Fifth International Consensus Conference: current status of sleeve gastrectomy. 2018;28:313–22. Bariatric surgery, or weight loss surgery, is the third biggest contributor to medical tourism in Mexico. Buchwald H, Williams SE. | Due to a rising prevalence of obesity, the figure rose to 196,000 in 2015, with gastric sleeve surgery being the most commonly performed bariatric surgery in that year (51.7%). The global burden of obesity and the challenges of prevention. CAS Most significant were the rise in prevalence of SG from 0 to 37 % of the world … Ng M, Fleming T, Robinson M, et al. The 1-year total weight loss for patients with available data was 30.53% (95% CI: 30.22-30.84%) and in the cohort 2009-15 was 30.4% with a follow-up rate of 59.14%. 2012 Jan;99(1):100-3 The dataset, defined by a committee for the 1st report, has since been extended slightly, for instance to include explicitly one anastomosis gastric bypass as a procedure distinct from Roux en Y bypass. Metabolic/bariatric surgery worldwide 2011. Surg Obes Relat Dis. 2) million major surgical procedures are undertaken every year worldwide. Article To enable high levels of participation and compliance with the Global Registry, the dataset has purposefully been kept short and minimal, predominantly in the form of ‘Yes/No’ questions. Data presented in graphs define the number of “valid” records, indicating the number of records where obesity-related disease could be ascertained and cases with “no data”, the number of cases unavailable for subgroup analysis. 2014:CD003641. Obes Surg. Are there gender-specific aspects in obesity and metabolic surgery? In 2019, an estimated 38.2 million children under the age of 5 years were overweight or obese. Viszeralmedizin. CAS 3227 individuals were followed, most being in their 40’s. | According to the statistics, Sweden is the leader in obesity surgery with 9 surgeries performed on 10,000 residents and 9 surgeries performed on 1,000 obese adults. -, Br J Surg. According to the American Society for Metabolic and Bariatric Surgery statistics, there were around 228,000 surgeries in 2017 and 193,000 surgeries in 2015 were performed in the United States alone. Brethauer SA, Kim J, El Chaar M, et al. a Distribution of obesity-related disease by region; calendar years 2014–2018. Would you like email updates of new search results? Before surgery, 22.0% patients had type 2 diabetes (inter-country variation 7.4-63.2%); 31.9% were hypertensive (15.8-92.7%); 17.6% had depression (0.0-46.3%); 27.8% took medication for musculoskeletal pain (0.0-58.9%); 18.9% had sleep apnea (0.0-63.2%); and 29.6% of patients had gastro-esophageal reflux disease (9.1-90.9%). The IFSO Global Registry Fourth Report was funded by the International Federation for Surgery for Obesity and Metabolic Disorders. Stroh C, Weiner R, Wolff S, et al. Dendrite Clinical Systems Ltd, Henley-on-Thames, RG9 1AY, UK ISBN 978–0–9929942-1-1 2016. 2017;104:1207–14. The reasons for this are unknown, but might be due to different follow-up data submitted by the geographically separate centres doing these operations. 2015;66(Suppl 2):7–12. NLM The highest number (n = 154,276) was from the USA/Canada region. -, Obes Surg. Dendrite Clinical Systems Ltd, Henley-on-Thames, RG9 1AY, UKISBN 978–0–9929942-7-3 2018. The proportion of patients no longer receiving treatment for diabetes was highly dependent on weight loss achieved. Correspondence to Since 2014, the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) has produced an annual report of all bariatric surgery submitted to the Global Registry. volume 29, pages782–795(2019)Cite this article. 2018;14:545–53. Scopinaro N. The IFSO and obesity surgery throughout the world. Bariatric surgery worldwide 2003. Buchwald H, Oien DM. b Distribution of obesity-related disease ordered by each disease; calendar years 2014–2018. Meaning that the popularity of bariatric surgeries … Obesity and Bariatric Surgery Facts, Statistics and Rates of Obesity. Buchwald H, Avidor Y, Braunwald E, et al. Poelemeijer YQM, Liem RSL, Vage V, Mala T, Sundbom M, Ottosson J, et al. Epub 2020 May 19. 4 and Table 5. Assessing operations performed between 2012 and 2016, at one year after surgery, the mean recorded percentage weight loss was 28.9% and 66.1% of those taking medication for type 2 diabetes were recorded as not using them. -, Obes Surg. Cao Y, Raoof M, Szabo E, Ottosson J, Näslund I. J Clin Med. b Diabetic medication use in type 2 diabetics 1 year after surgery: operations in calendar years 2012–2016. 