Gastro-Intestinal Digestion and Physiology After Bariatric Surgery

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-65
SponsorUniversitaire Ziekenhuizen KU Leuven

About this trial

The goal of this clinical trial is to characterize gastrointestinal digestion and physiology in patients after bariatric surgery, or people living with obesity. The main question it aims to answer is: what is the status of gastrointestinal digestion and physiology after bariatric surgery? Participants will have two study visits: 1) participants will undergo collection of gastrointestinal samples and 2) participants will ingest an ingestible capsule that measures multiple physiological parameters along the gastrointestinal tract.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Voluntary written informed consent of the participant has been obtained prior to any screening procedures

Age: 18-65 years

Body Mass Index: > 30 kg/m2

Surgery: at least one year after Roux-en-Y gastric bypass or sleeve gastrectomy

Disqualifiers

Patient has history of more than one bariatric surgery

Patient has a waist circumference > 125.6 cm

Patient had gastrointestinal surgery in the past three months

Patient has a pacemaker, defibrillator, infusion pump, or other portable or implanted electromedical device

Trial population

Patients who have previously undergone a RYGB surgery, SG surgery, or people with obesity.

Trial design

Design model

Cohort

Time perspective

Cross-sectional

Treatments tested in this trial

  • Gastro-intestinal aspiration

    Other intervention

    Aspiration of fluids from the stomach and small intestine using a naso-intestinal catheter.

  • Telemetric

    Device

    Telemetric ingestible capsule

Treatment groups

51 Participants
are divided into 3 treatment groups
Group A: Roux-en-Y gastric bypass2 interventions
Group B: Sleeve gastrectomy2 interventions
Group C: Patients living with obesity2 interventions

Trial outcomes

Primary outcomes

1

Activity of gastric lipase

Gastric pouch and sleeve samples will be analysed for gastric lipase activity (described in U)

Time frame
2 hours
2

Activity of pepsin

Gastric pouch and sleeve samples will be analysed for pepsin activity (described in U)

Time frame
2 hours
3

Activity of trypsin

Samples collected in the duodenum and jejunum; or roux- and common-limb will be analysed for trypsin activity (described in U).

Time frame
2 hours
4

Activity of chymotrypsin

Samples collected in the duodenum and jejunum; or roux- and common-limb will be analysed for chymotrypsin activity (described in U).

Time frame
2 hours

Secondary outcomes

1

Concentration of total bile acids

The total bile acid concentrations will be measured in all samples

Time frame
2 hours
2

pH

pH will be measured in all gastro-intestinal samples

Time frame
2 hours
3

Total transit time

Total transit time will be measured by the GISMO GEN I ingestible sensor (described in minutes).

Time frame
48 hours
4

Gastric emptying time

Gastric emptying time will be measured by the GISMO GEN I ingestible sensor (described in minutes).

Time frame
48 hours

Other outcomes

Sponsors and contacts

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