Small Intestine Length Measurement Using 3D CT Volumetry and in Vivo Measurement Using Pre-marked Graspers in Revisional Bariatric Surgeries. a Comparative Study
Overview
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Kasr El Aini Hospital
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- Accurate small bowel length
Overview
Brief Summary
Measuring bowel length during hypo-absorptive surgeries like Roux-en-Y gastric bypass (RYGB) and Single Anastomosis Duodeno-ileal Sleeve (SADI-s) is controversial and usually abandoned due to the high risk of intestinal injury. However, some surgeons, especially in revisional surgery, prefer to count the whole bowel length to avoid leaving very short segments and severe malnutrition afterwards.
3D reconstructed CT scan can be useful in such conditions, avoiding the risk of intestinal injury, but accurate measures might be doubtful.
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Single Group
- Primary Purpose
- Diagnostic
- Masking
- Single (Investigator)
Masking Description
the investigator- the surgeon- will not be aware of the pre-operative measurements found in the CT scan, not to be biased in measuring.
Eligibility Criteria
- Ages
- 16 Years to 70 Years (Child, Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients who are candidates for revisional bariatric surgery
- •Patients consenting to participate in the study.
Exclusion Criteria
- •Patients with severe adhesions where measuring the small bowel may expose them to unnecessary injuries.
- •Patients refusing to participate in the study.
- •Patient refusing CT scan to be done pre-operatively.
Outcomes
Primary Outcomes
Accurate small bowel length
Time Frame: about 6 months
the aim of the study to assess if the CT scan with 3D reconstruction will give accurate measures for the bowel length compared to the marked graspers used in laparoscopic surgery
Secondary Outcomes
- Operative time(intraoperative)
- Intestinal Injury(up to 6 months)
Investigators
Ahmed Abdelsalam M
Associate Professor of General Surgery
Kasr El Aini Hospital