None listed
Conditions
Brief summary
To determine which method of performing the Duodenal Switch procedure leads to greater weight loss.
Interventions
Compare 2 different ways of performing the Duodenal Switch. A standard 100cm common channel and 150 cm alimentary limb vs a tailored small bowel partition. To determine which technique provides superior weight loss and resolution of co-morbidities.
In order to tailor the small bowel the total small bowel length is measured intra-operatively. A common channel of 10% of the total small bowel length (but not less than 100cm) is fashioned. The alimentary limb is 40% of the total small bowel len
Compare 2 different ways of performing the Duodenal Switch. A standard 100cm common channel and 150 cm alimentary limb vs a tailored small bowel partition. To determine which technique provides superior weight loss and resolution of co-morbidities. In order to tailor the small bowel the total small bowel length is measured intra-operatively. A common channel of 10% of the total small bowel length (but not less than 100cm) is fashioned. The alimentary limb is 40% of the total small bowel length. The small bowel anastamosis is performed in a side to side stapled fashion. This is a descrition of the tailored small bowel partition. Approximate length of surgery 3-4 hours.
Sponsors
Waitemata DHB
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
20 Years to 55 Years
Healthy volunteers
No
Inclusion criteria
Previous failed attempts at weight loss through diet and exercise. BMI>/=40kg/m2 for at least 5 years. Age between 20 and 55 years. Suitable for either laparoscopic or open duodenal switch surgery. Able to give informed consent and willing to commit to 5 year follow up.
Exclusion criteria
BMI> 70 Pregnancy Prior bariatric surgery of any kind, oesophagogastric surgery, previous antrectomy or small bowel resection. History of chronic pancreatitis or idiopathic acute pancreatitis. Severe cardiorespiratory or gastrointestinal disease contraindicating anaesthesia.
Outcome results
None listed