PMID- 23595611
OWN - NLM
STAT- MEDLINE
DCOM- 20140919
LR  - 20220316
IS  - 1435-5922 (Electronic)
IS  - 0944-1174 (Print)
IS  - 0944-1174 (Linking)
VI  - 49
IP  - 1
DP  - 2014 Jan
TI  - Current status of bariatric surgery in Japan and effectiveness in obesity and 
      diabetes.
PG  - 57-63
LID - 10.1007/s00535-013-0802-5 [doi]
AB  - The rate of obesity in Japan, defined as having a body mass index (BMI) of 
      25 kg/m(2) or greater, is reportedly at 24 %, a lower level of severe obesity 
      than in the EU and US. However, the incidence of obesity-related health problems 
      is reportedly higher among Asians. Laparoscopic sleeve gastrectomy (LSG) is the 
      most frequently performed bariatric surgery in Japan and accounted for 54 % of 
      such surgeries in 2011; procedures such as laparoscopic adjustable gastric 
      banding and laparoscopic Roux-en-Y gastric bypass (LRYGB), practiced frequently 
      worldwide, were uncommon. Possible reasons include concern over delayed 
      postoperative discovery of gastric cancer in LRYGB, and rapid adoption of the 
      comparatively simple LSG procedure. In type 2 diabetes mellitus (T2DM) patients, 
      where continued pursuit of medical treatment is difficult and a potential exists 
      for future deterioration of diabetes-complicated diseases, the criterion for 
      surgical indication in the EU and US is a BMI of 30-35 kg/m(2), with priority 
      given to BMI >35 kg/m(2). For Asian patients, the recommendation is to lower this 
      indication criterion by 2.5 kg/m(2). Efficacy of metabolic surgery is anticipated 
      particularly among T2DM patients with obesity complication, a short history of 
      insulin treatment, and intact insulin secreting ability, and in these cases 
      bariatric surgery should be contemplated.
FAU - Sasaki, Akira
AU  - Sasaki A
AD  - Department of Surgery, Iwate Medical University School of Medicine, Morioka, 
      Japan.
FAU - Wakabayashi, Go
AU  - Wakabayashi G
FAU - Yonei, Yoshikazu
AU  - Yonei Y
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20130418
PL  - Japan
TA  - J Gastroenterol
JT  - Journal of gastroenterology
JID - 9430794
SB  - IM
MH  - Bariatric Surgery/*methods/trends
MH  - Diabetes Mellitus, Type 2/epidemiology/etiology/*surgery
MH  - Humans
MH  - Japan/epidemiology
MH  - Obesity, Morbid/complications/epidemiology/*surgery
MH  - Patient Selection
MH  - Treatment Outcome
PMC - PMC3895199
EDAT- 2013/04/19 06:00
MHDA- 2014/09/23 06:00
PMCR- 2013/04/18
CRDT- 2013/04/19 06:00
PHST- 2013/01/18 00:00 [received]
PHST- 2013/03/14 00:00 [accepted]
PHST- 2013/04/19 06:00 [entrez]
PHST- 2013/04/19 06:00 [pubmed]
PHST- 2014/09/23 06:00 [medline]
PHST- 2013/04/18 00:00 [pmc-release]
AID - 802 [pii]
AID - 10.1007/s00535-013-0802-5 [doi]
PST - ppublish
SO  - J Gastroenterol. 2014 Jan;49(1):57-63. doi: 10.1007/s00535-013-0802-5. Epub 2013 
      Apr 18.