Laparoscopic Revision Gastric Bypass for Inadequate Initial Weight Loss (IIWL)
2009년 12월 28일 업데이트: University of California, San Francisco
Laparoscopic Revision Gastric Bypass for Inadequate Initial Weight Loss After Gastric Bypass: Intermediate Results
The main aim of this study is to analyze and report traditional, patient-centered, and composite intermediate-term outcomes after laparoscopic revision Roux-en-Y gastric bypass surgery for inadequate initial weight loss.
연구 개요
상세 설명
There is lack of standardization of primary and revisional bariatric surgery compounded by a scant long-term outcome data.
The treatment of inadequate weight loss, weight recidivism, and most severe technical complications after primary bariatric surgery remains refractory to non-operative treatment.
Failure rates have been reported up to 20% and 35% for the morbidly obese (MO) and super obese (SO), respectively at 2 to 3 years after surgery.
The indication for further surgical intervention remains controversial, as does what type of revisional procedure, both operative and endoscopic, to recommend.
Furthermore, there is no standardization of the limb lengths, pouch size or the use of prosthetic reinforcement.
Therefore the approach to these patients must be as individualized as their original operations.
We formally analyze our experience with all laparoscopic revisional strategies for Inadequate Initial Weight Loss after failed Roux-en-Y gastric bypass(RYGB).
연구 유형
관찰
등록 (실제)
42
연락처 및 위치
이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.
연구 장소
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California
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Fresno, California, 미국, 93701
- UCSF Fresno Center for Medical Education and Research
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참여기준
연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.
자격 기준
공부할 수 있는 나이
18년 (성인, 고령자)
건강한 자원 봉사자를 받아들입니다
아니
연구 대상 성별
모두
샘플링 방법
비확률 샘플
연구 인구
Patients that underwent laparoscopic revision gastric bypass after previously failed Roux-en-Y gastric bypass "RYGB" with an Inadequate initial weight loss "IIWL" pattern.
설명
Inclusion Criteria:
- laparoscopic revisional RYGB for failed RYGB with IIWL or non-responders pattern
Exclusion Criteria:
- failed RYGB with a WR pattern
- patients with prior major bariatric conversion or esophago-gastric surgeries
- RYGB patients revised by an open surgical approach
- RYGB patients who underwent laparoscopic revisional RYGB surgery somewhere else and continue their follow-up care with program
- missing records and/or unreachable patients with scan information for analysis
공부 계획
이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.
연구는 어떻게 설계됩니까?
디자인 세부사항
코호트 및 개입
그룹/코호트 |
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Inadequate initial weight loss after gastric bypass
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
기간 |
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이환율과 사망률
기간: 후속 조치 내내
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후속 조치 내내
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건강 관련 삶의 질(HR-QoL)
기간: 마지막으로 후속 조치
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마지막으로 후속 조치
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동반 질환 상태
기간: 후속 조치 내내
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후속 조치 내내
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Subjective satisfaction
기간: at the last follow-up
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at the last follow-up
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Weight loss expressed as Body Mass Index and Percentage excess weight loss
기간: at the lowest weight loss point and at last follow-up
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at the lowest weight loss point and at last follow-up
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2차 결과 측정
결과 측정 |
기간 |
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Failure/success rate
기간: at yearly intervals throughout follow-up
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at yearly intervals throughout follow-up
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Metabolic and nutritional variables
기간: throughout follow-up
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throughout follow-up
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공동 작업자 및 조사자
여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.
수사관
- 수석 연구원: Kelvin D Higa, MD, Professor of Surgery, University of California San Francisco
- 연구 책임자: Francisco M Tercero, MD, Research Associate, University of California San Franisco
간행물 및 유용한 링크
연구에 대한 정보 입력을 담당하는 사람이 자발적으로 이러한 간행물을 제공합니다. 이것은 연구와 관련된 모든 것에 관한 것일 수 있습니다.
일반 간행물
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연구 기록 날짜
이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.
연구 주요 날짜
연구 시작
2009년 10월 1일
기본 완료 (실제)
2009년 12월 1일
연구 완료 (실제)
2009년 12월 1일
연구 등록 날짜
최초 제출
2009년 12월 23일
QC 기준을 충족하는 최초 제출
2009년 12월 28일
처음 게시됨 (추정)
2009년 12월 29일
연구 기록 업데이트
마지막 업데이트 게시됨 (추정)
2009년 12월 29일
QC 기준을 충족하는 마지막 업데이트 제출
2009년 12월 28일
마지막으로 확인됨
2009년 10월 1일
추가 정보
이 연구와 관련된 용어
기타 연구 ID 번호
- CMC IRB No. 2009077
- U1111-1113-0264 (기타 식별자: World Health Organization, Universal Trial Number)
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .