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Bariatric Surgery: Global Markets for Services and Devices

Bariatric Surgery: Global Markets for Services and Devices

The global market for bariatric surgery devices was worth more than $1.2 billion in 2014. The market reached $1.4 billion in 2015 and a projected $2.2 billion by 2020, increasing at a compound annual growth rate (CAGR) of 9.8% from 2015 through 2020.

This report provides:
An overview of the global market for services and devices used in the bariatric surgery sector.
Analyses of global market trends, with data from 2014, estimates for 2015, and projections of compound annual growth rates (CAGRs) through 2020.
Discussion on types of obesity, etiology and pathophysiology, risk factors, economic burden, epidemiology, and obesity treatment and management.
An examination of the types and the criteria for bariatric surgeries, along with common complications and the average cost associated with post-surgical complications.
A historical perspective on and the current scenario for bariatric surgery procedure.
An evaluation of the current clinical challenges, unmet needs, and future outlook.
Profiles of major players in the industry.


SCOPE OF THE REPORT

This report is an analytical business tool with the primary purpose of describing the bariatric surgery and the global market for services and devices. The format of the study is organized around the following topics.
Detailed study around diseases like obesity and diabetes.
Major types of bariatric procedures (gastric bypass, gastric banding and sleeve gastrectomy), complications and relevant devices (e.g., implanted devices, gastric removal devices and gastric bypass devices).
Procedure trends and cost estimates (one-time procedure cost excluding follow-up outpatient monitoring cost).
Regulatory structure.
Market characterization, unmet need, market size and segmentation, including historical data on sales by application, product type, end-user group and geographical market.
Market drivers and restraints.
Detailed market projections through 2020.
Competition and market shares.
Reimbursement.
Marketed and pipeline (R&D) products along with description, regulatory status and clinical trials.
Observations and conclusions regarding the future of bariatric surgery market for services and devices.
Profiles of market participants and associations.

CHAPTER 1 Introduction
BARIATRIC SURGERY
STUDY BACKGROUND
STUDY GOALS AND OBJECTIVES
INTENDED AUDIENCE
SCOPE OF THE REPORT
METHODOLOGY AND INFORMATION SOURCES
