Tailored Bilio-Pancreatic Limb and HbA1c 10 Years Post Mini-Gastric Bypass

Study Overview
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Brief Summary
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Diabetes is now or soon will be a worldwide epidemic. Diabetes has impact on both healthcare costs in addition to the costs in human lives, suffering and disability. Treatment that lowers Hemoglobin A1c (HbA1c) improved outcomes. Studies have demonstrated that both general surgery and bariatric procedures may improve or reverse diabetes. In several studies the Billroth II reconstruction following gastrectomy was the most effective surgical technique in improving or reversing Diabetes. The purpose of this study is to analyze the outcomes of the Mini-Gastric Bypass-Original Technique (MGB-OT) version of the One Anastomosis Bypass (OAGB) to investigate the association of a Tailored Bilio-pancreatic Limb Length (BPLL) with the HbA1c changes.

Detailed Description
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There is general agreement that Diabetes is now or soon will be a worldwide epidemic. Studies also make clear the devastating impact of diabetes on both healthcare costs in addition to the costs in human lives, suffering and disability. It is also clear that treatment that lowers Hemoglobin A1c (HbA1c) will result in improved outcomes proportional to the decrease, saving both lives and costs. Unfortunately medical and lifestyle therapy routinely result in less than ideal resolution of elevated HbA1c levels. Studies have demonstrated that both general surgery and bariatric procedures may improve or reverse diabetes. In several studies the Billroth II reconstruction following gastrectomy is the most effective surgical technique in improving or reversing Diabetes. The purpose of this study is to analyze the outcomes of the Mini-Gastric Bypass-Original Technique (MGB-OT) version of the One Anastomosis Bypass (OAGB) to investigate the association of a Tailored Bilio-pancreatic Limb Length (BPLL) with the HbA1c changes.

Official Title
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Tailored Bilio-Pancreatic Limb Length and Hemoglobin A1c Levels 10 Years Following Mini-Gastric Bypass Original Technique

Conditions
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Diabetes, Surgery

Intervention / Treatment
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* Procedure: Mini-Gastric Bypass Original Technique


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Mini-Gastric Bypass -Original Technique post operative patients Exclusion Criteria: -

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Diabetic MGB post op patients<br>Diabetic MGB post op patients | Procedure: Mini-Gastric Bypass Original Technique<br>* Follow up of the Surgical procedure outcomes in diabetics. Procedure Mini-Gastric Bypass Original Technique<br>* Other names: One Anastomosis Bypass;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Hemoglobin A1c Levels (HbA1c) | HbA1c Levels | 10 years | 
| Delta Hemoglobin A1c Levels (HbA1c) | Delta HbA1c from Before to After MGB-OT surgery | 10 years |