Chances in Portal System Flow After Two Bariatric Procedures

Assuta Medical Center

Status: Withdrawn

Conditions: Portal Vein Thrombosis

Treatments: Procedure: Laparoscopic sleeve gastrectomy; Procedure: Laparoscopic mini gastric bypass

Study type: Interventional

Funder types: Other

Identifiers

NCT02733770

AMC0416

Details and patient eligibility

About

Obesity if a health endemic problem over the entire world. Bariatric surgery is the best chance for those patients with morbid obesity to loss weight and to maintain the loosed weight.

Metabolic surgery is the new name for bariatric surgery like sleeve gastrectomy and gastric by pass due to the recognized changes in the homeostasis of the hormonal secretion responsive to the hunger status. After sleeve gastrectomy we observe many patients with thrombus of the portal vein system. This phenomena may be attributed to changes in the portal flow due to devascularization of the great curvature of the stomach.

The aim of the study is to compare the portal flow by intra-operative Doppler ultrasound before and after surgery of the two procedures as sleeve gastrectomy and gastric bypass, were the vascularization is not changed by the surgery.

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients accepted for bariatric surgery for the bariatric surgery committee.
• Primary procedure
• No hypercoagulability status know

Exclusion criteria

• Hypercoagulability status
• patients after any abdominal surgery of the forgut

Trial design

Primary purpose: Diagnostic

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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0 participants in 2 patient groups

Sleeve gastrectomy

Active Comparator group

Description:

US DOopler for Patient with BMI of 40 or more than 35 with co-morbidities underwent Sleeve gastrectomy

Treatment:

Procedure: Laparoscopic mini gastric bypass

Procedure: Laparoscopic sleeve gastrectomy

Mini Gastric Bypass

Active Comparator group

Description:

US DOopler for Patient with BMI of 40 or more than 35 wtih co-morbidities underwent mini gastric bypass

Treatment:

Procedure: Laparoscopic mini gastric bypass

Procedure: Laparoscopic sleeve gastrectomy