ANALYST'S CREDENTIALS
RELATED BCC RESEARCH REPORTS
BCC RESEARCH WEBSITE
DISCLAIMER
CHAPTER 2 EXECUTIVE SUMMARY
EXECUTIVE SUMMARY
SUMMARY TABLE GLOBAL MARKET FOR BARIATRIC SURGERY BY REGION, THROUGH 2020 ($ MILLIONS)
SUMMARY FIGURE GLOBAL MARKET FOR BARIATRIC SURGERY BY REGION, 2014-2020 ($ MILLIONS)
CHAPTER 3 OVERVIEW OF OBESITY
DISEASE OVERVIEW
COMMON TOOLS TO DIAGNOSE OBESITY
BMI
TABLE 1 BMI CALCULATION
Waist Circumference
TYPES OF OBESITY
TABLE 2 BMI CATEGORIES BASED ON INCREASING HEALTH RISKS ETIOLOGY AND PATHOPHYSIOLOGY
FIGURE 1 ENERGY BALANCE, 2014
RISK FACTORS
ECONOMIC BURDEN
EPIDEMIOLOGY
TABLE 3 GLOBAL OBESE POPULATION AND SEVERE OBESE POPULATION VS. GENERAL POPULATION, THROUGH 2014 (MILLIONS)
FIGURE 2 GLOBAL OBESE POPULATION AND SEVERE OBESE POPULATION, 2008 AND 2014 (% OF GLOBAL GENERAL POPULATION)
TABLE 4 U.S. OBESITY AND SEVERE OBESITY VS. GENERAL POPULATION, THROUGH 2014 (MILLIONS)
OBESITY TREATMENT AND MANAGEMENT
GOALS OF WEIGHT LOSS AND MANAGEMENT
WEIGHT MANAGEMENT
DIETARY THERAPY
PHYSICAL ACTIVITY
BEHAVIORAL THERAPY
COMBINED THERAPY
PHARMACOTHERAPY
BARIATRIC SURGERY (WEIGHT-LOSS SURGERY)
CHAPTER 4 OBESITY AND TYPE 2 DIABETES
OBESITY AND DIABETES
DIABETES MELLITUS (DM)
GESTATIONAL DIABETES
LATENT AUTOIMMUNE DIABETES IN ADULTS (LADA)
FIGURE 3 GLOBAL DIABETES TYPES (% OF TOTAL DIABETES)
TYPE 2 DIABETES: ETIOLOGY AND PATHOPHYSIOLOGY
DISEASE SYMPTOMS AND RISK FACTORS
EPIDEMIOLOGY
TABLE 5 GLOBAL DIABETES PREVALENCE, THROUGH 2030 (BILLIONS/%/MILLIONS)
TREATMENT AND MANAGEMENT OPTIONS
LIFESTYLE CHANGES
ANTIOBESITY MEASURES (PHARMACOLOGIC AGENTS)
DIABETES MEDICATIONS AND INSULIN THERAPY
BARIATRIC SURGERY
MARKET BURDEN
CHAPTER 5 OVERVIEW OF BARIATRIC PROCEDURES
GENERAL OVERVIEW
CRITERIA FOR BARIATRIC SURGERY
LAPAROSCOPIC SURGERY VS. OPEN SURGERY
FIGURE 4 GLOBAL OPEN VS. LAPAROSCOPIC BARIATRIC SURGERY
OCCURRENCE, 2014 (% OF TOTAL BARIATRIC PROCEDURES)
BARIATRIC SURGERY PREPARATION
DIET MONITORING
DIET CONSULTATION
PSYCHOLOGICAL CONSULTATION
SCREENING BLOOD TESTS
INSURANCE COVERAGE
TYPES OF BARIATRIC SURGERIES
TABLE 6 TYPES OF BARIATRIC SURGERIES
MALABSORPTIVE
Biliopancreatic Diversion (BPD)
Advantages
Disadvantages
Biliopancreatic Diversion with a Duodenal Switch (BPD-DS)
Extended (Distal) Roux-en-Y Gastric Bypass (RYGBP-E)
Mini Gastric Bypass
Advantages of Malabsorptive Procedures
Disadvantages of Malabsorptive Procedures
RESTRICTIVE PROCEDURES
Sleeve Gastrectomy (SG)
Vertical Sleeve Gastrectomy (VSG)
Adjustable Gastric Banding (AGB)
Gastric Balloons
Advantages of Restrictive Procedures
