Bariatric/Metabolic Surgery in the Asia-Pacific Region: APMBSS 2018 Survey
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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.
KeywordsBariatric/metabolic surgery Sleeve gastrectomy Bypass surgery Indication Insurance coverage
We thank Drs. Akira Sasaki and Takeshi Naitoh for the congress organization, Drs. Ken Loi, Sung Soo Park, Praveen Raj, Hiroshi Yamamoto, Susumu Inamine, and Takashi Oshiro for the program management, Dr. Nik Ritza Kosai for data management in Malaysia, and Dr. Kazuhiro Tada for manuscript assistance.
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflict of interest.
Standard of Informed Consent
This is a survey in which there is no direct involvement with human subjects; it is limited to an analysis of population and bariatric/metabolic procedures in the Asia-Pacific region.
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