DIStal gastriC bypass Outcome in Revision SurgEry after roux-en-y gastric bypass

Recruiting

Conditions: Obesity
10025477
10017998
Obesitas, bariatrische chirurgie
bariatric surgery

Registration Number: NL-OMON51099

Lead Sponsor: Sint Antonius Ziekenhuis

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Recruiting

Sex: Not specified

Target Recruitment: 150

Inclusion Criteria

• Age 18-65 years;
• BMI >=40 kg/m2 or BMI >=35 kg/m2 with obesity related comorbidity;
• Weight regain or insufficient weight loss (EWL<50% or TWL<20%) following RYGB;
• Multidisciplinary team screening at one of the bariatric centres;
• Informed consent and willing to enter the follow-up program.

Exclusion Criteria

• Failed Roux-en-Y gastric bypass due to anatomic, surgical reasons (gastric
pouch dilatation >50 mL, gastro-gastric fistula, gastro-jejunostomy);
• Distalisation of RYGB is technical infeasible (judgment by surgeon);
• Inflammatory bowel disease, celiac disease, irritable bowel syndrome and
other causes of chronic diarrhea;
• Severe concomitant disease (such as carcinomas and neurodegenerative
disorders);
• Pregnant women;
• Noncompliance in follow-up or unwilling to undergo surgery;
• Inability of reading/understanding and filling out questionnaires.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<p>%total weight loss 1 year after treatment and need for treatment of protein<br /><br>calory malnutrition.</p><br>

Secondary Outcome Measures

Name	Time	Method
<p>weight loss, co-morbidity remission, protein calory malnutrition grading<br /><br>(debilitating defecation patterns, temporary total parenteral nutrition<br /><br>treatment, revision, mortality), morbidity, nutritional deficiencies, quality<br /><br>of life and patient satisfaction.</p><br>