Society of American Gastrointestinal and Endoscopic Surgeons

Last updated
Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)
Formation1981
Type Professional Association
Headquarters Los Angeles, California
Location
Membership
7000+
Executive Director
Sallie Matthews
Website http://www.sages.org/

The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) is a 501c6 non-profit professional organization providing education on gastrointestinal minimally invasive surgery. It describes itself thus: [1] The mission of the Society of American Gastrointestinal and Endoscopic Surgeons is to innovate, educate and collaborate to improve patient care.

Contents

It held its first Scientific Session, in tandem with Thomas Jefferson University, in Philadelphia in September, 1983 as part of the American College of Surgeons Clinical Congress, and held its first independent meeting in Williamsburg, Virginia in 1986. With support from Springer-Verlag, publisher of Surgical Endoscopy, the 1st World Congress of Endoscopic Surgery was held in Berlin, Germany in 1988.

SAGES Members are primarily board certified (American Board of Surgery or American Osteopathic Association or the international equivalent) general surgeons with either an interest in or practice focused on endoscopic and/or laparoscopic surgery. Surgical Fellows, residents and medical school students interested in a career in surgery are also allowed in the membership, as are other health-care professionals involved in surgical care of patients.

The corresponding society for Pediatric Surgery is the International Pediatric Endosurgery Group (IPEG) that involves Pediatric Surgeons but includes surgeons from around the World.

Publications

Clinical Practice/Training Guidelines, Statements, and Standards of Practice [1]

SAGES focuses on providing education as to best practices in laparoscopic and endoscopic surgery by researching, developing and disseminating the guidelines and training for standards of practice in surgical procedures. It was one of the partners in the formation of the National Accreditation Program for Rectal Cancer, which began accepting applications in 2017. Guidelines are developed under the auspices of the organization and its various committees, and approved by the Board of Governors. Each clinical practice guideline has been systematically researched, reviewed and revised by the SAGES Guidelines Committee and also evaluated by an appropriate multidisciplinary team. Guidelines are scheduled for periodic review to allow incorporation of pertinent new developments in medical research knowledge, and practice. As of 2016, the following guidelines are active:

Clinical Practice

  • Guidelines for Laparoscopic Ventral Hernia Repair (August 2014)
  • Guidelines for Laparoscopic Peritoneal Dialysis Access Surgery (June 2014)
  • Guidelines for the Management of Hiatal Hernia (May 2013)
  • Guidelines for the Minimally Invasive Treatment of Adrenal Pathology (February 2013)
  • Guidelines for Laparoscopic Resection of Curable Colon and Rectal Cancer (February 2012)
  • Guidelines for the Surgical Treatment of Esophageal Achalasia (May 2011)
  • Guidelines for Diagnosis, Treatment, and Use of Laparoscopy for Surgical Problems during Pregnancy (April 2011)
  • Guidelines for Surgical Treatment of Gastroesophageal Reflux Disease (GERD) (February 2010)
  • Guidelines for the Clinical Application of Laparoscopic Biliary Tract Surgery (January 2010)
  • Guidelines for Laparoscopic Appendectomy (April 2009)
  • Guidelines for the Use of Laparoscopic Ultrasound (March 2009)
  • Guidelines For Office Endoscopic Services (November 2008)
  • Guidelines for Clinical Application of Laparoscopic Bariatric Surgery (June 2008)
  • Guidelines for Diagnostic Laparoscopy (November 2007)
  • Guidelines for Deep Venous Thrombosis Prophylaxis During Laparoscopic Surgery (October 2006)
  • Guidelines for the Surgical Practice of Telemedicine (March 2004)

Position Papers/Statements

  • Ethical Considerations Regarding the Implementation of New Technologies and Techniques in Surgery (October 2014)
  • Educational Mission Statement (April 2011)
  • Position Statement on Advanced Laparoscopic Training (October 2010)
  • Statement on the Relationship Between Professional Medical Associations and Industry (February 2010)
  • Position Statement on Endolumenal Therapies for Gastrointestinal Diseases (November 2009)
  • Integrating Advanced Laparoscopy into Surgical Residency Training — A SAGES Position Paper (April 2009)
  • A Consensus Document on Robotic Surgery (November 2007)
  • Laparoscopic Colectomy for Curable Cancer (June 2004)

