A tiny stomach tweak may calm reflux after weight-loss surgery — but does it hold up?
NCT ID NCT07749352
First seen Aug 06, 2026 · Last updated Aug 07, 2026 · Updated 1 time
Summary
This study looks at whether a procedure called endoscopic cardia banding plication (ECBP) can help people who still have severe heartburn and reflux after having a sleeve gastrectomy for obesity. The procedure narrows the opening between the stomach and esophagus using bands, without cutting tissue. Researchers reviewed the one-year outcomes of 47 patients who had this procedure, some of whom also received botulinum toxin injections. The goal is to see if this approach can reduce reflux symptoms and improve quality of life for people who haven't found relief with standard medications.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- endoscopic cardia banding plication (ECBP), a procedure that narrows the stomach opening to reduce reflux, sometimes combined with botulinum toxin injections
- What this could lead to
- If effective, this procedure could offer a less invasive option for people with severe reflux after weight-loss surgery, potentially reducing the need for stronger medications or additional surgery.
- What could go wrong
- This is a small, retrospective study without a comparison group, so results may not be conclusive. The procedure carries risks like any endoscopic intervention, and its long-term effectiveness is still uncertain.
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
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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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47 people
The number who actually took part.
- Started
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Sep 2022
- Finished
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Sep 2025
- Lead sponsor
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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
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18 years and older
- 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * previous LSG for obesity; * refractory GERD, defined as persistent typical reflux symptoms despite standard-dose PPI therapy for at least 8 consecutive weeks; * age ≥18 years; a * completion of a standardized 12-month postoperative follow-up Exclusion Criteria: * hiatal hernia identified on preoperative endoscopy, because band ligation of the cardia is not expected to correct the anatomical defect associated with a hiatal hernia, and such patients are generally referred for alternative management; * previous gastric or anti-reflux surgery other than LSG; * contraindications to endoscopic intervention; - incomplete baseline or follow-up data. All patients underwent routine preoperative endoscopic evaluation to confirm the absence of hiatal hernia and to characterize the gastroesophageal junction
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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
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China Japan friendship hospital
Beijing, Beijing Municipality, 100029, China
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Other studies related to the condition(s) this trial covers.
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