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Current Status of Bariatric and Metabolic Surgery in Korea
최윤백 대한내분비학회 2016 Endocrinology and metabolism Vol.31 No.4
Bariatric surgery is considered to be the most effective treatment modality in maintaining long-term weight reduction and improvingobesity-related conditions in morbidly obese patients. In Korea, surgery for morbid obesity was laparoscopic sleeve gastrectomy firstperformed in 2003. Since 2003, the annual number of bariatric surgeries has markedly increased, including adjustable gastric banding(AGB), Roux-en-Y gastric bypass, sleeve gastrectomy, mini-gastric bypass, and others. In Korea, AGB is much more commonthan in others countries. A large proportion of doctors, the public, and government misunderstand the necessity and effectiveness ofbariatric surgery, believing that bariatric surgery has an unacceptably high morbidity, and that it is not superior to non-surgical treatmentsto improve obesity and obesity-related diseases. The effectiveness, safety, and cost-effectiveness of bariatric surgery havebeen well demonstrated. The Korean Society of Metabolic and Bariatric Surgery recommend bariatric surgery confining to morbidlyobese patients (body mass index ≥40 or >35 in the presence of significant comorbidities).