Published in:
01-02-2019 | Original Contributions
Bariatric/Metabolic Surgery in the Asia-Pacific Region: APMBSS 2018 Survey
Authors:
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
Published in:
Obesity Surgery
|
Issue 2/2019
Login to get access
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.