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Measure anesthetic condition used during laparoscopic sleeve gastrectomy stapling. Measure quality of stapling in resected stomach by measuring staple thickness. Find if any relation exists.
During each staple firing the staple size, time of compression and anesthetic conditions being systolic arterial pressure, fluids transfused and intra abdominal pressure used are recorded.
After removal of stapled stomach during surgery, thickness of stomach wall and thickness of staple line are measured and compared to evaluate quality of staple formation.
the closer the staple height to the wall thickness the better the quality of stapling. Because no one has ever analyzed this relationship, and certainly not under different anesthetic conditions it is not clear yet if any relationship will be found.
the analysis will help to understand the relation and help to start perhaps a randomised trial to learn what conditions are best to improve staple quality.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| stapling | Procedure | staples are fired through the gastric wall after waiting several seconds for compression without attention to blood pressure, fluids given or intra abdominal pressure, but these might have an impact on quality of stapling. therefore the conditions during stapling will be recorded during stapling. |
| Measure | Description | Time Frame |
|---|---|---|
| thickness of staple line | thickness of staple line measured in micrometers | intra operative on excised stomach before being discarded |
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Inclusion Criteria:
Exclusion Criteria:
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obese patients undergoing bariatric surgery for the first time and where a sleeve gastrectomy is performed.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jan Paul Mulier, MD PhD | Contact | +3250452490 | jan.mulier@azsintjan.be | |
| Mulier | Contact |
| Name | Affiliation | Role |
|---|---|---|
| Jan Paul Mulier | AZSint Jan AV | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Azsintjan | Bruges | 8000 | Belgium |
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