Nutritional, Metabolic, Endocrine Surgery Anaesthesia
Conditions
Interventions
Protocolized Intraoperative Hemodynamic Management SBP Target 130 mmHg
Protocolized Intraoperative Hemodynamic Management SBP Target 150 mmHg
Protocolized Intraoperative Hemodynamic Management SBP Target 170 mmHg
Sponsors
Faculty of Medicine Ain Shams University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Adults aged 18–60 years Body mass index (BMI) =40 kg/m² BMI =35 kg/m² with at least one obesity-related comorbidity (type 2 diabetes mellitus, hypertension, or obstructive sleep apnea) Scheduled for primary laparoscopic bariatric surgery (LSG, RYGB, or OAGB) with planned staple line reinforcement via omentopexy Provided written informed consent
Exclusion criteria
Exclusion criteria: Previous upper gastrointestinal or bariatric surgery Revision bariatric procedures Severe cardiovascular instability or uncontrolled hypertension Chronic liver failure or renal failure Coagulopathy or ongoing anticoagulation that could not be safely discontinued Pregnancy Refusal to participate.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative bleeding defined hierarchically as: (1) Clinical bleeding (hematemesis/melena or need for endoscopic/surgical hemostasis); (2) Hemoglobin drop =2.5 g/dL within 72 hours not attributable to hemodilution; including radiologically confirmed intra-abdominal bleeding. | — |
Secondary
| Measure | Time frame |
|---|---|
| Rate of blood transfusion;Reoperation for bleeding;30-day cardiovascular complications (arrhythmia requiring intervention, myocardial infarction confirmed by biomarkers and ECG changes, or ischemic stroke confirmed radiologically) ;Length of hospital stay;Anastomotic or staple line leakage;Stricture rate;Infection Rate | — |
Countries
Egypt
Contacts
Public ContactGamal Abdalla
Lecturer of General Surgery Faculty of Medicine Ain Shams University
Outcome results
None listed