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Sleeve gastrectomy (SG) continues to be one of the most popular bariatric procedures all over the world. It has been established that obesity is a predisposing factor for several comorbidities, including life-threatening conditions. Many studies have discussed the impact of sleeve gastrectomy on TSH level. But, since most obese patients have some sort of depression, we will try to study the impact of sleeve gastrectomy, depression and hypothyroidism on each other.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| morbid obesity and overweight in patients with hypothyroidism and depression | Other |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| laparoscopic sleeve gastrectomy | Procedure | laparoscopic sleeve gastrectomy is one of the popular bariatric surgeries known for weight reduction |
|
| Measure | Description | Time Frame |
|---|---|---|
| thyroid function tests | TSH,T3,T4 are measured pre and post operative | from one day to one year after surgery |
| depression | depression status is compared pre-operative and post-operative using depression questionnaire (PHQ-9)( patient health questionnaire-9) | from one day to one year after surgery |
| weight | weight of the patient will be measured in Kg using weight scale | from one day to one year after surgery |
| dose of thyroid replacement therapy | the dose of L-thyroxin is monitored in microgrames | monthly from one day to one year post surgery. |
| gasteric leakage | leakage after surgery from staple line measured in ml in the drain | from one day to 1 week post-surgery |
| wound infection | wound infection will be identified by pus in the drain or in the wound | from one day to 2 weeks post-surgery |
| Measure | Description | Time Frame |
|---|---|---|
| age | age will be measured in years | 2 days pre-operative |
| sex | sex of patient (male or female) will be recorded before surgery | 2 days pre-operative |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Medicine | Zagazig | Sharqia Province | 44519 | Egypt | ||
| Zagazig University Hospitals |
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| ID | Term |
|---|---|
| D009765 | Obesity |
| D007037 | Hypothyroidism |
| D003863 | Depression |
| ID | Term |
|---|---|
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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| BMI ( Body Mass Index) | BMI is measured by the sum of weight in kg divided by the squared height in meters | 2 days before surgery to one year after surgery |
| Zagazig |
| 44519 |
| Egypt |
| D001835 |
| Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D013959 | Thyroid Diseases |
| D004700 | Endocrine System Diseases |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |