Current status of laparoscopic bariatric/metabolic surgery in Japan: The sixth nationwide survey by the Japan Consortium of Obesity and Metabolic Surgery

被引：29

作者：

Ohta, Masayuki ^{[1
]}

Kasama, Kazunori ^{[2
]}

Sasaki, Akira ^{[3
]}

Naitoh, Takeshi ^{[4
]}

Seki, Yosuke ^{[2
]}

Inamine, Susumu ^{[5
]}

Oshiro, Takashi ^{[6
]}

Doki, Yuichiro ^{[7
]}

Seto, Yasuyuki ^{[8
]}

Hayashi, Hideki ^{[9
]}

Uyama, Ichiro ^{[10
]}

Takiguchi, Shuji ^{[11
]}

Kojima, Kazuyuki ^{[12
]}

Mori, Toshiyuki ^{[13
]}

Inomata, Masafumi ^{[14
]}

Kitagawa, Yuko ^{[15
]}

Kitano, Seigo ^{[16
]}

机构：

[1] Oita Univ, Global Oita Med Adv Res Ctr Hlth, Yufu, Japan

[2] Yotsuya Med Cube, Weight Loss & Metab Surg Ctr, Tokyo, Japan

[3] Iwate Med Univ, Sch Med, Dept Surg, Morioka, Iwate, Japan

[4] Kitasato Univ, Sch Med, Dept Lower Gastrointestinal Surg, Sagamihara, Kanagawa, Japan

[5] Ohama Daiichi Hosp, Dept Surg, Naha, Okinawa, Japan

[6] Toho Univ, Sakura Med Ctr, Dept Surg, Sakura, Japan

[7] Osaka Univ, Dept Gastroenterol Surg, Grad Sch Med, Osaka, Japan

[8] Univ Tokyo, Dept Gastrointestinal Surg, Tokyo, Japan

[9] Chiba Univ, Grad Sch Med, Dept Frontier Surg, Chiba, Japan

[10] Fujita Hlth Univ, Sch Med, Dept Surg, Toyoake, Aichi, Japan

[11] Nagoya City Univ, Dept Gastroenterol Surg, Nagoya, Aichi, Japan

[12] Dokkyo Med Univ, Dept Surg 1, Mibu, Tochigi, Japan

[13] Kyorin Univ, Sch Med, Dept Surg, Mitaka, Tokyo, Japan

[14] Oita Univ, Fac Med, Dept Gastroenterol & Pediat Surg, Yufu, Oita, Japan

[15] Keio Univ, Dept Surg, Sch Med, Tokyo, Japan

[16] Oita Univ, Yufu, Oita, Japan

来源：

ASIAN JOURNAL OF ENDOSCOPIC SURGERY | 2021年 / 14卷 / 02期

基金：

日本学术振兴会;

关键词：

bariatric surgery; laparoscopic bariatric surgery; metabolic surgery; BARIATRIC SURGERY; SLEEVE-GASTRECTOMY; CANCER; BYPASS;

D O I：

10.1111/ases.12836

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Introduction: Laparoscopic bariatric procedures have been performed in Japan since 2000. Laparoscopic sleeve gastrectomy (LSG) has been fully covered by National Health Insurance since 2014, and it has been increasingly performed recently. The Japan Consortium of Obesity and Metabolic Surgery conducts a nationwide survey on laparoscopic bariatric/metabolic surgery every 2 years. Methods: The survey was sent by post or email to 97 Japanese institutions in January 2020. Results: From 2000 to 2019, a total of 3669 laparoscopic bariatric/metabolic procedures were performed in 64 institutions. The most popular procedure was LSG (n = 2866), followed by LSG with duodenojejunal bypass (LSG-DJB, n = 337) and laparoscopic Roux-en-Y gastric bypass (LRYGB, n = 280). Morbidity and reoperation rates were, respectively, 29.8% and 11.8% for LRYGB, 16.8% and 2.8% for LSG, and 13.6% and 6.6% for LSG-DJB. At 5 years after the procedures, the percentage of excess weight loss was 78% for LRYGB, 66% for LSG, and 80% for LSG-DJB. Conclusion: This nationwide survey clearly showed that laparoscopic bariatric/metabolic surgery has been safely and effectively performed for 20 years in Japan.

引用

页码：170 / 177

页数：8

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