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Gastro 2016
August 11-12, 2016
Volume 6, Issue 4(Suppl) J Gastrointest Dig Syst 2016
ISSN:2161-069X JGDS, an open access journal
conferenceseries .com
August 11-12, 2016 Birmingham, UK
6th Global Gastroenterologists Meeting
Sandeep C Mutha, J Gastrointest Dig Syst 2016, 6:4(Suppl)
Preoperative preparation for super-obese
Sandeep C Mutha
Pune University, India
The incidence of obesity is increasing like epidemic; 65% of adults in USA are obese and approximately 5.2-37% in India.
One out of five children is obese (COED - Organization of economic co-operation and development) and the rate of obese
females is three times that of male. We as clinicians and anaesthesiologists have to deal with this problemmore and more day by
day. Obesity is a major health problem affecting almost all organ systems. Most affected systems are cardiovascular, respiratory,
endocrine, airway, OSA, hepatic, renal, musculoskeletal, etc. Obese patients have higher rate of post-operative complications
like myocardial infarct, neuropathy, infection, DVT, pulmonary embolism, etc. Morbidly obese are with BMI more than 40
Kg/sq.m or super-obese with BMI more than 50 Kg/sq.m are to be preoperatively prepared for better perioperative outcome.
Pre-operative workup aims at controlling systemic diseases, optimizing cardio-respiratory status, stabilizing endocrinal
abnormalities and improving nutrition, effort tolerance and psychological state of mind of the patient. Minimum of 10%weight
reduction preoperatively with improved effort tolerance and cardiorespiratory status decreases perioperative complications
and hospital stay and cost. In super obese patients pre-operative preparation may require 6-8 weeks of controlled diet, exercises
and medical treatment.
Biography
Sandeep C Mutha has done his graduation (MBBS) from B J Medical College, Pune, India. Then he completed his Post-graduation in Anaesthesiology from
Pune University in 1994 and Diplomate of National Board (DNB) in Anaesthesia in the year 1995. After gaining experience in Anaesthesia and Intensive Care
from Bombay Hospital for one year, he became a Consultant Anaesthesiologist in Pune. He is the Director of Pune Anaesthesia and Criti-care Private Limited, a
Post-graduate Teacher in Anaesthesia and Intensive Care, and President of Indian Association of Cardio-vascular and Thoracic Anaesthesia Maharashtra branch,
Anaesthesia society of obesity India. He has presented lectures in many regional, state, national and inter-national conferences.