This trial is a multi-center, single-arm, prospective, observational cohort study of patients undergoing primary bariatric surgical procedures in Korea. A total of 100 patients will be recruited over a 1-year period from 2016 to 2017, and will be followed for a mean follow-up period of 1 year after surgery. The eligible subjects who have given their consent to participate will undergo one of two surgical procedures; sleeve gastrectomy and Roux-en Y gastric bypass. The primary objective of this clinical trial is to measure the changes in body weight (kg) and waist circumference (cm) of the enrolled patients at postoperative 1 year. Secondary outcomes are improvement or remission rates of obesity-related co-morbidity (hypertension, type 2 diabetes, dyslipidemia, and sleep apnea), and the change in quality of life. Additionally, postoperative incidences of morbidity and mortality, micronutrient status, body composition, and cost-effectiveness of surgical intervention will be examined.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
100
Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, South Korea
RECRUITINGbody weight (cm) change
Time frame: postoperative 1-year
waist circumference (cm) change
Time frame: postoperative 1-year
remission rates of obesity-related co-morbidity (hypertension, type 2 diabetes, dyslipidemia, and sleep apnea)
Time frame: postoperative 1-year
Quality of life change
EuroQol-5D (EQ-5D), the impact of weight on QoL (IWQOL) and the obesity-related psychosocial problem scale (OP-scale) are used to assess the improvement of QoL
Time frame: postoperative 1-year
Morbidity
Time frame: postoperative 1-year
Mortality
Time frame: postoperative 1-month
Micronutrients' deficiency
iron, ferritin, calcium, phosphate, albumin, vit.B12, vit.D, and parathyroid hormone
Time frame: postoperative 1-year
body composition change
bioelectrical impedance analysis and fat measurement CT
Time frame: postoperative 1-year
cost-effectiveness
cost-utility analysis using lifetime expected costs and quality-adjusted life years (QALYs)
Time frame: postoperative 1-year
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