2a, b). The overall proportion of female patients was 73.7% (95% CI: 73.5–73.9%). Surg Obes Relat Dis. Prevalence¶ of Self-Reported Obesity Among U.S. This dataset derived from the continuing IFSO Global Registry gives an extensive and unique overview of practice in bariatric surgery, demonstrating variations in patient and operation selection in different countries. Data were submitted from over 550 hospitals in 51 countries spanning 5 continents, including data from 14 national registries. About 32.2 percent of American men and about 35.5 percent of American women are obese. - 188.8.131.52. The estimated international number of operations performed in 2016 was 634,897. Cataract surgery (ICD-9-CM codes 13.1-13.8), the extraction of the lens from an eye, was conducted 4.3 million times in 2018 across the EU Member States, making this the most common of the surgical operations and procedures presented in this article (Malta and the Netherlands, 2017 data; Portugal, 2015 data; Greece, no recent data available). The number of records submitted ranged greatly from 10 from a single centre to over 80,000 submitted by the Italian national registry (Table 3). The dataset for the current version 4.1 is shown (Table 1) . 2 Moreover, the proportion of people with severe obesity (BMI ≥ 35 kg/m 2) and morbid obesity (BMI ≥ 40 kg/m 2) is rising at a faster rate … Since 2014, the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) has produced an annual report of all bariatric surgery submitted to the Global Registry. 2020 Oct;30(10):3721-3729. doi: 10.1007/s11695-020-04505-4. In addition, the Global Registry collects a greater depth of data, with patient variables and outcome data within the limitation of the dataset. The median BMI pre-surgery was 41.7 kg m2 (inter-quartile range: 38.3–46.1 kg m2); there was a wide variation between different contributor countries, with medians ranging from 34.2 kg m2 in South Korea to 49.1 kg m2 in Germany (Fig. Dr. Cohen reports personal fees from GI Dynamics, grants from Johnson & Johnson Medical, Brazil, outside the submitted work. Mr Agrawal is certified as ‘Surgeon of Excellence in Metabolic and Bariatric Surgery TM, SOEMBS TM ’ by Surgical Review Corporation of USA. Angrisani L, Santonicola A, Iovino P, et al. Also, 24.3% of patients reported requiring treatment for musculoskeletal pain (0.0–65.1%); 18.6% of patients had diagnosed sleep apnea (0.0–74.3%); and 17.0% of patients had gastro-esophageal reflux disease (0.0–54.8%). The data collected via the Global Registry mirror the operative trends of the 2016 international survey of practice . Recent reports from the 2015 PUF provide baseline demographic descriptions that are complementary to the data presented here [21,22,23]. Article Article Obes Surg. 2016;2018. 1-5 These interventions have been shown to be associated with lasting and substantial weight loss, correction and protection from obesity-related conditions, and substantial benefits in quality of life and longevity. PubMed Google Scholar. We describe baseline demographics of international practice from the 4th report. | 1b) There was variation between countries with a trend to Middle Eastern and Asian countries having a younger, or adolescent practice, with those in the West more commonly operating at an older age. Further data are needed to show the effect on other obesity-related diseases. N Engl J Med. 2018 Jan;28(1):253-254. doi: 10.1007/s11695-017-2972-3. Second IFSO Global Registry Report 2016. Obes Rev. One study looked at the long-term outcomes of lapband and bariatric surgery patients using a database to track progress, measure weight shifts, and document any changes . Rogers CA, Reeves BC, Byrne J, et al. Data analysis from the German bariatric surgery registry. Dr. Himpens reports personal fees from Ethicon, personal fees from Medtronic, outside the submitted work. Post-operative stay and region; calendar years 2014–2018. Metabolic/bariatric surgery worldwide 2008. The highest number (n = 154,276) was from the USA/Canada region. Hence all these statistics show an exponential increase in the number of bariatric surgeries that drive the overall growth of the market. Operative data are presented from 2014 to 2018; follow-up data are presented from 2012 to 2016 to account for the inevitable lag in data capture. How Can We Manage Long-Term Follow-up After Obesity and Metabolic Surgery? 