Weight Loss Clinical Trial
Official title:
Randomized Study Comparing the Effects of Gastric Bypass Using a Long BP-limb vs. a Long Alimentary Limb in Morbid Obesity
Super Obesity, i.e. a BMI above 50, is difficult to treat. Normal gastric bypass surgery is
not always enough for proper weight control. Bypassing a longer segment of the gut may be
more beneficial. Which part to bypass is not clear.
The investigators want to compare the effects between preventing a 60 cm proximal (oral)
portion of the jejunum from food contact with the effects when preventing a 200 cm part of
the jejunum from contact with bile and pancreatic juice.
Endpoints are quality of life, gastrointestinal function, and weight development.
Two variations of gastric bypass are compared:
Method 1 (test method):A 200 cm BP-limb (distance Treitz to EA) + 150 cm common channel (EA
to ileocecal valve) + Roux-Y-limb variable Method 2 (standard method): A 60 cm BP limb + 150
cm Roux-Y-limb + common channel variable.
Patients are evaluated according to the principles of the Scandinavian Obesity surgery
registry (SOReg) with the addition of two additional questionnaires.
FU time is set at 5 years.
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