Spit test may spot reflux risk after gastric sleeve surgery
NCT ID NCT07607067
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at whether measuring bile acids and pepsin in saliva can help identify people who develop acid reflux or esophageal damage after sleeve gastrectomy (a type of weight-loss surgery). About 60 adults will give saliva samples before surgery and again 1 and 3 years after, along with routine check-ups and questionnaires. The goal is to see if these saliva tests could become a simple way to predict who needs follow-up care.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 60 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Dec 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2029
An estimate. End dates often move.
- 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.
Who is studied
Adults with severe obesity undergoing primary sleeve gastrectomy as part of routine clinical care at participating bariatric centers, without previous conclusive reflux-related esophageal disease on preoperative upper gastrointestinal endoscopy. Participants will be prospectively evaluated before and after surgery with saliva biomarker analysis, reflux symptom assessment, and routine postoperative endoscopic follow-up.
- Ages
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18 to 65 years
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
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 years or older undergoing sleeve gastrectomy at a participating center. * Indication for obesity treatment with sleeve gastrectomy according to the 2022 ASMBS-IFSO consensus criteria, with a maximum body mass index (BMI) of 50 kg/m². * Approved for sleeve gastrectomy by the obesity multidisciplinary committee. * Ability and willingness to provide informed consent for biological sample collection and analysis. * Ability to understand and comply with scheduled follow-up visits. Exclusion Criteria: * According to Lyon 2.0 criteria, participants with previous evidence of conclusive reflux disease, including Los Angeles grade B, C, or D esophagitis, peptic stricture, or Barrett's esophagus diagnosed before surgery. * Bariatric procedures other than sleeve gastrectomy, including Roux-en-Y gastric bypass or revisional bariatric surgery. * History of other preexisting esophageal diseases. * Previous esophageal surgery. * Active cholestatic hepatobiliary disease or treatment with bile acid sequestrants, ursodeoxycholic acid, or medications that significantly alter bile acid metabolism at the time of saliva sampling or within one month before sample collection. * Acute infection or systemic antibiotic treatment within four weeks before saliva sample collection. * Pregnancy or breastfeeding.
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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
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The official record
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