COMPARISON OF GENERAL ANESTHESIA VS GENERAL ANESTHESIA PLUS REGIONAL ANESTHESIA IN BARIATRIC SURGERY
Dr. Ravi Gurbani and Dr. Rashim Vachhani*
The word Bariatric is derived from the Greek word meaning “weight” and “iatric” meaning treatment. Approximately 7% of the world population is obese. Obesity is a global health problem & prevalence varies with socio economic status. In affluent countries like U.S the poor have the highest prevalence In developing countries it is the affluent that are at the highest risk Recently there is increase in incidence of childhood & adolescent obesity & importantly these children remain obese as adults. Bariatric surgery means weight loss surgery; it includes a variety of procedures performed on people who are obese. Weight loss is achieved by reducing the size of the stomach with a gastric band or through removal of a portion of the stomach or by resecting and re-routing the small intestine to a small stomach pouch. Obesity is one & the greatest health challenges facing western world. Obesity is defined as body mass index (BMI)>30kgm-2, where as those with (BMI)>35kgm-2 and 55kgm-2 are considered morbid obese and super morbidly obese respectively. Long-term studies show the procedures cause significant long-term loss of weight, recovery from diabetes, improvement in cardiovascular risk factors, and a mortality reduction from 40% to 23%. Associated obesity related medical condition include hypertension, coronary artery disease, sudden (caudal) death, restrictive range disease, obstructive sleep apnea (OSA), Diabeties mellitus, gallstones various range of cancer are exclude from this studies.
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