Status:

COMPLETED

Ultrasonograpahic Evaluation of Diaphragmatic Functions in Obese Patients Undergoing Laparoscopic Sleeve Gastrectomy

Lead Sponsor:

Zagazig University

Conditions:

Bariatric Surgery Candidate

Eligibility:

All Genders

21-60 years

Phase:

NA

Brief Summary

Major laparoscopic sleeve gastrectomy surgery requires steep Trendelenburg position with pneumoperitoneum for a long time leading to decrease pulmonary compliance and lung volumes due to cephalic disp...

Detailed Description

Bariatric surgery is one of the fastest-growing areas of surgery. It is the most effective treatment for morbid obesity and its secondary co-morbidities. Although there is no gold standard surgical pr...

Eligibility Criteria

Inclusion

  • Patient acceptance.
  • Age 21-60 years old.
  • BMI ≥35 kg/m2
  • ASA II and ASA III.
  • Elective laparoscopic sleeve gastrectomy under general anesthesia.

Exclusion

  • Preoperative diagnosis of obstructive sleep apnea by using the STOP-BANG questionnaire (Snoring, Tiredness during the daytime, observed apnea, high blood pressure, Body mass index over 35, Age, Neck circumference, and Gender)
  • History of pneumothorax or right-side heart failure.
  • History of chronic respiratory disease, diaphragmatic disease, or neuromuscular disease.
  • Any contraindication for laparoscopic surgery or head-down position.
  • Any history with post esophageal or thoracic surgeries due to intraoperative diaphragmatic manipulation.

Key Trial Info

Start Date :

February 1 2019

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

February 1 2020

Estimated Enrollment :

69 Patients enrolled

Trial Details

Trial ID

NCT04130217

Start Date

February 1 2019

End Date

February 1 2020

Last Update

June 26 2020

Active Locations (1)

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Faculty of medicine, zagazig university

Zagazig, Elsharqya, Egypt, 44519