A Monthly NewsletterVolume VII Issue No. 80 For Private Circulation only Date of Publication: March, 2016 Value: Rs.5/-

Dr. C. PalaniveluChairman

Hepatobiliary Dept.Dr. P. SenthilnathanDr. N. Anand VijaiDr. V.P. Nalankilli

Coloproctology Dept.Dr. S. RajapandianDr. Senthi Ganapathy

Upper GI Dept.Dr. R. ParthasarathiDr. RameshDr. Adithya

Bariatric Dept.Dr. P. Praveen Raj Dr. S. Saravanakumar

Hernia SurgeryDr. R. SathiyamoorthyDr. S. Gobu

Radiology Dept.Dr. B. SrikanthDr. S. DevalathaDr. P. Kuppuraju

Medical Gastro Dept.Dr. Mohd. Juned Khan

Endogynaec Dept.Dr. Kavitha YoginiDr. Devi

Histopathology Dept.Dr. S. Annapoorni

1 GEM Medical Bulletin March 2016

GEM Webinar a new initiative by GEM Hospital & Research centre, nourishing the Clinical knowledge and updates on day today practice among general practitioners through live web streaming was conducted on 21st February 2016 at 11:00 AM. Dr. P. Praveenraj Lead Consultant, Department of Bariatric Surgery explained about the Surgical Cure for Obesity & Diabetes. Doctors from different part of India attended the webinar.

GEMWebinar

GEMWebinar

The New Way of CME

2 GEM Medical Bulletin March 2016

A fatty liver is the result of the excess fat in liver cells. Fatty tissue slowly builds up in the liver when a person’s diet exceeds the amount of fat his or her body can handle. A person has a fatty liver when fat makes up at least 5% of the liver . Simple fatty liver can be a completely benign condition and usually does not lead to liver damage. However, once there is a buildup of simple fat, the liver becomes vulnerable to further injury, which may result in infl ammation and scarring of the liver .

What is Non-alcoholic fatty liver disease (NAFLD)?

NAFLD is a progressive complex of liver disease which starts with fat accumulation in the liver without excessive alcohol consumption. It is strongly associated with metabolic syndrome (obesity + insulin resistance + dyslipidemia)

What can be considered excessive alcohol consumption?

• More than 2 drinks per day for women and 3 drinks per day for men• One drink is equivalent to: • 341 ml (12 oz.) bottle of 5% alcohol beer, cider or cooler• 142 ml (5 oz.) glass of 12% alcohol wine• 43 ml (1.5 oz.) serving of 40% spirits

What causes fatty liver disease?

The most common cause of fatty liver disease is obesity. It is estimated that 75% of obese individuals are at risk of developing a simple fatty liver. Up to 23% of obese individuals are at risk of developing fatty liver with infl ammation.

Besides obesity, nutritional causes of fatty liver disease are:

• Starvation and protein malnutrition,• Long term use of total parenteral nutrition (a feeding procedure that involves infusing nutrients directly into the blood stream),

Fatty Liver Disease: What is fatty liver?

• Intestinal bypass surgery for obesity,• Rapid weight loss.

Certain conditions often accompany and may contribute to fatty liver disease:

• Diabetes mellitus,• Hyperlipidemia (elevated lipids in the blood),• Insulin resistance and high blood pressure.

Other causes include:

• Genetic factors,• Drugs and chemicals such as alcohol, corticosteroids, tetracycline and carbon tetrachloride.

Dr. ANAND VIJAIFellow in Liver Transplant,

GEM Hospital.

3 GEM Medical Bulletin March 2016

GEM Institute of Laparoscopy & GastroenterologyIndia’s fi rst and the most advanced laparoscopic training centre

Certifi cate Course LAPAROSCOPIC COLORECTAL SURGERY 25th to 27th February, 2016

Colorectal Surgery Training

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OBESITY & DIABETESAWARENESSSPEECH BY

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