Longitudinal Sleeve Gastrectomy Study Comparing Posterior Crural Repair Versus No Repair
A Prospective Randomized Clinical Trial Comparing Patients Who Have Had Longitudinal Sleeve Gastrectomy With Posterior Crural Repair Versus Without Posterior Crural Repair
1 other identifier
interventional
100
1 country
1
Brief Summary
The purpose of this study is to evaluate the superiority of posterior crural repair during sleeve gastrectomy over no repair in decreasing the incidence of symptomatic and clinical reflux disease.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable obesity
Started Jan 2012
Longer than P75 for not_applicable obesity
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2012
CompletedFirst Submitted
Initial submission to the registry
February 24, 2012
CompletedFirst Posted
Study publicly available on registry
March 15, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 10, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
August 10, 2018
CompletedMay 25, 2023
May 1, 2023
6.6 years
February 24, 2012
May 24, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change in GERD / GSRS Quality of Life Questionnaire
The primary outcome of the study will be the patients' self-assessment of their reflux symptoms as reported with the GSRS quality of life questionnaire that was specifically designed to be used as an outcome measure in clinical trials of intervention in GERD. The final primary outcome will be measured every year to assess allieviation or change of reflux sysmtpms over time and to ensure there is no reoccurence of symptoms.
1 questionnaire pre-operatively, and then every 3 months for the 1st year, every 6 months until the third year, and every 12 months until 6 years.
Study Arms (2)
Posterior crural repair
EXPERIMENTALNo posteriorcrural repair
NO INTERVENTIONInterventions
All patients receive gastrectomy, however patients randomized to the experimental arm will also receive posterior crural repair to determine if this will reduce GERD post sleeve gastrectomy.
Eligibility Criteria
You may qualify if:
- The subject is between the ages of 21 and 65
- The subject is able to provide informed consent
- The subject is able and willing to comply with the study protocol
- Patients are will to refrain from the use of specified antacid medications such as PPIs (e.g. Nexium, Prilosec, Omeprazole, etc) or H2 blockes (e.g. Pepcid, Zantac, etc)
- The subjects meets the requirement for bariatric surgery as defined by the 1991 NIH consensus on bariatric surgery
- BMI ≥40 or BMI = 35-39 with one or more obesity-related comorbidities.
- Patients should have attempted, and failed, several structured methods of weight loss The subject is approved to have a sleeve gastrectomy
You may not qualify if:
- The subject is not able to provide informed consent
- The subject is not willing to comply with the study protocol
- The subject has had previous foregut (stomach) surgery
- The subject has evidence of a gastric tumor, ulcer, or other abnormalities at the time of EGD that would preclude them from having a sleeve gastrectomy
- Severe esophagitis or Barrett's esophagus will exclude them from the study
- The surgeon concludes that the patient is not a candidate for sleeve gastrectomy based on his clinical judgment
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Minimally Invasive Surgeons of Texas (MIST), Bariatric Clinic
Houston, Texas, 77401, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Brad Snyder, MD
UT Medical School at Houston, Dept. of Surgery
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, CARE PROVIDER
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- MD - Principal Investigator
Study Record Dates
First Submitted
February 24, 2012
First Posted
March 15, 2012
Study Start
January 1, 2012
Primary Completion
August 10, 2018
Study Completion
August 10, 2018
Last Updated
May 25, 2023
Record last verified: 2023-05