Bariatric Surgery Candidate, Intra-Abdominal Hypertension, Morbid Obesity
Conditions
Brief summary
The correlations between gastric and urinary bladder pressures with Intra-abdominal pewssure have not been addressed
Detailed description
Intra-abdominal pressure (IAP) affects cardio-respiratory hemodynamics and can be assessed either directly, or by measuring gastric or urinary bladder pressure. However, in patients with morbid obesity, the correlations between gastric and urinary bladder pressures with IAP have not been addressed. The investigator's aim was to assess the correlations between IAP and gastric and urinary bladder pressure in patients with morbid obesity, at normal and elevated levels of IAP, and to examine the effects of increasing IAP and patient position on hemodynamic and respiratory parameters.
Interventions
DIAGNOSTIC_TESTmeasuring IAP and respiratory parameters
Effect of IAP on respiratory parameters Correlation between IAP and Gastric and urinary bladder pressures
Sponsors
Rambam Health Care Campus
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Inclusion criteria
* age \>18 years * Morbid Obesity * candidate for bariatric surgery
Exclusion criteria
* Contraindication to laparoscopy * Advanced COPD * Advanced CHF
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| correlation between intra-abdominal pressure and gastric pressure | Early post-operative- up to 1 week post operation | different measurement methods |
| Intra-abdominal pressure | 0-7 days post bariatric surgery | Correlation between measured IAP according to different measurement methods |
Outcome results
None listed