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The Role of the Omentum in the Treatment of Morbid Obesity

This study is currently recruiting participants.
Study NCT00212160.   Last updated on December 1, 2008.   Information provided by National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

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Descriptive Information Fields
Brief Title  The Role of the Omentum in the Treatment of Morbid Obesity
Official Title  The Role of the Omentum in the Treatment of Morbid Obesity
Brief Summary

The purpose of this research is to determine some of the reasons that blood sugar and insulin levels improve after bariatric surgery but before weight loss begins, as well as why people respond differently to weigh loss surgery. It will also examine whether removing the fat around the stomach and large intestine (the omentum) will improve weight loss. Finally, it will see why there are differences between Whites and African Americans who have weight loss surgery.

Detailed Description

The purpose of this research is to tease out the mechanisms related to metabolic improvements following bariatric surgery. Because preliminary data indicate differing responses to this surgery, both Caucasian and African American adults, scheduled for RYGB, are being recruited to participate. It is believed that the omentum contributes to hepatic insulin resistance, both because of the increased delivery of NEFAs via the portal vein, and the increased production of cytokines. Because of this, it is postulated that removing the omentum as part of bariatric surgery will speed up the reversal of insulin resistance and diminish racial differences in response to the surgery.

Study Phase
Study Type  Interventional
Study Design  Treatment, Randomized, Single Blind (Subject), Active Control, Parallel Assignment, Efficacy Study
Primary Outcome Measure  change in insulin sensitivity [ Time Frame: 2 year ] [ Designated as safety issue: No ]
Secondary Outcome Measure  Weight loss [ Time Frame: 2 years ] [ Designated as safety issue: No ]
Condition  Obesity
Intervention  Procedure: RYGB with omentectomy
Procedure: omentectomy
Procedure: RYGB without omentectomy
MEDLINE PMIDs
Links
Recruitment Information Fields
Recruitment Status  Recruiting
Enrollment  135
Start Date  January 2005
Completion Date June 2010
Eligibility Criteria 

Inclusion Criteria:

  • BMI > 40
  • BMI > 35 with co-morbidities
  • normal creatinine/liver labs
  • insurance approval for RYGB or resources to self-pay
  • proximity to Nashville, TN

Exclusion Criteria:

  • use of anticoagulants, steroids, therapeutic niacin
  • previous bariatric surgery
Gender Both
Ages 18 Years to 60 Years
Accepts Healthy Volunteers No
Contacts ††
Contact: Pamela A Marks, MS, RD     615-343-8389     pamela.a.marks@vanderbilt.edu    
Location Countries  United States
Administrative Information Fields
NCT ID  NCT00212160
Organization ID IRB #040572
Secondary IDs †† 3 RO1 DK 070860-01S1
Study Sponsor  National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Collaborators ††
Investigators 
Principal Investigator:     Naji N Abumrad, MD     Vanderbilt University    
Information Provided By National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Verification Date December 2008
First Received Date  September 13, 2005
Last Updated Date December 1, 2008

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.




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