Introduction
Materials and Methods
Results
Number of reported bariatric procedures | Reported costs of bariatric procedure ($) | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Region | Income | GPD ($) | Country | Number of responders | Number of procedures performed on bariatric tourists | Number of total reported procedures | Percentage of procedures performed on bariatric tourists | Mean | Std. | Min | Max |
East Asia and the Pacific | High income | 42,659 | Japan | 2 | 0 | 236 | – | 10,000 | – | 10,000 | 10,000 |
90,531 | Singapore | 1 | 2 | 80 | 2.5% | – | – | – | – | ||
Europe and Central Asia | High income | 29,300 | Poland | 5 | 85 | 426 | 20.0% | 4233 | 1842 | 2000 | 6080 |
32,199 | Portugal | 1 | 0 | 107 | – | 10,000 | – | 10,000 | 10,000 | ||
38,091 | Spain | 3 | 5 | 196 | 2.6% | 12,667 | 6110 | 6000 | 18,000 | ||
39,817 | Italy | 1 | 2 | 370 | 0.5% | 17,000 | – | 17,000 | 17,000 | ||
43,550 | France | 2 | 68 | 545 | 12.5% | 7000 | 1414 | 6000 | 8000 | ||
43,877 | UK | 1 | 1 | 10 | 10.0% | 12,000 | – | 12,000 | 12,000 | ||
46,301 | Belgium | 1 | 2 | 150 | 1.3% | 9000 | – | 9000 | 9000 | ||
49,247 | Austria | 2 | 0 | 125 | – | 8300 | – | 8300 | 8300 | ||
49,613 | Denmark | 1 | 0 | 200 | – | – | – | – | – | ||
50,206 | Germany | 1 | 23 | 234 | 9.8% | 9500 | – | 9500 | 9500 | ||
52,150 | Iceland | 1 | 0 | 320 | – | 13,000 | – | 13,000 | 13,000 | ||
76,305 | Ireland, Republic of | 1 | 0 | 80 | – | 15,000 | – | 15,000 | 15,000 | ||
Upper middle income | 9648 | Armenia | 1 | 0 | 200 | – | – | – | – | – | |
17,433 | Azerbaijan | 1 | 12 | 170 | 7.1% | 3800 | – | 3800 | 3800 | ||
25,841 | Romania | 1 | 170 | 350 | 48.6% | 4000 | – | 4000 | 4000 | ||
26,500 | Turkey | 6 | 132 | 1528 | 8.6% | 7083 | 3383 | 2500 | 10,000 | ||
Latin America and the Caribbean | High income | 20,677 | Argentina | 2 | 2 | 443 | 0.5% | 10,000 | – | 10,000 | 10,000 |
24,588 | Chile | 1 | 4 | 98 | 4.1% | 10,000 | – | 10,000 | 10,000 | ||
Upper middle income | 9691 | Paraguay | 1 | 4 | 83 | 4.8% | 12,000 | 12,000 | 12,000 | ||
14,455 | Colombia | 3 | 120 | 847 | 14.2% | 7833 | 764 | 7000 | 8500 | ||
15,484 | Brazil | 3 | 11 | 465 | 2.4% | 15,000 | 9899 | 8000 | 22,000 | ||
17,044 | Costa Rica | 1 | 0 | 324 | – | – | – | – | – | ||
18,149 | Mexico | 10 | 2557 | 3794 | 67.4% | 6400 | 1410 | 4500 | 8000 | ||
Middle East and North Africa | High income | 45,464 | Oman | 2 | 16 | 70 | 22.9% | 10,500 | – | 10,500 | 10,500 |
55,263 | Saudi Arabia | 1 | 0 | 216 | – | – | – | – | |||
68,245 | United Arab Emirates | 3 | 56 | 695 | 8.1% | 9000 | 1414 | 8000 | 10,000 | ||
Lower middle income | 11,583 | Egypt | 3 | 108 | 527 | 20.5% | 4933 | 3573 | 2300 | 9000 | |
Upper middle income | 14,676 | Lebanon | 2 | 209 | 710 | 29.4% | 5250 | 1061 | 4500 | 6000 | |
North America | High income | 59,495 | USA | 15 | 14 | 2715 | 0.5% | 17,700 | 7689 | 10,000 | 35,000 |
South Asia | Lower middle income | 5527 | Pakistan | 2 | 62 | 350 | 17.7% | 5000 | – | 5000 | 5000 |
7200 | India | 12 | 75 | 1337 | 5.6% | 6096 | 1985 | 2500 | 9000 | ||
TOTAL | 3740 | 18,001 | 20.8% |
Main Fluxes
Direction | Origin Country |
---|---|
UK | Pakistan |
Belgium | Ivory Coast (Cote d’Ivoire) |
Congo | |
Italy | Austria |
Croatia | |
Singapore | Indonesia |
Spain | Colombia |
Dominican Republic | |
Italy | |
Chile | Bolivia |
USA | |
Paraguay | Argentina |
USA | |
Brazil | |
Azerbaijan | Russian Federation |
UK | |
Sweden | |
