obesitas Obestity overweight
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion criteria are BMI >40kg/m2, or BMI >35kg/m2 with at least one of the following comorbidities: type 2 diabetes, hypertension, dyslipidaemia, obstructive sleep apnoea, or osteoarthritis of the hip or knee; age 18-65 years; positive evaluation by a Bariatric multidisciplinary team (BMDT, consisting of psychologists, dietitians, internists and bariatric surgeons); and written informed consent
Exclusion criteria
Exclusion criteria: Exclusion criteria will be presence of Helicobacter pylori resistant to eradication therapy, the presence of chronic diarrhoea, or previous bariatric or extensive abdominal surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| % excess BMI loss at 2 years | — |
Secondary
| Measure | Time frame |
|---|---|
| % Excess BMI loss at 5 years Operation time (measured in minutes, from incision until closure), Diabetes remission (measured in HbA1c%, fasting plasma glucose and the need for anti-diabetic medication will be recorded) Hypertension remission (need for anti-hypertensive medication will be recorded), Post-operative complications (30 days; e.g. bowel obstruction, internal herniation or revision surgery), Dyslipidaemia control (measured by LDL and total cholesterol and the need for lipid-lowering medication will be recorded), Diarrhea (measured using the Bristol Stool Chart, in combination with the stool frequency), Malnutrition (measured by serum albumin), Mineral and vitamin deficiencies (measured by serum calcium, parathyroid hormone, iron, ferritin, transferrin coefficient, iron saturation, folic acid, vitamin B1, B6, B12, vitamin D), Anaemia (measured by haemoglobuline), Pancreatic activity (measured by fecal elastase in the 24h stools)., Dumping syndrome (measured using the Arts Dumping Scale), Gastro-esophageal reflux (measured using the GERD-Q questionnaire) | — |
Countries
Netherlands