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. 2022 Sep;32(9):2994-3004.
doi: 10.1007/s11695-022-06182-x. Epub 2022 Jun 30.

Ten Years of Change in Bariatric/Metabolic Surgery in the Asia-Pacific Region with COVID-19 Pandemic: IFSO-APC National Reports 2021

Masayuki Ohta #  1   2 , Soo Min Ahn #  3 , Yosuke Seki  4 , Wah Yang  5 , Simon Kin-Hung Wong  6 , Suthep Udomsawaengsup  7 , Jeffrey M Hamdorf  8 , Manish Khaitan  9 , Nik Ritza Kosai  10 , Weu Wang  11   12 , June Lee  13 , Reno Rudiman  14 , Thejana Wijeratne  15 , Edward Oliveros  16 , Cunchuan Wang  5 , Kazunori Kasama  4
Affiliations

Ten Years of Change in Bariatric/Metabolic Surgery in the Asia-Pacific Region with COVID-19 Pandemic: IFSO-APC National Reports 2021

Masayuki Ohta et al. Obes Surg. 2022 Sep.

Abstract

Background: On November 25, 2021, the IFSO-Asia-Pacific Chapter (IFSO-APC) Virtual Meeting 2021 was held online, and the representatives from the Asia-Pacific region presented 10 years of change in bariatric/metabolic surgery and the influence of COVID-19 in the special session of "IFSO-APC National Reports 2010-2020". We herein report the summarized data.

Methods: National bariatric/metabolic surgery data, which included the data of 2010 and 2020, were collected from the representatives using a questionnaire that consisted of 10 general questions. At the congress, the data were calculated and summarized.

Results: Thirteen of the 14 national societies responded to the survey. From 2010 to recent years, the populations of individuals with obesity (BMI ≥ 30 kg/m2) and individuals with diabetes both significantly increased. Eight countries and regions expanded the lower limit of criteria for bariatric surgery by 2-5 kg/m2 (BMI), and 5 countries newly established criteria for metabolic surgery in the last ten years. Sixty-nine percent of the countries currently run public health insurance systems, which doubled from 2010. The number of bariatric surgeons and institutions increased more than threefold from 2010. In 2010, 2019, and 2020, surgeons in IFSO-APC societies performed 18,280, 66,010, and 49,553 bariatric/metabolic surgeries, respectively. Due to the COVID pandemic, restriction policies significantly reduced access to surgery in South and Southeast Asian countries. The biggest changes included increased numbers of bariatric surgeons and institutions, operation numbers, public insurance coverage, raising awareness, and national registry systems.

Conclusion: For the last 10 years, bariatric/metabolic surgery has rapidly grown in the Asia-Pacific region.

Keywords: Asia–Pacific region; Bariatric/metabolic surgery; COVID-19; Indication; Insurance coverage.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Change in the prevalence of individuals with obesity (BMI ≥ 30 kg/m.2)
Fig. 2
Fig. 2
Change in the prevalence of individuals with type 2 diabetes mellitus
Fig. 3
Fig. 3
Changes in the numbers of bariatric/metabolic surgery in 2010 (a), 2019 (b), and 2020 (c)
Fig. 4
Fig. 4
Percentages of each bariatric/metabolic procedure in 2010, 2019, and 2020. The 2010 data did not include the data of Indonesia and Sri Lanka, and the 2020 data did not include the data of India. AGB, adjustable gastric banding; SG, sleeve gastrectomy; RYGB, Roux-en-Y gastric bypass; OAGB, one anastomosis gastric bypass
See this image and copyright information in PMC

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