The Same-Day and One -Day Laparoscopic Gastric Bypass by Use the FundoRing Method With Enhanced Recovery Protocol and Remote Monitoring in Ambulatory Surgery Center With Integreted Apartments: Randomased Clinical Trial
Methods: Adult participants (n=200) are randomly allocated to one of two groups: Experimental surgical bariatric group - the first (A) group: patients (n=100) (Same-Day\_FundoRingOAGB group); Active comparator surgical bariatric group - the second (B) group: patients (n=100) (Standard\_FundoRingOAGB group). Primary Outcome Measure: 1. The Extra Length of Stay in Same-Day and One-Day 2. Safety (Cases of Complication).The measure is assessing a surgical complication 3. The measure is assessing a cases of readmission. \[Time Frame: first week, at 1, 6, 12 months after surgery\] Secondary Outcome Measures: The measure is assessing a cases of readmission. \[Time Frame: first week, at 1, 6, 12 months after surgery\]
• Obesity with a body mass index (BMI) from 30 to 50 kg / m2;
• Type 2 diabetes mellitus with good drug control or without the need for drug correction;
• Metabolic syndrome (MS), including insulin resistance (prediabetes), dyslipidemia, hypertriglyceridemia, with compensated arterial hypertension.
• Patients with MS should correspond to ASA condition 1-2. Only mild comorbidities without significant functional limitations. Well-controlled diabetes / hypertension, not severe lung diseases.
• Absence of severe hepatomegaly and / or low score on the rating scale for conditions for surgery.
• Absence or presence of GERD grade A or B (according to the Los Angeles classification);
• Absence or presence of a hernia of the esophageal opening up to 5 cm.
• No need for other simultaneous interventions other than hiatoplasty (cruroraphy) for GERD.