Obesity, Morbid
Conditions
Keywords
post sleeve gastrectomy leak, post sleeve gastrectomy
Brief summary
three hundred morbidly obese patients candidate for sleeve gastrectomy will divided into equal two groups, group A : will operated by standard sleeve gastrectomy on bougie 36 without plication of stable line and group B: will operated by sleeve gastrectomy on bougie 42 with plication of stable line. the aim is to test the effect of pilcation on the incidence of leaks and bleeding
Detailed description
three hundred morbidly obese patients candidate for sleeve gastrectomy will divided into equal two groups, group A : will operated by standard sleeve gastrectomy on bougie 36 without plication of stable line and group B: will operated by sleeve gastrectomy on bougie 42 with plication of stable line. the primary outcomes is the incidence of leaks and bleeding which is the main nightmare of sleeve gastrectomy, secondary outcome operative time, weight loss and metabolic effect
Interventions
sleeve with plication
sleeve without plication
Sponsors
Study design
Eligibility
Inclusion criteria
* obese patients with BMI more than 40 with or without co-morbidity or more than 35 with co-morbidity * patients fit for laparoscopic surgery * give approval to share in the study
Exclusion criteria
* patients refused to share in the study * patients unfit for surgery * patients aged less than 18 and older than 60 * patient with previous upper abdominal surgery either for obesity or other diseases * revisional bariatric procedures
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the incidence of postoperative stable line bleeding | 2-24 hours | early postoperative bleeding from stable line |
| the incidence of stable line leakage | 1-30 days | leak from stable line |
Countries
Egypt