Privileging Guidelines

  • Joint Task Force Recommendations for Credentialing of Bariatric Surgeons (April 2015)
  • Guidelines for Granting of Ultrasonography Privileges for Surgeons (April 2011)
  • Guidelines for Institutions Granting Privileges Utilizing Laparoscopic and/or Thoracoscopic Techniques (July 2010)
  • Guidelines for Institutions Granting Bariatric Privileges Utilizing Laparoscopic Techniques (July 2009)
  • Granting of Privileges for Gastrointestinal Endoscopy (September 2007)

Training Guidelines and Outlines for Surgical Education

  • Guidelines for Training in Diagnostic and Therapeutic Endoscopic Retrograde Cholangiopancreatography (ERCP) (July 2010)
  • Framework for Post-Residency Surgical Education & Training (July 2010)
  • Curriculum Outline for Resident Education (April 2009)
  • ASCRS/SAGES Guidelines for Laparoscopic Colectomy Course (November 2005)

Patient Information [2]

SAGES seeks to improve the overall value of patient care through promoting the adoption of and access to minimally invasive surgical techniques. To that end, the Society publishes several informational brochures that educate surgical candidates about the expectations and benefits of minimally invasive surgery.

Fundamentals Programs

Beginning in 2007, SAGES launched a series of "Fundamentals" programs designed to standardize and teach surgeons and surgical residents the basics of laparoscopic (Fundamentals of Laparoscopic Surgery) and endoscopic (Fundamentals of Endoscopic Surgery) surgical techniques. In 2014, SAGES added the Fundamental Use of Surgical Energy (FUSE) program designed to teach the entire surgical staff about the safe use of surgical energy-based devices in the operating room, endoscopy suite and other procedural areas.

Fundamentals of Laparoscopic Surgery (FLS)

FLS is a comprehensive web-based education module that includes a hands-on skills training component and assessment tool designed to teach the physiology, fundamental knowledge, and technical skills required in basic laparoscopic surgery. The goal of the program is to provide surgical residents, fellows and practicing physicians an opportunity to learn the fundamentals of laparoscopic surgery in a consistent, scientifically accepted format; and to test cognitive, surgical decision-making, and technical skills, all with the goal of improving the quality of patient care. [3] Initially developed as an optional program, comprehensive research on the effects of FLS on practicing surgeons [4] [5] [6] [7] lead the American Board of Surgery adopted FLS completion as mandatory for all applicants for board certification as of the 2009-2010 academic year. [8]

Fundamentals of Endoscopic Surgery (FES)

The FES program is a comprehensive educational and assessment tool designed to teach and evaluate the fundamental knowledge, clinical judgment and technical skills required in the performance of basic gastrointestinal endoscopic surgery. The goal is to provide participants with an opportunity to learn the fundamentals of endoscopic surgery in a consistent, scientifically accepted format, and to test cognitive and technical skills. [9] Like FLS, FES certification is required by the American Board of Surgery as part of their Flexible Endoscopy Curriculum as of the 2017-2018 academic year for applicants seeking ABS certification. [10]

Fundamentals Use of Surgical Energy (FUSE)

FUSE is an educational program consisting of an interactive web-based multimedia-enhanced didactic curriculum and an online multiple choice cognitive exam. The program is being designed to certify that a successful candidate has the demonstrated knowledge fundamental to the safe use of surgical energy-based devices in the operating room, endoscopic suite and other procedural areas in order to prevent fires and burns to patients. The FUSE program was conceived after multiple studies indicated a knowledge gap between surgical staff and the use of energy devices which affected safety in the OR. [11] [12] [13]

Past Presidents of SAGES

SAGES 2020-2021 SLATE OF OFFICERS PRESIDENT - Liane S. Feldman, MD PRESIDENT-ELECT - John D. Mellinger, MD 1st VICE PRESIDENT - Robert Lim, MD 2nd VICE PRESIDENT - Patricia Sylla, MD SECRETARY - Brent Matthews, MD TREASURER - Chris Schlachta, MD

See also

Related Research Articles

<span class="mw-page-title-main">General surgery</span> Medical specialty

General surgery is a surgical specialty that focuses on alimentary canal and abdominal contents including the esophagus, stomach, small intestine, large intestine, liver, pancreas, gallbladder, appendix and bile ducts, and often the thyroid gland. General surgeons also deal with diseases involving the skin, breast, soft tissue, trauma, peripheral artery disease and hernias and perform endoscopic as such as gastroscopy, colonoscopy and laparoscopic procedures.

