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The Role of the Omentum in the Treatment of Morbid Obesity
This study is currently recruiting participants.
Verified by National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), June 2009
First Received: September 13, 2005   Last Updated: June 4, 2009   History of Changes
Sponsor: National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Information provided by: National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
ClinicalTrials.gov Identifier: NCT00212160
  Purpose

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.


Condition Intervention
Obesity
Procedure: RYGB with omentectomy
Procedure: omentectomy
Procedure: RYGB without omentectomy

Study Type: Interventional
Study Design: Treatment, Randomized, Single Blind (Subject), Active Control, Parallel Assignment, Efficacy Study
Official Title: The Role of the Omentum in the Treatment of Morbid Obesity

Resource links provided by NLM:


Further study details as provided by National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK):

Primary Outcome Measures:
  • change in insulin sensitivity [ Time Frame: 2 year ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Weight loss [ Time Frame: 2 years ] [ Designated as safety issue: No ]

Estimated Enrollment: 135
Study Start Date: January 2005
Estimated Study Completion Date: June 2010
Estimated Primary Completion Date: June 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental
RYGB with omentectomy
Procedure: RYGB with omentectomy
RYGB with omentectomy
Procedure: omentectomy
RYGB with omentectomy
2: Active Comparator
RYGB without omentectomy
Procedure: RYGB without omentectomy
RYGB without omentectomy

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.

  Eligibility

Ages Eligible for Study:   18 Years to 60 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
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
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00212160

Contacts
Contact: Pamela A Marks, MS, RD 615-343-8389 pamela.a.marks@vanderbilt.edu

Locations
United States, Tennessee
Vanderbilt University Medical Center Recruiting
Nashville, Tennessee, United States, 37232
Sponsors and Collaborators
Investigators
Principal Investigator: Naji N Abumrad, MD Vanderbilt University
  More Information

No publications provided

Responsible Party: Vanderbilt University Medical Center ( Naji Abumrad, MD )
Study ID Numbers: IRB #040572, 3 RO1 DK 070860-01S1
Study First Received: September 13, 2005
Last Updated: June 4, 2009
ClinicalTrials.gov Identifier: NCT00212160     History of Changes
Health Authority: United States: Federal Government

Additional relevant MeSH terms:
Body Weight
Signs and Symptoms
Obesity
Nutrition Disorders
Overweight
Overnutrition
Obesity, Morbid

ClinicalTrials.gov processed this record on November 27, 2009