Disadvantages of Restrictive Procedures
COMBINED RESTRICTIVE/MALABSORPTIVE
Gastric Bypass
Roux-en-Y Gastric Bypass (RYGB)
Advantages of Gastric Bypass
Disadvantages of Gastric Bypass
NEW BARIATRIC PROCEDURES
PRIMARY OBESITY SURGERY ENDOLUMINAL (POSE) PROCEDURE
Procedure Design
Clinical Trials
RESTORATIVE OBESITY SURGERY ENDOSCOPIC (ROSE) PROCEDURE
Procedure
Clinical Trials
Advantages of ROSE Procedure
ROSE Procedure: Procedure Cost
BENEFITS OF BARIATRIC SURGERY
RISKS AND COMPLICATIONS OF BARIATRIC SURGERY
PULMONARY EMBOLISM
GASTROINTESTINAL TRACT LEAK
BOWEL OBSTRUCTION (BLOCKAGES)
STRICTURE
BLEEDING
ULCER
GALLSTONES
INFECTIONS
CHRONIC NUTRITIONAL PROBLEMS
CONVERSION TO OPEN PROCEDURE
FAILURE OF WEIGHT LOSS
TOO MUCH WEIGHT LOSS
BODY IMAGE, EMOTIONAL LOSS AND DEPRESSION
NEUROPATHY
HYPOGLYCEMIA (LOW BLOOD SUGARS
KIDNEY FAILURE/STONES
COMPLICATIONS FROM ANESTHESIA
DEATH
OTHER COMPLICATIONS
BARIATRIC PROCEDURE HISTORIC AND CURRENT TRENDS
GLOBAL
TABLE 7 GLOBAL BARIATRIC PROCEDURES, THROUGH 2014 (NUMBER)
FIGURE 5 GLOBAL BARIATRIC PROCEDURE TYPES, 2014 (% OF ALL BARIATRIC PROCEDURES)
FIGURE 6 GLOBAL BARIATRIC PROCEDURE BY REGION, 2014 (% OF GLOBAL PROCEDURES)
NORTH AMERICA
TABLE 8 BARIATRIC PROCEDURE OCCURRENCE IN NORTH AMERICA, THROUGH 2014 (NO. OF PROCEDURES)
FIGURE 7 BARIATRIC PROCEDURE OCCURRENCE IN NORTH AMERICA, 2014 (% OF ALL BARIATRIC PROCEDURES)
AVERAGE PROCEDURE COST OF BARIATRIC SURGERY
TABLE 9 AVERAGE COST OF BARIATRIC SURGERY BY PROCEDURE TYPE ($)
FACTORS AFFECTING BARIATRIC SURGERY COST
BARIATRIC SURGERY: COMPARATIVE ANALYSIS
TABLE 10 COMPARATIVE ANALYSIS OF BARIATRIC SURGERY
HISTORY OF BARIATRIC SURGERY
JAW WIRING
JEJUNOILEAL BYPASS
GASTRIC PARTITIONING
VERTICAL BAND GASTROPLASTY (VBG)
GASTRIC BALLOONS
CHAPTER 6 OVERVIEW OF BARIATRIC SURGERY DEVICES
BARIATRIC SURGERY DEVICES
GASTRIC BYPASS
GASTRIC REMOVAL DEVICES
IMPLANTED GASTRIC DEVICES
Gastric Bands
Intragastric Balloons (IGB)
TABLE 11 PRINCIPAL TYPES OF BARIATRIC SURGERY DEVICES
REGULATORY STATUS OF BARIATRIC SURGERY DEVICES
UNITED STATES
EUROPEAN UNION (EU)
JAPAN
OTHER ASIA
China
Hong Kong
Taiwan
India
END-USER SEGMENTS
CHAPTER 7 UNMET NEED FOR OBESITY AND DIABETES TYPE 2
CHAPTER 8 BARIATRIC SURGERY MARKET ASSESSMENT
BARIATRIC PROCEDURES AND SERVICES MARKET
GLOBAL
TABLE 12 GLOBAL BARIATRIC PROCEDURE OCCURRENCE BY TYPE, THROUGH 2020 (NUMBER)
FIGURE 8 GLOBAL BARIATRIC PROCEDURE OCCURRENCE BY TYPE, 2014 AND 2020 (% OF TOTAL BARIATRIC SURGERY)
TABLE 13 BARIATRIC PROCEDURE OCCURRENCE BY REGION, THROUGH 2020 (NUMBER)
