Trends and progress of bariatric and metabolic surgery in India
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ORIGINAL ARTICLE
Trends and progress of bariatric and metabolic surgery in India Aparna Govil Bhasker1,2 · Arun Prasad3 · P. Praveen Raj4 · Randeep Wadhawan5 · Manish Khaitan6 · Abhay Jugal Agrawal7,8,9,10,11 · Om Tantia12 · Sarfaraz J. Baig13 · Raj Palaniappan14 · H. V. Shivaram15 · Sumeet Shah16 · Vandana Soni17 · Mohit Bhandari18 · Rakesh Shivhare19 · Shrihari Dhorepatil20 · Pradeep Chowbey21 · Mahendra Narwaria22 · Shashank Shah23,24 · Rajesh Khullar25 · on behalf of the Obesity and Metabolic Surgery Society of India (OSSI) Received: 17 February 2020 / Accepted: 16 April 2020 © Italian Society of Surgery (SIC) 2020
Abstract Bariatric and metabolic surgery are being performed in India for 2 decades. Aim of this paper is to evaluate the changing clinical trends over the last 5 years and to present the other aspects helmed by Obesity and Metabolic Surgery Society of India (OSSI) to aid the growth of research, education, data management and registry, quality control, insurance-related issues and policy change. OSSI conducts an annual survey to collect data pertaining to numbers of surgical procedures. With the approval of the executive committee, data collected from 2014 to 2018 were retrieved and analysed. 20,242 surgical procedures were performed in 2018 which is an 86.7% increase from 2014. Laparoscopic sleeve gastrectomy continued to remain the most popular procedure, it’s percent share saw a steady decline from 68 to 48%. One anastomosis gastric bypass showed an unprecedented growth from 14 to 34%. Numbers of laparoscopic Roux en y gastric bypass remained constant at 15–16%. OSSI has also initiated a COE program along with training fellowships and focus on registry and inclusion in insurance coverage. National trends over the past 5 years in bariatric surgery have shown emergence of newer procedures like OAGB, although LSG continues to be the most popular procedure performed These trends give an insight on how the field is evolving and the implications for any distinctive requirements unique to this region These will lay out important directives for not only ensuring good treatment outcomes but also increasing awareness about the disease on the whole. Keywords Obesity and Metabolic Surgery Society of India (OSSI) · Case Mix · One anastomosis gastric bypass (OAGB/ MGB) · Sleeve Gastrectomy · Centre for Excellence (COE) · Fellowship in metabolic and bariatric surgery (FMBS), Roux-en y gastric bypass (RYGB) · Registry · Data
Introduction At 1.37 billion, India has the second-largest population in the world. Home to 18% of the world’s population, the Indian populace is unique in its biology, lifestyle, diet, environment, economy and healthcare organization. While the rates of infectious disease have declined, today India battles the triple problem of malnutrition, obesity and diabetes. Slated as the third fattest nation in the world after USA and China, the magnitude of obesity in India is on a steady rise [1]. Bariatric and metabolic surgery is being performed in India for over 2 decades now and is the only t
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