Gastric Bypass, Blind Loop Syndrome, Bacterial Overgrowth Syndrome, Chromatography, Gas
Conditions
Keywords
Gastric bypass, Intestinal Bacterial Overgrowth Syndrome, Gas chromatography
Brief summary
The objective of this research is to determine the incidence of microbial overgrowth of the small intestine before and after a gastric bypass. For this purpose, the study is based on the analysis of the expired hydrogen H2 with gas chromatography before surgery and at 1, 3, 6, 12, 18 and 24 months.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Severe obesity (BMI\>35kg/m² with at least one comorbidity or BMI\>40kg/m² without comorbidity) and after medical care for at least 6 months * Patient who will follow bariatric surgery by bypass gastric * Social insurance affiliation * Signature of the informed consent
Exclusion criteria
* Contraindication criteria for bariatric surgery (cognitive or mental severe disorders, severe and non-stabilized eating disorders, etc.) * Chronic inflammatory bowel disease (Crohn's disease, hemorrhagic rectocolitis) * Previous intestinal surgery * Antibiotic periodicity treatment of less than 3 months * Other diseases responsible for bacterial overgrowth * Pregnancy or breastfeeding
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in expired hydrogen H2 concentration | change at baseline et up to 24 months | Measured by gas chromatography |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in digestive symptoms | change at baseline et up to 24 months | — |
| Changes in intestinal transit | change at baseline et up to 24 months | Characterisation of intestinal transit by measuring stool frequency |
| Changes in malabsorption | change at baseline et up to 24 months | Detection of lipids, vitamins (A, B1, B9, B12, D, E), zinc, magnesium, phosphorus, serum iron and protein balance (albumin, prealbumin, CRP) in order to diagnosis the presence of malabsorption |
Countries
France