Bariatric surgery trends and progress in Taiwan: 2010–2021

Kuo Feng Hsu, Hsin Mei Pan, Po Chih Chang, Chih Kun Huang, Weu Wang, Wei Jei Lee, Tien Chou Soong, Ming Hsien Lee, Po Jen Yang, Ming Che Hsin, Chien Hua Lin, Guo Shiou Liao

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: Taiwan is a leading country regarding bariatric surgery in Asia-Pacific. Since 2010, the Taiwan Society for Metabolic and Bariatric Surgery (TSMBS) has been accountable for the national evolution of bariatric surgery and inaugurated a national database accordingly. This study aimed to analyze the bariatric surgery trends and progress in Taiwan from 2010 to 2021. Materials and methods: The TSMBS database was collected on the basis of structured inquiries filled out by bariatric surgeons in Taiwan. All patients involving bariatric surgery were included. The data were stratified with the following objectives, including the types of bariatric procedures, demographic characteristics, and perioperative variables. A nationwide database was comprehensively analyzed and evaluated to determine the trends in the applications of the procedure. Results: Data of 30,026 patients were enrolled. A 2.5-fold increase was observed in bariatric procedures, from 1218 in 2010 to 3005 in 2021. Within 12 years, female accounts for 61.8 %. The revisional rate was 3.40 % during the exploration stage (2010–2013), 2.77 % during the maturity stage (2013–2018), and 5.10 % during the expansion stage (2019–2021). The top five of primary bariatric surgery is sleeve gastrectomy (SG, 63.05 %), gastric clipping surgery (GC, 11.17 %), Roux-en-Y gastric bypass (RYGB, 9.34 %), one anastomosis gastric bypass (OAGB, 8.80 %), and sleeve plus surgery (SG plus, 4.43 %). Conclusion: The trends and progress of Taiwan's bariatric surgery within recent decades are presented in this article. Taiwan's bariatric surgery case number has increased steadily from 2010 to 2021. Amongst all, SG has become the most dominant procedure since 2011 while OAGB takes up second place in 2020.

Original languageEnglish
Pages (from-to)66-73
Number of pages8
JournalObesity Research and Clinical Practice
Volume17
Issue number1
DOIs
Publication statusAccepted/In press - 2023

Keywords

  • Bariatric surgery
  • One anastomosis gastric bypass
  • Roux-en-Y gastric bypass
  • Sleeve gastrectomy
  • Sleeve plus surgery
  • Trends

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

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