Obesity
Conditions
Keywords
Laparoscopic Sleeve Gastrectomy, Obesity follow-up
Brief summary
Obesity is a worldwide health problematic whose incidence is increasing especially in developed countries. The surgical management of this illness consists in different techniques such as Laparoscopic Sleeve Gastrectomy but this treatment could not be efficient enough. The causes of failure after Laparoscopic Sleeve Gastrectomy are not known but could include the residual gastric volume. The aim of the present study was to determine whether the residual gastric volume is involved in Laparoscopic Sleeve Gastrectomy's failure.
Detailed description
This study can be done in three steps: 1. From a prospective database, patients are selected if they were operated by Laparoscopic Sleeve gastrectomy at least two years before. 2. these patients are convoked by their surgeon, who proposed them to participate at this study. During this consultation, the BAROS score is calculated by the surgeon and reported in the case report form of the patient. 3. After checking the possible contraindication, a gastric computed tomography volumetry is done and the residual gastric volume is calculated by two independent radiologists.
Interventions
PROCEDURELaparoscopic Sleeve Gastrectomy
the operative technique consists in few steps: * position of 4 trocars and insertion of a nasogastric tube * dissection and mobilization of the greater curvature of the stomach * preparation of the stomach for division * gastric partition * extraction of the gastric remnant * postoperative surveillance
Sponsors
Centre Hospitalier Universitaire, Amiens
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* older than 18 years old * laparoscopic Sleeve gastrectomy performed two years before * surgery performed in the digestive surgery department of the Amiens University Hospital
Exclusion criteria
* pregnancy or breastfeeding * death of the patient or lost of follow-up * patient under legal or administrative protection * contraindication to the volumetry (pregnancy, technical impossibility)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| calculation of the BAROS Score | during the consultation two years after the surgery | the BAROS Score is calculated by the surgeon and corresponds to the presence of a failure of Laparoscopic Sleeve Gastrectomy |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| measure of the residual gastric volume by the radiologists | two years after the surgical procedure | the residual gastric volume is measured by gastric computed-tomography volumetry two years after Laparoscopic Sleeve Gastrectomy and is defined as the volume held between the gastro-oesophageal junction and the pylorus. Two radiologists interpreted the volumetry and conflicts between the 2 observers are resolved by consensus: the larger of each patient's two volume determinations was considered as being closest to the true residual gastric volume |
Countries
France
Outcome results
None listed