Impact Of Post-Bariatric Body Contouring Procedures on Patient Body Weight and Metabolism

Assiut University

Status: Completed

Conditions: Bariatric Surgery Candidate

Treatments: Procedure: body contouring

Study type: Interventional

Funder types: Other

Identifiers

NCT05034081

AUN

Details and patient eligibility

About

Is post-bariatric body contouring surgery prevent weight regain or no, and what is the effect on the patient's Metabolism? Few literature studies report body contouring surgery to be positively associated with maintained weight loss after obesity surgery but the measures of outcomes are diverse, and the collective magnitude of such an association is unknown.

The changes in gastrointestinal hormones, adipokines, and cytokines as well as in hypothalamic neuropeptides and neurotransmitters resemble the changes observed in the anorexia/cachexia, suggesting that bariatric surgery triggers a catabolic state responsible for loss of appetite and prolonged body weight reduction.

Weight regain after gastric bypass surgery occurs in about half of all patients within 2 years. About 50% of patients eventually gain a little weight back after hitting their low point. We need a more thorough evaluation to determine what factors - medical, psychological, lifestyle - are involved in the weight gain. One of the factors that seem to be responsible for the degree and durability of weight loss is post-bariatric body contouring procedures. However, metabolic consequences of removing excess subcutaneous adipose tissue by body contouring procedures have to a lesser extent been explored

Enrollment: 60 patients

Sex: All

Ages: 20 to 60 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Post-bariatric (sleeve) patients will do body contouring surgery.
• Post-bariatric patients has been stable within 5 kg for 3 months
• Age between 20-60 years old.
• patients use the determinant fixed diet.

Exclusion criteria

• Age below 20 and above 60 years old.
• Non-compliance with the fixed diet.
• psychotic patients.
• Female patients seeking pregnancy.
• Endocrine causes of obesity.
• Bariatric surgery other than sleeve.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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60 participants in 2 patient groups

group A

Experimental group

Description:

to know the effect of post-bariatric body contouring surgery on weight loss and metabolism

Treatment:

Procedure: body contouring

group B

No Intervention group

Description:

compare this group of patients with group A to detect weight changes and metabolic changes without any post-bariatric intervention