Department of Surgery, Minimally Invasive Surgical Centre, National University Hospital, 5 Lower Kent Ridge Road, 119074, Singapore, Singapore.
Obes Surg. 2012 Mar;22(3):502-6. doi: 10.1007/s11695-011-0547-2.
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%.
肥胖是全世界，包括亚洲的一个主要公共卫生关注点。减重手术的受欢迎程度不断增加，以应对这一上升趋势。我们向 12 个亚洲主要国家的亚太代谢与减重外科学会（APMBSS）的所有代表成员发送了一份电子问卷调查，以获取过去 5 年（2005-2009 年）的减重手术数据。在 2010 年 10 月 21 日至 23 日于新加坡举行的第六届 APMBSS 国际大会上，对由代表成员提供的数据进行了讨论。除中国外，有 11 个国家做出了回应。在 2005 年至 2009 年间，共有 155 名执业外科医生为 2445 名男性和 4153 名女性进行了 6598 例减重手术，平均年龄为 35.5 岁（范围，18-69 岁），平均 BMI 为 44.27kg/m²（范围，31.4-73kg/m²）。几乎所有手术都是通过腹腔镜进行的（99.8%）。在 2005 年至 2009 年的综合年份中，最常进行的四种手术分别是腹腔镜可调节胃束带术（LAGB，35.9%）、腹腔镜标准 Roux-en-Y 胃旁路术（LRYGB，24.3%）、腹腔镜袖状胃切除术（LSG，19.5%）和腹腔镜迷你胃旁路术（15.4%）。与 2004 年至 2009 年的 5 年趋势相比，亚洲的减重手术数量从 381 例增加到 2091 例，增加了 5.5 倍。LSG 从 1%增加到 24.8%，LRYGB 从 12%增加到 27.7%，相对增加了 24.8 倍和 2.3 倍，而 LAGB 和迷你胃旁路术则从 44.6%减少到 35.6%和从 41.7%减少到 6.7%。在过去的 5 年中，亚洲减重手术的绝对增长率为 449%。
