Can a stomach band boost weight loss in the most severe obesity?
NCT ID NCT07100327
First seen Sep 11, 2026 · Last updated Sep 11, 2026
Summary
Researchers compare two weight-loss operations in adults with Class IV obesity, defined as a body mass index of 50 or higher. One group receives standard sleeve gastrectomy, where surgeons remove most of the stomach. The other receives the same operation plus a polypropylene band placed around the upper stomach pouch to add restriction. The trial follows participants for three years to measure total weight loss and changes in related conditions such as type 2 diabetes.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Banded sleeve gastrectomy, a weight-loss operation that adds a polypropylene band around the top of the stomach pouch
- What this could lead to
- If the banded version works better, it could become a preferred option for people with the most severe obesity who need lasting weight loss.
- What could go wrong
- The band can slip, erode, or cause reflux, and any surgery carries risks. Weight loss may not differ between the two groups, and results in Egypt may not apply everywhere.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
-
219 people
The number who actually took part.
- Started
-
Jun 2022
- Finished
-
Jul 2025
- Lead sponsor
-
A government agency
The lead sponsor is a government body.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 to 60 years
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adults aged 18-60 years * BMI ≥ 50 kg/m² (Class IV obesity) * No prior gastrointestinal surgeries * No significant psychiatric or medical contraindications to surgery * Ability to provide informed consent Exclusion Criteria: * BMI \< 50 kg/m² * Refusal to undergo band placement * Active reflux disease or PPI use * Prior bariatric surgery * Pregnancy plans during the study period * Active cancer or life-limiting illness * Substance abuse or non-compliance with postoperative care * Gastroesophageal reflux disease. * Hiatal hernia.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
The surgical department of Medical Research Institute Hospital, Alexandria University
Alexandria, 21531, Egypt
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