Bariatric SurgeryAnesthesia for Miller, ch:64 Ashish C. Sinha, David M. Eckmann

Anesthesia for Bariatric Surgery

Miller, ch:64Ashish C. Sinha,David M. Eckmann1ObesityCommon enemy of surgeon and anestethist.

A rarity until the middle of the 20th century.

200 million Americans, or 65% of the U.S. adult population, are overweight or obese.

It is second only to smoking as a preventable cause of death.

2ObesityObesity can be defined as a disease because it is a physiologic dysfunction of the human organism.

Food calorie intake exceeds energy expenditure over a long period.3ObesityObesity influenced by genetic, behavioral, cultural, and socioeconomic factors.

Syndromes associated with obesity:Leptin deficiency Prader-Willi syndromeLawrence-Moon-Biedl syndrome

4GeneticsBehaviorEnvironment BMI: kg/m2

5

6

ObesityWaist Circumference and RiskObese Class 1OverweightNormal WeightWaist CircumferenceHigh riskIncreased riskLeast risk88 cm in womenAbdominal obesity150 mg/dLTriglycerides