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

  • Masayuki Ohta
  • Yosuke Seki
  • Simon Ki-Hung Wong
  • Cunchuan Wang
  • Chih-Kun Huang
  • Ahmad Aly
  • Manish Baijal
  • Salman Al-Sabah
  • Suthep Udomsawaengsup
  • Yoon Seok Heo
  • Saad Sqer Althuwaini
  • Alper Celik
  • Nafad El-Hadidi
  • Davit Sargsyan
  • Tikfu Gee
  • Jaideepraj Rao
  • Errawan R. Wiradisuria
  • Edward Oliveros
  • Seigo Kitano
  • Kazunori Kasama
Original Contributions

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.

Keywords

Bariatric/metabolic surgery Sleeve gastrectomy Bypass surgery Indication Insurance coverage 

Notes

Acknowledgments

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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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Masayuki Ohta
    • 1
  • Yosuke Seki
    • 2
  • Simon Ki-Hung Wong
    • 3
  • Cunchuan Wang
    • 4
  • Chih-Kun Huang
    • 5
  • Ahmad Aly
    • 6
  • Manish Baijal
    • 7
  • Salman Al-Sabah
    • 8
  • Suthep Udomsawaengsup
    • 9
  • Yoon Seok Heo
    • 10
  • Saad Sqer Althuwaini
    • 11
  • Alper Celik
    • 12
  • Nafad El-Hadidi
    • 13
  • Davit Sargsyan
    • 14
  • Tikfu Gee
    • 15
  • Jaideepraj Rao
    • 16
  • Errawan R. Wiradisuria
    • 17
  • Edward Oliveros
    • 18
  • Seigo Kitano
    • 19
  • Kazunori Kasama
    • 2
  1. 1.Departments of Gastroenterological and Pediatric SurgeryOita University Faculty of MedicineYufuJapan
  2. 2.Weight Loss and Metabolic Surgery CenterYotsuya Medical CubeTokyoJapan
  3. 3.Department of Surgery, Prince of Wales HospitalThe Chinese University of Hong KongHong KongChina
  4. 4.Department of Bariatric and Metabolic SurgeryThe First Affiliated Hospital of Jinan UniversityGuangzhouChina
  5. 5.Body Science & Metabolic Disorders International Medical CenterChina Medical University HospitalTaichung CityTaiwan
  6. 6.Department of Upper GI SurgeryAustin HospitalHeidelbergAustralia
  7. 7.Institute of Minimal Access Metabolic and Bariatric SurgeryMax Super Speciality HospitalNew DelhiIndia
  8. 8.Department of Surgery, Amiri Hospital, Faculty of MedicineKuwait UniversityKuwait CityKuwait
  9. 9.Department of Surgery, Chula Bariatric and Metabolic Institute, Chula Minimally Invasive Surgery Center, Faculty of MedicineChulalongkorn UniversityBangkokThailand
  10. 10.Department of Surgery, School of MedicineInha UniversityIncheonSouth Korea
  11. 11.Department of Surgery, Advanced Laparoscopic and Bariatric DivisionKing Khalid University HospitalRiyadhKingdom of Saudi Arabia
  12. 12.Metabolic Surgery ClinicIstanbulTurkey
  13. 13.Department of General Surgery, Laparoscopic SurgeryKhorfakkan HospitalSharjahUnited Arab Emirates
  14. 14.Department of Bariatric and Metabolic SurgeryHamad Medical CorporationDohaQatar
  15. 15.Department of Surgery, Faculty of Medicine and Health ScienceUniversiti Putra MalaysiaSerdangMalaysia
  16. 16.Department of General SurgeryTan Tock Seng HospitalSingaporeSingapore
  17. 17.Premier Bintaro HospitalJakartaIndonesia
  18. 18.Institute of SurgerySt. Luke’s Medical CenterManilaPhilippines
  19. 19.Oita UniversityOitaJapan

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