1 According to the World Health Organization's 2016 global estimates, 39% and 13% of adults suffered from overweight and obesity, respectively. An estimate of operative risk as determined by the Obesity Surgery Mortality Risk Score (OSMRS) varied widely by country (Fig. Welbourn R, Gagner M, Naslund I, Ottosson J, Kinsman R, Walton P. First IFSO Global Registry Report 2014. The purpose of the society is to advance the art and science of metabolic and bariatric surgery by continually improving the quality and safety of care and treatment of people with obesity and related disease. PubMed Qualitative assurance and improvement projects might be a future goal of the IFSO Global Registry. Conclusions: Seidell JC, Halberstadt J. Other countries have large comprehensive registries: in the USA, the MBSAQIP (Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program) is a large collaboration between the American College of Surgeon and the ASMBS (American Society for Metabolic and Bariatric Surgery) and the resulting Participant Use Data File (PUF) is released periodically for independent analysis by participating centres. Swedish, Norwegian and Dutch surgeons have shown that it is possible to amalgamate large datasets with the aim of demonstrating differences in mortality and complication rates between different countries. Gastric bypass was the most prevalent operation (49.4%), followed by sleeve gastrectomy (40.7%) and gastric banding (5.5%). Lancet. Such understanding can help us focus our research questions to make them relevant, as demonstrated by the By-Band study which evolved to become the By-Band-Sleeve randomised controlled trial in the UK, as the number of sleeve gastrectomies performed increased. 5. Bariatric surgery worldwide 2013. Welbourn R, Hopkins J, Dixon JB, et al. Int J Surg Case Rep. 2020;71:192-195. doi: 10.1016/j.ijscr.2020.04.087. Primary, Endoluminal, and Revisional procedures. JAMA. 2016 May;12(4):750-756. doi: 10.1016/j.soard.2016.01.022. Even though the overall attainment of 1-year follow-up data has increased, weight loss and diabetes status are the only variables retrieved with sufficient frequency to allow meaningful comparison, with 32.5% and 23.3% of cases with follow-up, respectively. Dendrite Clinical Systems Ltd, Henley-on-Thames, RG9 1AY, UK ISBN 978–0–9929942-4-2 2018. The 1-year total weight loss for patients with available data was 30.53% (95% CI: 30.22-30.84%) and in the cohort 2009-15 was 30.4% with a follow-up rate of 59.14%. The median age at time of operation was 42 years (inter-quartile range: 33–51 years; Fig. Richard Welbourn. 2004;292:1724–37. Among the primary interventions, 609,897 (96%) were surgical and 25,359 (4%) were endoluminal. Obes Surg. There was large variation in the reported rates of these conditions between countries. Article Is laparoscopic sleeve gastrectomy safer than laparoscopic gastric bypass? El Chaar, M, Lundberg P, Stoltzfus J. Thirty-day outcomes of sleeve gastrectomy versus Roux-en-Y gastric bypass: first report based on metabolic and bariatric surgery accreditation and quality improvement program database. Welbourn R, Hollyman M, Kinsman R, Dixon J, Liem R, Ottosson J, Ramos A, Våge V, Al-Sabah S, Brown W, Cohen R, Walton P, Himpens J. Obes Surg. 2020 Jun;15(2):290-297. doi: 10.5114/wiitm.2019.89774. Cochrane Database Syst Rev. CAS Angrisani L, Santonicola A, Iovino P, et al. The author concluded that the use of the procedure has increased to about 113,000 cases per year. There is widespread variation in access to surgery and in baseline patient characteristics in the countries submitting data to the IFSO Global Registry. Surg Obes Relat Dis. Using Bayesian Networks to Predict Long-Term Health-Related Quality of Life and Comorbidity after Bariatric Surgery: A Study Based on the Scandinavian Obesity Surgery Registry. -. This variation in trends was marked between different regions with the shortest lengths of stay being in North America (single-centre data; Fig. The Global Registry has reported on its findings for the last 4 years [12,13,14,15]. Richard Welbourn and Marianne Hollyman are joint first authors, Welbourn, R., Hollyman, M., Kinsman, R. et al. All operations entered up until 4th July 2018 were included in the analysis. Data were submitted on 72,645 Roux en Y gastric bypass operations (38.2%), 87,467 sleeve gastrectomy operations (46.0%), 14,516 one anastomosis gastric bypass procedures (7.6%) and 9534 gastric banding operations (5.0%) as the primary operation since 2014. 