National Recommendations for the Development of Metabolic and Bariatric Surgery in the Republic of Kazakhstan: a Review and Consensus Statement

Oral Ospanov 1, Bolatbek Baimakhanov 2, Manas Ramazzanov 3, Vitaliy Koikov 3, Laura Daniyarova 4, Shakir Zhurayev 5, Saule Tarjibayeva 6, Saken Kozhakhmetov 1, Irina Volchkova 1, Medet Toleubayev 1, Alexandr Fursov 1, Musa Sakhipov 7, Zhanbolat Dildabekov 8, Nurlan Zharov 9, Bakhtiyar Yelembayev 10, Zhenis Sergazin 11, Ruslan Khasenov 12, Talgat Mukantaev 13, Adil Shokebaev 5, Nurlan Maulenov 11, Nurbol Orynbassar 5, Amanzhol Dyusupov 14, Mereke Negemetzhanov 15, Askar Rashitov 16, Aset Yelemesov 17, Ansat Taubaldiev 18, Garifulla Utkalbayev 5, Galymjan Duysenov 1 *
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1 Academic Scientific and Educational Center of Surgery named after Professor G. V. Tsoi, Astana Medical University, Astana, Kazakhstan
2 National Scientific Center of Surgery named after A. N. Syzganov, Almaty, Kazakhstan
3 Ministry of Health of the Republic of Kazakhstan, Astana, Kazakhstan
4 Department of Endocrinology, Research Institute of Cardiology and Internal Diseases, Almaty, Kazakhstan
5 Department of Gastrointestinal Tract and Endocrine Surgery, National Scientific Center of Surgery named after A. N. Syzganov, Almaty, Kazakhstan
6 Scientific Research Institute of Preventive Medicine named after E. D. Dalenov, Astana Medical University, Astana, Kazakhstan
7 Department of Surgery No. 2, City Clinical Hospital No. 7, Almaty, Kazakhstan
8 Turkistan Regional Department of Health, Turkistan, Kazakhstan
9 Multidisciplinary Regional Clinical Hospital, Kokshetau, Kazakhstan
10 Day Hospital Department, Surgery Center of Professor Oral Ospanov, Astana, Kazakhstan
11 Department of Surgery, Regional Clinical Hospital of the Turkestan Region, Shymkent, Kazakhstan
12 Department of General Surgery, Multidisciplinary City Hospital №2, Astana, Kazakhstan
13 Department of Surgery, Yasin Medical Center, Aktau, Kazakhstan
14 Department of Surgery, LLP Green Clinic, Astana, Kazakhstan
15 Department of Surgery, Multidisciplinary Regional Hospital, Petropavlovsk Kazakhstan
16 Department of Surgery, Multidisciplinary Regional Clinical Hospital, Kokshetau, Kazakhstan
17 Department of Surgery No. 2, West Kazakhstan Marat Ospanov State Medical University, Aktobe, Kazakhstan
18 Department of Surgery, Ili Central District Hospital, Almaty, Kazakhstan
* Corresponding Author
J CLIN MED KAZ, Volume 23, Issue 5, pp. 116-124. https://doi.org/10.23950/jcmk/19614
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Author Contributions: Conceptualization, O.O., M.R., B.B.  methodology O.O. validation B.Y., investigation resources S.K., I.V., M.T., A.F., M.S., Zh.D., N.Zh., Zh. S., R.Kh., A.E., T.M., A.Sh., A.D., N.M., A.R., A.T., M.N., N.O., G.U., data curation V.K.,L.D.,Sh.Zh., A.T., writing – original G.D. S.T., draft editing O.O., B.B. The authors have read and agreed to the published version of the manuscript.

Data availability statement: No new datasets were generated or analyzed. The evidence-verification matrix is retained by the authors and can be made available to the editorial office on request.

Artificial Intelligence (AI) Disclosure Statement: Artificial intelligence was used to translate and edit the text to improve its readability in English, ensure efficient work under human supervision.

ABSTRACT

Obesity and metabolic disease require a coordinated national response in Kazakhstan. The SBMSK StatementWorking Group developed 60 consensus recommendations to strengthen access to safe, evidence-informed metabolic and bariatric surgery (MBS). International IFSO/ASMBS guidance and contemporary literature informed a national process that addressed patient selection, multidisciplinary care, procedure selection, complication prevention, long-term follow-up, workforce development, accreditation, financing, and registry participation. The recommendations preserve the evidence level and recommendation grade ratified by the Working Group and contextualize their implementation within Kazakhstan’s health system. This consensus statement proposes a staged national MBS pathway that centers patient safety, lifelong nutritional and clinical follow-up, multidisciplinary service delivery, quality assurance, and outcomes reporting. It also identifies priorities requiring formal national regulation, investment, research, and prospective registry evaluation.
Keywords: Metabolic Bariatric Surgery, National Statement, Clinical Recommendation, Republic of Kazakhstan, Multidisciplinary Service Delivery, Society of Bariatric and Metabolic surgeons of Kazakhstan, KaSBariMeT-2026

CITATION

Ospanov O, Baimakhanov B, Ramazzanov M, Koikov V, Daniyarova L, Zhurayev S, et al. National Recommendations for the Development of Metabolic and Bariatric Surgery in the Republic of Kazakhstan: a Review and Consensus Statement. J CLIN MED KAZ. 2026;23(5):116-24. https://doi.org/10.23950/jcmk/19614

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