The Effect of Bariatric Surgery on Thyroid Function and Morphology

NCT ID: NCT00871130

Last Updated: 2009-03-30

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

COMPLETED

Total Enrollment

300 participants

Study Classification

OBSERVATIONAL

Study Start Date

1998-01-31

Study Completion Date

2007-12-31

Brief Summary

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The aim is to evaluate the effect of dramatic weight loss after bariatric surgery on thyroid function (thyroid hormone levels and particulary morphological changes) in the short and long-term setting of a cross-sectional study. A particular focus will be made with regard to putting into correlation preoperative thyroid function abnormalities and postoperative changes over time with respect to the type of bariatric intervention carried out.

Detailed Description

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Background:

Over the last decades, there has been an increase in obesity in virtually all population groups with approximately 1.6 billion adults worldwide estimated to be overweight in 2005 and 400 million of these people qualifying as being obese.

Although hormonal disturbances may play a certain role in the development of obesity, more important are the possible consequences of obesity and the influence of surgically-induced rapid weight loss on overall endocrine function of these patients. Studies evaluating the effect of weight loss on thyroid function show inconsistent results. Whilst some authors have shown that weight loss after bariatric surgery may have a positive effect on thyroid dysfunction, especially in individuals with preoperative subclinical hypothyroidism 1 resulting in normalisation of TSH levels, others fail to show any significant postoperative changes.

Objective:

To evaluate the effect of dramatic weight loss after bariatric surgery on thyroid function (thyroid hormone levels and particularly morphological changes) in the short and long-term in the setting of a cross-sectional study. A particular focus will be made with regard to putting into correlation preoperative thyroid function abnormalities and postoperative changes over time with respect to the type of bariatric intervention carried out.

Methods:

BMI, thyroid hormones (TSH, fT3, fT4 levels), need for thyroxin substitution (or equivalent medication) as well as pre- and postoperative morphological changes in the thyroid gland (usually via sonography)and Leptin values will be assessed retrospectively.

Conditions

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Thyroid Function Obesity

Keywords

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Thyroid gland bariatric surgery weight loss thyroid hormones adult morbid obesity cohort

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Interventions

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Bariatric surgery

gastric banding, gastric bypass or vertical gastroplasty either open or laparoscopic or a combination of any

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients who underwent bariatric surgery between 1998 and 2007

Exclusion Criteria

* age \>18 years
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Insel Gruppe AG, University Hospital Bern

OTHER

Sponsor Role lead

Responsible Party

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Department of Visceral and Transplant Surgery, Bern University Hospital

Principal Investigators

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Vanessa Banz, MD

Role: PRINCIPAL_INVESTIGATOR

Dep.of Visceral and Transplant Surgery, Bern University Hospital

Locations

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Dep.of Visceral and Transplant Surgery, Bern University Hospital

Bern, , Switzerland

Site Status

Countries

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Switzerland

References

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Chikunguwo S, Brethauer S, Nirujogi V, Pitt T, Udomsawaengsup S, Chand B, Schauer P. Influence of obesity and surgical weight loss on thyroid hormone levels. Surg Obes Relat Dis. 2007 Nov-Dec;3(6):631-5; discussion 635-6. doi: 10.1016/j.soard.2007.07.011.

Reference Type BACKGROUND
PMID: 18023816 (View on PubMed)

Alagna S, Cossu ML, Masala A, Atzeni MM, Ruggiu M, Satta FM, Fais E, Rovasio PP, Noya G. Evaluation of serum leptin levels and thyroid function in morbidly obese patients treated with bariatric surgery. Eat Weight Disord. 2003 Jun;8(2):95-9. doi: 10.1007/BF03324997.

Reference Type BACKGROUND
PMID: 12880185 (View on PubMed)

Reinehr T, Andler W. Thyroid hormones before and after weight loss in obesity. Arch Dis Child. 2002 Oct;87(4):320-3. doi: 10.1136/adc.87.4.320.

Reference Type BACKGROUND
PMID: 12244007 (View on PubMed)

Other Identifiers

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KEK_13_01_09

Identifier Type: -

Identifier Source: org_study_id