Current Status and Issues Associated with Bariatric and Metabolic Surgeries in Japan

Overview

Journal Obes Surg

Date 2020 Nov 10

PMID 33170443

Citations 8

Authors

Takashi Oshiro

Kazunori Kasama

Taiki Nabekura

Yu Sato

Tomoaki Kitahara

Rie Matsunaga

Motoaki Arai

Kengo Kadoya

Makoto Nagashima

Shinichi Okazumi

Affiliations

Soon will be listed here.

Abstract

Among Asian countries, laparotomic and laparoscopic bariatric surgeries were introduced in Japan after its establishment in Taiwan. However, despite high prevalence of potential patients with obesity and diabetes, the wider incorporation of surgery into treatment regimen has been stalling for decades in Japan. While the unique Japanese national health insurance system has guaranteed fair healthcare delivery, it might have worked as a barrier to the development of bariatric and metabolic surgeries (BMS). The present article reviews the status of BMS in Japan and discusses recent issues related to its use. To focus on and identify the major obstacles inhibiting the widespread use of BMS, we have comprehensively covered some major areas including the insurance system, surgical indication, accreditation and training system, original research, and national registry.

Citing Articles

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Clinical characteristics of coronavirus disease 2019 in patients undergoing laparoscopic bariatric/metabolic surgery: a nationwide survey in Japan.

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Piriform Fossa Injury during Calibration Tube Insertion in Laparoscopic Sleeve Gastrectomy.

Nabekura T, Oshiro T, Wakamatsu K, Kitahara N, Moriyama Y, Kadoya K J Clin Med. 2023; 12(11).

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Treatments for Staple Line Leakage after Laparoscopic Sleeve Gastrectomy.

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Factors Associated with Relapse of Type 2 Diabetes Mellitus after Laparoscopic Sleeve Gastrectomy in Japanese Subjects: A Subgroup Analysis of J-SMART Study.

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References

Mechanick J, Apovian C, Brethauer S, Garvey W, Joffe A, Kim J . Clinical practice guidelines for the perioperative nutrition, metabolic, and nonsurgical support of patients undergoing bariatric procedures - 2019 update: cosponsored by American Association of Clinical Endocrinologists/American College of.... Surg Obes Relat Dis. 2020; 16(2):175-247. DOI: 10.1016/j.soard.2019.10.025. View

Signorini F, Viscido G, Bocco M, Obeide L, Moser F . Impact of Gastric Bypass on Erosive Esophagitis and Barret's Esophagus. Obes Surg. 2020; 30(4):1194-1199. DOI: 10.1007/s11695-019-04333-1. View

Lee W, Almulaifi A, Tsou J, Ser K, Lee Y, Chen S . Laparoscopic sleeve gastrectomy for type 2 diabetes mellitus: predicting the success by ABCD score. Surg Obes Relat Dis. 2015; 11(5):991-6. DOI: 10.1016/j.soard.2014.12.027. View

Tomotaki A, Kumamaru H, Hashimoto H, Takahashi A, Ono M, Iwanaka T . Evaluating the quality of data from the Japanese National Clinical Database 2011 via a comparison with regional government report data and medical charts. Surg Today. 2018; 49(1):65-71. DOI: 10.1007/s00595-018-1700-5. View

Arman G, Himpens J, Dhaenens J, Ballet T, Vilallonga R, Leman G . Long-term (11+years) outcomes in weight, patient satisfaction, comorbidities, and gastroesophageal reflux treatment after laparoscopic sleeve gastrectomy. Surg Obes Relat Dis. 2016; 12(10):1778-1786. DOI: 10.1016/j.soard.2016.01.013. View

Kasama K, Tagaya N, Kanehira E, Oshiro T, Seki Y, Kinouchi M . Laparoscopic sleeve gastrectomy with duodenojejunal bypass: technique and preliminary results. Obes Surg. 2009; 19(10):1341-5. DOI: 10.1007/s11695-009-9873-z. View

Park Y, Ahn S, Park D, Kim H . Effectiveness of Sleeve Gastrectomy for Metabolic Surgery in Korea. J Obes Metab Syndr. 2019; 27(3):131-133. PMC: 6504201. DOI: 10.7570/jomes.2018.27.3.131. View

Sone H, Ito H, Ohashi Y, Akanuma Y, Yamada N . Obesity and type 2 diabetes in Japanese patients. Lancet. 2003; 361(9351):85. DOI: 10.1016/S0140-6736(03)12151-4. View

Rubino F, Nathan D, Eckel R, Schauer P, Alberti K, Zimmet P . Metabolic Surgery in the Treatment Algorithm for Type 2 Diabetes: a Joint Statement by International Diabetes Organizations. Obes Surg. 2016; 27(1):2-21. DOI: 10.1007/s11695-016-2457-9. View

10.

Mori T, Kimura T, Kitajima M . Skill accreditation system for laparoscopic gastroenterologic surgeons in Japan. Minim Invasive Ther Allied Technol. 2010; 19(1):18-23. DOI: 10.3109/13645700903492969. View

11.

Angrisani L, Santonicola A, Iovino P, Vitiello A, Higa K, Himpens J . IFSO Worldwide Survey 2016: Primary, Endoluminal, and Revisional Procedures. Obes Surg. 2018; 28(12):3783-3794. DOI: 10.1007/s11695-018-3450-2. View

12.

Seki Y, Kasama K, Umezawa A, Kurokawa Y . Laparoscopic Sleeve Gastrectomy with Duodenojejunal Bypass for Type 2 Diabetes Mellitus. Obes Surg. 2016; 26(9):2035-2044. DOI: 10.1007/s11695-016-2057-8. View

13.

Inoue M . Changing epidemiology of Helicobacter pylori in Japan. Gastric Cancer. 2016; 20(Suppl 1):3-7. DOI: 10.1007/s10120-016-0658-5. View

14.

Haruta H, Kasama K, Ohta M, Sasaki A, Yamamoto H, Miyazaki Y . Long-Term Outcomes of Bariatric and Metabolic Surgery in Japan: Results of a Multi-Institutional Survey. Obes Surg. 2016; 27(3):754-762. DOI: 10.1007/s11695-016-2361-3. View

15.

Tagaya N, Kasama K, Kikkawa R, Kanahira E, Umezawa A, Oshiro T . Experience with laparoscopic sleeve gastrectomy for morbid versus super morbid obesity. Obes Surg. 2008; 19(10):1371-6. DOI: 10.1007/s11695-008-9774-6. View

16.

Naitoh T, Kasama K, Seki Y, Ohta M, Oshiro T, Sasaki A . Efficacy of Sleeve Gastrectomy with Duodenal-Jejunal Bypass for the Treatment of Obese Severe Diabetes Patients in Japan: a Retrospective Multicenter Study. Obes Surg. 2017; 28(2):497-505. DOI: 10.1007/s11695-017-2874-4. View

17.

Ohta M, Seki Y, Wong S, Wang C, Huang C, Aly A . Bariatric/Metabolic Surgery in the Asia-Pacific Region: APMBSS 2018 Survey. Obes Surg. 2018; 29(2):534-541. DOI: 10.1007/s11695-018-3539-7. View

18.

Snyder B, Wilson E, Wilson T, Mehta S, Bajwa K, Klein C . A randomized trial comparing reflux symptoms in sleeve gastrectomy patients with or without hiatal hernia repair. Surg Obes Relat Dis. 2016; 12(9):1681-1688. DOI: 10.1016/j.soard.2016.09.004. View