Obesity, Sleeve Gastrectomy
Conditions
Keywords
sleeve gastrectomy, clip ascent, oesogastric reflux, sleeve gastrectomy follow-up
Brief summary
This is a single institution study. All patients, one year after sleeve gastrectomy will be included. All will have a CT scan looking for clip ascent. For patients with chronic gastric symptoms such as retrosternal burning, regurgitations, and epigastric pain, a pH-metry will be performed. Those symptoms appeared at least 6 months after the surgery. A second consultation is done one year after. The aim of the study is to correlate clip ascent, pyrosis proved by ph-metry and epigastric symptoms after sleeve gastrectomy. The demographic data collection confirms the definition of clip ascent, define its frequency, and look for correlation with the median weight loss.
Detailed description
There is a strong association between gastric reflux and obesity. A severe reflux is a contraindication for a sleeve gastrectomy for some surgeons. However the impact of sleeve gastrectomy on reflux is not clear. A de novo reflux is described for 2 to 18% of patients and many patients have unclear epigastric symptoms. One of the cause could be clip ascent which could justify a second surgery. This is a single institution study. All patients, one year after sleeve gastrectomy will be included. All will have a CT scan looking for clip ascent. For patients with gastric symptoms such as retrosternal burning, regurgitations, and epigastric pain, a pH-metry will be performed. A second consultation is done one year after. The aim of the study is to correlate clip ascent, pyrosis proved by ph-metry and epigastric symptoms after sleeve gastrectomy. The demographic data collection, confirms the definition of clip ascent, define its frequency, and look for correlation with the median weight loss. A medical information note is given to every patient at the first consultation.
Interventions
PROCEDUREpH-metry during 24 hours
For patients with gastric symptoms such as retrosternal burning, regurgitations, and epigastric pain, a pH-metry will be performed
Sponsors
Assistance Publique - Hôpitaux de Paris
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* sleeve gastrectomy operated for at least 1 year
Exclusion criteria
* acute abdominal pain, * epigastric pain occuring after the surgery (no 6 months delay), * pregnant women
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Measure of clip ascent | 12 months | All patients at one year after a sleeve gastrectomy will be included. They will all have a CT scan and symptomatic patients will have a phmetry. Observational between epigastric symptoms, clip ascent at one year after a sleeve gastrectomy. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Frequency of clip ascent | 18 months | Clip ascent is noticed after sleeve surgery but data about it are unknown |
| Oesogastric reflux proved by phmetry | 12 months | The frequency of oesogastric reflux proved by phmetry at 12 months after surgery is unknown |
Countries
France
Outcome results
None listed