<span class="mw-page-title-main">Laparoscopy</span> Minimally invasive operation within the abdominal or pelvic cavities

Laparoscopy is an operation performed in the abdomen or pelvis using small incisions with the aid of a camera. The laparoscope aids diagnosis or therapeutic interventions with a few small cuts in the abdomen.

<span class="mw-page-title-main">Cholecystectomy</span> Surgical removal of the gallbladder

Cholecystectomy is the surgical removal of the gallbladder. Cholecystectomy is a common treatment of symptomatic gallstones and other gallbladder conditions. In 2011, cholecystectomy was the eighth most common operating room procedure performed in hospitals in the United States. Cholecystectomy can be performed either laparoscopically, or via an open surgical technique.

<span class="mw-page-title-main">Gastric bypass surgery</span> Type of bariatric surgery

Gastric bypass surgery refers to a technique in which the stomach is divided into a small upper pouch and a much larger lower "remnant" pouch, where the small intestine is rearranged to connect to both. Surgeons have developed several different ways to reconnect the intestine, thus leading to several different gastric bypass procedures (GBP). Any GBP leads to a marked reduction in the functional volume of the stomach, accompanied by an altered physiological and physical response to food.

<span class="mw-page-title-main">Robot-assisted surgery</span> Surgical procedure

Robot-assisted surgery or robotic surgery are any types of surgical procedures that are performed using robotic systems. Robotically assisted surgery was developed to try to overcome the limitations of pre-existing minimally-invasive surgical procedures and to enhance the capabilities of surgeons performing open surgery.

Marc Bessler is an American surgeon known for his innovations in bariatrics. He is currently the United States Surgical Professor of Surgery at Columbia University Medical Center. Starting in July 2024, he will be the Chair of the Department of Surgery at Northwell Health Lenox Hill Hospital. He also serves as a content contributor for Bariatric Surgery Source. Bessler specializes in surgical management of morbid obesity and laparoscopic surgery of the stomach, among other specialties.

Stretta is a minimally invasive endoscopic procedure for the treatment of gastroesophageal reflux disease (GERD) that delivers radiofrequency energy in the form of electromagnetic waves through electrodes at the end of a catheter to the lower esophageal sphincter (LES) and the gastric cardia – the region of the stomach just below the LES. The energy heats the tissue, ultimately causing it to swell and stiffen; the way this works was not understood as of 2015, but it was thought that perhaps the heat causes local inflammation, collagen deposition and muscular thickening of the LES and that it may disrupt the nerves there.

<span class="mw-page-title-main">Camran Nezhat</span> Iranian-American laparoscopic surgeon

Camran Nezhat is an American laparoscopic surgeon, reproductive endocrinology and infertility sub-specialist who has been teaching and practicing medicine and surgery as an adjunct clinical professor of surgery, and obstetrics and gynecology at Stanford University Medical Center in Palo Alto, California since 1993. Nezhat is also chair of the Association of the Adjunct Clinical Faculty, Stanford University School of Medicine, and a clinical professor of OB/GYN at the University of California, San Francisco.

Pyloromyotomy is a surgical procedure in which a portion of the muscle fibers of the pyloric muscle are cut. This is typically done in cases where the contents from the stomach are inappropriately stopped by the pyloric muscle, causing the stomach contents to build up in the stomach and unable to be appropriately digested. The procedure is typically performed in cases of "hypertrophic pyloric stenosis" in young children. In most cases, the procedure can be performed with either an open approach or a laparoscopic approach and the patients typically have good outcomes with minimal complications.

Single-port laparoscopy (SPL) is a recently developed technique in laparoscopic surgery. It is a minimally invasive surgical procedure in which the surgeon operates almost exclusively through a single entry point, typically the patient's navel. Unlike a traditional multi-port laparoscopic approach, SPL leaves only a single small scar.

Revision weight loss surgery is a surgical procedure that is performed on patients who have already undergone a form of bariatric surgery, and have either had complications from such surgery or have not achieved significant weight loss results from the initial surgery. Procedures are usually performed laparoscopically, though open surgery may be required if prior bariatric surgery has resulted in extensive scarring.

