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Obesity, MorbidBiFLuxNCT04422405

Functional Changes in the Stomach and Esophagus After One Anastomosis Gastric Bypass- OAGB

A study testing One Anastomosis Gastric Bypass (OAGB) in people with Obesity, Morbid and GERD, run by Spital Limmattal Schlieren at 1 site in Switzerland.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Evaluation of the functional changes in the stomach and esophagus of patients undergoing One Anastomosis Gastric Bypass (OAGB) Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Obesity, Morbid, GERD, Ulcer, Gastric
What is being tested?
One Anastomosis Gastric Bypass (OAGB)
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
300 participants
Where
1 siteSwitzerland
Study dates
1 Jun 2020to 28 May 2035
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • BMI> 35 kg/m2
  • 2 years of controlled conservative obesity treatment without weight reduction
  • patients should give their consent to participate in the study

Who cannot join

  • Less than 2 years of conservative obesity treatment
  • cancer
  • cirrhosis Child-Pough score A
  • Crohn's disease
  • serious psychiatric disorder, which led to in-hospital treatment in psychiatric clinic in the past two years
  • drug consumption
Show all 16Show fewer
  • non-compliance
  • hiatal hernia > 4cm
  • gastric pouch < 10cm
  • Barett esophagus
  • erosive esophagitis Grade C or D according to the Los Angeles Classification
  • endoscopically proven gastric stricture
  • acid exposition time > 6% (Lyon criteria)
  • reflux episodes> 80 /24 hours (Lyon criteria)
  • insufficient low esophageal sphincter according to manometry findings
  • pathological findings in the impedance pH-metry (acid and non-acid reflux)

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Switzerland1 site, 1 recruiting
  • Limmattal Hospital

    Schlieren, Canton of Zurich, 8952

    Urs Zingg, Prof., +41 44 733 21 26, urs.zingg@spital-limmattal.ch

    Recruiting

Other trials in Switzerland

About this study

Official title: Functional Changes in the Stomach and Esophagus After One Anastomosis Gastric Bypass- OAGB- BiFlux Trial

Evaluation of the functional changes in the stomach and esophagus of patients undergoing One Anastomosis Gastric Bypass (OAGB)

Being tested
One Anastomosis Gastric Bypass (OAGB)
Medical subject headings
Obesity, Morbid, Gastroesophageal Reflux, Stomach Ulcer

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • One Anastomosis Gastric Bypass (OAGB)Procedure or surgery

    Also called Mini-Gastric Bypass

    The procedure is performed laparoscopically. The "GIA" stapler divides the stomach at the junction of the body and antrum. An Ewald tube, roughly the diameter of the esophagus, is passed by the anesthetist and held against the lesser curvature. The division of the stomach against the tube is completed, with 5- 6 lines of staples. The division of the stomach is parallel to the lesser curvature and up to the angle of His. A point is selected on the small bowel about 200 cm distal to the ligament of Treitz. The jejunal loop is brought up antecolic, and the Endo-GIA stapler is used to perform the anastomosis between the stomach and the small bowel at this point. The distal end of the gastric tube is anastomosed to the side of the small bowel.

Study groups in NCT04422405
Study groupRoleWhat they receive
Patients undergoing OAGBExperimentalNot described
Receives: Procedure: One Anastomosis Gastric Bypass (OAGB)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Marginal ulcer rates

    Measured: 2 years post surgery

  2. Marginal ulcer rates

    Measured: 5 years post surgery

  3. Assessment of age as risk factor for marginal ulcer development

    Age of participants will be measured in years.

    Measured: 2 years post surgery

  4. Assessment of age as risk factor for marginal ulcer development

    Age of participants will be measured in years

    Measured: 5 years post surgery

  5. Assessment of gender as risk factor for marginal ulcer development

    The association between gender of participants (male/female) and incidence of marginal ulcers will be assessed.

    Measured: 2 years post surgery

  6. Assessment of gender as risk factor for marginal ulcer development

    The association between gender of participants (male/female) and incidende of marginal ulcers will be assessed.

    Measured: 5 years post surgery

  7. Assessment of tobacco use as risk factor for marginal ulcer development

    It will be assessed if the number of participants who are smokers correlates with the incidence of marginal ulcers.

    Measured: 2 years post surgery

  8. Assessment of tobacco use as risk factor for marginal ulcer development

    It will be assessed if the number of participants who are smokers correlates with the incidence of marginal ulcers.

    Measured: 5 years post surgery

  9. Assessment of alcohol use as risk factor for marginal ulcer development

    It will be assessed if the number of participants who report alcohol use correlates with the incidence of marginal ulcers.

    Measured: 2 years post surgery

  10. Assessment of alcohol use as risk factor for marginal ulcer development

    It will be assessed if the the number of participants who report alcohol use correlates with the incidence of marginal ulcers.