FIGURE 9 BARIATRIC PROCEDURE OCCURRENCE BY REGION, 2014 AND 2020 (% OF TOTAL BARIATRIC SURGERY)
NORTH AMERICA
TABLE 14 BARIATRIC PROCEDURE OCCURRENCE IN NORTH AMERICA, THROUGH 2020 (NUMBER)
FIGURE 10 BARIATRIC PROCEDURE OCCURRENCE IN NORTH AMERICA, 2014 AND 2020 (% OF TOTAL BARIATRIC SURGERY)
EUROPE
TABLE 15 BARIATRIC PROCEDURE OCCURRENCE IN EUROPE, THROUGH 2020 (NUMBER)
FIGURE 11 BARIATRIC PROCEDURE OCCURRENCE IN EUROPE, 2014 AND 2020 (% OF TOTAL BARIATRIC SURGERY)
ASIA
TABLE 16 BARIATRIC PROCEDURE OCCURRENCE IN ASIA, THROUGH 2020 (NUMBER)
FIGURE 12 BARIATRIC PROCEDURE OCCURRENCE IN ASIA, 2014 AND 2020 (% OF TOTAL BARIATRIC SURGERY)
PROJECTED TRENDS IN BARIATRIC SURGERY
BARIATRIC SURGERY DEVICES MARKET
GLOBAL BARIATRIC SURGERY DEVICE MARKET BY REGION
TABLE 17 GLOBAL BARIATRIC SURGERY DEVICE MARKET BY REGION, THROUGH 2020 ($ MILLIONS)
FIGURE 13 GLOBAL BARIATRIC SURGERY DEVICE MARKET BY REGION, 2014 AND 2020 (% OF TOTAL BARIATRIC SURGERY)
GLOBAL BARIATRIC SURGERY DEVICES MARKET BY TYPE OF DEVICE North America
TABLE 18 NORTH AMERICAN BARIATRIC SURGERY MARKET BY DEVICE TYPE, THROUGH 2020 ($ MILLIONS)
FIGURE 14 NORTH AMERICAN BARIATRIC SURGERY MARKET BY DEVICE TYPE, 2014 AND 2020 (% OF TOTAL BARIATRIC SURGERY)
Asia
TABLE 19 ASIAN BARIATRIC SURGERY MARKET BY DEVICE TYPE, THROUGH 2020 ($ MILLIONS)
FIGURE 15 ASIAN BARIATRIC SURGERY MARKET BY DEVICE TYPE, 2014 AND 2020 (% OF TOTAL BARIATRIC SURGERY)
Europe
TABLE 20 EUROPEAN BARIATRIC SURGERY MARKET BY DEVICE TYPE, THROUGH 2020 ($ MILLIONS)
FIGURE 16 EUROPEAN BARIATRIC SURGERY MARKET BY DEVICE TYPE, 2014 AND 2020 (% OF TOTAL BARIATRIC SURGERY)
GLOBAL IMPLANTED BARIATRIC SURGERY DEVICES MARKET
TABLE 21 GLOBAL MARKET FOR IMPLANTED DEVICES, THROUGH 2020 ($ MILLIONS)
MARKET GROWTH DRIVERS AND RESTRAINTS
GROWTH DRIVERS
Global Obesity Epidemic
Diabetes Prevalence
Less Invasive/Noninvasive Procedures
Western Food Habits and Sedentary Lifestyles
Reimbursement
Increasing Awareness in Developed Nations
Medical Tourism
GROWTH RESTRAINTS
Lack of Awareness, Availability and Affordability in Developing Nations
High Cost of Bariatric Surgery
Long Wait Time
Short-Term and Long-Term Complications
CHAPTER 9 COMPETITION AND MARKET SHARES
TABLE 22 GLOBAL BARIATRIC SURGERY MARKET SHARES BY COMPANY, 2014 ($ MILLIONS/%)
FIGURE 17 GLOBAL BARIATRIC SURGERY MARKET SHARES BY COMPANY, 2014 (% OF TOTAL MARKET)
CHAPTER 10 MARKETED, ABANDONED AND PIPELINE PRODUCTS
MARKETED PRODUCTS
TABLE 23 KEY MARKETED PRODUCTS OF BARIATRIC SURGERY DEVICES
VBLOC THERAPY/MAESTRO RC SYSTEM
General Description
Clinical Trials
