TY - JOUR
T1 - Current status of laparoscopic bariatric/metabolic surgery in Japan
T2 - The sixth nationwide survey by the Japan Consortium of Obesity and Metabolic Surgery
AU - Ohta, Masayuki
AU - Kasama, Kazunori
AU - Sasaki, Akira
AU - Naitoh, Takeshi
AU - Seki, Yosuke
AU - Inamine, Susumu
AU - Oshiro, Takashi
AU - Doki, Yuichiro
AU - Seto, Yasuyuki
AU - Hayashi, Hideki
AU - Uyama, Ichiro
AU - Takiguchi, Shuji
AU - Kojima, Kazuyuki
AU - Mori, Toshiyuki
AU - Inomata, Masafumi
AU - Kitagawa, Yuko
AU - Kitano, Seigo
N1 - Publisher Copyright:
© 2020 The Authors. Asian Journal of Endoscopic Surgery published by Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd.
PY - 2021/4
Y1 - 2021/4
N2 - Introduction: Laparoscopic bariatric procedures have been performed in Japan since 2000. Laparoscopic sleeve gastrectomy (LSG) has been fully covered by National Health Insurance since 2014, and it has been increasingly performed recently. The Japan Consortium of Obesity and Metabolic Surgery conducts a nationwide survey on laparoscopic bariatric/metabolic surgery every 2 years. Methods: The survey was sent by post or email to 97 Japanese institutions in January 2020. Results: From 2000 to 2019, a total of 3669 laparoscopic bariatric/metabolic procedures were performed in 64 institutions. The most popular procedure was LSG (n = 2866), followed by LSG with duodenojejunal bypass (LSG-DJB, n = 337) and laparoscopic Roux-en-Y gastric bypass (LRYGB, n = 280). Morbidity and reoperation rates were, respectively, 29.8% and 11.8% for LRYGB, 16.8% and 2.8% for LSG, and 13.6% and 6.6% for LSG-DJB. At 5 years after the procedures, the percentage of excess weight loss was 78% for LRYGB, 66% for LSG, and 80% for LSG-DJB. Conclusion: This nationwide survey clearly showed that laparoscopic bariatric/metabolic surgery has been safely and effectively performed for 20 years in Japan.
AB - Introduction: Laparoscopic bariatric procedures have been performed in Japan since 2000. Laparoscopic sleeve gastrectomy (LSG) has been fully covered by National Health Insurance since 2014, and it has been increasingly performed recently. The Japan Consortium of Obesity and Metabolic Surgery conducts a nationwide survey on laparoscopic bariatric/metabolic surgery every 2 years. Methods: The survey was sent by post or email to 97 Japanese institutions in January 2020. Results: From 2000 to 2019, a total of 3669 laparoscopic bariatric/metabolic procedures were performed in 64 institutions. The most popular procedure was LSG (n = 2866), followed by LSG with duodenojejunal bypass (LSG-DJB, n = 337) and laparoscopic Roux-en-Y gastric bypass (LRYGB, n = 280). Morbidity and reoperation rates were, respectively, 29.8% and 11.8% for LRYGB, 16.8% and 2.8% for LSG, and 13.6% and 6.6% for LSG-DJB. At 5 years after the procedures, the percentage of excess weight loss was 78% for LRYGB, 66% for LSG, and 80% for LSG-DJB. Conclusion: This nationwide survey clearly showed that laparoscopic bariatric/metabolic surgery has been safely and effectively performed for 20 years in Japan.
UR - http://www.scopus.com/inward/record.url?scp=85095793438&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85095793438&partnerID=8YFLogxK
U2 - 10.1111/ases.12836
DO - 10.1111/ases.12836
M3 - Article
C2 - 32696619
AN - SCOPUS:85095793438
SN - 1758-5902
VL - 14
SP - 170
EP - 177
JO - Asian journal of endoscopic surgery
JF - Asian journal of endoscopic surgery
IS - 2
ER -