Intraoperative Fluid Management in Laparoscopic Bariatric Surgery

• Status: Completed
• Trial end date: 2008-12-01
• Target enrollment: 0
• Participant gender: All

Summary

The objective of this study is to evaluate the effects of 'high' versus 'low' volume intraoperative fluid administration (Ringer Lactate, RL) on intra- and postoperative parameters, in obese patients undergoing laparoscopic bariatric surgery (i.e., gastric bypass), in order to establish evidence-based data for perioperative fluid management in this patient population. Based on their experience as well as several reports in the literature, the investigators hypothesized that a restrictive approach to intraoperative hydration will reduce the incidence of postoperative complications and the recovery time of gastrointestinal (GI) function, and shorten hospital stay.

• Phase: N/A
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Tel-Aviv Sourasky Medical Center
• Treatments: Pharmaceutical Solutions

Criteria

Inclusion Criteria:

• Adult patients ( >18 years) with an American Society of Anesthesiology physical status of I-III who were presenting for laparoscopic bariatric surgery, were prospectively studied.

• Patients were considered eligible if they had a BMI > 40, or > 35 and at least one comorbid condition and were scheduled to undergo one of the following laparoscopic operations:

• Roux-Y Gastric Bypass (LRYGB)

• Biliopancreatic Diversion with Duodenal Switch (LDS), or

• Sleeve Gastrectomy (LSG).

Exclusion Criteria:

• Patients aged younger than 18 years.

• Patients with renal dysfunction (creatinine > 50% upper limit of normal value).

• Congestive heart failure.