Procedure
RESHAPE INTEGRATED DUAL BALLOON SYSTEM
ORBERA INTRAGASTRIC BALLOON
GASTRISAIL GASTRIC POSITIONING SYSTEM
LAP-BAND ADJUSTABLE GASTRIC BANDING SYSTEM
REALIZE ADJUSTABLE GASTRIC BAND
ENSEAL
PERI-STRIPS DRY WITH VERITAS
ENDOPATH XCEL TROCAR
ECHELON FLEX POWERED ARTICULATING ENDOSCOPIC LINEAR CUTTERS
HARMONIC ACE SHEARS + ADAPTIVE TISSUE TECHNOLOGY
ENDO GIA RADIAL RELOAD WITH TRI-STAPLE TECHNOLOGY
Endo GIA Reload
ENDO STITCH ENDOSCOPIC SUTURING DEVICE
ENDOGASTRIC SOLUTIONS STOMAPHYX DELIVERY DEVICE, FASTENERS
AND ACCESSORIES
HELIOSPHERE BAG
HELIOGAST
Heliogast HAGE
Heliogast HAGA
ENDOCINCH
ENDOSURGICAL OPERATING SYSTEM (EOS)
ABANDONED PRODUCTS
GARREN-EDWARDS GASTRIC BUBBLE (GEGB)
TABLE 24 KEY ABANDONED/ DISCONTINUED PRODUCTS OF BARIATRIC
SURGERY DEVICES
EASYBAND
PIPELINE PRODUCTS
ENDOBARRIER
General Description
Procedure
Clinical Trials
TABLE 25 ENDOBARRIER CLINICAL TRIALS
Advantages
Disadvantages
EndoBarrier: Procedure Cost
TABLE 26 KEY PIPELINE PRODUCTS OF BARIATRIC SURGERY DEVICES
VALENTX
General Description
Clinical Trials
TABLE 27 VALENTX CLINICAL TRIALS
Advantages
ASPIREASSIST
General Description
Clinical Trials
TABLE 28 ASPIREASSIST CLINICAL TRIAL
Procedure
TANTALUS SYSTEM
General Description
Clinical Trials
TABLE 29 TANTALUS SYSTEM CLINICAL TRIAL
Procedure
DEEP BRAIN STIMULATION SYSTEM/TRIGEMINAL NERVE STIMULATION
(TNS)-OBESITY
General Description
Clinical Trials
TABLE 30 TRIGEMINAL NERVE STIMULATION (TNS) CLINICAL TRIAL
ELIPSE
General Description
Procedure
FULL SENSE DEVICE
General Description
Procedure
Clinical Trials
SAMSEN MAGNETS
General Description
Procedure
GASTRIC VEST SYSTEM
General Description
Procedure
OBALON BALLOON
General Description
Procedure
Clinical Trials
SMART DEVICE
General Description
Procedure
INTRAGASTRIC BALLOON
General Description
Procedure
DIGESTIBLE BALLOON
General Description
Clinical Trials
SPATZ3 ADJUSTABLE BALLOON SYSTEM
General Description
Procedure
Clinical Trials
ENDORETICS DEVICE
General Description
Procedure
ATTIVA
NOBESE DEVICE
General Description
Procedure
SATISPHERE
General Description
Clinical Trials
Procedure
SILIMED GASTRIC BALLOON
General Description
Procedure
Clinical Trial
TABLE 31 SILIMED GASTRIC BALLOON CLINICAL TRIAL
TRANSPYLORIC SHUTTLE
General Description
Clinical Trials
TABLE 32 TRANSPYLORIC SHUTTLE DEVICE CLINICAL TRIAL
Procedure
TOGA SYSTEM
General Description
Clinical Trials
TABLE 33 TOGA SYSTEM CLINICAL TRIALS
Procedure
SENSATE ANCHORED GASTRIC DEVICE
General Description
Procedure
Clinical Trial
TABLE 34 SENSATE ANCHORED GASTRIC DEVICE CLINICAL TRIAL
