bariatric surgery Obesity
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Age 18-65 years; • BMI >=40 kg/m2 or BMI >=35 kg/m2 with obesity related comorbidity; • Weight regain or insufficient weight loss (EWL
Exclusion criteria
Exclusion criteria: • Failed Roux-en-Y gastric bypass due to anatomic, surgical reasons (gastric pouch dilatation >50 mL, gastro-gastric fistula, gastro-jejunostomy); • Distalisation of RYGB is technical infeasible (judgment by surgeon); • Inflammatory bowel disease, celiac disease, irritable bowel syndrome and other causes of chronic diarrhea; • Severe concomitant disease (such as carcinomas and neurodegenerative disorders); • Pregnant women; • Noncompliance in follow-up or unwilling to undergo surgery; • Inability of reading/understanding and filling out questionnaires.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| %total weight loss 1 year after treatment and need for treatment of protein calory malnutrition. | — |
Secondary
| Measure | Time frame |
|---|---|
| weight loss, co-morbidity remission, protein calory malnutrition grading (debilitating defecation patterns, temporary total parenteral nutrition treatment, revision, mortality), morbidity, nutritional deficiencies, quality of life and patient satisfaction. | — |
Countries
Netherlands
Contacts
St. Antonius Ziekenhuis