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IFSO-APC Consensus Statements 2011

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Abstract

Associations of BMI with body composition and health outcomes may differ between Asian and European populations. Asian populations have also been shown to have an elevated risk of type 2 diabetes, hypertension, and hyperlipidemia at a relatively low level of BMI. New surgical indication for Asian patients should be discussed by the expert of this field. Forty-four bariatric experts in Asia-Pacific and other regions were chosen to have a voting privilege for IFSO-APC Consensus at the 2nd IFSO-APC Congress. A computerized audience-response voting system was used to analyze the agreement with the sentence of the consensus. Of all delegates, 95% agreed with the necessity of the establishment of IFSO-APC consensus statements, and 98% agreed with the necessity of a new indication for Asian patients.

IFSO-APC Consensus statements 2011

  • Bariatric surgery should be considered for the treatment of obesity for acceptable Asian candidates with BMI ≥ 35 with or without co-morbidities

  • Bariatric/GI metabolic surgery should be considered for the treatment of T2DM or metabolic syndrome for patients who are inadequately controlled by lifestyle alternations and medical treatment for acceptable Asian candidates with BMI ≥ 30

  • The surgical approach may be considered as a non-primary alternative to treat inadequately controlled T2DM, or metabolic syndrome, for suitable Asian candidates with BMI ≥ 27.5.

Other eight sentences are agreed with by majority of the voting delegates to form IFSO-APC consensus statements. This will help to make safe and wholesome the progress of bariatric and metabolic surgery in Asia.

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Acknowledgment

The authors would like to thank Karl Miller (Austria), Ken Loi, Leon Cohen (Austlaria), Joel Faintuch, Nilton Kawahara (Brazil), Shashank Shah, Surendra Ugale, Ramen Goel, Sanjay Borude, Praveen Raj, Jayashree Todkar (India), Barlian Sutedja (Indonesia), Masayuki Ohta, Susumu Inamine (Japan), Hong Chan Lee, Kyung Yul Hur, Sang Kuon Lee, Sang Moon Han (Korea), Chin Kin Fah (Malaysia), Hildegardes C Dineros (Philippine), Sultan Al Temyatt (Saudi Arabia), Davide Lomanto, Jimmy So, Shanker Pasupathy (Singapore), Weu Wang, Chih-Kun Huang (Taiwan), Suthep Udomsawaengsup, Paisal Pongchairerks, Apichai Chaiyaroj (Thailand), Alper Celic (Turkey), Michel Gagner (Canada), and Sayeed Ikramuddin (USA)

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Authors and Affiliations

  1. Weight Loss and Metabolic Surgery Center, Yotsuya Medical Cube, Tokyo, Japan

    Kazunori Kasama & Yosuke Seki

  2. Hong Kong Bariatric and Metabolic Institute, Hong Kong, China

    Wilfred Mui

  3. Department of Surgery, Min-Sheng General Hospital, Taoyuan, Taiwan

    Wei Jei Lee

  4. Center for Obesity and Diabetes Support, Mumbai, India

    Muffazal Lakdawala

  5. Department of Surgery, Tohoku University Hospital, Sendai, Japan

    Takeshi Naitoh & Iwao Sasaki

  6. Department of Surgery, Iwate Medical University School of Medicine, Morioka, Japan

    Akira Sasaki & Go Wakabayashi

  7. Department of Surgery, Toho University Sakura Medical Center, Chiba, Japan

    Isao Kawamura

  8. Department of General and Digestive Surgery, Flinders Medical Centre and Adelaide Bariatric Centre, Adelaide, Australia

    Lilian Kow

  9. Epwarth Center of Bariatric Surgery, Melbourne, Australia

    Harry Frydenberg

  10. Department of Surgery, Khoo Teck Puat Hospital, Singapore, Singapore

    Anton Chen

  11. Asian Institute of Gastroenterology Surgery, Ahmedabad, India

    Mahendra Narwaria

  12. Max Institute of Minimal Access, Metabolic & Bariatric Surgery, Max Super-Speciality Hospital, New Delhi, India

    Pradeep Chowbey

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  1. Kazunori Kasama
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  2. Wilfred Mui
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  3. Wei Jei Lee
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  14. Mahendra Narwaria
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  15. Pradeep Chowbey
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Correspondence to Kazunori Kasama.

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Kasama, K., Mui, W., Lee, W.J. et al. IFSO-APC Consensus Statements 2011. OBES SURG 22, 677–684 (2012). https://doi.org/10.1007/s11695-012-0610-7

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  • DOI: https://doi.org/10.1007/s11695-012-0610-7

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