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

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

Affiliations

01 February 2019

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doi: 10.1007/s11695-018-3539-7

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; Bypass surgery; Indication; Insurance coverage; Sleeve gastrectomy.

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