The aim of this study is to determine the feasibility and effectiveness of endoscopic anastomosis of sleeve gastrectomy to ileum with a lumen apposing metal stent (LAMS) after a failed sleeve gastrectomy.
Age: 21-65 years
Patients going for LSG at participating hospitals.
Able to provide informed consent
Patients who were breast feeding or pregnant
Severe psychiatric illness
Eating disorder
Active neoplastic disease
Single group
Endoscopic SASI
Procedure/SurgeryEndoscopic conversion to sleeve gastrectomy to SASI
Total amount of weight loss
Amount of weight loss after endoscopic conversion to SASI will be measured in kg and will be reported in percentage (%).
HbA1c
HbA1c levels will be measured and reported in percentage (%)
GERD symptoms
Quality of Life in Reflux And Dyspepsia (QoLRAD) is a questionnaire used to assess how gastroesophageal reflux disease (GERD) and dyspepsia (indigestion) affects a person's quality of life. The total score will be calculated from the questionnaire and a reduction in QoLRAD score over time will demonstrate improvement.
Feasibility & Safety
Technical success rate \& procedure related complications. Number of adverse events will be recorded at all times to determine the feasibility and safety of the study procedure.
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Singapore Health Services
Lead sponsor
Changi General Hospital
Collaborator
Sengkang General Hospital
Collaborator
