Assessment of Fistula Closure by OTSC Clip After Bariatric Surgery
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Purpose
Anastomotic fistula following bariatric surgery are lifethreatening complication with a 37.5% mortality rate. All the modalities for bariatric surgery are involved in this type of complication, but Sleeve gastrectomy is the main surgery responsible for the frequency and the severity of the fistula. The management of this complication is still controversial and potentially lethal. The average number of endoscopic sessions was 4 (range 2-11). The closure could be obtained within a mean time of 88 days (range 6-216 days). Therefore endoscopic management has to be improved to reduce the duration of the treatment and the number of endoscopic sessions. OTSC clips could help to improve the endoscopic management because of a more prehensive, deeper and larger suture area.
| Condition | Intervention |
|---|---|
|
Bariatric Surgery (Sleeve Gastrectomy ) |
Device: CLIP OST |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Assessment of Fistula Closure by OTSC Clip After Bariatric Surgery |
- The efficacity of closure of fistulas by clips ovesco [ Time Frame: 12 months ] [ Designated as safety issue: Yes ]
- The efficacity of the suture in 3 months of these complex refractory fistulas [ Time Frame: 12 months ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 15 |
| Study Start Date: | January 2011 |
| Estimated Study Completion Date: | July 2012 |
| Primary Completion Date: | May 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: clips OST | Device: CLIP OST |
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- age upper to 18 years
- surgery bariatrique typical Sleeve
- presence of one or two fistulas < 1 cm, beforehand drained and without sepsis evolutionary
- signature of the consent
Exclusion Criteria:
- surgery bariatrique other one than Sleeve
- refusal of the patient of this endoscopic repeated coverage(care) requiring several sessions of endoscopies under AG with hospitalizations
- Current Sepsis
- not drained cavity
- Absence of signed consent
Contacts and Locations| Contact: MARC BARTHET | 04 91 96 87 37 | marc.barthet@ap-hm.fr |
| France | |
| Assistance Publique Hopitaux de Marseille | Recruiting |
| Marseille, France, 13354 | |
| Contact: marc barthet marc.barthet@ap-hm.fr | |
| Study Director: | BERNARD BELAIGUES | Assistance Publique hôpitaux de Marseille |
More Information
No publications provided
| Responsible Party: | direction de la recherche, ASSISTANCE PUBLIQUE HOPITAUX DE MARSEILLE |
| ClinicalTrials.gov Identifier: | NCT01286714 History of Changes |
| Other Study ID Numbers: | 2010-A01210-39, 2010-21 |
| Study First Received: | January 28, 2011 |
| Last Updated: | March 30, 2012 |
| Health Authority: | France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis) |
ClinicalTrials.gov processed this record on June 17, 2013