Status:

WITHDRAWN

Management of Symptomatic Gastric Sleeve Stenosis After Laparoscopic Sleeve Gastrectomy

Lead Sponsor:

Johns Hopkins University

Conditions:

Gastric Stenosis

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

The global obesity epidemic has led to increasing popularity of bariatric surgeries and a parallel rise in the prevalence of related complications. Gastric sleeve stenosis (GSS) complicates 0.1-3.9% o...

Detailed Description

Gastric sleeve stenosis (GSS) can either be mechanical from a short, circumferential stricture (non-helical) or functional secondary to an axial deviation (helical). Helical GSS are believed to be due...

Eligibility Criteria

Inclusion

  • Patients with symptoms of dysphagia, abdominal pain, nausea, vomiting, heartburn or regurgitation after LSG that do not respond to standard medical therapies, such as proton pump inhibitors, anti-emetics, etc
  • Patients with a confirmed sleeve stenosis by contrast study and/or upper endoscopy
  • Adult patients aged greater than 18 years old at time of consent
  • Patients able to provide written informed consent on the Institutional Review Board/Ethics Committee-approved informed consent form
  • Patients willing and able to comply with study requirements for follow up

Exclusion

  • Presence of concomitant gastric leak or fistula
  • Stenosis of non-gastric origin
  • History of Roux-en-Y gastric bypass, or duodenal switch
  • GSS within one month after sleeve gastrectomy
  • Severe medical comorbidities precluding endoscopy or surgery, or limiting life expectancy to less than 2 years in the judgement of the endoscopist
  • Uncontrolled coagulopathy or inability to be off anticoagulation or antiplatelet medication for 1 week prior to and after intervention
  • Pregnant or planning to become pregnant during period of study participation
  • Patient refuses or is unable to provide written informed consent

Key Trial Info

Start Date :

August 30 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

July 1 2023

Estimated Enrollment :

Patients enrolled

Trial Details

Trial ID

NCT04781946

Start Date

August 30 2021

End Date

July 1 2023

Last Update

July 13 2023

Active Locations (1)

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1

Johns Hopkins University

Baltimore, Maryland, United States, 21287