2016 Jul;12(6):1178-85. doi: 10.1016/j.soard.2016.02.030. Surg Obes Rel Dis. Many individuals believe that the procedures are not safe and that the risk of death is high. Background: Data were available from 394,431 individual records, of which 190,177 were primary operations performed since 2014. HHS Two-year outcomes of sleeve gastrectomy versus gastric bypass: first report based on Tehran obesity treatment study (TOTS). Almost all, 99.3%, operations were performed laparoscopically. The worldwide prevalence of obesity nearly tripled between 1975 and 2016. Dr. Elli is a pioneer in the Mexico Weight Loss Surgery field. In addition, open surgery has decreased to represent only 3% of the cases now, despite the fact that it costs on average $4,800 less than … © 2021 Springer Nature Switzerland AG. Objective: To investigate the incidence of bariatric surgery and postoperative outcomes in a population-based cohort of patients in Western Australia over a 17-year period. Results: In addition, there is limited information on variation in surgical outcomes including length-of-stay or reduction in BMI or effect on obesity-related diseases on a national or international basis. For the 16 countries with ≥ 1000 submitted patients, the gender ratios were 57.7% female (India; n = 11,088) to 79.4% female (Netherlands; n = 37,818). Himpens J, Ramos A, Welbourn R, Kinsman R, Walton P. Fourth IFSO Global Registry Report 2018. Ann Nutr Metab. The total number of bariatric procedures performed worldwide in 2013 was 468,609, 95.7 % carried out laparoscopically. Although according to American Society for Metabolic and Bariatric Surgery, the chance of dying from metabolic or bariatric surgery averages at just .13% within 30 days of the procedure. Laparoscopic Roux-en-Y gastric bypass (LRYGB) and the gastric band were second and third respectively (23.1% and 5.7%). Region variation in operation type is displayed in Fig. b Patient’s age at surgery by country; calendar years 2014–2018 (data for 190,080 of 190,177 cases). a Patient’s BMI before surgery by country; calendar years 2014–2018 (data for 188,522 of 190,177 cases). Google Scholar. * The number of overweight and obese Americans has increased almost continuously since 1960. Commissioning guidance for weight assessment and management in adults and children with severe complex obesity. For the 184,871 primary operations recorded between 2012 and 2016, 116,431 had follow-up records (63.0%). Obes Surg. Gastric bypass was the most prevalent operation (49.4%), followed by sleeve gastrectomy (40.7%) and gastric banding (5.5%). 2018 Jan;28(1):255-256. doi: 10.1007/s11695-017-2973-2. Background and aim: Several bariatric surgery worldwide surveys have been previously published to illustrate the evolution of bariatric surgery in the last decades. Part of Springer Nature. No matter the procedure performed, all surgery types show positive results from having weight loss surgery. PubMed Central 5). Al-Ozairi E, El Samad A, Al Kandari J, Taghadom E, Adam S, le Roux C, Syed AA. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the global burden of disease study 2013. Google Scholar. The Dendrite Intellect Web database technology platform, an Upload-My-Data web portal and a Direct Data Entry system were used to upload and merge the data. All data presented are in relation to primary procedures. In an effort to answer some of these questions, the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) developed a Global Registry, in association with a software and analysis provider, Dendrite Clinical Systems Ltd., aiming to create a global estimate of bariatric surgery practice. 2020 Jun 17;9(6):1895. doi: 10.3390/jcm9061895. Angrisani L, Santonicola A, Iovino P, Formisano G, Buchwald H, Scopinaro N. Obes Surg. The variation in disease prevalence between regions is shown (Fig. There is a fine balance between the two approaches to achieve a comprehensive, detailed database with true case attainment: there is more work to be done to achieve the perfect equilibrium. Recently, the Swedish and Norwegian SOReg and the Dutch registry DATO have demonstrated that sharing data elements between registries can allow accurate cross-comparison of surgical complications, an important initiative towards quality assurance between different countries . Those figures may represent local, rather than national practice since, of these countries, only Brazil submitted data from a national registry. Ron has published numerous articles in Global Healthcare and has been informing patients in U.S. and Canada through bariatric seminars and webinars. Higa K, Himpens J, Welbourn R, Dixon J, Kinsman R, Walton P. Third IFSO Global Registry Report 2017. Bariatric surgery worldwide: baseline demographic description and one-year outcomes from the second IFSO global registry report 2013-2015. The percentage of those who had revision surgeries in the year 2015, however, rose to more than … 2019 Mar;29(3):782-795. doi: 10.1007/s11695-018-3593-1. OSMRS group by country; calendar years 2014–2018. 