A prospective bariatric database was carried out in the Department of Digestive and Endocrine Surgery at the University Hospital of Strasbourg, France, starting in January 1996. All potential candidates for obesity surgery were prospectively registered in the database. Patients were informed by the bariatric surgeon of the prospective database, and of the possibility of utilizing personal data for research purpose after anonymization. A case-control study was performed, to compare the quality of life (QoL) of patients treated for internal hernia (IH group) with the QoL of patients with an uncomplicated course after Roux en Y gastric bypass (Uncomplicated RYGB group).
A prospective bariatric database was carried out in the Department of Digestive and Endocrine Surgery at the University Hospital of Strasbourg, France, starting in January 1996. All potential candidates for obesity surgery were prospectively registered in the database. Patients were informed by the bariatric surgeon of the prospective database, and of the possibility of utilizing personal data for research purpose after anonymization. Patients were evaluated by a multidisciplinary team. The standard preoperative assessment included nutritional counseling, psychological evaluation, abdominal ultrasound, upper gastrointestinal endoscopy, and blood tests. Type and date of surgery, biological and clinical follow-up data and morbidity data were recorded prospectively in the database. A case-control study was performed, to compare the quality of life (QoL) of patients treated for internal hernia (IH group) with the QoL of patients with an uncomplicated course after Roux en Y gastric bypass (Uncomplicated RYGB group). Patients who had IH were paired with patients of the same age and sex and at the same postoperative interval. Paired patients were contacted by phone to obtain the QoL questionnaires, abdominal pain evaluation, and weight loss data.
Study Type
OBSERVATIONAL
Enrollment
10,000
Laparoscopic RYGB is performed as following: a gastric pouch of approximately 30mL was obtained using successive firings of the Endo GIATM linear stapler, followed by the creation of an antecolic alimentary limb of 150cm and of a biliopancreatic limb of 75cm. A gastrojejunal anastomosis was fashioned with the PCEEA™ 28 circular stapler until 2012, and using the Endo GIA™ linear stapler afterwards. The mesenteric defect and Petersen's defect were closed using a non-absorbable running suture.
Laparoscopic SG is performed as following: after greater curvature mobilization, the gastric tube was calibrated over a 36F bougie and transection started approximately 5-6 cm from the pylorus toward the left diaphragmatic crus, using successive firings of 3.5- or 4.8-mm-high staples, depending on gastric thickness.
Laparoscopic gastric banding is performed as following: a perigastric tunel is performed by blunt dissection and the banding is calibrated over the stomach.
Flexible endoscopy is used to place intragastric balloon for a maximum interval of six months.
Service de Chirurgie Digestive et Endocrinienne
Strasbourg, France
RECRUITINGExcess weight loss
Time frame: 1 - 3 - 5 - 10 - 15 and 30 years
BMI
Time frame: 1 - 3 - 5 - 10 - 15 and 30 years
Albumin
Albumin
Time frame: 1 - 3 - 5 - 10 - 15 and 30 years
Pre-albumin
Pre-albumin
Time frame: 1 - 3 - 5 - 10 - 15 and 30 years
Vitamin A
Vitamin A
Time frame: 1 - 3 - 5 - 10 - 15 and 30 years
Vitamin D
Vitamin D
Time frame: 1 - 3 - 5 - 10 - 15 and 30 years
Vitamin B6
Vitamin B6
Time frame: 1 - 3 - 5 - 10 - 15 and 30 years
Vitamin B9
Vitamin B9
Time frame: 1 - 3 - 5 - 10 - 15 and 30 years
Vitamin B12
Vitamin B12
Time frame: 1 - 3 - 5 - 10 - 15 and 30 years
Plasma ferritin
Plasma ferritin
Time frame: 1 - 3 - 5 - 10 - 15 and 30 years
Fasting plasma glucose
Fasting plasma glucose
Time frame: 1 - 3 - 5 - 10 - 15 and 30 years
Serum insulin
Serum insulin
Time frame: 1 - 3 - 5 - 10 - 15 and 30 years
HbA1c
HbA1c
Time frame: 1 - 3 - 5 - 10 - 15 and 30 years
Triglycerides
Triglycerides
Time frame: 1 - 3 - 5 - 10 - 15 and 30 years
Cholesterol
Cholesterol (total, HDL, LDL)
Time frame: 1 - 3 - 5 - 10 - 15 and 30 years
Quality of life assessed by Moorehead-Ardelt Quality of life II questionnaire
Moorehead-Ardelt Quality of life II questionnaire
Time frame: 1 - 3 - 5 - 10 - 15 and 30 years
Quality of life assessed by Gastro-intestinal Quality of Life Index
Gastro-intestinal Quality of Life Index
Time frame: 1 - 3 - 5 - 10 - 15 and 30 years
Postoperative morbidity
Postoperative morbidity
Time frame: 1 - 3 - 5 - 10 - 15 and 30 years
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