<span class="mw-page-title-main">Kurt Semm</span> German gynecologist (1927–2003)

Kurt Karl Stephan Semm was a German gynecologist and pioneer in minimally invasive surgery. He has been called "the father of modern laparoscopy".

<span class="mw-page-title-main">Pradeep Chowbey</span> Indian surgeon

Pradeep Kumar Chowbey is an Indian surgeon, known for laparoscopic and bariatric surgeries. He is the incumbent Executive vice chairman of the Max Healthcare, Chairman of the Minimal Access, Metabolic & Bariatric Surgery and Allied Surgical Specialities of the Max Healthcare Institute, New Delhi. He is the founder of the Minimal Access, Metabolic & Bariatric Surgery Centre at the Sir Ganga Ram Hospital, New Delhi and has served as the Honorary Surgeon to the President of India, Dalai Lama and the Indian Armed Forces (AFMS). The Government of India awarded him the fourth highest civilian honour of the Padma Shri in 2002.

<span class="mw-page-title-main">Tehemton Erach Udwadia</span> Indian surgeon and gastroenterologist (1934–2023)

Tehemton Erach Udwadia was an Indian surgeon and gastroenterologist, considered by many as the father of laparoscopic surgery in India. He was a general surgeon at two Mumbai hospitals, Breach Candy Hospital and Hinduja Hospital and was the founder president of the Indian Association of Gastrointestinal Endo-Surgeons. The Government of India awarded him the fourth highest civilian honour of the Padma Shri, in 2006 and the third highest civilian honour of the Padma Bhushan in 2017 for his contributions to Indian medicine.

The per-oral endoscopic myotomy, or POEM, is a minimally invasive surgical procedure for the treatment of achalasia wherein the inner circular muscle layer of the lower esophageal sphincter is divided through a submucosal tunnel. This enables food and liquids to pass into the stomach, a process that is impaired in achalasia. The tunnel is created, and the myotomy performed, using a flexible endoscope, meaning the entire procedure can be done without external incisions.

Transoral incisionless fundoplication (TIF) is an endoscope treatment designed to relieve symptoms of gastroesophageal reflux disease (GERD). The TIF procedure, similar to Nissen fundoplication, alleviates GERD symptoms by wrapping a portion of the stomach around the esophagus.

Erich Mühe was a German surgeon known for performing the first laparoscopic cholecystectomy in 1985.

In medicine, endoscopic sleeve gastroplasty (ESG) is a minimally-invasive, non-surgical (incisionless), endoscopic weight loss procedure that is part of the field of endoscopic bariatric therapies. To perform ESG, a physician sutures a patient’s stomach into a narrower, smaller tube-like configuration. The result is a more restricted stomach that forces patients to feel fuller sooner, eating fewer calories, which facilitates weight loss.

<span class="mw-page-title-main">Conor P. Delaney</span> Irish-American colorectal surgeon and professor

Conor P. Delaney MD, MCh, PhD, FRCSI, FACS, FASCRS, FRCSI (Hon.) is an Irish-American colorectal surgeon, CEO and President of the Cleveland Clinic Florida, the Robert and Suzanne Tomsich Distinguished Chair in Healthcare Innovation, and Professor of Surgery at the Cleveland Clinic Lerner College of Medicine. He is also the current President of the American Society of Colon and Rectal Surgeons (ASCRS). He was previously Chairman of the Digestive Disease & Surgery Institute at the Cleveland Clinic. He is both a Fellow and Honorary Fellow of the Royal College of Surgeons in Ireland and a Fellow of both the American College of Surgeons and American Society of Colon and Rectal Surgeons.

<span class="mw-page-title-main">Shirin Towfigh</span>

Shirin Towfigh is an American surgeon who specializes in minimally invasive hernia surgery. She is the president and founder of the Beverly Hills Hernia Center, a specialty clinic launched in 2013 for treating hernias and hernia-related complications. She is also the CEO of Hexagon Health, Inc., a technology company developed to advance the category of abdominal wall and pelvic floor health, using a multi-faceted, gender-specific approach.

