Obesity, Morbid
Conditions
Brief summary
single anastomosis sleeve jejunal bypass as a revisional procedure after weight regain or failure after laparoscopic sleeve gastrectomy, gastric plications or laparoscopic adjustable gastric band
Detailed description
in this study the investigators aim to test the efficacy of single anastomosis sleeve jejunal bypass as a revisional procedure after weight regain or failure after laparoscopic sleeve gastrectomy, gastric plications or laparoscopic adjustable gastric band
Interventions
Single Anastomosis Sleeve Jejunal Bypass
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 * previous restrictive bariatric procedure
Exclusion criteria
* 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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| weight loss | 12 months | percentage of excess weight loss in kilogram |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| the rate of improved co morbidity | 12 months | the effect of the operation on co morbidity like diabetes and hypertension the effect of the operation on co morbidity like diabetes and hypertension the effect of single anastomosis sleeve jejunal bypass of comorbidities |
| the incidence of nutritional deficiency | 12-24 months | the incidence of nutritional deficiency like anemia, hypocalcamia, hypoproteinemia. the incidence of nutritional deficiency like ca, iron, vitaminD and protein malnutrition |
| the incidence of early operative complications the incidence of early operative complications the incidence of early operative complications the incidence of complications | 12-24 months | early operative complications like leak, bleeding complications like leak, bleeding, dumping, |
Countries
Egypt