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Supplemental material, sj-pptx-3-gut-10.1177_26345161221102137 for Celiac Disease and Bariatric Surgery: A Systematic Review of Current Literature by Logan Richard, Valentin Mocanu, Kevin Verhoeff, Ka Man Cheung, Janice Y. Kung, Daniel W. Birch, Noah J. Switzer and Shahzeer Karmali in Foregut: The Journal of the American Foregut Society

Supplemental Material, sj-pdf-1-sri-10.1177_15533506221094962 for Characterization of Near-Infrared Imaging and Indocyanine-Green Use Amongst General Surgeons: A Survey of 263 General Surgeons by Kevin Verhoeff, Valentin Mocanu, Breanna Fang, Jerry Dang, Warren Sun, Noah J. Switzer, Daniel W. Birch and Shahzeer Karmali in Surgical Innovation

Supplemental material, sj-docx-2-gut-10.1177_26345161221102137 for Celiac Disease and Bariatric Surgery: A Systematic Review of Current Literature by Logan Richard, Valentin Mocanu, Kevin Verhoeff, Ka Man Cheung, Janice Y. Kung, Daniel W. Birch, Noah J. Switzer and Shahzeer Karmali in Foregut: The Journal of the American Foregut Society

Supplemental material, sj-pdf-1-gut-10.1177_26345161221102137 for Celiac Disease and Bariatric Surgery: A Systematic Review of Current Literature by Logan Richard, Valentin Mocanu, Kevin Verhoeff, Ka Man Cheung, Janice Y. Kung, Daniel W. Birch, Noah J. Switzer and Shahzeer Karmali in Foregut: The Journal of the American Foregut Society

Supplemental material, sj-docx-2-gut-10.1177_26345161221102137 for Celiac Disease and Bariatric Surgery: A Systematic Review of Current Literature by Logan Richard, Valentin Mocanu, Kevin Verhoeff, Ka Man Cheung, Janice Y. Kung, Daniel W. Birch, Noah J. Switzer and Shahzeer Karmali in Foregut: The Journal of the American Foregut Society

This study investigates the feasibility of performing advanced minimally invasive surgery (MIS) in a nonspecialized practice environment.We conducted a cross-sectional survey of all community general surgeons currently practising in Ontario.Few community surgeons perform a high volume (10 procedures per yr) of advanced MIS. Most (70%) believe it is important to acquire additional skills in advanced MIS. The most appropriate methods for learning advanced MIS are believed to be expert mentoring (79.7%), courses (77.2%) and a colleague mentor (63.9%). A total of 57.6% of respondents have attended a course in MIS while in practice, and most have access to a reasonable variety of instrumentation. Respondents believe that 57.6% of assistants, 54.8% of nurses and 43.4% of anaesthetists are relatively inexperienced with advanced MIS. Barriers to establishing advanced MIS include limited operating room access (50%), resources or equipment (45.2%) and limited expert mentoring (43.6%). Surgeons with less than 10 years of practice found lack of trained nursing staff (7.9% v. 4.2%, p = 0.01) and experienced assistants (12% v. 6.2%, p = 0.008) to be more important barriers than did those with over 10 years of practice, respectively.Most general surgeons working in Ontario are self-taught with respect to MIS skills, and few perform a high volume of advanced MIS. Only one-half of all respondents have access to skilled MIS operating room nurses, surgical assistants or anesthesiology. Despite this, general surgeons perceive the greatest barriers to introducing advanced MIS procedures to be limited access to operating rooms, resources or equipment and limited mentoring. This study has shown that the role of the surgical team in advanced MIS may be underestimated by many general surgeons. These data have important implications in training general surgeons and in incorporating additional advanced MIS procedures into the armamentarium of general surgeons.