universidad Autónoma de Nayarit, Tepic, Mexico.
  • Carlos Galvani
    Department of Surgery, Louisiana State University Health Sciences Center, New Orleans, USA.
  • Khaled Gawdat
    Bariatric Surgery Unit, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
  • Omar M Ghanem
    Department of Surgery, Mayo Clinic, Rochester, MN, USA.
  • Ashraf Haddad
    Minimally Invasive and Bariatric Surgery, Gastrointestinal Bariatric and Metabolic Center (GBMC)-Jordan Hospital, Amman, Jordan.
  • Jaques Himpens
    Bariatric Surgery Unit, Delta Chirec Hospital, Brussels, Belgium.
  • Kazunori Kasama
    Weight Loss and Metabolic Surgery Center, Yotsuya Medical Cube, Tokyo 102-0084, Japan.
  • Radwan Kassir
    Digestive and Bariatric Surgery Department, The View Hospital, Doha, Qatar.
  • Mousa Khoursheed
    Taiba Hospital, Kuwait City, Kuwait.
  • Haris Khwaja
    Department of Bariatric and Metabolic Surgery, Chelsea and Westminster Hospital, London, UK.
  • Lilian Kow
    Adelaide Bariatric Centre, Flinders University of South Australia, Adelaide, Australia.
  • Panagiotis Lainas
    Department of Metabolic & Bariatric Surgery, Metropolitan Hospital, Athens, Greece.
  • Muffazal Lakdawala
    Department of General Surgery and Minimal Access Surgical Sciences, Sir H.N. Reliance Foundation Hospital, Mumbai, India.
  • Rafael Luengas Tello
    Departamento de Cirugía, Hospital Clínico Universidad de Chile, Santos Dumont 999, Santiago, Chile.
  • Kamal Mahawar
    South Tyneside and Sunderland Foundation NHS Trust, Sunderland, UK.
  • Caetano Marchesini
    São Marcelino Champagnat Hospital, Curitiba, Curitiba, PR, Brazil.
  • Mario A Masrur
    Division of General, Minimally Invasive and Robotic Surgery, University of Illinois at Chicago, Chicago, IL, USA.
  • Claudia Meza
    Clínica RedSalud CL, RedSalud, Chile.
  • Mario Musella
    Advanced Biomedical Sciences Department, Federico II" University, Naples, Italy.
  • Abdelrahman Nimeri
    Department of Surgery, Center for Metabolic and Bariatric Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
  • Patrick Noel
    Hospital Privé Bouchard, ELSAN, Marseille, 13006, France.
  • Mariano Palermo
    Daicim Foundation, Department of Surgery, Training, Research, and Clinical activity in Minimally Invasive Surgery, Buenos Aires, Argentina.
  • Abdolreza Pazouki
    Department of Surgery, Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, Hazrat-E Fatemeh Hospital, Iran University of Medical Sciences, Tehran, Iran.
  • Jaime Ponce
    Bariatric Surgery Program, CHI Memorial Hospital, Chattanooga, TN, USA.
  • Gerhard Prager
    Department of Surgery, Vienna Medical University, Vienna, Austria.
  • César David Quiróz-Guadarrama
    New City Hospital, Tijuana, México.
  • Karl P Rheinwalt
    Department of Bariatric, Metabolic and Plastic Surgery, Cellitinnen Hospital St. Franziskus, Cologne, Germany.
  • Jose G Rodriguez
    Ángeles Ciudad Juárez Hospital, Tijuana, Mexico.
  • Alan A Saber
    Metabolic and Bariatric Institute, Newark Beth Israel Medical Center, New Jersy, USA.
  • Paulina Salminen
    Turku University Hospital, University of Turku, Turku, Finland.
  • Scott A Shikora
    Department of Surgery, Center for Metabolic and Bariatric Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
  • Erik Stenberg
    Department of Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
  • Christine K Stier
    Department of Surgery, Medical Faculty Mannheim, Universitätsmedizin Mannheim, University of Heidelberg, Mannheim, Germany.
  • Michel Suter
    Department of Surgery, Hôpital Riviera-Chablais, Rennaz, Switzerland.
  • Samuel Szomstein
    Bariatric and Metabolic Institute, Department of Minimally Invasive Surgery, Cleveland Clinic Florida, Weston, FL, USA.
  • Halit Eren Taskin
    Department of Surgery, Istanbul University Cerrahpasa Medical Faculty, Istanbul, Turkey.
  • Ramon Vilallonga
    Endocrine, Metabolic and Bariatric Unit, General Surgery Department, Vall d'Hebron University Hospital, Center of Excellence for the EAC-BC, Passeig de la Vall d'Hebron 119-129, 08035 Barcelona, Spain.
  • Ala Wafa
    Aljazeera International Hospital, Misurata University School of Medicine, Misurata, Libya.
  • Wah Yang
    Department of Metabolic and Bariatric Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China.
  • Ricardo Zorron
    Center for Bariatric and Metabolic Surgery, Hospital CUF Descobertas, Lisbon, Portugal.
  • Antonio Torres
    General and Digestive Surgery Service, Department of Surgery, Hospital Clínico San Carlos, Complutense University Medical School, Universidad Complutense de Madrid (UCM), Madrid, Spain.
  • Matthew Kroh
    Digestive Disease Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
  • Natan Zundel
    Department of Surgery, University at Buffalo, Buffalo, NY, 14203, USA.

Keywords

External Resources

Popular Topics
Recent Journals