Oman | Afghanistan |
Australia | |
Egypt | |
Germany | Egypt |
United Arab Emirates | |
United Arab Emirates | Nigeria |
Bahrain | |
Iraq | |
Romania | United Kingdom |
Spain | |
Germany | |
Brazil | Portugal |
USA | |
Argentina | |
New Zealand | |
Bolivia | |
Angola | |
France | UK |
Switzerland | |
Ireland | |
Pakistan | UK |
Qatar | |
United Arab Emirates | |
Australia | |
USA | |
Lebanon | Iraq |
Qatar | |
Saudi Arabia | |
United Arab Emirates | |
Colombia | Chile |
Panama | |
Spain | |
Barbados | |
USA | |
Egypt | Kuwait |
Saudi Arabia | |
Sudan | |
Qatar | |
Yemen | |
Saudi Arabia | |
Poland | Ireland, Republic of |
Antigua and Barbuda | |
UK | |
Austria | |
Cuba | |
Greece | |
Germany | |
Turkey | Germany |
USA | |
Cyprus | |
Nigeria | |
Saudi Arabia | |
Iraq | |
UK | |
Sweden | |
Canada | |
India | Malaysia |
Oman | |
Latvia | |
Kenya | |
Afghanistan | |
Nigeria | |
Iraq | |
USA | |
South Africa | |
Turkmenistan | |
Nigeria | |
Australia | |
UK | |
United Arab Emirates | |
Canada | |
Tanzania | |
Mexico | USA |
France | |
Canada | |
Venezuela | |
China | |
India | |
Australia | |
United States of America (USA) | Poland |
Mexico | |
Egypt | |
Ghana | |
Cameroon | |
Dominican Republic |
Economy
Follow-up
Item | Percentage (%) or number (n) |
---|---|
What type of procedure did you perform FOR THE TOURISTS? (surgeons can choose more than one) | |
LSG | 89.1% |
LRYGB | 40.6% |
OMGB | 37.5% |
LAGB | 7.8% |
GP | 4.7% |
DS | 3.1% |
SADI | 3.1% |
Other | 9.4% |
How many TOURISTS with BMI under 35 did you treat last year? | |
Number (n) | 34 |
While qualifying for surgery do you request /perform: | |
Upper GI endoscopy | 82.8% |
Abdominal ultrasonography | 71.9% |
Psychological consult | 78.1% |
Dietary consult | 84.4% |
How do you qualify TOURISTS for surgery? | |
During a personal consultation | 81.3% |
By other physician’s referral | 79.7% |
With video consultation + lab results evaluation | 50.0% |
Do you give TOURISTS post-op instructions in English / native language? | |
Yes | 98.4% |
Do you give TOURISTS dietary instructions in English / native language? | |
Yes | 98.4% |
Do you give TOURISTS discharge documents (with detailed type of procedure / lab results etc.) in English / native language? | |
Yes | 98.4% |
What type of follow-up do you provide for the TOURISTS? | |
Personal consultation | 54.7% |
Video consultation | 57.8% |
Phone consultation | 70.3% |
E-mail correspondence (with scans etc.) | 78.1% |
How long do you maintain personal follow-up for TOURISTS? | |
Till the removal of stitches | 12.7% |
Up to one month | 4.8% |
Up to 3 months | 4.8% |
Longer than 3 months | 77.8% |
Do you routinely recommend follow-up by a bariatric team in the country of origin? | |
Yes | 72.6% |
Did your bariatric tourist patients ever have experienced any complications related to surgery during follow-up? | |
Yes | 22.2% |
No | 65.1% |
I do not have data on that | 12.7% |
Type of reported complications: | |
Gastric leak or anastomotic leak | 7.8% |
Postoperative bleeding - INTRABDOMINAL | 4.7% |
Postoperative bleeding - ENDOLUMINAL. | 1.6% |
VENOUS thromboembolism (VTE) | 7.8% |
Ileus | 4.7% |
Internal hernia | 1.6% |
Where most complications were treated. | |
Country of origin | 50% |
Country where the primary procedure was done | 50% |
Did any of your bariatric tourist patients ever died due to surgical complications? | |
Yes | 0% |
No | 96.8% |
I do not have data on that | 3.2% |