Bariatric Surgery Candidate, Gastro Esophageal Reflux, Obesity, Weight Loss
Conditions
Brief summary
The purpose of this registry study is to collect data through medical chart review and in patient visits on the efficacy and safety of various Endoscopic Bariatric therapies (EBTs). This is a retrospective and prospective, observational, medical chart review study for at least 6 standard of care visits up to 1 years after a subject consents for study participation.
Detailed description
Endoscopic bariatric therapies such as intragastric balloons, space occupying EBTs, endoscopic sleeve gastroplasty (ESG), primary obesity surgery endolumenal (POSE), and small bowel interventions including gastrointestinal bypass sleeves, etc. are recommended alone or in conjunction with other weight loss treatment modules for patients who cannot or do not want to undergo conventional bariatric surgery or other therapies for obesity (with BMI ≥30 kg/m2) or BMI \>27 with comorbidities. This research is being done in order to find out if endoscopic bariatric therapies work as well as, or better or worse than, other currently available treatment modules to achieve weight loss. The study is to create a registry to analyze a longitudinal observational cohort of patients who have undergone endobariatric procedures. We will collect information through standard of practice visits and through chart review. Laboratory data, patient characteristics, imaging, histology will be collected. In certain patients - after specific consent extra blood may be collected for research purposes.
Interventions
Participation in this study will allow for data collection through medical chart review for at least 6 standard of care visits up to 1 year after consenting to participate in this registry study. The exposure of interest is total body weight loss, safety and efficacy
Sponsors
Study design
Eligibility
Inclusion criteria
* Any patient who is considering undergoing EBT for weight loss within 6 months, or has undergone clinically indicated EBT for weight loss within the past 6 months * Above or equal to 18 years of age.
Exclusion criteria
* Any patient who has not undergone or will undergo EBT for weight loss * Below 18 years of age.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change of weight of the various bariatric therapies | Baseline, 1 month, 6 months, and 1 year post procedure | Compare mean percentage total body weight loss achieved via various Endoscopic Bariatric Therapies compared to baseline, 1 month, 6 months and 1 . year post procedure. This will be calculated by measuring the patients weight on a scale and comparing it to their baseline weight pre procedure. |
| Safety of procedure measured by in the number of adverse events of procedure | at baseline | Number of adverse events; Type (unexpected, expected, related, possibly related), frequency and intensity of adverse events at baseline |
| Safety of procedure measured by in the number of adverse events that occur within 30 days | Within 30 days of the procedure | Number of adverse events; Type (unexpected, expected, related, possibly related) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Technical success of each bariatric therapy. | through study completion at one year. | Technical success is the technical success of the procedure. |
| Change and Improvement in comorbidities | 6 months, 1 year post procedure | measuring certain anthropometric measurements at baseline and at 6 months and one year. Waist Circumference in cm |
| Change in the effect of Endoscopic Bariatric Therapies on reflux | Baseline, 6 months,and 1 year post procedure | measuring change in gastrointestinal reflux disease (GERD) questionnaire answers |
| Change in the effect of bariatric endoscopic procedure on individuals with fatty liver disease | Baseline, 6 months,and 1 year post procedure | Measuring change in fibroscan score |
Countries
United States
Contacts
Weill Medical College of Cornell University