THE IMPACT OF BODY MASS INDEX ON SEVERITY OF ACUTE CALCULOUS CHOLECYSTITIS

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INTRODUCTION: Acute Calculous cholecystitis(ACC) represents >90% of all cases of acute cholecystitis and accounts for 3–11% of hospital admissions. Obesity is dened as global epidemic by WHO. Obesity is an established risk factor for the cholesterol gallstone and subsequent cholecystectomy. Despite many reports on association of body-weight to gallstone disease, the effect of body-weight in severity of the cholecystitis has been rarely reported. Hence, this study was undertaken to assess the severity of association between the body mass index and severity of acute Calculous cholecystitis. OBJECTIVES: 1. To compare the association of obesity with severity of acute cholecystitis. 2. To study the associated pathological changes in the gall-bladder. METHODOLOGY: A cross-sectional study was carried out over a period of 18months from October2019-July2021 in the department of generalsurgery, Bapuji Hospital, Chigateri General Hospital, Davangere among 50 obese-patients with acute cholecystitis along with obesity(BMI >25kg/sq.mt) undergoing cholecystectomy. The data analysis was done using IBM statistical-package for social sciences(IBM SPSS). RESULTS: The mean age of the study population was 45.22±9.25yrs. The mean BMI of the patients was 29.85±2.76 Kg/sq.mt. 56% were overweight, 38% were obese classI and 6% were obese classII. Based on Tokyo guidelines2013 on acute cholecystitis in the present study 32% had GradeI (mild), 54% had GradeII (moderate) and 14% cases had GradeIII (severe) cholecystitis. There was a statistical signicant association between BMI and severity of cholecystitis with more severe cases with increased BMI. Among 50cases posted for laparoscopic-cholecystectomy 18%cases were converted to open-cholecystectomy. Obesity is a documented risk factor for the forma CONCLUSION: tion of gall-stone and BMI is used as a tool to measure obesity. In our study we found a positive association of body mass index and severity of acute CALCULOUS cholecystitis