Asia-Specific Guidelines

Asia Pacific Metabolic and Bariatric Surgery Society (APMBSS: 2005)

The indication for bariatric surgery for Asian people is a BMI >37 or BMI >32 with T2DM or two significant obesity related co-morbidities. Surgery is recommended for patients with in the age groups of >18 years and <65 years.

Asian Consensus Meeting of Metabolic Surgery (ACMOMS: 2008)

The indication for bariatric surgery in people with Asian ethnicity are BMI >35 without comorbidities, BMI >32 with comorbidities and BMI >30 if they have central obesity with at least two of the additional criteria for metabolic syndrome.

International Federation for the Surgery of Obesity: Asia Pacific Chapter (IFSO-APC: 2011)

Bariatric surgery should be considered in patients with BMI >35 with or without co-morbidities and patients with BMI >30 with T2DM or metabolic syndrome. In patients with BMI >27.5 with inadequately controlled T2DM or metabolic syndrome, the surgical approach may be considered as a non-primary alternative to treat. The recommended procedures are laparoscopic roux-en-Y gastric bypass (LRYGB), laparoscopic sleeve gastrectomy (LSG), laparoscopic adjustable gastric banding (LAGB) and biliopancreatic diversion-duodenal switch (BPD/DS). Surgery is recommended for patients with in the age of >18 and <65 years.

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