Obesity
Conditions
Keywords
Liver volume, Gastric bypass, Magnetic resonance imaging
Brief summary
The purpose of this study is to determine what changes occur in body- and liver-composition during four weeks of low calorie diet in morbidly obese females
Detailed description
Preoperative weight loss prior to laparoscopic gastric bypass is desirable as this reduces liver volume and thus facilitates the visualization of the gastro-esophageal junction. Weight loss is often achieved through low-calorie diet (LCD); however the ideal duration of LCD treatment is unknown. Morbidly obese female patients awaiting laparoscopic gastric bypass are recruited. They are, as all our patients, treated during four weeks with LCD to achieve a decrease in liver size. During this period they are examined on day 0, 3, 7, 14 and 28 after commencing LCD. At each evaluation, body composition is assessed through bioelectric impedance analysis (BIA), liver volume and intrahepatic fat through magnetic resonance imaging. A questionnaire regarding quality of life and LCD-related symptoms is administered as well. At surgery two samples of subcutaneous fat and one sample of omental fat is taken. We do not assign patients to different treatments, instead all are treated similarly according to our routine preoperative regimen.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Awaiting laparoscopic gastric bypass * Residing near Uppsala
Exclusion criteria
* Weight above 140 kg * Metal implants such as pacemaker or intracerebral clips * Failure to understand or comply with study protocol
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Liver volume | From baseline to after four weeks |
Secondary
| Measure | Time frame |
|---|---|
| Composition of body fat in subcutaneous and omental fat | At surgery |
| Changes in body composition | Baseline to 4 weeks |
Countries
Sweden