Dumping Syndrome
Conditions
Keywords
Roux-en-Y Gastric ByPass
Brief summary
The postprandial dumping syndrome is a frequent consequence of Roux-en-Y Gastric ByPass due to the rapid emptying of the stomach remnant in to the intestinal lumen. Dumping-related symptoms occur very early after eating (within 30 minutes), are not associated with concurrent hypoglycemia, and are most prominent in the early postoperative period. This syndrome very debilitating for the patient can be improved by dietary and nutritional recommendations. We hypothesize that a personalized approach based on dietary and nutritional recommendations conducted by a nurse would likely to decrease the frequency of dumping syndrome and improve the postoperative quality of life of patients in the early postoperative period.
Detailed description
The Roux-en-Y Gastric ByPass is considered the gold standard of weight loss surgery and is the most commonly performed bariatric procedure worldwide.The postprandial dumping syndrome is a frequent consequence of gastrojejunal anastomosis due to the rapid emptying of the stomach remnant in to the intestinal lumen. Dumping-related symptoms occur very early after eating (within 30 minutes), are not associated with concurrent hypoglycemia, and are most prominent in the early postoperative period. The symptoms of dumping syndrome include nausea, abdominal cramps, diarrhea, dizzy spells, weakness and cold sweats either with or after eating.This syndrome very debilitating for the patient can be improved by dietary and nutritional recommendations. We hypothesize that an individualized approach based on dietary and nutritional recommendations and monitoring of patients conducted by a nurse in the first three months after surgery would likely to decrease these problems and improve the postoperative quality of life of patients.
Interventions
BEHAVIORALDietary and nutritional recommendations conducted by a nurse
Supplementary dietary and nutritional education
Sponsors
University Hospital, Lille
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Body Mass Index ≥40 kg / m2 or ≥35 kg / m2 in the presence of comorbidities related to obesity * Indication to Roux-en-Y Gastric ByPass
Exclusion criteria
* Contraindication to Roux-en-Y Gastric ByPass * Refusal to sign the consent form * Patient not affiliated to a social security system * Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The frequency of dumping syndrome | 3 months | The frequency of dumping syndrome at 3 months will be compared between the two groups. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Body Mass Index | 3 months | — |
| Frequence of Adverse Events after surgery | at 1 and 3 months | — |
| Quality of Life-Lite questionnaire | 3 months | Estimation of quality of life by Impact of Weight on Quality of Life-Lite questionnaire(IWQOL-Lite) |
| Personal Effectiveness Assessment questionnaire (SEPOB) | 3 months | Measure the efficacy of therapeutic education by personal estimation of the level of skill using a specific obesity assessment questionnaire (SEPOB questionnaire or survey emotional, cognitive and behavioral sense of personal efficacy) |
Countries
France
Outcome results
None listed