Diabetes Mellitus, Type 2, Obesity, Morbid
Conditions
Keywords
Obesity, Metabolic Surgery, FundoRing, One anastomosis gastric bypass, Fundoplication, Diabetes Mellitus, Type 2
Brief summary
The purpose of the study is to evaluate the effect of an increased restrictive factor of one gastric anastomosis (OAGB) using a FundoRing fundoplication on metabolic outcomes in type 2 diabetes mellitus. The randomized controlled trial compared two interventional procedures: one group - using the original fundoplication procedure to enhance the restrictive effect and another group without fundoplication in the standard version of the OAGB.
Detailed description
The randomized controlled trial compared two interventional procedures: one group - using the original fundoplication procedure to enhance the restrictive effect and another group without fundoplication in the standard version of the OAGB. The purpose of the study is to evaluate the effect of an increased restrictive factor of one gastric anastomosis (OAGB) using a FundoRing fundoplication on metabolic outcomes in type 2 diabetes mellitus. The main hypothesis is that an increase in the restrictive effect will lead to an increase in the metabolic effect and an increase in its persistence over time.
Interventions
FundoRingOAGB
OAGB
Sponsors
Study design
Eligibility
Inclusion criteria
* BMI 25-55 kg/m2 * Patients with Diabetes Mellitus, Type 2
Exclusion criteria
* BMI \<25 and \>55 kg/m2 * Patients without Diabetes Mellitus, Type 2 * History of surgery on the stomach * Less than 18 or more than 60 years of age * Psychiatric illness * Patients unwilling or unable to provide informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Metabolic improvements of type 2 diabetes | Baseline, at 12, 24, 36 months after surgery | Change % of Glycosylated Hemoglobin. A1C level is below 5.7% - full remisson, a level of 5.7% to 6.4% indicates partial remission , and a level of 6.5% or more indicates diabetes |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change of body mass index | Baseline, at 12, 24, 36 months after surgery | The measure is assessing a change of body mass index. Weight (kg) and height (cm) will be combined with the report of measurement by body mass index (BMI) kg/m2 |
Countries
Kazakhstan