Study of Gastro-oesophageal Reflux in Patients Having Had Bariatric Surgery

Pierre Wauthy

Status: Completed

Conditions: Gastroesophageal Reflux

Treatments: Other: Medical Files data extraction

Study type: Observational

Funder types: Other

Identifiers

NCT03077906

CHUB-Reflux

Details and patient eligibility

About

Obesity surgery has become commonplace nowadays. This type of surgery is in full swing and although it is mostly beneficial for the health of the patient (reduction of cardiovascular risks, improvement of self image, reduction of osteo-articular risks, etc...) it is however associated with risks. There are several short and long term complications, excluding the ones related to the anesthesia and the post-op recovery: fistulas, abcesses, infections, dysphagia, risks of endobrachyoesophagus, etc...

The gastroœsophageal reflux remains by far the most common post-op complaint within patients. Patients can experience symptoms as far as 3 years after the surgery. Medical treatment alone can in most cases lighten the symptoms. However, in some cases, this treatment fails and another type of surgery (bypass) must be undertaken, which is psychologically traumatic for the patient.

This retrospective study will analyze a cohort of patients who underwent bariatric surgery (mainly sleeve gastrectomy), in order to identify those at risk of developping gastroœsophageal reflux and how this complication can be avoided in pre-op. The study will also identify cases of invalidating gastroœsophageal reflux that can be solved by obesity surgery.

Enrollment: 400 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• All patients who had at least 1 year of postoperative follow-up

Exclusion criteria

• Patients who did not have postoperative gastroœsophageal reflux
• Patients who stopped their postoperative follow-up
• Patients with unsufficient data collection

Trial design

400 participants in 2 patient groups

Existing gastroœsophageal reflux

Description:

Patients who benefited from a sleeve gastrectomy surgery between 2008 and the end of 2015 in the department of digestive surgery of the CHU Brugmann. Patients who already had a disabling gastroœsophageal reflux resistant to medical treatment in pre-op, and lost it in post-op.

Treatment:

Other: Medical Files data extraction

De novo gastroœsophageal reflux

Description:

Patients who benefited from a sleeve gastrectomy surgery between 2008 and the end of 2015 in the department of digestive surgery of the CHU Brugmann. Patients who developped gastroœsophageal reflux de novo.

Treatment:

Other: Medical Files data extraction