National report of treatment of morbid obesity and metabolic disorder from Thailand countries

Suthep Udomsawaengsup

Slide-1---

Obesity and overweight prevalence in adults in your country
Grade I Obesity=15.4%

Grade II Obesity

=

2.2%

Obesity prevalence in children in your country
Age 2-5=

7.9%

Age 6-12=

6.7%

Gender and age distribution (possibly)*use most recent statistics

Slide-2
T2DM prevalence in adults in your country
9.6%

4.8% previously diagnosed and 4.8% newly

diagnosed diabetes

Gender and age distribution (possibly)
Male 33.8%
Mean age =Female 66.2%

60.9 + 11.5 and duration of diabetes 10.5+ 7.6 years,

Slide-3-

Do you perform bariatric surgery in your country?
Yes-If yes, who is a candidate for bariatric surgery?
BMI >40kg/m2 or >35 with co-morbidity and had try non surgical Rx-

Do you have a bariatric society in your country?
Yes

Thai Society of Metabolic and Bariatric Surgery (TSMBS)
http://www.thaibariatric.org

Slide-4-

Approximately how many bariatric surgery operations are being done in your country yearly 100-

What is your estimate as to the relative percentages (adding up to 100%) distribution of bariatric
operations in your country

RYGB 63%

LAGB 29% Sleeve 8%

Slide-5-

Who performs bariatric surgery in your country
general surgeon- endoscopic surgeon 9 , certified bariatric surgeon 6

-Approximately how many surgeons practice bariatric surgery in your country?
= 15 surgeons

Slide-6-

Is there any credential system (surgeon, facility)?
Yes, For Surgeons: the Royal College of Surgeons of Thailand and the Medical Council of Thailand
Facility: Hospital credential-

If any, what type of professional education or training currently exists for the bariatric surgeon?
Yes Clinical fellow in Bariatric surgery (2 institute / 4 regular fellow a year)

Slide-6-

Is there any nationwide database for sharing the pre- and post-operative data results to provide
a cumulative picture of the success of bariatric surgery?
Not yet applied

Slide-7-

Roughly, what is the average cost for bariatric surgery in your country?
*In US dollars
RYGB = 6000 USD(Government)

20000 USD (private)

LAGB = 5000 USD (Gov)

15000 USD (pri)Lap Sleeve =3000 USD (Gov)-13000 USD (pri)Are insurances (government, public, private) paying for the cost of surgery?
Yes

Partially

Slide-8-

Do you perform metabolic surgery for the patients with lower BMI (beyond indication for bariatricsurgery) in your country? Yes for Some-Do you perform revision bariatric surgery in your country?
Yes-

Do you accept patients from overseas (so called “medical tourist”) in your country?
Yes

Slide-9-Which are the problems you face in your country to prevent the obesity disease from spreading?
Availability and advertising of Junk foodPhilosophy of Living, Some Believe such as Obese is asign of Wealthy-

Which are the problems you face in your country to treat the obesity disease?
Reimbursement system, Acceptance for medical co-worker, Cost of Treatment-

Which are the needs?

Slide 10-

Your favorite topics,
Metabolic result of Bariatric Surgery in Thais-

Particularity of your country regarding Bariatric/Metabolic surgery.

Slide-11-Your conclusions to the obesity problems in your country
The incidence of obesity in Thailand is increasing. Prevention is certainly important. Public has
been alerted more about effect and hazard of obesity. Media takes more involvement and helps verymuch in distributing medical information-Recommendations