    Measured: 5 years post surgery

  11. Assessment of nonsteroidal antiinflammatory drug (NSAID) use as risk factor for marginal ulcer development

    It will be assessed if the number of participants who report NSAID use correlates with the incidence of marginal ulcers.

    Measured: 2 years post surgery

  12. Assessment of nonsteroidal antiinflammatory drug (NSAID) use as risk factor for marginal ulcer development

    It will be assessed if the number of participants who report NSAID use correlates with the incidence of marginal ulcers.

    Measured: 5 years post surgery

  13. Assessment of immunosuppressive medication usage as risk factor for marginal ulcer development

    It will be assessed if the number of participants who report immunosuppressive medication usage correlates with the incidence of marginal ulcers.

    Measured: 2 years post surgery

  14. Assessment of immunosuppressive medication usage as risk factor for marginal ulcer development

    It will be assessed if the number of participants who report immunosuppressive medication usage correlates with the incidence of marginal ulcers.

    Measured: 5 years post surgery

  15. Assessment of Helicobacter pylori as risk factor for marginal ulcer development

    It will be assessed if the incidence of Helicobacter pylori proven by biopsy correlates with the incidence of marginal ulcers.

    Measured: 2 years post surgery

  16. Assessment of Helicobacter pylori as risk factor for marginal ulcer development

    It will be assessed if the incidence of Helicobacter pylori proven by biopsy correlates with the incidence of marginal ulcer.

    Measured: 5 years post surgery

  17. Assessment of gastroesophageal reflux disease (GERD) as risk factor for marginal ulcer development

    It will be assessed if the incidence of GERD correlates with the incidence of marginal ulcers.

    Measured: 2 years post surgery

  18. Assessment of gastroesophageal reflux disease (GERD) as risk factor for marginal ulcer development

    It will be assessed if the incidence of GERD correlates with the incidence of marginal ulcers.

    Measured: 5 years post surgery

  19. Assessment of diabetes mellitus as risk factor for marginal ulcer development

    It will be assessed if the incidence of diabetes mellitus correlates with the incidence of marginal ulcers.

    Measured: 2 years post surgery

  20. Assessment of diabetes mellitus as risk factor for marginal ulcer development

    It will be assessed if the incidence of diabetes mellitus correlates with the incidence of marginal ulcers.

    Measured: 5 years post surgery

  21. Assessment of dyslipidemia as risk factor for marginal ulcer development

    It will be assessed if the incidence of dyslipidemia among the participants correlates with the incidence of marginal ulcers.

    Measured: 2 years post surgery

  22. Assessment of dyslipidemia as risk factor for marginal ulcer development

    It will be assessed if the incidence of dyslipidemia among the participants correlates with the incidence of marginal ulcers.

    Measured: 5 years post surgery

  23. Assessment of coronary artery disease (CAD) as risk factor for marginal ulcer development

    It will be assessed if the incidence of CAD among the participants correlates with the incidence of marginal ulcers.

    Measured: 2 years post surgery

  24. Assessment of coronary artery disease (CAD) as risk factor for marginal ulcer development

    It will be assessed if the incidence of CAD among the participants correlates with the incidence of marginal ulcers.

    Measured: 5 years post surgery

Secondary outcomes (28)
  1. Total weight loss % (TWL)

    Measured: 2 years post surgery

  2. Total weight loss % (TWL)

    Measured: 5 years post surgery

  3. Excess weight loss % (EWL)

    Measured: 2 years post surgery

  4. Excess weight loss % (EWL)

    Measured: 5 years post surgery

  5. Total BMI loss (TBL)

    Measured: 2 years post surgery

  6. Total BMI loss (TBL)

    Measured: 5 years post surgery

  7. Excess BMI loss (EBL)

    Measured: 2 years post surgery

  8. Excess BMI loss (EBL)

    Measured: 5 years post surgery

  9. Late morbidity (>30 days)

    Number of surgical complications according to Dindo-Clavien classification

    Measured: 30 days post surgery

  10. Late morbidity (>30 days)

    Number of surgical complications according to Dindo-Clavien classification

    Measured: 5 years

  11. Incidence of gastroesopagheal reflux disease (GERD)

    based on upper gastrointestinal endoscopy findings and classified according to the Los Angeles Classification

    Measured: 2 years post surgery

  12. Incidence of gastroesopagheal reflux disease (GERD)

    based on upper gastrointestinal endoscopy findings and classified according to the Los Angeles Classification

    Measured: 5 years post surgery

  13. Incidence of Barrett's esophagus

    based on biopsy findings

    Measured: 2 years post surgery

  14. Incidence of Barrett's esophagus

    based on biopsy findings

    Measured: 5 years post surgery

  15. Changes of esophageal motor function

    The esophageal motor function will be measured in mmHg via high-resolution manometry.

    Measured: 2 years post surgery

  16. Changes of esophageal motor function

    The esophageal motor function will be measured in mmHg via high-resolution manometry.

