Actively Recruiting

Phase Not Applicable
Age: 18Years - 70Years
All Genders
ID02937649

Multicentric Randomized Study on Bougie Size Impact During Laparoscopic Sleeve Gastrectomy and Postoperative Staple-line Leak Rate

Led by Assistance Publique - Hôpitaux de Paris · Updated on 2025-04-06

1658

Participants Needed

12

Research Sites

117 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating how the size of the bougie used during laparoscopic sleeve gastrectomy (LSG) affects the rate of postoperative stomach leaks, which is the most common and serious complication after this weight loss surgery. This prospective randomized trial compares the use of a larger 48-Fr bougie to standard smaller bougie sizes (34, 36, or 38 Fr) to see if a bigger diameter lowers leak risk without reducing long-term weight loss. Participants will undergo laparoscopic sleeve gastrectomy using either the 48-Fr bougie or a standard care bougie. The bougie is inserted through the mouth by the anesthesiologist and positioned in the stomach before the gastrectomy is performed alongside it. Patients do not know which bougie size they receive. This study aims to assess differences in leak rates and weight loss outcomes between the two bougie sizes. During the study, researchers will monitor participants for stomach leaks within 30 days after surgery as the primary outcome. Secondary outcomes include complications within 90 days, weight loss at 3, 6, 12, and 24 months, and quality of life up to 2 years. Participants will have follow-up visits for these assessments to track recovery, safety, and weight changes over time.

CONDITIONS

Brief Title

Bougie Sleeve Trial

Who Can Participate

Age: 18Years - 70Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients aged between 18 and 70 years
  • Sleeve gastrectomy as a primary bariatric procedure
  • Body Mass Index (BMI) over 40 kg/m² or over 35 kg/m² with at least one related health problem such as high blood pressure, sleep apnea, severe metabolic disorders including type 2 diabetes, osteo-articular disorders, or non-alcoholic steatohepatitis
  • Decision for surgery made after multidisciplinary discussion
  • Written informed consent provided
Not Eligible

You will not qualify if you...

  • Previous upper abdominal surgery except gallbladder removal
  • ASA (American Society of Anesthesiologists) score greater than 3
  • Current pregnancy or breastfeeding
  • Esophagus conditions like varices, diverticula, tumors, or strictures
  • Blood clotting disorders
  • Not covered by social security or on medical aid
  • Under legal guardianship or trusteeship
  • Known allergy to medical silicon in the calibration bougie
  • Other contraindications to esophageal bougie use identified by medical literature or practitioners

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Surgery and Immediate Post-operative Care

Duration - 1 day or until discharge

Participants undergo laparoscopic sleeve gastrectomy using either a 48-Fr bougie or a standard care bougie. The surgery is followed by immediate post-operative care.

1 surgical visit and hospital stay

Post-operative Follow-up

Duration - Up to 2 years

Participants are monitored for postoperative gastric leak, morbidity, and recovery, including assessments of weight loss and quality of life.

Follow-up visits at 3 months, 6 months, 1 year, and 2 years

Trial Site Locations

Total: 12 locations

1

Hôpital Ambroise Paré

Boulogne-Billancourt, France, 92104

Suspended

2

Hôpital Côte de Nacre CHU de Caen

Caen, France, 14033

Withdrawn

3

CHU Antoine Béclère

Clamart, France, 92140

Actively Recruiting

4

Centre hospitalier Intercommunal de Créteil

Créteil, France, 94010

Withdrawn

5

Hôpital MICHALLON, CHU de Grenoble

La Tronche, France, 38700

Withdrawn

6

Hôpital Dupuytren - Limoges

Limoges, France, 87042

Withdrawn

7

Clinique de l'Yvette

Longjumeau, France, 91120

Actively Recruiting

8

Service de chirurgie générale et digestive, œsogastrique et bariatrique - Hôpital Bichat

Paris, France, 75018

Actively Recruiting

9

CHI - Centre Hospitalier Poissy/Saint-Germain-en-Laye

Poissy, France, 78300

Actively Recruiting

10

CH Saint-Denis

Saint-Denis, France, 93200

Actively Recruiting

11

Clinique Mutualiste Chirurgicale

Saint-Etienne, France, 42100

Withdrawn

12

Hôpitaux de Brabois

Vandœuvre-lès-Nancy, France, 54500

Actively Recruiting

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Research Team

H

Hadrien TRANCHART, Dr

I

Ibrahim DAGHER, Pr

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Published Research Related To This Trial

Impact of the calibration bougie diametre during laparoscopic sleeve gastrectomy on the rate of postoperative staple-line leak (BOUST): study protocol for a multicentre randomized prospective trial.

Martin Gaillard, Panagiotis Lainas, Hélène Agostini...

https://pubmed.ncbi.nlm.nih.gov/34781991