GERD, Obesity, Morbid
Conditions
Brief summary
in this study the investigators will test anew technique to mange patients with morbid obesity and GERD by doing sleeve gastrectomy plus cruroplasty and omental rape around the gastroesophageal junction
Detailed description
in this study the patients that have morbid obesity concomitant GERD will managed by sleeve gastrectomy plus cruroplasty then stripe from the momentum is fashioned and is raped around the gastroesophageal junction
Interventions
sleeve gastrectomy+ cruroplasty+ omental rap
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
Exclusion criteria
* patients refused to share in the study * 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 * revisional bariatric procedures
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the effect on GERD | 6 months | change in GERD symptoms using either upper GIT endoscopy or GERDQ questionnaire |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| weight loss | 12 months | the effect on weight loss determined by percentage of excess weight loss, percentage of total weight loss and change of BMI |
| comorbidities | 12 months | change in comorbidities including diabetes by change in hemoglobin C level, hypertension by measuring arterial blood pressure using sphygmomanometer |
Countries
Egypt