Clinical trial

Long Term Outcomes of Bariatric Patients Treated With Surgery or Endoscopy

Active, not recruiting ยท Not applicable ยท 1 countries ยท Registry ID NCT03705416

Active, not recruitingNot applicableObservational

What this study is about

GERD is common in the obese population. Bariatric procedures are the mainstay of therapy for these patients. Bariatric procedures can be surgical (Roux-en-Y gastric bypass and Vertical sleeve gastrectomy) or endoscopic (endoscopic sleeve gastroplasty). The rate of GERD after either treatment is unknown as is the rate of silent reflux. The study primary objective is to assess the incidence rate of GERD in bariatric patients that undergo either therapy.

A promising-looking record is not the same as confirmed eligibility. The study team must review the full criteria and current recruitment status.

Basic eligibility

Age18 Years to 75 Years
SexAll
Healthy volunteersNot listed
ConditionGERD, Obesity

Full registry criteria

Inclusion Criteria: * BMI โ‰ฅ 30 Kg/m2 * Patients scheduled to undergo a bariatric weight loss procedure (endoscopic or surgical) * Patients older than 18 years and younger than 75 years of age at time of consent * Patients able to provide written informed consent on the Institutional review board (IRB) approved informed consent form * Patients willing and able to comply with study requirements for follow-up Exclusion Criteria: * Any patient with BMI \< 30 Kg/m2 * Patients treated with intragastric balloons. * Pre-existing esophageal stenosis/stricture preventing advancement of an endoscope during screening/baseline Esophagogastroduodenoscopy (EGD) * Esophageal, gastric or duodenal malignancy * Severe medical comorbidities precluding endoscopy, or limiting life expectancy to less than 2 years in the judgment of the endoscopist * Uncontrolled coagulopathy or inability to be off anticoagulation or anti-platelet medication (ASA, Plavix) for 1 week prior to and 2 weeks after each endoscopy * Active fungal esophagitis * Known portal hypertension, visible esophageal or gastric varices, or history of esophageal varices * General poor health, multiple co-morbidities placing the patient at risk, or otherwise unsuitable for trial participation * Pregnant or planning to become pregnant during period of study participation * Patient refuses or is unable to provide written informed consent * Prior bariatric treatment procedure * Prior surgical or endoscopic anti-reflux procedure

Treatments and study arms

Endoscopy

Procedure

endoscopic suturing of stomach

Surgery

Procedure

Vertical sleeve gastrectomy (VSG) surgical reduction of stomach, or (RYGBP) , or gastric bypass procedure

Primary outcomes

Percentage of participants with GERD based on symptoms, and abnormal acid exposure time and/or reflux esophagitis1 year

GERD symptoms, esophageal acid exposure time and/or esophagitis

Study locations

6 locations were listed when this page was built. The first 40 are shown.

Johns Hopkins University๐Ÿ‡บ๐Ÿ‡ธ Baltimore, Maryland, United States
Memorial Hermann Health System๐Ÿ‡บ๐Ÿ‡ธ Houston, Texas, United States
Northwell Health๐Ÿ‡บ๐Ÿ‡ธ New Hyde Park, New York, United States
Weill Cornell๐Ÿ‡บ๐Ÿ‡ธ New York, New York, United States
Legacy Oregon Clinic๐Ÿ‡บ๐Ÿ‡ธ Portland, Oregon, United States
Utah-Health: University of Utah๐Ÿ‡บ๐Ÿ‡ธ Salt Lake City, Utah, United States