Masayuki Ohta1, Yosuke Seki2, Simon Ki-Hung Wong3, Cunchuan Wang4, Chih-Kun Huang5, Ahmad Aly6, Manish Baijal7, Salman Al-Sabah8, Suthep Udomsawaengsup9, Yoon Seok Heo10, Saad Sqer Althuwaini11, Alper Celik12, Nafad El-Hadidi13, Davit Sargsyan14, Tikfu Gee15, Jaideepraj Rao16, Errawan R Wiradisuria17, Edward Oliveros18, Seigo Kitano19, Kazunori Kasama2. 1. Departments of Gastroenterological and Pediatric Surgery, Oita University Faculty of Medicine, 1-1 Idaigaoka, Hasama-machi, Yufu, Oita, 879-5593, Japan. ohta@oita-u.ac.jp. 2. Weight Loss and Metabolic Surgery Center, Yotsuya Medical Cube, Tokyo, Japan. 3. Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China. 4. Department of Bariatric and Metabolic Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China. 5. Body Science & Metabolic Disorders International Medical Center, China Medical University Hospital, Taichung City, Taiwan. 6. Department of Upper GI Surgery, Austin Hospital, Heidelberg, Australia. 7. Institute of Minimal Access Metabolic and Bariatric Surgery, Max Super Speciality Hospital, New Delhi, India. 8. Department of Surgery, Amiri Hospital, Faculty of Medicine, Kuwait University, Kuwait City, Kuwait. 9. Department of Surgery, Chula Bariatric and Metabolic Institute, Chula Minimally Invasive Surgery Center, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. 10. Department of Surgery, School of Medicine, Inha University, Incheon, South Korea. 11. Department of Surgery, Advanced Laparoscopic and Bariatric Division, King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia. 12. Metabolic Surgery Clinic, Istanbul, Turkey. 13. Department of General Surgery, Laparoscopic Surgery, Khorfakkan Hospital, Sharjah, United Arab Emirates. 14. Department of Bariatric and Metabolic Surgery, Hamad Medical Corporation, Doha, Qatar. 15. Department of Surgery, Faculty of Medicine and Health Science, Universiti Putra Malaysia, Serdang, Malaysia. 16. Department of General Surgery, Tan Tock Seng Hospital, Singapore, Singapore. 17. Premier Bintaro Hospital, Jakarta, Indonesia. 18. Institute of Surgery, St. Luke's Medical Center, Manila, Philippines. 19. Oita University, Oita, Japan.
Abstract
INTRODUCTION: 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. METHODS: 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. RESULTS: 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. CONCLUSION: This summary showed that bariatric/metabolic surgery is rapidly developing along with various problems in Asia-Pacific countries.
INTRODUCTION: 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. METHODS: 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. RESULTS: 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. CONCLUSION: This summary showed that bariatric/metabolic surgery is rapidly developing along with various problems in Asia-Pacific countries.
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