Study of Gastro-oesophageal Reflux in Patients Having Had Bariatric Surgery

NCT ID: NCT03077906

Last Updated: 2017-11-22

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

400 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-04-01

Study Completion Date

2017-06-01

Brief Summary

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Obesity surgery has become commonplace nowadays. This type of surgery is in full swing and although it is mostly beneficial for the health of the patient (reduction of cardiovascular risks, improvement of self image, reduction of osteo-articular risks, etc...) it is however associated with risks. There are several short and long term complications, excluding the ones related to the anesthesia and the post-op recovery: fistulas, abcesses, infections, dysphagia, risks of endobrachyoesophagus, etc...

The gastroœsophageal reflux remains by far the most common post-op complaint within patients. Patients can experience symptoms as far as 3 years after the surgery. Medical treatment alone can in most cases lighten the symptoms. However, in some cases, this treatment fails and another type of surgery (bypass) must be undertaken, which is psychologically traumatic for the patient.

This retrospective study will analyze a cohort of patients who underwent bariatric surgery (mainly sleeve gastrectomy), in order to identify those at risk of developping gastroœsophageal reflux and how this complication can be avoided in pre-op. The study will also identify cases of invalidating gastroœsophageal reflux that can be solved by obesity surgery.

Detailed Description

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Conditions

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Gastroesophageal Reflux

Keywords

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Gastroœsophageal Reflux Sleeve Gastrectomy

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Existing gastroœsophageal reflux

Patients who benefited from a sleeve gastrectomy surgery between 2008 and the end of 2015 in the department of digestive surgery of the CHU Brugmann.

Patients who already had a disabling gastroœsophageal reflux resistant to medical treatment in pre-op, and lost it in post-op.

Medical Files data extraction

Intervention Type OTHER

Medical Files data extraction

De novo gastroœsophageal reflux

Patients who benefited from a sleeve gastrectomy surgery between 2008 and the end of 2015 in the department of digestive surgery of the CHU Brugmann.

Patients who developped gastroœsophageal reflux de novo.

Medical Files data extraction

Intervention Type OTHER

Medical Files data extraction

Interventions

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Medical Files data extraction

Medical Files data extraction

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* All patients who had at least 1 year of postoperative follow-up

Exclusion Criteria

* Patients who did not have postoperative gastroœsophageal reflux
* Patients who stopped their postoperative follow-up
* Patients with unsufficient data collection
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pierre Wauthy

OTHER

Sponsor Role lead

Responsible Party

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Pierre Wauthy

Head of clinic

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Pierre Wauthy, MD

Role: STUDY_DIRECTOR

CHU Brugmann

Locations

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CHU Brugmann

Brussels, , Belgium

Site Status

Countries

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Belgium

References

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Nilsson M, Johnsen R, Ye W, Hveem K, Lagergren J. Obesity and estrogen as risk factors for gastroesophageal reflux symptoms. JAMA. 2003 Jul 2;290(1):66-72. doi: 10.1001/jama.290.1.66.

Reference Type BACKGROUND
PMID: 12837713 (View on PubMed)

Mora F, Cassinello N, Mora M, Bosca M, Minguez M, Ortega J. Esophageal abnormalities in morbidly obese adult patients. Surg Obes Relat Dis. 2016 Mar-Apr;12(3):622-628. doi: 10.1016/j.soard.2015.08.002. Epub 2015 Aug 7.

Reference Type BACKGROUND
PMID: 26686303 (View on PubMed)

Huseini M, Wood GC, Seiler J, Argyropoulos G, Irving BA, Gerhard GS, Benotti P, Still C, Rolston DD. Gastrointestinal symptoms in morbid obesity. Front Med (Lausanne). 2014 Dec 4;1:49. doi: 10.3389/fmed.2014.00049. eCollection 2014.

Reference Type BACKGROUND
PMID: 25593922 (View on PubMed)

Pallati PK, Shaligram A, Shostrom VK, Oleynikov D, McBride CL, Goede MR. Improvement in gastroesophageal reflux disease symptoms after various bariatric procedures: review of the Bariatric Outcomes Longitudinal Database. Surg Obes Relat Dis. 2014 May-Jun;10(3):502-7. doi: 10.1016/j.soard.2013.07.018. Epub 2013 Aug 29.

Reference Type BACKGROUND
PMID: 24238733 (View on PubMed)

DuPree CE, Blair K, Steele SR, Martin MJ. Laparoscopic sleeve gastrectomy in patients with preexisting gastroesophageal reflux disease : a national analysis. JAMA Surg. 2014 Apr;149(4):328-34. doi: 10.1001/jamasurg.2013.4323.

Reference Type BACKGROUND
PMID: 24500799 (View on PubMed)

El-Hadi M, Birch DW, Gill RS, Karmali S. The effect of bariatric surgery on gastroesophageal reflux disease. Can J Surg. 2014 Apr;57(2):139-44. doi: 10.1503/cjs.030612.

Reference Type BACKGROUND
PMID: 24666452 (View on PubMed)

Other Identifiers

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CHUB-Reflux

Identifier Type: -

Identifier Source: org_study_id