GERD, morbidly obese
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Morbidly obese patients older than 18 years with GERD according to the Montreal definition, eligible for bariatric surgery. Good command of the Dutch or English language to complete the questionnaires;
Exclusion criteria
Exclusion criteria: Patients with altered mental status prohibiting the understanding and giving of informed consent; Patients with achalasia; Patients with malignancy or other abnormalities (such as low- and high-grade dysplasia) at gastroscopy making bariatric surgery unsafe; Patients with a medical history of abdominal surgery; Super obese (BMI = 50kg/m2) ; Crohn’s disease; Contraindications to receiving general anaesthesia.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| GERD improvement at one year | — |
Secondary
| Measure | Time frame |
|---|---|
| - GERD improvement after 5 years between both groups; - Technical failure rate of the procedure; - To compare HrQoL between the groups; - To compare weight loss between the groups; - To compare the cumulative PPI use between the groups; - To compare complications rates in the first 30 days between the groups; - To compare long-term complications rates between the groups; - To compare the length of hospital stay between the groups; - To compare the duration of primary surgery between the groups; - To assess the effects of the operations on comorbidity (hypertension, diabetes mellitus, and dyslipidaemia); - To compare presence and grade of oesophagitis (grade A-D) and/ or Barrett’s oesophagus 1 year postoperatively between the groups; - To analyse cost-effectiveness of N-Sleeve treatment vs. conventional LRYGB. | — |
Contacts
Franciscus Gasthuis & Vlietland