Introduction: Excess abdominal fat is an independent predictor of the risk factors and the morbidity of obesity related diseases such as type 2 diabetes, hypertension, dyslipidaemia and cardio vascular diseases. The Waist Circumference (WC) is positively correlated with the abdominal fat. Hence, the waist circumference is a valuable, convenient and a simple measurement method which can be used for identifying the individuals who are at an increased risk for the above mentioned diseases. Objectives:1. To assess the abdominal obesity by measuring the waist circumference among the women who were aged 20 years and above in an urban slum of Chennai, India. 2. To identify the socio demographic factors which were associated with the abdominal obesity in the above study population. Settings and Design:A community based and a cross sectional study was carried out in an urban slum of Chennai, India. Methods and Materials:The present study was undertaken in an urban slum of Chennai city, among the women who were aged 20 years and above. One slum was selected randomly and the households in the slum were sampled by a systematic random sampling method. A predesigned and a pretested questionnaire was used to collect the information regarding the sociodemographic profile of the women. Their waist circumference was measured by using a flexible inch tape.As per the World Health Organization (WHO), the International Obesity Task Force (IOTF) and the International Association for the Study of Obesity (IASO) (2000), the following cut off values for the waist circumference were used to assess the abdominal obesity for women: WC<80cms -normal and WC > 80cms abdominal obesity.Statistical Analysis: It was done by using the Statistical Package For Social Science (SPSS ), version 11.5. The prevalence was expressed in percentage and the Chi square test was used to find its association with the factors. Results:In the study population, the prevalence of abdominal obesity (WC > 80 cms) was 29.8% (95% Confidence Interval [CI] 25.9-34 %). A significant association was found between the age, religion, a higher socioeconomic status and the abdominal obesity. No significant association was noted between the educational status, occupation, marital status, type of family and the abdominal obesity. Conclusion:Abdominal obesity among the urban slum women is on the rise. The abdominal obesity was found to be signifi cantly higher among the slum women with increasing age and in those who belonged to the muslim religion and to a higher socioeconomic status. InTRODuCTIOnExcess abdominal fat is an independent predictor of the risk factors and the morbidity of obesity related diseases such as type 2 diabetes, hypertension, dyslipidaemia and cardiovascular diseases. The Waist Circumference (WC) is positively correlated with the abdominal fat. Hence, the waist circumference is a valuable, convenient and a simple measurement method which can be used for identifying the individuals who are at an increased risk for the above mentioned diseases. The evid...

Gastrointestinal tract (GIT) lipomas are rare, benign mesenchymal neoplasm affecting all segments of the GIT and colon is affected most frequently. Reported incidence of colonic lipomas varies from 0.2% to 4.4%. Adult intussusception represents 1% of all bowel obstructions and 5% of all bowel intussuceptions. Gastrointestinal lipomas are rare benign tumors and intussusception due to a gastrointestinal lipoma constitute an infrequent clinical entity. Although intussusception is a common disease in children, intussusception caused by colonic lipoma in adults is a rare condition, and is usually caused by a large pedunculated lipoma. The majority are asymptomatic but may cause abdominal pain, obstruction or bleeding. The treatment for symptomatic or large lipomas is surgical excision. We would like to report a unique case of an elderly lady with colonic lipoma causing colo-colonic intussusception. After thorough investigations, exploratory laparotomy with colo-colonic anastomosis was done.

No abstract

Meconium peritonitis is a non-bacterial, chemical inflammation of the peritoneum caused by antenatal or postnatal perforation of intestine by inspissated meconium. Surgery is necessary when signs of intestinal obstruction are present. The incidence of meconium peritonitis is about 1:30,000. Perinatal morbidity and mortality is about 80%. In the case of meconium peritonitis, the incidence of prematurity is 20-30 %. Author present an unusal case of meconium ileus with multiple ileal perforation leading to peritonitis.

No abstract