Comparing Standard and Customized Limb Lengths in Laparoscopic Roux-en-Y Gastric Bypass Surgery for Adults with Obesity

What this Trial Is About

This research aims to evaluate whether adjusting limb lengths based on the one-third and two-thirds concept improves outcomes in patients undergoing Laparoscopic Roux-en-Y Gastric Bypass LRYGB surgery, compared to the usual limb lengths. The study focuses on adults aged 18 to 65 years who are candidates for bariatric surgery due to obesity and related metabolic conditions. Researchers will compare clinical outcomes like weight loss, BMI improvement, and remission of comorbidities over a year. Two groups are studied one receives the standard LRYGB procedure with fixed limb lengths of 75 cm for the biliopancreatic limb and 125 cm for the alimentary limb, regardless of total bowel length. The other group undergoes a tailored approach where limb lengths are adjusted based on the total small bowel length, with the biliopancreatic limb set as three-eighths and the alimentary limb as five-eighths of one-third of the total bowel length. Both procedures involve creating a small gastric pouch connected to the small intestine to reduce food intake and nutrient absorption. Participants will be followed up at 3, 6, and 12 months after surgery. During these visits, researchers will assess total weight loss percentage, BMI changes, improvements in type 2 diabetes, hypertension, and dyslipidemia, nutritional status, quality of life, and any surgical complications. The study uses randomized assignment to groups and double-blind methods to ensure reliable results. The total participation duration is about one year from surgery to final assessments.

Conventional Vs Tailored Limb Lengths in Laparoscopic Roux-en Y Gastric Bypass Surgery