2013 Apr;23(4):427-36. doi: 10.1007/s11695-012-0864-0. Welbourn R, Pournaras DJ, Dixon J, et al. Results: The total number of bariatric/metabolic procedures performed in 2016 was 685,874; 634,897 (92.6%) of which were primary and 50,977 were revisional (7.4%). Future iterations of the registry have the potential to describe the operated patients comprehensively. Khalaj A, Tasdighi E, Hosseinpanah F, Mahdavi M, Valizadeh M, Farahmand E, Taheri H, Barzin M. BMC Surg. However, thus far, the project has been limited to a description of baseline demographics and 1-year outcomes so as to encourage continuing data submission and recognising the inherent challenges of data validation as described above. In the 2009-2015 cohort, 64.7% of patients on treatment for diabetes preoperatively were not on treatment postoperatively. 2007;3:134–40. a Percentage weight loss at 1 year by pre-surgery BMI: operations in calendar years 2012–2016. Although bariatric surgery has been demonstrated to be a safe, effective and sustainable method of weight loss with associated reduction of obesity-related disease [3, 4], it is only performed on a very small percentage of patients who could benefit from it . Variation in attainment of follow-up data for the Roux en Y gastric bypass group is shown (Table 6). The average age was 42.0 years (95% CI 41.9-42.1, inter-quartile range 33.0-51.0 years) and the median body mass index was 43.3 kg/m2 (inter-quartile range 39.4-48.8 kg/m2). Please enable it to take advantage of the complete set of features! Orthopedics, IVF, optometry, etc. An IFSO Global Registry pilot project in 2014 demonstrated that it was possible to amalgamate large numbers of individual patient data from different local and national database systems. Limitations of the paper include lack of generalizability due to incomplete case ascertainment, and inability to assess incomplete or erroneous data submission, as well as incomplete follow-up data. Metabolic/bariatric surgery worldwide 2011. The role of alimentary and biliopancreatic limb length in outcomes of Roux-en-Y gastric bypass. 4. Forty-six percent of the baseline records were > 80% complete in data submitted in the calendar years 2014–2018. Although this year, the number of national registries submitting data has increased to 14, there are still large areas of the world whose data are unknown. Numbers of participating countries, national registries, individual centres and submitted cases have steadily increased year on year (Table 2). 6a). Overweight (body mass index [BMI] ≥ 25 kg/m 2) and obesity (BMI ≥ 30 kg/m 2) are currently described as a worldwide epidemic. Mexico Bariatric Center's Founder and CEO, Ron Elli, Ph.D. has been in Medical Tourism Bariatrics and Plastics since early 2007. 2014 May 22;370(21):2002-13 2013;23:427–36. PubMed Five International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) surveys since 1998 have estimated the volume and type of bariatric surgery being done in constituent member countries. This article does not contain any studies with human participants or animals performed by any of the authors. Over all types of surgery, the average recorded percentage weight loss was 28.9% a year after surgery: 30.0% for Roux en Y; 29.1% for gastric sleeve; 16.1% for gastric band; and 32.9% for one anastomosis gastric bypass. 2004;14:1157–64. Continuous Glucose Monitoring of Glycemic Variability During Fasting Post-Sleeve Gastrectomy. A comparison of 30-day complications using the MBSAQIP data registry. Bariatric surgery has increasingly become common as obesity has become a widespread concern in much of the high-income world. Surg Obes Relat Dis. These reports did not include baseline demographic descriptions. Dendrite clinical systems ltd, Henley-on-Thames, RG9 1AY, UK 2014. The contributors were reassured that no statistical comparison would be attempted between different units or countries. 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