Surgery
Conditions
Brief summary
Measure anesthetic condition used during laparoscopic sleeve gastrectomy stapling. Measure quality of stapling in resected stomach by measuring staple thickness. Find if any relation exists.
Detailed description
During each staple firing the staple size, time of compression and anesthetic conditions being systolic arterial pressure, fluids transfused and intra abdominal pressure used are recorded. After removal of stapled stomach during surgery, thickness of stomach wall and thickness of staple line are measured and compared to evaluate quality of staple formation. the closer the staple height to the wall thickness the better the quality of stapling. Because no one has ever analyzed this relationship, and certainly not under different anesthetic conditions it is not clear yet if any relationship will be found. the analysis will help to understand the relation and help to start perhaps a randomised trial to learn what conditions are best to improve staple quality.
Interventions
PROCEDUREstapling
staples are fired through the gastric wall after waiting several seconds for compression without attention to blood pressure, fluids given or intra abdominal pressure, but these might have an impact on quality of stapling. therefore the conditions during stapling will be recorded during stapling.
Sponsors
AZ Sint-Jan AV
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* primary sleeve gastrectomy
Exclusion criteria
* stomach disease * prior surgery on the stomach
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| thickness of staple line | intra operative on excised stomach before being discarded | thickness of staple line measured in micrometers |
Countries
Belgium
Contacts
Primary ContactJan Paul Mulier, MD PhD
Backup ContactMulier
Outcome results
None listed