References

  1. 1 2 SAGES, Society of American Gastrointestinal and Endoscopic Surgeons
  2. "Healthy Sooner - Patient Information from SAGES" . Retrieved 2016-08-03.
  3. "Fundamentals of Laparoscopic Surgery". Fundamentals of Laparoscopic Surgery. Retrieved 2016-08-03.
  4. Sroka, Gideon; Feldman, Liane S.; Vassiliou, Melina C.; Kaneva, Pepa A.; Fayez, Raad; Fried, Gerald M. (January 2010). "Fundamentals of Laparoscopic Surgery simulator training to proficiency improves laparoscopic performance in the operating room—a randomized controlled trial". American Journal of Surgery. 199 (1): 115–120. doi:10.1016/j.amjsurg.2009.07.035. PMID   20103076 . Retrieved 2016-08-03.
  5. Derevianko, Alexandre Y.; Schwaitzberg, Steven D.; Tsuda, Shawn; Barrios, Limaris; Brooks, David C.; Callery, Mark P.; Fobert, David; Irias, Noel; Rattner, David W. (2009-08-18). "Malpractice carrier underwrites Fundamentals of Laparoscopic Surgery training and testing: a benchmark for patient safety". Surgical Endoscopy. 24 (3): 616–623. doi:10.1007/s00464-009-0617-x. ISSN   0930-2794. PMID   19688400. S2CID   21978686.
  6. Rosenthal, Madelyn E.; Ritter, E. Matt; Goova, Mouza T.; Castellvi, Antonio O.; Tesfay, Seifu T.; Pimentel, Elisabeth A.; Hartzler, Robert; Scott, Daniel J. (2010-03-27). "Proficiency-based Fundamentals of Laparoscopic Surgery skills training results in durable performance improvement and a uniform certification pass rate". Surgical Endoscopy. 24 (10): 2453–2457. doi:10.1007/s00464-010-0985-2. ISSN   0930-2794. PMID   20349087. S2CID   2782510.
  7. Stefanidis, Dimitrios; Acker, Christina; Heniford, B. Todd (2008-03-01). "Proficiency-Based Laparoscopic Simulator Training Leads to Improved Operating Room Skill That Is Resistant to Decay". Surgical Innovation. 15 (1): 69–73. doi:10.1177/1553350608316683. ISSN   1553-3506. PMID   18387999. S2CID   30036253.
  8. "ABS to Require ACLS, ATLS and FLS for General Surgery Certification | American Board of Surgery". www.absurgery.org. Retrieved 2016-08-03.
  9. Vassiliou, Melina C.; Dunkin, Brian J.; Fried, Gerald M.; Mellinger, John D.; Trus, Thadeus; Kaneva, Pepa; Lyons, Calvin; Korndorffer, James R.; Ujiki, Michael (2013-11-20). "Fundamentals of endoscopic surgery: creation and validation of the hands-on test". Surgical Endoscopy. 28 (3): 704–711. doi:10.1007/s00464-013-3298-4. ISSN   0930-2794. PMID   24253562. S2CID   19741693.
  10. "Flexible Endoscopy Curriculum | American Board of Surgery". www.absurgery.org. Retrieved 2016-08-03.
  11. Feldman, Liane S.; Brunt, L. Michael; Fuchshuber, Pascal; Jones, Daniel B.; Jones, Stephanie B.; Mischna, Jessica; Munro, Malcolm G.; Rozner, Marc A.; Schwaitzberg, Steven D. (2013-11-01). "Rationale for the fundamental use of surgical Energy (FUSE) curriculum assessment: focus on safety". Surgical Endoscopy. 27 (11): 4054–4059. doi:10.1007/s00464-013-3059-4. ISSN   1432-2218. PMID   23860606. S2CID   25149674.
  12. "The SAGES FUSE program: Bridging a patient safety gap | The Bulletin". 2014-09-01. Retrieved 2016-08-03.
  13. Fuchshuber, Pascal; Jones, Stephanie; Jones, Daniel; Feldman, Liane S; Schwaitzberg, Steven; Rozner, Mark (2013-01-01). "Ensuring Safety in the Operating Room – The "Fundamental Use of Surgical Energy" (FUSE) Program". International Anesthesiology Clinics. 51 (4): 65–80. doi:10.1097/AIA.0b013e3182a70903. ISSN   0020-5907. PMC   4009377 . PMID   24088889.