Anastomotic Leak, Anastomotic Stenosis, Hemorrhage Postoperative, Morbid Obesity
Conditions
Keywords
Mini-Gastric Bypass, One Anastomosis Gastric Bypass, Gastroenteral Anastomosis, MGB, OAGB
Brief summary
To compare shorttime (6 months) results of two competitive suture materials with regard to time demanded to perform the concerned surgical step and secondary to study anastomotic site safety and complications like leakage and hemorrhage as well as development of anastomotic strictures. Evaluation of cost-effectiveness.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* adult patients selected for primary Mini-Gastric bypass to treat obesity (BMI\>30) * laparoscopic access feasable (intention to treat laparoscopically) * failed conservative treatment (accepted by health insurance companies) * relevant co-morbidities in cases with BMI \<40 * age 18 years or elder
Exclusion criteria
* severe language problems * revisional or redo-procedures * operation intended as open procedure(extensive previous surgeries), * operation performed under corticoid-medication * operation performed under full-dose anticoagulants * operation performed by another surgeon than one of the 3 experienced MGB-surgeons of the Department
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Closure of gastrojejunostomy | The assessment of this surgical step will be completed during the operation. | time needed to perform this specific surgical step, i.e. the ventral defect closure of the (otherwise stapled) gastrojejunostomy |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| economical factors | 6 months | costs of treatment in case the above mentioned complications occur and require intervention |
| anastomotic site perioperative morbidity | 6 months | Number of participants with hemorrhage, leakage or symptomatic strictures requiring further diagnostic or therapeutic measurements |
| other anastomosis- related morbidity | 6 months | Number of participants with marginal ulcer or anastomotic stricture needing further diagnostic and/or interventions |
Countries
Germany