Can tailoring bypass length to the individual improve Weight-Loss surgery?
NCT ID NCT07796503
First seen Sep 01, 2026 · Last updated Sep 02, 2026 · Updated 1 time
Summary
This trial compares two surgical techniques used during one-anastomosis gastric bypass for severe obesity. One method sets the length of the bypassed intestine based on the patient's measured total small bowel length, while the other uses standard lengths based on body mass index. Researchers will track weight loss, improvement in obesity-related health problems, and complication rates over 12 months. The goal is to see if a personalized approach leads to better outcomes and fewer side effects.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Two surgical techniques for setting the length of the bypassed small intestine during one-anastomosis gastric bypass: one based on the patient's measured total small bowel length, the other based on standard BMI categories.
- What this could lead to
- If the TSBL-based method works better, it could lead to more effective and safer gastric bypass surgery, with better weight loss and fewer nutritional problems for people with severe obesity.
- What could go wrong
- This is a single-center trial with a modest number of patients, and the results are interim. The TSBL-based method may not prove superior, and surgery carries risks like infection, bleeding, or nutritional deficiencies.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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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
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About 100 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2023
- Expected to finish
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Nov 2027
An estimate. End dates often move.
- Lead sponsor
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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
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18 to 65 years
- Sex
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Anyone
- Healthy volunteers
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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: * Age between 18 and 65 years * BMI ≥35 kg/m² in non-Asian populations or ≥32.5 kg/m² in Asian populations * Presence or absence of metabolic comorbidities (including type 2 diabetes, hypertension, and dyslipidaemia) * Eligibility for primary one-anastomosis gastric bypass (OAGB) * Provision of written informed consent Exclusion Criteria: * BMI below the defined thresholds * Severe decompensated cardiac, pulmonary, hepatic, or renal disease * Acute inflammatory conditions * Active gastric or duodenal ulcer * Psychiatric disorders or substance abuse * Pregnancy or breastfeeding * Active malignancy * Severe intra-abdominal adhesions due to prior surgery * Secondary obesity related to hypothalamic-pituitary-adrenal axis disorders
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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JSC "National Scientific Center of Surgery named after A.N. Syzganov"
RECRUITINGAlmaty, Kazakhstan
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