Osteopenia
Conditions
Brief summary
Patients will be randomized into 2 groups: * Group 60: Patients will undergo a Roux-en-Y gastric bypass with a Biliopancreatic limb length of 60cm * Group 100: Patients will undergo a Roux-en-Y gastric bypass with a Biliopancreatic limb length of 100cm Bone mineral density will be evaluated before surgery and 2 years after it.
Detailed description
Patients will be randomized into 2 groups: * Group 60: Patients will undergo a Roux-en-Y gastric bypass with a Biliopancreatic limb length of 60cm * Group 100: Patients will undergo a Roux-en-Y gastric bypass with a Biliopancreatic limb length of 100cm Alimentary limb will be constant in both groups (150cm length) Bone mineral density will be evaluated before surgery and 2 years after it, by means of X ray absorptiometry (DEXA). Changes in bone mineral density in lumbar column will be assessed.
Interventions
Roux-en- Y gastric bypass will be performed with a biliopancreatic limb length of 60cm.
Roux-en- Y gastric bypass will be performed with a biliopancreatic limb length of 100cm.
Sponsors
Study design
Masking description
The radiologist evaluating bone mineral density will be blinded to the biliopancreatic limb length
Eligibility
Inclusion criteria
* Body mass index \>40 Kg/m2 * Body mass index \>35 Kg/m2 associated to obesity related comorbidities
Exclusion criteria
* Bone pathologies * Active neoplasms * Disorders in calcium or vitamin D metabolism
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Bone mineral density | 2 years after surgery | Bone mineral density will be evealuated by absorptiometry at the level of lumbar column |