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 volunteersQualifiers
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
Cohort
Cross-sectional
Treatments tested in this trial
Gastro-intestinal aspiration
Other interventionAspiration of fluids from the stomach and small intestine using a naso-intestinal catheter.
Telemetric
DeviceTelemetric ingestible capsule
Treatment groups
Trial outcomes
Primary outcomes
Activity of gastric lipase
Gastric pouch and sleeve samples will be analysed for gastric lipase activity (described in U)
Activity of pepsin
Gastric pouch and sleeve samples will be analysed for pepsin activity (described in U)
Activity of trypsin
Samples collected in the duodenum and jejunum; or roux- and common-limb will be analysed for trypsin activity (described in U).
Activity of chymotrypsin
Samples collected in the duodenum and jejunum; or roux- and common-limb will be analysed for chymotrypsin activity (described in U).
Secondary outcomes
Concentration of total bile acids
The total bile acid concentrations will be measured in all samples
pH
pH will be measured in all gastro-intestinal samples
Total transit time
Total transit time will be measured by the GISMO GEN I ingestible sensor (described in minutes).
Gastric emptying time
Gastric emptying time will be measured by the GISMO GEN I ingestible sensor (described in minutes).
Sponsors and contacts
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