Bariatric surgery in Asia in the last 5 years (2005-2009).
Obesity is a major public health concern around the world, including Asia. Bariatric surgery has grown in popularity to combat this rising trend. An e-mail questionnaire survey was sent to all the representative Asia-Pacific Metabolic and Bariatric Surgery Society (APMBSS) members of 12 leading Asian countries to provide bariatric surgery data for the last 5 years (2005-2009). The data provided by representative members were discussed at the 6th International APMBSS Congress held at Singapore between 21st and 23rd October 2010. Eleven nations except China responded. Between 2005 and 2009, a total of 6,598 bariatric procedures were performed on 2,445 men and 4,153 women with a mean age of 35.5 years (range, 18-69years) and mean BMI of 44.27 kg/m(2) (range, 31.4-73 kg/m(2)) by 155 practicing surgeons. Almost all of the operations were performed laparoscopically (99.8%). For combined years 2005-2009, the four most commonly performed procedures were laparoscopic adjustable gastric banding (LAGB, 35.9%), laparoscopic standard Roux-en-Y gastric bypass (LRYGB, 24.3%), laparoscopic sleeve gastrectomy (LSG, 19.5%), and laparoscopic mini gastric bypass (15.4%). Comparing the 5-year trend from 2004 to 2009, the absolute numbers of bariatric surgery procedures in Asia increased from 381 to 2,091, an increase of 5.5 times. LSG increased from 1% to 24.8% and LRYGB from 12% to 27.7%, a relative increase of 24.8 and 2.3 times, whereas LAGB and mini gastric bypass decreased from 44.6% to 35.6% and 41.7% to 6.7%, respectively. The absolute growth rate of bariatric surgery in Asia over the last 5 years was 449%.
Department of Surgery, Minimally Invasive Surgical Centre, National University Hospital, 5 Lower Kent Ridge Road, 119074, Singapore, Singapore.
Davide
D
Lomanto
Wei-Jei
WJ
Lee
Rajat
R
Goel
Jeannette Jen-Mai
JJ
Lee
Asim
A
Shabbir
Jimmy B Y
JB
So
Chih-Kun
CK
Huang
Pradeep
P
Chowbey
Muffazal
M
Lakdawala
Barlian
B
Sutedja
Simon K H
SK
Wong
Seigo
S
Kitano
Kin-Fah
KF
Chin
Chin Kin
CK
Fah
Hildegardes C
HC
Dineros
Andrew
A
Wong
Anton
A
Cheng
Shanker
S
Pasupathy
Sang Kuon
SK
Lee
Paisal
P
Pongchairerks
Tran Binh
TB
Giang
D000293:Adolescent; D000328:Adult; D000368:Aged; D000704:Analysis of Variance; D001208:Asia / Q000453:epidemiology; D050110:Bariatric Surgery / Q000379:methods / Q000706:statistics & numerical data* / Q000639:trends; D015992:Body Mass Index; D034742:Electronic Mail; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000453:epidemiology* / Q000601:surgery*; D011634:Public Health; D012955:Societies, Medical; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D055815:Young Adult