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Efficacy of Oversewing Versus Surgical Ligation Clips for Staple Line Reinforcement of the Gastric Pouch to Reduce Post Operative Bleeding in Laparoscopic One Anastomosis Gastric Bypass

RecruitingNAAges 18 Years - 80 YearsAllCairo University
NCT07238309 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

1. To test if there is a significant differences between Oversewing versus surgical ligation clips for staple line reinforcement of the gastric pouch regarding the reduction of post operative bleeding and the need for blood transfusions in laparoscopic one anastomosis gastric bypass. 2. To assess whether oversewing or the use of surgical clips is more effective in reducing operative time and Cost analysis in (OAGB). 3. To Provide evidence-based recommendations on staple line reinforcement techniques in OAGB, emphasizing patient safety and procedural efficiency

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📋 Eligibility rules (as published)
Inclusion Criteria: * ✔ Age ≥ 18years old * Sex: both sex * Fit for bariatric surgery * body mass index (BMI) of 40 kg/m 2 or higher or BMI between 35 and 40 kg/m2 with significant comorbidities, such as T2DM, hypertension, OSAS or significant osteo- articular alterations, not responsive to medical therapies * Patients should have tried and failed to lose weight using diet, exercise, and/or medication for at least 6 months * Patients or first guardians accept to participate in the current study * Patients or first guardians accept to provide informed written consent Exclusion Criteria: * Patients less than 18 years old * Patients or first guardians refused to participate in the current study * Patients or first guardians refused to provide informed written consent * All patients with bleeding disorders and patients needing re-exploration for bleeding other than staple line Pregnant or breastfeeding women
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What it tests

  • Oversewing
  • Surgical Ligation Clips
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Where

1 site
Faculty of Medicine, Cairo University
Cairo, Egypt
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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