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Title: Bariatric/Metabolic Surgery in the Asia-Pacific Region: APMBSS 2018 Survey.
Austin Authors: 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
Affiliation: Oita University, Oita, Japan
Department of General Surgery, Tan Tock Seng Hospital, Singapore, Singapore
Premier Bintaro Hospital, Jakarta, Indonesia
Institute of Surgery, St. Luke's Medical Center, Manila, Philippines
Departments of Gastroenterological and Pediatric Surgery, Oita University Faculty of Medicine, 1-1 Idaigaoka, Hasama-machi, Yufu, Oita, 879-5593, Japan
Weight Loss and Metabolic Surgery Center, Yotsuya Medical Cube, Tokyo, Japan
Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China
Department of Bariatric and Metabolic Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China
Body Science & Metabolic Disorders International Medical Center, China Medical University Hospital, Taichung City, Taiwan
Department of Upper GI Surgery, Austin Health, Heidelberg, Victoria, Australia
Institute of Minimal Access Metabolic and Bariatric Surgery, Max Super Speciality Hospital, New Delhi, India
Department of Surgery, Amiri Hospital, Faculty of Medicine, Kuwait University, Kuwait City, Kuwait
Department of Surgery, Chula Bariatric and Metabolic Institute, Chula Minimally Invasive Surgery Center, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
Department of Surgery, School of Medicine, Inha University, Incheon, South Korea
Department of Surgery, Advanced Laparoscopic and Bariatric Division, King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia
Metabolic Surgery Clinic, Istanbul, Turkey
Department of General Surgery, Laparoscopic Surgery, Khorfakkan Hospital, Sharjah, United Arab Emirates
Department of Bariatric and Metabolic Surgery, Hamad Medical Corporation, Doha, Qatar
Department of Surgery, Faculty of Medicine and Health Science, Universiti Putra Malaysia, Serdang, Malaysia
Issue Date: 2019 2018-10-10
Publication information: Obesity surgery 2019; 29(2): 534-541
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.
DOI: 10.1007/s11695-018-3539-7
ORCID: 0000-0003-4014-5493
PubMed URL: 30306499
Type: Journal Article
Subjects: Bariatric/metabolic surgery
Bypass surgery
Insurance coverage
Sleeve gastrectomy
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