Clinical Gastroenterology Vol.28 No.12(12)

Theme Obesity Related Digestive Diseases
Title Current Status and Future of Endoscopic and Laparoscopic Procedures for Obesity
Publish Date 2013/11
Author Masayuki Ohta Department of Gastroenterological Surgery, Oita University Faculty of Medicine
Author Yuichiro Kawano Department of Gastroenterological Surgery, Oita University Faculty of Medicine
Author Takahide Kawasaki Department of Gastroenterological Surgery, Oita University Faculty of Medicine
Author Seigo Kitano Oita University
[ Summary ] In Japan, the population of obese people (BMIB25≥kg/m2) comprises approximately one-fourth of the adult population. The frequency of obesity is not less than that in Western countries. Now, over 340,000 bariatric procedures are annually performed in the world. The typical procedures are Roux-en-Y gastric bypass, sleeve gastrectomy and adjustable gastric banding. In Japan, less than 200 cases are performed anually. Therefore, Japan is still a developing country in relation to the field of bariatric surgery. Because the safty and efficacy of bariatric surgery are generally recognized, indications have been recently extended to include moderate obesity (BMI<35 kg/m2). Information campaigns and insurance coverage for bariatric surgery may be necessary for more rapid introduction of bariatric surgery in Japan.
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