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Bariatric/Metabolic Surgery in the Asia-Pacific Region: APMBSS 2018 Survey.

Author(s)
Ohta, Masayuki
Seki, Yosuke
Wong, Simon Ki-Hung
Wang, Cunchuan
Huang, Chih-Kun
Aly, Ahmad
Baijal, Manish
Al-Sabah, Salman
Udomsawaengsup, Suthep
Heo, Yoon Seok
Althuwaini, Saad Sqer
Celik, Alper
El-Hadidi, Nafad
Sargsyan, Davit
Gee, Tikfu
Rao, Jaideepraj
Wiradisuria, Errawan R
Oliveros, Edward
Kitano, Seigo
Kasama, Kazunori
Publication Date
2019
Abstract
The Asia-Pacific Metabolic and Bariatric Surgery Society (APMBSS) held its congress in Tokyo at the end of March, 2018, and representatives from Asia-Pacific countries presented the current status of bariatric/metabolic surgery in the "National Reports" session. The data are summarized here to show the current status and problems in the Asia-Pacific region in 2017. A questionnaire including data of 2016 and 2017 and consisting of eight general questions was prepared and sent to representatives in 18 Asia-Pacific countries by e-mail before the congress. After the congress, the data were analyzed and summarized. Seventeen of 18 countries responded to the survey. The frequency of obesity (BMI ≥ 30) in the 4 Gulf countries was > 30%, much higher than that in the other countries. In total, 1640 surgeons and 869 institutions were engaging in bariatric/metabolic surgery. In many East and Southeast Asian countries, the indication for bariatric surgery was BMI ≥ 35 or ≥ 37, whereas in many Gulf countries and Australia, it was BMI ≥ 40 or ≥ 35 with obesity-related disease. Ten of the 17 countries (58.8%) but only one of the 5 Southeast Asian countries (20.0%) had public health insurance coverage for bariatric surgery. In 2017, 95,125 patients underwent bariatric/metabolic surgery, with sleeve gastrectomy accounting for 68.0%, bypass surgery for 19.5%, and others for 12.5%. Current problems included public insurance coverage, training system, national registry, and lack of awareness and comprehension. This summary showed that bariatric/metabolic surgery is rapidly developing along with various problems in Asia-Pacific countries.
Citation
Obesity surgery 2019; 29(2): 534-541
Jornal Title
Obesity surgery
OrcId
0000-0003-4014-5493
Link
Subject
Bariatric/metabolic surgery
Bypass surgery
Indication
Insurance coverage
Sleeve gastrectomy
Title
Bariatric/Metabolic Surgery in the Asia-Pacific Region: APMBSS 2018 Survey.
Type of document
Journal Article

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