Prospective Comparison Between SADI-S and Gastric Bypass
- Conditions
- Morbid ObesityDiabetes
- Registration Number
- NCT02768506
- Lead Sponsor
- Hospital San Carlos, Madrid
- Brief Summary
Patients with BMI over 40 or with BMI over 35 and comorbidities are offered SADI-S with a variable limb length between 250 cm and 300 cm or gastric bypass.
Results on weight loss, comorbidities resolution, complications, re-operations, need of supplements are registered.
- Detailed Description
Morbid obese patients and patients with an initial BMI over 35 with associated comorbidities - as diabetes mellitus - are evaluated for bariatric surgery. Candidates are offered a standard gastric bypass or a single anastomosis duodeno-ileal bypass with sleeve gastrectomy. Patients with higher BMI and those with worse metabolic condition are encouraged to accept the malabsorptive option.
Gastric bypass is performed with a 150 cm alimentary limb and a calibrated pouch and anastomosis over a 14 mm bougie. SADI-S is performed with a sleeve gastrectomy over a 54 French (18 mm) gastric bougie and a 250 cm common limb.
Patients are managed equally during admission: 6 hours to initiate oral intake, 2 days to remove abdominal drain and 3 days to discharge unless contraindicated. Follow up is performed through visits every 3 months the first 2 postoperative years and every 6 months from the 3rd to the 5th year.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 50
- Morbid obesity
- Drug addiction
- Alcoholic
- Neoplasms
- Immunosuppression
- Mental diseases
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Weight loss 5 years Excess weight loss percentage and total weight loss percentage in the first 5 years
- Secondary Outcome Measures
Name Time Method Diabetes remission 5 years Normalization of glycemia and HbA1c with no anti-diabetic medications
Trial Locations
- Locations (1)
Hospital Clínico San Carlos
🇪🇸Madrid, Spain