Endoscopic Stomach and Pouch Reduction in Patients With Weight Regain Following Roux-En-Y Bypass Surgery
Use of a New Endosurgical Operating System for Endoscopic Stoma and Pouch Reduction in Patients With Weight Regain Following Roux-En-Y Bypass Surgery
1 other identifier
interventional
N/A
1 country
4
Brief Summary
The Roux-En-Y gastric bypass procedure is the most commonly performed bariatric procedure in the United States. Despite initial weight loss, some patients experience weight regain that may be related to an increase in the size of the gastric pouch and/or stoma. A second surgical procedure to reduce the size of the pouch and/or stoma is typically associated with a higher risk of death or complications than the original gastric bypass procedure. This study will evaluate a less invasive, endolumenal alternative to pouch and stoma revision as a means of producing weight loss in patients who have regained weight following gastric bypass.
Trial Health
Trial Health Score
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4 active sites
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Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 12, 2006
CompletedFirst Posted
Study publicly available on registry
December 14, 2006
CompletedMarch 18, 2008
June 1, 2007
December 12, 2006
March 17, 2008
Conditions
Outcome Measures
Primary Outcomes (1)
weight loss
Interventions
Eligibility Criteria
You may qualify if:
- yrs of age or older and \< 65 yrs of age
- At least 2 yrs post-Roux-En-Y gastric bypass surgery
- Initially achieved at least 50% weight loss
- At enrollment, has regain at least 15% of weight loss
- BMI 40 or greater or 35 or greater with one or more co-morbidities
- Stoma diameter at least 20 mm
- Completes successful nutritional screening
- Is a candidate for a surgical revision procedure
- Is a reasonable risk to undergo general anesthesia
- Completes successful cardiopulmonary evaluation
- ASA Classification of less than or equal to III
- Able to provide written consent
- Able to return for protocol-specified evaluations
You may not qualify if:
- Esophageal stricture or other anatomy/condition that precludes passage of endolumenal instruments
- Previous bariatric revision procedure
- Has another causal factor for weight regain other than stoma or pouch dilatation
- Non-mobile or has significant impairment of mobility that will limit compliance with post-op exercise program
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- USGI Medicallead
Study Sites (4)
Lahey Clinic
Burlington, Massachusetts, 01805, United States
Mt. Sinai School of Medicine
New York, New York, 10029-6574, United States
Columbia-Presbyterian Medical Center
New York, New York, 10032, United States
Oregon Clinic
Portland, Oregon, 97210, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Lee L Swanstrom, MD
Oregon Clinic
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
December 12, 2006
First Posted
December 14, 2006
Last Updated
March 18, 2008
Record last verified: 2007-06