A nerve block may ease pain after gastric bypass and reduce opioid use
NCT ID NCT03367728
First seen Aug 31, 2026 · Last updated Sep 01, 2026 · Updated 1 time
Summary
This trial tests whether injecting a local anesthetic called ropivacaine into the abdominal wall during gastric bypass surgery can reduce the need for opioid painkillers in the first 24 hours after the operation. Half of the 148 participants receive the nerve block, while the other half receive a placebo (saltwater) injection. Researchers also measure breathing recovery and pain scores to see if the block improves overall recovery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Ropivacaine, a local anesthetic injected as a nerve block during surgery
- What this could lead to
- If it works, this could point toward a standard way to manage pain after gastric bypass with fewer opioids, leading to faster recovery and less risk of opioid dependence.
- What could go wrong
- The trial is relatively small and the benefit may be modest. The nerve block might not reduce opioid use enough to matter, and there is a small risk of complications from the injection itself.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
-
148 people
The number who actually took part.
- Started
-
Nov 2018
- Finished
-
Mar 2020
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- 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: * Patients undergoing Roux-en-Y gastric bypass surgery; * Patients who able to tolerate general anesthetic and pneumoperitoneum; * Patients who able to provide informed consent for the surgery; * Patients over the age of 18 years; Exclusion Criteria: * Patient undergoing planned sleeve gastrectomy (intra-op conversion to sleeve gastrectomy after delivery of Ropivacaine/placebo will be included and analyzed using intention-to-treat approach) * Patients with an allergy to local anesthetics * Patients with severe underlying cardiovascular disease (ie: congestive heart failure, conduction abnormalities, and ischemic heart disease) * Patients with chronic renal disease Stage 3 or greater (Creatinine clearance less than 60mL/min) * Patients with hepatic dysfunction Child-Pugh Class B or C * Patients with previous foregut surgery including esophageal, gastric, liver, and pancreas resections * Patients weighing less than or equal to 100 kilograms as measured in the pre-admission unit * Patients enrolled in any other study involving involve tissue biopsy. * Patients with Chronic Pain and Chronic Opioid use- Oral Morphine Equivalent of \>100mg/day
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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 Ottawa Hospital
Ottawa, Ontario, K1Y 4E9, Canada
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