Internal Hernias After Gastric Bypass Can be Prevented Safely With Primary Closure of All Mesenteric Defects With Clips

Region Zealand405 enrolled

Overview

The purpose of this study is to determine whether closure of all mesenteric defects with clips at the time of Gastric bypass, can avoid the complication of late bowel obstruction- internal hernias

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

405

Conditions

Internal Hernias

Interventions

Closing the mesenteric defects with clips during oprationPROCEDURE

The laparoscopic Roux-en-Y gastric bypass surgery will be performed as usual. The patient will receive the closing of the mesenteric defects (the Petersen´s space and the entero-enterostomy site).The closing will happen at the end of the operation, using clips (herniestapler).

Eligibility

Sex: ALLMin age: 18 YearsMax age: 85 Years

Medical Language ↔ Plain English

Inclusion Criteria: * All patients who meet the requirements for a Gastric Bypass at Køge Hospital. Exclusion Criteria: * Patients who do not meet the inclusion criteria * Patients who converted to open surgeon

Locations (2)

Department of Surgery;Bariatric Clinic, Køge Hospital

Køge, Sealand, Denmark

Bariatric clinic, Department of Surgery, Køge hospital

Køge, Denmark

Outcomes

Primary Outcomes

To avoid the risk of Internal Hernias in patient with a Gastric bypass

Time frame: 5 year

Secondary Outcomes

Postoperative pain score (VAS)

Time frame: 5 years

Operative time consumption, the amount of clips, trocar and sutures used

Time frame: 3 years

Data from ClinicalTrials.gov

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