A one year Cross-Sectional Study to Evaluate the Relationship Between Body Mass Index With Severity of Cholecystitis” in KLES Dr. Prabhakar Kore Hospitals Belgaum

Abstract

Background and Objectives More than half a million cholecystectomies are performed per year in the United States. Risk factors for cholecystitis mirror those for cholelithiasis and include increasing age, female sex, certain ethnic groups, obesity or rapid weight loss, drugs, and pregnancy. Present study was undertaken to evaluate relationship between BMI with severity of cholecystitis based on clinical, imaging, intraoperative and HPR findings. Methodology This one year cross sectional study was conducted on 100 patients admitted with cholecystitis in the wards of Department of Surgery, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belgaum during the period of January 2010 to December 2010. Based on the BMI, patients were divided into groups, non obese (BMI between 18 to 25 kg/m kg/m 2 2 ) and obese (>25 ) group. The severity of disease was categorized as chronic cholecystitis and acute cholecystitis based on the clinical examination, blood investigations, ultrasonography, and histopathology. Acute cholecystitis was categorized into three categories based on Tokyo guidelines. Results In this study, females outnumbered males with male to female ratio of 1:1.5. Most of patients (68.3%) were aged between 30 years to 60 years and mean age was 49.31±13.57 years. Of 120 patients 62.5% patients were non-obese and 37.5% patients were obese. Mean BMI was 24.35±2.96 Kg/m 2 . 70.83% patients VIII had chronic and 29.17% patients had acute cholecystitis. Out of 35 patients 31.4% had grade I, 62.8% grade II and 5.71% grade III severity. Of the 11, 22 and 2 patients with grade I, II and III severity 63.7% were obese in grade I and in grade II 63.6% were non obese. Male gender influenced severity of cholecystitis significantly. Conclusion and interpretation Overall there was no influence of BMI over severity of cholecytitis based on clinical, imaging, intraoperative and HPR findings as well as either in males or females separately.