ABILITI
General Description
Clinical Trials
TABLE 35 ABILITI SYSTEM CLINICAL TRIALS
CHAPTER 11 REIMBURSEMENT
GENERAL REIMBURSEMENT CRITERIA
UNITED STATES
ICD-9-CM
TABLE 36 BARIATRIC SURGERY, INTERNATIONAL CLASSIFICATION OF DISEASES, NINTH REVISION (ICD-9) CODES
TABLE 37 COVERED INPATIENT FACILITY ICD-9-CM PROCEDURE CODES
ICD-10
EUROPE
JAPAN
OTHER ASIA
CHAPTER 12 CONCLUSIONS: THE OUTLOOK FOR BARIATRIC SURGERY
DEVICES
MAJOR DEVELOPMENTS THAT WILL INFLUENCE THE BARIATRIC SURGERY
MARKET
TECHNOLOGICAL DEVELOPMENTS
Adaptation of Minimally Invasive Techniques to New Types of Surgical
Procedures
Endoluminal Procedures
Gastric Stimulators
New Designs of Gastric Balloons
DEMOGRAPHIC AND ECONOMIC TRENDS
Growing Obesity Populations Worldwide
TABLE 38 TRENDS IN OBESITY COMPOSITION OF THE WORLD'S POPULATION, THROUGH 2020 (MILLIONS)
TABLE 39 U.S. OBESITY AND SEVERE OBESITY VS GENERAL POPULATION, THROUGH 2020 (MILLIONS)
Income Growth in Developing Markets
TABLE 40 TRENDS IN PER CAPITA REAL GDP GROWTH BY REGION, 2012-2015 (ANNUAL AVERAGE PERCENTAGE CHANGE)
CHANGING STRUCTURE OF THE HEALTH CARE INDUSTRY
Hospital Consolidation
Medical Tourism
Health Insurance Developments
LONG-TERM OUTLOOK FOR BARIATRIC SURGERY DEVICES AND SERVICES
CHAPTER 13 APPENDIX A: ABBREVIATIONS
CHAPTER 14 COMPANY PROFILES
ALLURION TECHNOLOGIES
A.M.I. (AGENCY FOR MEDICAL INNOVATIONS)
APOLLO ENDOSURGERY
APPLIED MEDICAL
ASPIRE BARIATRICS
BARONOVA
BAROSENSE (SUBSIDIARY OF BOSTON SCIENTIFIC)
BAXTER
BETA-STIM
BFKW
COOK GROUP
C.R. BARD
CROSPON
ENDOGASTRIC SOLUTIONS
ENDORETICS
ENDOBETIX
ENDOSPHERE
ENTEROMEDICS
ETHICON ENDO-SURGERY (SUBSIDIARY OF JOHNSON & JOHNSON)
GELESIS
GI DYNAMICS
GI WINDOWS
HELIOSCOPIE
INTRAPACE INC.
MEDTRONIC
METACURE
OBALON THERAPEUTICS
ONCIOMED
PLENSAT
RESHAPE MEDICAL
SARL COUSIN BIOTECH
SATIETY
SCIENTIFIC INTAKE
SENSATE
SILHOUETTE MEDICAL
SKLAR
SLIMEDICS
SPATZ FGIA
TRANSENTERIX
TULIP MEDICAL
USGI MEDICAL
VALENTX
W. L. GORE
CHAPTER 15 APPENDIX C: INDUSTRY AND PROFESSIONAL
ORGANIZATIONS
THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY (ASMBS)
EUROPEAN ASSOCIATION FOR ENDOSCOPIC SURGERY (EAES)
INTERNATIONAL ASSOCIATION FOR THE STUDY OF OBESITY
INTERNATIONAL DIABETES FEDERATION (IDF)
INTERNATIONAL FEDERATION FOR THE SURGERY OF OBESITY AND
METABOLIC DISORDERS
INTERNATIONAL OBESITY TASK FORCE (IOTF)
OBESITY IN AMERICA
THE OBESITY SOCIETY
SOCIETY OF AMERICAN GASTROINTESTINAL ENDOSCOPIC SURGEONS (SAGES)
SOCIETY OF LAPAROENDOSCOPIC SURGEONS (SLS)

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