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A Roux-en-Y Gastric Bypass (RYGB) is on the long term not always successful in every patient because weight regain can occur. An intervention to prevent weight regain in the future is to place a silicone band (non-adjustable) around the pouch of the RYGB (Banded-RYGB: BRYGB) which increases weight loss and decreases weight regain on the longer term. The question is whether primary application of a banded bypass gives a greater weight loss and / or prevent weight regain in the future versus a standard RYGB.
A Roux-en-Y Gastric Bypass (RYGB) is on the long term not always successful in every patient because weight regain can occur. An intervention to prevent weight regain in the future is to place a silicone band (non-adjustable) around the pouch of the RYGB (Banded-RYGB: BRYGB) which increases weight loss and decreases weight regain on the longer term. The question is whether primary application of a banded bypass gives a greater weight loss and / or prevent weight regain in the future versus a standard RYGB.
The Study design is a prospective, randomized, single center study.
Study population: patients who qualify for a RYGB are eligible to participate. The primary RYGB patients may participate if there is a BMI of 35 kg / m2 with a morbidly obesity-related comorbidity or a BMI of 40kg / m2 or higher.
Intervention: The standard RYGB with a vertical pouch over a 40 french feeding tube with a volume of 30-50 ml, is compared with a banded-RYGB (BRYGB)
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard RYGB | No Intervention | 65 patients undergo a standard Roux-en-Y gastric bypass | |
| Banded RYGB | Active Comparator | 65 patients undergo a banded RYGB (BRYGB) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BRYGB | Device | 65 patients undergo a banded RYGB |
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| Measure | Description | Time Frame |
|---|---|---|
| Percentage total body weight loss (%TBWL) | weight loss is measured in kilogram. | 3 years |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage excess weight loss (%EWL) | excess weight loss is measured in kilogram. | 3 years |
| percentage total body weight regain (%TBWR) | Weight regain is measured in kilogram. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rijnstate Hospital | Arnhem | 6800WC | Netherlands |
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| ID | Term |
|---|---|
| D009767 | Obesity, Morbid |
| ID | Term |
|---|---|
| D009765 | Obesity |
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
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| 3 years |
| Decrease in type 2 diabetes mellitus | measuring glycated hemoglobin, decrease in diabetic medication | 3 years |
| Quality of life | measuring BAROS score | 3 years |
| Decrease in dyslipidaemia | decrease in medication for hypercholesterolaemie. Measuring cholesterol spectrum. | 3 years |
| Decrease in hypertension | Measuring blood pressure | 3 years |
| D009750 |
| Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |