Surgical Intervention for Morbidly Obese Adolescents

NCT ID: NCT00289705

Last Updated: 2017-02-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-02-28

Study Completion Date

2018-02-28

Brief Summary

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The purpose is to study whether the positive effects from obesity surgery in adults also can be achieved when adolescent subjects are operated.

Our hypothesis is that the effects concerning weight loss, health improvement and improved quality of life will be as good in adolescents as in adults.

Detailed Description

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Severe obesity in the adolescence is a major concern since there is a constant rise in prevalence worldwide. There is a need of effective tools to treat those patients since the natural course with conservative treatment is very pessimistic. I. e. most of the subjects having a BMI \>40kg/m2 in the adolescence will remain morbidly obese also in their adult life.

The three largest centres in Sweden treating obese children (Stockholm, Gothenburg and Malmö) will offer patients fulfilling the inclusion criteria to be operated with laparoscopic gastric bypass. If not willing to be operated they could join the study as a control case.

Subjects will be investigated at the baseline concerning physical health status and existence of medical risk factors but also regarding their quality of life, eating habits and physical activity. They will subsequently be follow over a ten year period regarding these variables.

Conditions

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Obesity Diabetes Hypertension

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Surgery

Laparoscopic gastric bypass

Group Type EXPERIMENTAL

Surgery

Intervention Type PROCEDURE

Laparoscopic Roux-en-Y gastric bypass

2

Traditional treatment for obesity

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Surgery

Laparoscopic Roux-en-Y gastric bypass

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* BMI \>40 kg/m2 or BMI\>35 with comorbidity
* Pass psychological evaluation
* Puberty status Tanner 4-5
* At least one year with active conservative treatment that failed

Exclusion Criteria

* Lack of compliance
* Specific obesity syndrome as Praeder Willis
* Obesity due to brain injury
* Severe general disease
* Specific genetic defect (MC4R, Leptin deficiency)
Minimum Eligible Age

13 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Göteborg University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Torsten Olbers, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Sahlgrenska University Hospital

Clude Marcus, Prof, MD

Role: STUDY_CHAIR

Dept of Pediatrics, Karolinska University Hospital, Huddinge

Staffan Mårild, MD, PhD

Role: STUDY_CHAIR

Queen Silvias Childs Hospital, Gothenburg

Carl-Erik Flodmark, MD, PhD

Role: STUDY_CHAIR

Dept of Pediatrics, MAS, Malmö

Locations

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Sahlgrenska University Hospital, Dept of Surgery

Gothenburg, Gothenburg, Sweden

Site Status

Queen Silvias Children Hospital

Gothenburg, Göteborg, Sweden

Site Status

Dept of Pediatrics, MAS

Malmo, Malmö, Sweden

Site Status

National center for child obesity, Karolinska Huddinge

Stockholm, Stockholm County, Sweden

Site Status

Countries

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Sweden

References

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Jarvholm K, Olbers T, Peltonen M, Marcus C, Flodmark CE, Gronowitz E, Dahlgren J, Karlsson J. Depression, anxiety, and suicidal ideation in young adults 5 years after undergoing bariatric surgery as adolescents. Eat Weight Disord. 2021 May;26(4):1211-1221. doi: 10.1007/s40519-020-01024-0. Epub 2020 Oct 20.

Reference Type DERIVED
PMID: 33079376 (View on PubMed)

Jarvholm K, Bruze G, Peltonen M, Marcus C, Flodmark CE, Henfridsson P, Beamish AJ, Gronowitz E, Dahlgren J, Karlsson J, Olbers T. 5-year mental health and eating pattern outcomes following bariatric surgery in adolescents: a prospective cohort study. Lancet Child Adolesc Health. 2020 Mar;4(3):210-219. doi: 10.1016/S2352-4642(20)30024-9. Epub 2020 Jan 21.

Reference Type DERIVED
PMID: 31978372 (View on PubMed)

Olbers T, Beamish AJ, Gronowitz E, Flodmark CE, Dahlgren J, Bruze G, Ekbom K, Friberg P, Gothberg G, Jarvholm K, Karlsson J, Marild S, Neovius M, Peltonen M, Marcus C. Laparoscopic Roux-en-Y gastric bypass in adolescents with severe obesity (AMOS): a prospective, 5-year, Swedish nationwide study. Lancet Diabetes Endocrinol. 2017 Mar;5(3):174-183. doi: 10.1016/S2213-8587(16)30424-7. Epub 2017 Jan 6.

Reference Type DERIVED
PMID: 28065734 (View on PubMed)

Beamish AJ, Gronowitz E, Olbers T, Flodmark CE, Marcus C, Dahlgren J. Body composition and bone health in adolescents after Roux-en-Y gastric bypass for severe obesity. Pediatr Obes. 2017 Jun;12(3):239-246. doi: 10.1111/ijpo.12134. Epub 2016 Apr 12.

Reference Type DERIVED
PMID: 27071497 (View on PubMed)

Gothberg G, Gronowitz E, Flodmark CE, Dahlgren J, Ekbom K, Marild S, Marcus C, Olbers T. Laparoscopic Roux-en-Y gastric bypass in adolescents with morbid obesity--surgical aspects and clinical outcome. Semin Pediatr Surg. 2014 Feb;23(1):11-6. doi: 10.1053/j.sempedsurg.2013.10.015. Epub 2013 Nov 15.

Reference Type DERIVED
PMID: 24491362 (View on PubMed)

Other Identifiers

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SU523-04

Identifier Type: -

Identifier Source: org_study_id

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