Obesity, Morbid
Conditions
Brief summary
to compare banding sleeve gastrectomy using silicone ring Versus using natural flap ( round ligament of the liver)
Detailed description
to compare banding sleeve gastrectomy using silicone ring Versus using natural flap ( round ligament of the liver) as regard weight loss, complications rat and cost
Interventions
to use the round ligament as a natural band in stead of synesthetic band with sleeve gastrectomy
to use synesthetic band with sleeve gastrectomy
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 65 * patient with previous upper abdominal surgery either for obesity or other diseases * revisional bariatric procedures
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| total cost | 12 hours | total operative cost in Egyptian pound (LE) |
| food intolerance | 1 year | food intolerance at one year food tolerance arabic score questionnaire |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| %EWL | 1 year | percentage of weight loss at one year measured as (initial weight - follow-up weight) / (initial weight - bodyweight at a BMI of 25 kg/ m2) x 100 |
| complications rate | 1 year | the incidence of early and late complications according to Clavien-Dindo (CD) |
| improvement of comorbidities | 1 year | the incidence of improvement of comorbidities |