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

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 decade...

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Bibliographic Details
Published in:Obesity surgery 2021-01, Vol.31 (1), p.343-349
Main Authors: Oshiro, Takashi, Kasama, Kazunori, Nabekura, Taiki, Sato, Yu, Kitahara, Tomoaki, Matsunaga, Rie, Arai, Motoaki, Kadoya, Kengo, Nagashima, Makoto, Okazumi, Shinichi
Format: Article
Language:English
Subjects:
Asia
Bariatric Surgery
Gastrointestinal surgery
Health care delivery
Humans
Japan - epidemiology
Medicine
Medicine & Public Health
Metabolism
Obesity, Morbid - surgery
Review
Surgery
Taiwan
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Summary: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.
ISSN:0960-8923
1708-0428
1708-0428
DOI:10.1007/s11695-020-05056-4