Newer Weight-Loss surgery may beat the gold standard
NCT ID NCT03610256
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study compared two types of weight-loss surgery: the newer SADI-S and the standard RYGB. Researchers wanted to see which one leads to more weight loss after two years. The trial involved 382 adults with severe obesity and measured safety and nutritional effects as well.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- SADI-S (single-anastomosis duodeno-ileal bypass with sleeve gastrectomy) and RYGB (Roux-en-Y gastric bypass) surgical procedures
- What this could lead to
- If SADI-S proves superior, it could become a preferred surgical option for severe obesity, offering greater weight loss with fewer complications.
- What could go wrong
- This is a completed trial comparing two established surgeries, so results are reliable but may not apply to all patients. Both procedures carry risks like malnutrition and surgical complications.
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
-
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
-
382 people
The number who actually took part.
- Started
-
Oct 2018
- Finished
-
Dec 2023
- 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 to 65 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: * Patient aged between 18 and 65 years old, * Morbid obesity with BMI ≥40 kg/m2 or BMI ≥35 kg/m2 associated with one co-morbidity which will be improved by surgery (high blood pressure, type 2 diabetes mellitus, obstructive sleep apnea, dyslipidemia, arthrosis) * Patient who has benefited from an upper GI endoscopy with biopsies to look for Helicobacter pylori , within the 12 months before surgery, * Patient who has benefited from a pluridisciplinary evaluation, with a favorable opinion for SADI-S or RYGB as a primary surgery or after failure of sleeve gastrectomy (defined as insufficient weight loss at 18 months after surgery (EWL% \<50), or as weight regain (+ 20%)). * Patient who understands and accepts the need for a long term follow-up, * Patient who agrees to be included in the study and who signs the informed consent form, * Patient affiliated with a healthcare insurance plan. Exclusion Criteria: * History of previous bariatric surgery, other than a sleeve gastrectomy, * Presence of a severe and evolutive life threatening pathology, unrelated to obesity, * History of type 1 diabete, * History of chronic inflammatory bowel disease, * Pregnancy or desire to be pregnant during the study, * Presence of Helicobacter pylori resistant to medical treatment, * Presence of a unhealed gastro-duodenal ulcer or diagnosed less than 2 months previously, * Mentally unbalanced patients, under supervision or guardianship, * Patient who does not understand French/ is unable to give consent, * Patient not affiliated to a French or European healthcare insurance, * Patient who has already been included in a trial which has a conflict of interests with the present study
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Obesity, morbid are added.
Genom att skicka in godkänner du våra Användarvillkor
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
-
Département de Chirurgie Digestive - CHU Grenoble
Grenoble, 38043, France
-
Département de Chirurgie Digestive - Institut Mutualiste Montsouris
Paris, 75014, France
-
Département de Chirurgie Digestive et Bariatrique, Clinique Mutualiste de l'Estuaire
Saint-Nazaire, 44600, France
-
Département de Chirurgie Digestive et Hépatobiliaire - Centre Hospitalier Privé Saint Grégoire
Saint-Grégoire, 35760, France
-
Département de Chirurgie Digestive et Hépatobiliaire - Hôpital Pitié Salpétrière
Paris, 75013, France
-
Département de Chirurgie Digestive et Thoracique, Hôpitaux Civils de Colmar
Colmar, 68024, France
-
Département de Chirurgie Digestive et Viscérale - Clinique de l'Anjou
Angers, 49000, France
-
Département de Chirurgie Digestive et Viscérale, Centre Hospitalier Jean Marcel
Brignoles, 83170, France
-
Département de Chirurgie Digestive, Centre Hospitalier René Dubos
Cergy-Pontoise, 95303, France
-
Service d'Endocrinologie, Diabète et Nutrition - Centre Hospitalier Lyon Sud - HCL
Pierre-Bénite, 69495, France
-
Service de Chirurgie Digestive - Centre Hospitalier Intercommunal de Créteil
Créteil, 94000, France
-
Service de Chirurgie Digestive - Hôpital Bichat
Paris, 75018, France
-
Service de Chirurgie Digestive et Bariatrique - Hôpital Edouard Herriot - HCL
Lyon, 69437, France
-
Service de Chirurgie Digestive et Endocrinienne - Groupe Hospitalier Pellegrin
Bordeaux, 33076, France
-
Service de Chirurgie Digestive et Endocrinienne - Hôtel Dieu
Nantes, 44000, France
-
Service de Chirurgie Digestive et Transplantation - Hôpital Archet II
Nice, 06202, France
-
Service de Chirurgie Digestive et Viscérale - Clinique La Parisière
Bourg-de-Péage, 26300, France
-
Service de Chirurgie Digestive, Générale et Cancérologique - HEGP
Paris, 75908, France
-
Service de Chirurgie Digestive, Hépatobiliaire et Endocrinienne - Hôpital Brabois adultes
Vandœuvre-lès-Nancy, 54511, France
-
Service de Chirurgie Digestive, Hôpital Rangueil
Toulouse, 31059, France
-
Service de Chirurgie Générale et Digestive - Hôpital Louis Mourier
Colombes, 92700, France
-
Service de Chirurgie Générale et Endocrinienne - Hôpital Huriez
Lille, 59037, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can Weight-Loss surgery patients skip the opioids?
- Can tailoring bypass length improve weight loss surgery results?
- Could cutting Ultra-Processed foods reverse childhood metabolic syndrome?
- Can big data reveal why some patients suffer after Weight-Loss surgery?
- Spinal cord stimulation: a surprising key to unlocking metabolism?
- Can a new stomach surgery tame acid reflux without hiding cancer risks?