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Trial registered on ANZCTR
Registration number
ACTRN12615000234516
Ethics application status
Approved
Date submitted
6/01/2015
Date registered
13/03/2015
Date last updated
13/03/2015
Type of registration
Retrospectively registered
Titles & IDs
Public title
High Resolution Impedance Manometry (HRIM) and Impedance pH (ZpH) Testing to evaluate reflux and oesophageal motility following laparoscopic sleeve gastrectomy in morbidly obese patients
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Scientific title
High Resolution Impedance Manometry (HRIM) and Impedance pH (ZpH) Testing to evaluate reflux and oesophageal motility following laparoscopic sleeve gastrectomy in morbidly obese patients
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Secondary ID [1]
285920
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nil
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Universal Trial Number (UTN)
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Trial acronym
HRIM and ZpH following Laparoscopic Sleeve Gastrectomy
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Obesity
293840
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reflux
293841
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sleeve gastrectomy
293842
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Condition category
Condition code
Surgery
294144
294144
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0
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Other surgery
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Diet and Nutrition
294145
294145
0
0
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Obesity
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Oral and Gastrointestinal
294522
294522
0
0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
To study reflux in patients with morbid obesity prior to and after sleeve gastrectomy. Manometry and oesophageal acid studies are catheter based investigations performed on an outpatient basis without requirement for anaesthesia. Manometry takes 10 minutes to perform, whereas pH (Acid) studies require the subject to have a fine catheter in their oesophagus (placed via the nose) for 24 hours. These studies will be performed pre-operatively and six months following Sleeve Gastrectomy surgery. A short reflux symptom questionnaire will also be filled in.
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Intervention code [1]
290896
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Not applicable
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Comparator / control treatment
pre vs post-op study
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Oesophageal motility as determined by Manometry
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Assessment method [1]
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Timepoint [1]
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6 months following sleeve gastrectomy
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Primary outcome [2]
294383
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reflux as determined by pH studies and Gastro-oesophageal Disease Reflux Assessment Score (GSAS)
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Assessment method [2]
294383
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Timepoint [2]
294383
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6 months after sleeve gastrectomy
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Secondary outcome [1]
312200
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Weight loss a percentage of initial weight.
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Assessment method [1]
312200
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Timepoint [1]
312200
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six months following sleeve gastrectomy surgery.
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Eligibility
Key inclusion criteria
morbid obesity
consented for sleeve gastrectomy
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Minimum age
18
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
previous bariatric surgery.
contra-indications to sleeve gastrectomy
severe pre-op reflux
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Study design
Purpose
Natural history
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Duration
Longitudinal
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Selection
Convenience sample
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Timing
Prospective
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Statistical methods / analysis
Comparison of pre-vs post reflux according to standardised methodologies. Participant number was based on previous observational studies of reflux. Prior publications indicate that a minimum number or 15 patients seems to be required to determine the presence of abnormal reflux in a defined population, but also that there is a drop-out rate of 1/3-1/2 between initial an subsequent testing.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
6/01/2014
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Actual
6/01/2014
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Date of last participant enrolment
Anticipated
1/06/2015
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
25
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
3304
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St George Private Hospital - Kogarah
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Recruitment postcode(s) [1]
9085
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2217 - Kogarah
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Funding & Sponsors
Funding source category [1]
290499
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Commercial sector/Industry
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Name [1]
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Johnson and Johnson
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Address [1]
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1-5 Khartoum Road, North Ryde, NSW 2113 Australia
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Country [1]
290499
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Australia
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Primary sponsor type
Individual
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Name
Dr Michael Talbot
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Address
Suite 3, Level 5
St George Private Hospital
1 South St
Kogarah
NSW2217
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Country
Australia
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Secondary sponsor category [1]
289198
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None
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Name [1]
289198
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Address [1]
289198
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Country [1]
289198
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
292156
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UNSW
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Ethics committee address [1]
292156
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UNSW Australia High St Kensington, NSW 2052 Australia
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Ethics committee country [1]
292156
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Australia
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Date submitted for ethics approval [1]
292156
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01/02/2013
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Approval date [1]
292156
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22/10/2013
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Ethics approval number [1]
292156
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HREC Ref: # HC13088
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Summary
Brief summary
It is known that some patients can develop significant reflux following sleeve gastrectomy for morbid obesity, but due to a lack of prospective evaluation the factors underlying the risk for reflux are unknown. In this study, patients before undergoing sleeve gastrectomy will undertake a validated reflux score, have and endoscopy and High Resolution Impedance Manometry and 24 hour Impedance pH testing. 6 months post operatively they will repeat the reflux questionnaire, the manometry and pH testing.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
53818
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Dr Michael Talbot
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Address
53818
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Suite 3, Level 5
St George Private Hospital
1 South St
Kogarah
NSW 2217
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Country
53818
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Australia
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Phone
53818
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+61295531120
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Fax
53818
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Email
53818
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[email protected]
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Contact person for public queries
Name
53819
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Tania Matisan
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Address
53819
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Suite 3, Level 5
St George Private Hospital
1 South St
Kogarah
NSW 2217
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Country
53819
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Australia
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Phone
53819
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+61295531120
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Fax
53819
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Email
53819
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[email protected]
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Contact person for scientific queries
Name
53820
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Tania Matisan
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Address
53820
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Suite 3, Level 5
St George Private Hospital
1 South St
Kogarah
NSW 2217
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Country
53820
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Australia
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Phone
53820
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+61295531120
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Fax
53820
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Email
53820
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF