[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100569625":3},{"organization":4,"outcomesModule":7,"designInfo":23,"detailedDescription":22,"studyPopulation":22,"armGroups":33,"interventions":45,"overallOfficials":22,"centralContacts":56,"locations":62,"responsibleParty":99,"collaborators":22,"id":103,"slug":22,"hasResults":104,"nctId":105,"briefTitle":106,"officialTitle":106,"acronym":22,"eligibilityCriteria":107,"healthyVolunteers":104,"sex":108,"minAge":109,"maxAge":110,"enrollmentInfo":111,"targetDuration":22,"studyType":114,"phases":115,"briefSummary":117,"conditions":118,"keywords":120,"overallStatus":65,"whyStopped":22,"lastUpdateSubmitDate":124,"lastUpdatePostDateStruct":125,"startDateStruct":128,"completionDateStruct":130,"leadSponsor":132,"locationsCount":133},{"fullName":5,"class":6},"Kasr El Aini Hospital","OTHER",{"primaryOutcomes":8,"secondaryOutcomes":13,"otherOutcomes":22},[9],{"measure":10,"description":11,"timeFrame":12},"Accurate small bowel length","the aim of the study to assess if the CT scan with 3D reconstruction will give accurate measures for the bowel length compared to the marked graspers used in laparoscopic surgery","about 6 months",[14,18],{"measure":15,"description":16,"timeFrame":17},"Operative time","measuring the whole bowel length may increase the operative time according to the skills of the surgeon, the presence of adhesions, and short mesentery.","intraoperative",{"measure":19,"description":20,"timeFrame":21},"Intestinal Injury","counting the whole bowel length is a tedious procedure, especially in patients with obesity, where the mesentery is dense and may cause injury to the bowel.\n\nIn this study, we will assess the incidence of intestinal injury of the small bowel, detected intra-operatively or post-operatively.","up to 6 months",null,{"allocation":24,"interventionModel":25,"interventionModelDescription":26,"primaryPurpose":27,"observationalModel":22,"timePerspective":22,"maskingInfo":28},"NON_RANDOMIZED","SINGLE_GROUP","This is a prospective cross-sectional analytic study designed to compare two methods of small bowel length measurement: preoperative 3D CT volumetry and intraoperative laparoscopic measurement using pre-marked graspers. The study will include adult patients undergoing revisional bariatric surgeries at Kasr AlAiny Hospitals. All participants will undergo preoperative imaging and intraoperative measurements, with results analyzed to determine the accuracy and correlation between the two methods.","DIAGNOSTIC",{"masking":29,"maskingDescription":30,"whoMasked":31},"SINGLE","the investigator- the surgeon- will not be aware of the pre-operative measurements found in the CT scan, not to be biased in measuring.",[32],"INVESTIGATOR",[34,40],{"label":35,"type":36,"description":37,"interventionNames":38},"Marked Laparoscopic graspers group","ACTIVE_COMPARATOR","in this arm, the graspers will be marked by a sterile tape, 5 cm in length. This will help for accurate measuring of the whole intestine.",[39],"Procedure: Measuring the small instestine length using pre-marked laparoscopic graspers",{"label":41,"type":36,"description":42,"interventionNames":43},"3D CT scan group","In this arm, all patients involved in the study will have a pre-operative CT scan, for which a 3D reconstruction will be done and measure the whole small intestinal length.",[44],"Diagnostic Test: CT",[46,51],{"type":47,"name":48,"description":49,"armGroupLabels":50,"otherNames":22},"DIAGNOSTIC_TEST","CT","CT measurment of small bowel",[41],{"type":52,"name":53,"description":54,"armGroupLabels":55,"otherNames":22},"PROCEDURE","Measuring the small instestine length using pre-marked laparoscopic graspers","Intra-operatively, the surgeon will assess the length of the small intestine using a 5-cm marked laparoscopic graspers to accurately assess the whole small intestine length.",[35],[57],{"name":58,"role":59,"phone":60,"phoneExt":22,"email":61},"Ahmed Mohammed Abdelsalam, MD, MRCS","CONTACT","+201111577188","a.abd.elsalam@kasralainy.edu.eg",[63,91],{"facility":64,"status":65,"city":66,"state":67,"zip":68,"country":69,"countryCode":70,"cosmosGeoPoint":71,"geoPoint":76,"contacts":77},"Kasr Alainy Medical School, Cairo University","RECRUITING","Cairo","Old Cairo","11956","Egypt","EG",{"type":72,"coordinates":73},"Point",[74,75],31.24967,30.06263,{"lat":75,"lon":74},[78,82,85,87,89],{"name":79,"role":59,"phone":80,"phoneExt":22,"email":81},"Maher M Fawzy, Doctorate","+201222166937","kasralainyrec@kasralainy.edu.eg",{"name":83,"role":84,"phone":22,"phoneExt":22,"email":22},"Ahmed M Ghobashy","SUB_INVESTIGATOR",{"name":86,"role":84,"phone":22,"phoneExt":22,"email":22},"Tamer Elholiby",{"name":88,"role":84,"phone":22,"phoneExt":22,"email":22},"Ahmed M Abdellatif",{"name":90,"role":84,"phone":22,"phoneExt":22,"email":22},"Ahmed Y Khaled",{"facility":64,"status":92,"city":66,"state":22,"zip":22,"country":69,"countryCode":70,"cosmosGeoPoint":93,"geoPoint":95,"contacts":96},"NOT_YET_RECRUITING",{"type":72,"coordinates":94},[74,75],{"lat":75,"lon":74},[97],{"name":98,"role":59,"phone":22,"phoneExt":22,"email":22},"Ahmed Mohammed",{"type":100,"investigatorFullName":101,"investigatorTitle":102,"investigatorAffiliation":5,"oldNameTitle":22,"oldOrganization":22},"PRINCIPAL_INVESTIGATOR","Ahmed Abdelsalam M","Associate Professor of General Surgery","100569625",false,"NCT06696677","Small Intestine Length Measurement Using 3D CT Volumetry and in Vivo Measurement Using Pre-marked Graspers in Revisional Bariatric Surgeries. A Comparative Study","Inclusion Criteria:\n\n* Patients who are candidates for revisional bariatric surgery\n* Patients consenting to participate in the study.\n\nExclusion Criteria:\n\n* Patients with severe adhesions where measuring the small bowel may expose them to unnecessary injuries.\n* Patients refusing to participate in the study.\n* Patient refusing CT scan to be done pre-operatively.","ALL","16 Years","70 Years",{"count":112,"type":113},30,"ESTIMATED","INTERVENTIONAL",[116],"NA","Measuring bowel length during hypo-absorptive surgeries like Roux-en-Y gastric bypass (RYGB) and Single Anastomosis Duodeno-ileal Sleeve (SADI-s) is controversial and usually abandoned due to the high risk of intestinal injury. However, some surgeons, especially in revisional surgery, prefer to count the whole bowel length to avoid leaving very short segments and severe malnutrition afterwards.\n\n3D reconstructed CT scan can be useful in such conditions, avoiding the risk of intestinal injury, but accurate measures might be doubtful.",[119],"Small Intestine Length",[121,122,123],"Small bowel Length","reconstructed 3D CT scan","Revisions bariatric Surgery","2025-01-25",{"date":126,"type":127},"2025-01-28","ACTUAL",{"date":129,"type":113},"2025-01-26",{"date":131,"type":113},"2025-07-31",{"name":5,"class":6},2]