NCT03938571进行中(未招募)不适用
Torsby I Trial: A Prospectively Randomized Study on Standard Duodenal Switch vs. Single Anastomosis Duodeno-ileostomy Duodenal Switch
Värmland County Council, Sweden0 个研究点目标入组 56 人开始时间: 2016年8月1日最近更新:
适应症
干预措施
试验速览
- 阶段
- 不适用
- 状态
- 进行中(未招募)
- 发起方
- 入组人数
- 56
- 主要终点
- Change of weight (kg)
研究概览
简要总结
The aim of the Torsby I Trial is to identify differences and similarities between a standard duodenal switch (DS) and a single-anastomosis duodeno-ileostomy (SADI) regarding effect on weight, comorbidities and malnutrition.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
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
- •BMI over 45
- •Ability to understand the legal background of a study
排除标准
- •Previous bariatric or anti-reflux surgery
- •Drug-abuse
- •Inflammatory bowel disease
- •Complex psychiatric situation
研究组 & 干预措施
Standard DS
Experimental
Standard duodenal switch:
- Sleeve gastrectomy over a 35 Fr bougie
- Division of the duodenum 2-3 cm distally of the pylorus
- Measurement of the small bowel. 100 cm common channel. 150 cm alimentary limb.
- Duodenoileostomy completely handsewn with 250 cm distance to the ileocecal valve.
- Entero-entero-anastomosis linear stapled and handsewn.
- Division between the two anastomosis.
- Closure of the mesenteric defects.
干预措施: Duodenal Switch (Procedure)
SADI-DS
Active Comparator
Duodenal switch with Single anastomosis duodeno-ileostomy:
- Sleeve gastrectomy over a 35 Fr bougie
- Division of the duodenum 2-3 cm distally of the pylorus
- Measurement of the small bowel. 250 cm alimentary limb/common channel.
- Duodenoileostomy completely handsewn with 250 cm distance to the ileocecal valve.
- Closure of the mesenteric defects.
干预措施: Duodenal Switch (Procedure)
结局指标
主要结局
Change of weight (kg)
时间窗: January 2024 (5 yr follow-up) and january 2029 (10 yr follow-up)
Change of weight in kg with calculation of the relative weight-loss under the follow-up
Early complications
时间窗: Up to 10 years after operation
Rate of minor and major complications
次要结局
- Alterations in comorbidities (hypertension)(January 2021 (2 yr follow-up), january 2024 (5 yr follow-up), january 2029 (10 yr follow-up))
- Alterations in comorbidities (diabetes)(January 2021 (2 yr follow-up), january 2024 (5 yr follow-up), january 2029 (10 yr follow-up))
- Alterations in comorbidities (hyperlipideamia)(January 2021 (2 yr follow-up), january 2024 (5 yr follow-up), january 2029 (10 yr follow-up))
- Development of malnutrition (vitamin D)(January 2021 (2 yr follow-up), january 2024 (5 yr follow-up), january 2029 (10 yr follow-up))
- Alterations in comorbidities (sleeping apnea)(January 2021 (2 yr follow-up), january 2024 (5 yr follow-up), january 2029 (10 yr follow-up))
- Development of malnutrition (protein)(January 2021 (2 yr follow-up), january 2024 (5 yr follow-up), january 2029 (10 yr follow-up))
- Development of malnutrition (vitamin A)(January 2021 (2 yr follow-up), january 2024 (5 yr follow-up), january 2029 (10 yr follow-up))
- Development of malnutrition (vitamin B6)(January 2021 (2 yr follow-up), january 2024 (5 yr follow-up), january 2029 (10 yr follow-up))
- Development of malnutrition (vitamin B1)(January 2021 (2 yr follow-up), january 2024 (5 yr follow-up), january 2029 (10 yr follow-up))
- Late minor complications(January 2021 (2 yr follow-up), january 2024 (5 yr follow-up), january 2029 (10 yr follow-up))
- Development of malnutrition (vitamin B12)(January 2021 (2 yr follow-up), january 2024 (5 yr follow-up), january 2029 (10 yr follow-up))
- Development of malnutrition (vitamin E)(January 2021 (2 yr follow-up), january 2024 (5 yr follow-up), january 2029 (10 yr follow-up))
- Development of malnutrition (calcium)(January 2021 (2 yr follow-up), january 2024 (5 yr follow-up), january 2029 (10 yr follow-up))
- Late major complications(January 2021 (2 yr follow-up), january 2024 (5 yr follow-up), january 2029 (10 yr follow-up))
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