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The EndoBarrier Device: A 3-year Follow up Study

Completed
Conditions
Diabetes
Obesity
Interventions
Device: EndoBarrier
Registration Number
NCT02566330
Lead Sponsor
Maastricht University Medical Center
Brief Summary

The aim in the current proposal is to evaluate the long-term outcome of the EndoBarrier device. The group of participants the investigators want to study participated in earlier studies at the Maastricht University Medical Center (MUMC) and the Atrium Medical Center in Heerlen. Three years of follow-up after the EndoBarrier device is now available. The investigators hope to give new insights in the postoperative status and postoperative symptoms experienced by the study participants using standardised questionnaires and evaluating blood samples. The goal of the investigators is to study the long-term effect of the EndoBarrier procedure and to possibly provide insight in the relation between success/failure and objective parameters.

Detailed Description

In this observational follow-up study of a randomised clinical trial a maximum of 29 study participants may be included. These study participants were previously enrolled in the EndoBarrier device study at the MUMC or the Atrium Medical Centre Heerlen. The focus of this study lays on the long-term outcomes measured by EWL, postoperative blood sampling and questionnaires. These measurements, samples and questionnaires will be taken to assess the long-term effectiveness of the EndoBarrier device in the treatment of morbid obesity. Participants who were previously enrolled in the EndoBarrier device study at the MUMC or at the Atrium Medical Centre in Heerlen and who have agreed to participate in this study will be requested to arrive at the outpatient clinic of the MUMC after an overnight fast. Blood sample will be taken for total cholesterol, HDL, LDL, triglycerides, Hb, Ht, iron, HbA1c, insulin levels, glucose, amylase, lipase, C-peptide, Creatinine, vitamin D, Calcium, ALAT, ASAT, AF, gamma GT, albumin, CK-18, L-FABP, FGF19, Total bile salts and bile salt composition. These parameters are associated with risk factors in morbid obesity namely: Nonalcoholic Fatty Liver disease, hypertension, diabetes mellitus type II (DMII), coronary heart disease and osteoarthritis. After the blood sampling, physical health will be assessed by means of standard physical examination (weight, waist size, length, blood pressure, heart rate, breathing frequency). Then, the participant will be requested to fill in a validated questionnaire. In this study the SF-36 quality of life questionnaire will be used. This is a validated questionnaire assessing non-specific symptoms and quality of life after Bariatric surgery.

Three years of follow-up after the EndoBarrier device is now available. The investigators hope to give new insights in the postoperative status and postoperative symptoms experienced by participants using standardised questionnaires and evaluating blood samples. The goal of the investigators is to study the long-term effect of the EndoBarrier procedure and to possibly provide insight in the relation between success/failure and objective parameters.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
10
Inclusion Criteria
  • Participants who were previously enrolled in the randomized clinical EndoBarrier procedure trial at the MUMC and the Atrium Medical Centre Heerlen regardless of their excess weight loss.
  • Participants who have a follow up of at least 3 years.
  • Signed informed consent.
Exclusion Criteria
  • Post-EndoBarrier conventional bariatric surgery
  • Participants who were lost to follow-up during the previous conducted EndoBarrier clinical trial.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
EndoBarrierEndoBarrierParticipants who were previously enrolled in the randomized clinical EndoBarrier procedure trial at the MUMC and the Atrium Medical Centre Heerlen.
Primary Outcome Measures
NameTimeMethod
Excess Weight (%)36 months post explant EndoBarrier Liner
Secondary Outcome Measures
NameTimeMethod
Insulin levels (mmol/L)36 months post explant EndoBarrier Liner
Total Cholesterol (mmol/L)36 months post explant EndoBarrier Liner
SF-36 health related quality of life, patient-reported survey of patient health36 months post explant EndoBarrier Liner

The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability.

FGF 19 (ng/ml)36 months post explant EndoBarrier Liner
ASAT (U/L)36 months post explant EndoBarrier Liner
Amylase (U/L)36 months post explant EndoBarrier Liner
BMI (Kg/M2)36 months post explant EndoBarrier Liner
Diastolic blood pressure (mmHg)36 months post explant EndoBarrier Liner
glucose levels (mmol/L)36 months post explant EndoBarrier Liner
HbA1c level (%)36 months post explant EndoBarrier Liner
Triglycerides (mmol/L)36 months post explant EndoBarrier Liner
HDL (mmol/L)36 months post explant EndoBarrier Liner
LDL (mmol/L)36 months post explant EndoBarrier Liner
L-FABP (ng/ml)36 months post explant EndoBarrier Liner
Lipase (U/L)36 months post explant EndoBarrier Liner
ALAT (U/L)36 months post explant EndoBarrier Liner
AF (U/L)36 months post explant EndoBarrier Liner
GammaGT (U/L)36 months post explant EndoBarrier Liner
Albumin (g/L)36 months post explant EndoBarrier Liner
CK-18 (U/L)36 months post explant EndoBarrier Liner
C-peptide (nmol/L)36 months post explant EndoBarrier Liner
Systolic blood pressure (mmHg)36 months post explant EndoBarrier Liner

Trial Locations

Locations (1)

Maastricht University Medical Center

🇳🇱

Maastricht, Limburg, Netherlands

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