    Measured: 5 years post surgery

  17. Esophageal acid or bolus exposure

    Measured with impedance-pH Monitoring. Acid exposure (%) is defined as the total time the pH is < 4 divided by the time monitored. Bolus exposure (%) is defined as being analogous to acid exposure by adding the duration of all four reflux subcategories defined by the impedance, and dividing this value by the time monitored.

    Measured: 2 years post surgery

  18. Esophageal acid or bolus exposure

    Measured with impedance-pH Monitoring. Acid exposure (%) is defined as the total time the pH is < 4 divided by the time monitored. Bolus exposure (%) is defined as being analogous to acid exposure by adding the duration of all four reflux subcategories defined by the impedance, and dividing this value by the time monitored.

    Measured: 5 years post surgery

  19. Number of acid or alcaline reflux events

    Measured with impedance-pH Monitoring.

    Measured: 2 years post surgery

  20. Number of acid or alcaline reflux events

    Measured with impedance-pH Monitoring.

    Measured: 5 years post surgery

  21. Gastrointestinal quality of life (QoL): GIQLI

    The gastrointestinal (QoL) will be measured using the Gastrointestinal Quality of Life Index (GIQLI). The GIQLI is a validated tool to assess health- related quality of life of patients with gastrointestinal disease or patients who undergo gastrointestinal operations. Its scale is 0-128. Higher values indicate a better quality of life outcome.

    Measured: 2 years post surgery

  22. Gastrointestinal quality of life (QoL): GIQLI

    The gastrointestinal (QoL) will be measured using the Gastrointestinal Quality of Life Index (GIQLI). The GIQLI is a validated tool to assess health- related quality of life of patients with gastrointestinal disease or patients who undergo gastrointestinal operations. Its scale is 0-128. Higher values indicate a better quality of life outcome.

    Measured: 5 years post surgery

  23. Obesity- related quality of life (QoL): BAROS

    Obesity- related QoL will be measured with the BAROS (Bariatric Analysis and Reporting Outcome System). BAROS consists of a scoring table that includes three columns with the main areas of interest: weight loss, improvement of medical conditions, and QoL. A maximum of three points is given in each domain to evaluate changes after medical intervention (maximum score is 9 points). Higher scores indicate a better outcome.

    Measured: 2 years post surgery

  24. Obesity- related quality of life: BAROS

    Obesity- related QoL will be measured with the BAROS (Bariatric Analysis and Reporting Outcome System). BAROS consists of a scoring table that includes three columns with the main areas of interest: weight loss, improvement of medical conditions, and QoL. A maximum of three points is given in each domain to evaluate changes after medical intervention (maximum score is 9 points). Higher scores indicate a better outcome.

    Measured: 5 years post surgery

  25. Reflux-associated symptoms

    GERD symptoms will be measured with the Gastroesophageal reflux disease questionnaire (GERDQ). GERDQ has a scale between 0 and 18 points. Increasing scores correlate with increasing severity of heartburn symptoms.

    Measured: 2 years post surgery

  26. Reflux-associated symptoms

    GERD symptoms will be measured with the Gastroesophageal reflux disease questionnaire (GERDQ). GERDQ has a scale between 0 and 18 points. Increasing scores correlate with increasing severity of heartburn symptoms.

    Measured: 5 years post surgery

  27. Reflux-associated quality of life (QoL): GERD-HRQL

    Reflux- associated QoL will be assessed with the Health-related QoL scale for GERD (GERD-HRQL). The scale has 11 items, which focus on heartburn symptoms, dysphagia, medication effects and the patient's present health condition. Each item is scored from 0 to 5, with a higher score indicating a better QoL.

    Measured: 2 years post surgery

  28. Reflux-associated quality of life (QoL): GERD-HRQL

    Reflux- associated QoL will be assessed with the Health-related QoL scale for GERD (GERD-HRQL). The scale has 11 items, which focus on heartburn symptoms, dysphagia, medication effects and the patient's present health condition. Each item is scored from 0 to 5, with a higher score indicating a better QoL.

    Measured: 5 years post surgery

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Jun 2020
  2. Study start1 Jun 2020
  3. Primary completion28 May 2035 (estimated)
  4. Study completion28 May 2035 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
300 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04422405
Sponsor's protocol ID
SLS-003
Acronym
BiFLux
Status last verified
Jun 2025
First submitted
25 May 2020
Last updated
6 Jun 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing One Anastomosis Gastric Bypass (OAGB) in people with Obesity, Morbid and GERD, run by Spital Limmattal Schlieren at 1 site in Switzerland.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 6 Jun 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Switzerland. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Urs Zingg, MD, Prof. (+41 44 733 21 26, urs.zingg@spital-limmattal.ch), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Marginal ulcer rates (time frame: 2 years post surgery). The study lists 24 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Jun 2025.

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