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Laparoscopic Roux-en-Y gastric bypass (LRYGB) in super obese patients (BMI≥50kg/m2) is a challenging operation. Weight reduction with intragastric balloon (IGB) prior to LRYGB may improve operative outcomes and improves weight loss. We assessed 155 patients, with a BMI≥50 kg/m2 who underwent either intra-gastric balloon (IGB) insertion followed by LRYGB (two-stage group), or LRYGB as the definitive bariatric procedure (single-stage group) in our institution. Two stage procedure was adopted for high-risk individuals.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Single stage pathway |
| ||
| Two stage pathway |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Gatsric balloon insertion | Procedure | Insertion of Gastric balloon prior to laparoscopic gastric bypass surgery |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of total weight loss measured in kilograms following Bariatric Surgery | Percentage total weight loss is the proportion of weight lost in kilograms since the intervention of the weight before the intervention. This will be calculated by using the following formula. Initial weight is considered the weight on the day of surgery and Postop weight considered as the weight 24 months following Bariatric Surgery (intervention). Percent of total weight loss (%TWL)=((Initial Weight)-(Postop Weight)): Initial Weight x 100 Weight is expressed in kilograms. | 24 months after Bariatric Surgery |
| Length of hospital stay in days following Bariatric Surgery | Hospital stay following laparoscopic gastric bypass surgery measured in days and compared between the groups. | 90 days following gastric bypass surgery |
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Inclusion Criteria:
Exclusion Criteria:
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patients, with a BMI≥50 kg/m2 undergoing Bariatric Surgery in Chelsea and Westminster Hospital
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Feb 29, 2024 | |
| Reset | Aug 9, 2024 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Feb 29, 2024 | Aug 9, 2024 |
| ID | Term |
|---|---|
| D009767 | Obesity, Morbid |
| ID | Term |
|---|---|
| D009765 | Obesity |
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
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| D009750 |
| Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |