|The 1st Joint Session between JDDW & KDDW & TDDW 5 (JDDW)|
|Thu. October 12th 15:00 - 16:00 Room 8: Fukuoka International Congress Center 411+412|
|Evolution of gastroenterology in Asia: from cancer treatment to obesity control|
|Department of Surgery, National Taiwan University Hospital|
|The incidence of cancers of digestive organs in Asia is changing in recent years. The numbers of patients suffering from gastric and hepatic cancer are decreasing in Taiwan, but there are more and more people with colorectal cancers. The change of the incidence might be due to the alteration of diet and life style, and the increasing prevalence of obesity.
Obesity presents a major health hazard in Asia nowadays. Obesity increases risks of several digestive diseases, including nonalcoholic fatty liver disease, gallbladder disease, pancreatitis, intestinal functional disorders, and colonic, esophageal, and pancreatic cancer. Therefore, it is very important for gastrointestinal specialists to know how to control body weight. Bariatric surgery is the only effective method for severely obese individuals to maintain long-term weight loss, and can significantly improve the obesity related disorders. The number of bariatric surgery is increasing rapidly worldwide.
Except operation, there are more and more innovative endoscopic techniques and devices developed to treat obesity, including intragastric balloon, Apollo overstitches, Endobarrier, Aspire bariatrics, and so on. Several devices are already approved by US and European FDA, and the results of weight loss are acceptable. In the nearly future, there must be more and more obese subjects receiving endoscopic treatment for weight control.
In conclusion, the distribution of digestive diseases is changing because of obesity. Bariatric surgery is an effective method to reduce body weight. Besides, several endoscopic techniques are developed to control obesity and might become popular in the nearly future.