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Sponsor: Tanta University
Conditions: Acute Kidney Injury, Obesity
Interventions: Laparoscopic Sleeve Gastrectomy, gabapentin 1200 mg
Countries: Egypt
This study evaluated the effect of a single preoperative dose of gabapentin on renal stress and kidney function following laparoscopic sleeve gastrectomy in adults with severe obesity. Sixty participants undergoing laparoscopic sleeve gastrectomy were randomized in a 1:1 ratio to surgery without preoperative gabapentin or surgery after a single 1200-mg oral dose of gabapentin. An additional 30 non-operative participants with severe obesity served as a non-randomized external reference cohort. Renal assessment included conventional kidney function markers and biomarkers, including Dickkopf-3 (DKK3) and neutrophil gelatinase-associated lipocalin (NGAL). The prespecified primary endpoint was urinary DKK3 concentration at 24 hours postoperatively.
Sex: ALL
Age: 18 Years to 65 Years
Healthy volunteers: No
Study type: INTERVENTIONAL
Inclusion Criteria: * Age: 18-65 years old. * Participants with severe obesity (BMI ≥40 kg/m², without comorbidities or BMI ≥35 kg/m², in the presence of obesity-related comorbidities). * Preserved kidney function at baseline. * For the randomized surgical cohort (Groups II and III), participants with severe obesity scheduled to undergo laparoscopic sleeve gastrectomy. * For the non-randomized external reference cohort (Group I), participants with severe obesity who did not undergo laparoscopic sleeve gastrectomy during the study period or receive the study intervention. * Both sexes. Exclusion Criteria: * Advanced cancer receiving active treatment. * End-stage renal, hepatic, or cardiopulmonary disease. * Untreated schizophrenia or cognitive impairment. * Use of psychiatric medications, as specified in the study protocol. * Active substance abuse. * Chronic use of gabapentin or known hypersensitivity to gabapentin. * Pregnancy or breastfeeding. * Use of medications that could interfere with the assessed study parameter
- Al Mansurah, Egypt
- Tanta, Egypt