Portal Vein Thrombosis
Conditions
Brief summary
Obesity if a health endemic problem over the entire world. Bariatric surgery is the best chance for those patients with morbid obesity to loss weight and to maintain the loosed weight. Metabolic surgery is the new name for bariatric surgery like sleeve gastrectomy and gastric by pass due to the recognized changes in the homeostasis of the hormonal secretion responsive to the hunger status. After sleeve gastrectomy we observe many patients with thrombus of the portal vein system. This phenomena may be attributed to changes in the portal flow due to devascularization of the great curvature of the stomach. The aim of the study is to compare the portal flow by intra-operative Doppler ultrasound before and after surgery of the two procedures as sleeve gastrectomy and gastric bypass, were the vascularization is not changed by the surgery.
Interventions
PROCEDURELaparoscopic sleeve gastrectomy
Doppler ultrasound.
PROCEDURELaparoscopic mini gastric bypass
Doppler ultrasound.
Sponsors
Assuta Medical Center
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients accepted for bariatric surgery for the bariatric surgery committee. * Primary procedure * No hypercoagulability status know
Exclusion criteria
* Hypercoagulability status * patients after any abdominal surgery of the forgut
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Measurement of Portal flow | three month | physiological parameter |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Determine the relation between the operation and thrombosis | three month | physiological parameter and number of thrombosis found. Number of participants with treatment-related adverse events as assessed by CTCAE v4.0 |
Countries
Israel
Outcome results
None listed