Role of Post Surgery CT Following Laparoscopic Vertical Sleeve Gastrectomy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 250
- 试验地点
- 1
- 主要终点
- Value of Post surgery CT in identifying risks for subsequent development of gastric fistula
研究概览
简要总结
Obesity is a extremely widespread condition in Europe and North America, burdened by a series of complications characterized by major morbidity and morbility. In recent years, bariatric surgery has progressively assumed a leading role in the treatment of morbid obesity and restrictive bariatric surgery procedures, such as laparoscopic vertical sleeve gastrectomy are common.
The aim of the study is to retrospectively determine the value of postoperative CT after LSG as an early tool to identify risk factors for the subsequent development of gastric fistula and enable to stratify postoperative risk in asymptomatic patients and ensure effective management of these risk factors.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •adult obese patients with LSG
- •BMI ≥ 40 kg/m2 or BMI between 35 and 40 kg/m2
- •evidence of obesity related comorbidity
- •availability of upper abdomen CT scan with IV and oral contrast medium within 72 hours of surgery
排除标准
- •Pregnant women
- •allergy to contract medium
- •lack of venous access
- •patients who did not have a post-surgical upper abdomen CT
结局指标
主要结局
Value of Post surgery CT in identifying risks for subsequent development of gastric fistula
时间窗: 72 hours post LSG
Measurements of: presence or abscence of fistula and site; presence/abscence of hematoma and site; presence/abscence of gastric torsion; Stapler to pylorus distance and stapler length
次要结局
- Post surgery risk(72 hours post LSG)
研究者
Francesco De Cobelli
Professor of Radiology, Director of Specialiaztion School in Radiology, Head of Clinical and Experimental Radiology
IRCCS San Raffaele