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Trial registered on ANZCTR
Registration number
ACTRN12625000796482
Ethics application status
Approved
Date submitted
16/06/2025
Date registered
25/07/2025
Date last updated
25/07/2025
Date data sharing statement initially provided
25/07/2025
Type of registration
Retrospectively registered
Titles & IDs
Public title
The effect of gastric surgeries (anti-reflux or bariatric) on symptoms and gastric activity using Gastric Alimetry in patients indicated for gastric surgery
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Scientific title
The effect of gastric surgeries (anti-reflux or bariatric) on symptoms and gastric activity using Gastric Alimetry in patients indicated for gastric surgery
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Secondary ID [1]
314649
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Chronic gastrointestinal symptoms following anti-reflux or bariatric surgery
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Gastric dysmotility
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Abnormal gastric myoelectrical activity
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Post-surgical functional gastrointestinal disorders
337816
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Condition category
Condition code
Oral and Gastrointestinal
334155
334155
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0
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Normal oral and gastrointestinal development and function
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Oral and Gastrointestinal
334156
334156
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
This is a prospective observational cohort study. The exposure is gastric surgery (anti-reflux or bariatric), undertaken as part of standard clinical care. The study will observe changes in gastric function and symptoms before and after surgery.
Participants would not have routine clinical access to body surface gastric mapping (BSGM) outside of research; however, they may be able to undergo BSGM in other clinical studies run by Alimetry (longitudinal study). Access to BSGM is not limited solely to this study but is available through participation in approved research protocols.
The Gastric Alimetry device is a non-invasive test applied to the upper abdomen (stomach region) using a flexible array containing 64 electrodes adhered to the skin. Participants recline comfortably during the ~4.5-hour test, which captures high-resolution gastric myoelectrical activity along with real-time symptom logging. (Refer to the attached protocol for full procedural details.)
Procedures and activities include:
Participants will undergo body surface gastric mapping (BSGM) using the Gastric Alimetry device. This is a non-invasive test lasting approximately 4.5 hours. The baseline BSGM will be performed 1–30 days prior to the planned surgery.
Participants will complete validated questionnaires at baseline, 6 months, and 12 months. These include GCSI, PAGI-SYM, PAGI-QOL, EQ-5D, STAI-6, PHQ-8, GAD7, PSS4, and possibly the GCSI Daily Diary Symptom scale.
BSGM will be repeated at 6 months post-surgery
Medical records will be reviewed to confirm clinical history and surgery details.
Delivery and personnel:
The BSGM test and questionnaire administration will occur face-to-face and individually at the Macarthur Clinical School, Western Sydney University.
Trained clinical research staff or medical students under supervision will conduct the assessments.
Surgery will be performed independently by the treating surgical teams as per standard care at affiliated hospitals.
For the purposes of this study, standard care is defined as the routine clinical management of patients undergoing gastric surgery (anti-reflux or bariatric) by their treating surgical teams. This includes the usual pre-operative assessment, the surgical procedure performed according to standard hospital protocols, and post-operative follow-up as determined by the treating clinician. The study is observational only and will not alter or influence the clinical care pathway or surgical decision-making.
Duration of observation:
Each participant will be followed for up to 12 months post-surgery.
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Intervention code [1]
331278
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Diagnosis / Prognosis
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Comparator / control treatment
No control group.
This is an observational study assessing changes in gastric function and symptoms before and after standard-of-care gastric surgery (anti-reflux or bariatric) without a comparator or control treatment.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Change in BSGM metrics after surgery compared to baseline
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Assessment method [1]
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BSGM test (4.5 hr recording)
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Timepoint [1]
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Baseline, 6-month after the surgery
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Secondary outcome [1]
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Proportion of patients with BSGM abnormalities after surgery
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Assessment method [1]
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BSGM test (4.5 hr recording)
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Timepoint [1]
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6-month after the surgery
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Secondary outcome [2]
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Symptom severity
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Assessment method [2]
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GCSI, PAGI-SYM, GCSI Daily Diary Symptom (Composite)
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Timepoint [2]
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30 days, 90 days, 6 months, 12 months post surgery
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Secondary outcome [3]
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Quality of Life
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Assessment method [3]
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PAGI-QOL, EQ-5D (Composite)
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Timepoint [3]
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30 days, 90 days, 6 months, 12 months post surgery
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Secondary outcome [4]
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Psychometric Measures
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Assessment method [4]
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STAI-6, PHQ-8, GAD-7, PSS-4 (Composite)
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Timepoint [4]
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30 days, 90 days, 6 months, 12 months post surgery
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Eligibility
Key inclusion criteria
- 18 years old
- Indicated for a gastric surgery (anti-reflux or bariatric)
- Can give informed consent
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
- Pregnant or breast-feeding
- Inability to perform BSGM test: history of severe skin allergies or sensitivity to adhesives, cosmetics or lotions; chronically damaged or vulnerable epigastric skin (fragile skin, wounds, inflammation); unable to remain in a relaxed reclined position for the test duration.
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Study design
Purpose
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Duration
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Selection
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Timing
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Statistical methods / analysis
Correlation between change in BSGM metrics and symptoms will be assessed using Pearson’s correlation coefficient.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
18/06/2025
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
20
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Accrual to date
2
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Health Research Council of New Zealand
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Address [1]
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Country [1]
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New Zealand
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Primary sponsor type
University
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Name
Western Sydney University
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Address
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
321681
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Country [1]
321681
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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University of Western Sydney Human Research Ethics Committee
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Ethics committee address [1]
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https://www.westernsydney.edu.au/research/research_ethics_and_integrity/human_ethics/apply_for_human_research_ethics_review
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Ethics committee country [1]
317793
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Australia
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Date submitted for ethics approval [1]
317793
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01/08/2022
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Approval date [1]
317793
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01/11/2022
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Ethics approval number [1]
317793
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Summary
Brief summary
This study aims to investigate how gastric surgeries, such as anti-reflux or bariatric surgery, affect stomach function and related symptoms. A non-invasive test called body surface gastric mapping (BSGM) will be used before and after surgery to measure changes in stomach activity. Participants will also complete questionnaires about their symptoms, quality of life, and psychological health. The study will follow participants for 12 months after surgery to assess changes over time. Researchers hope to better understand how these surgeries influence symptoms and identify which patients may benefit most from them.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Vincent Ho
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Address
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Campbelltown Hospital, Therry Rd, Campbelltown NSW 2560
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Country
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Australia
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Phone
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+61 2 4634 4001
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Dr Madhuri Venigalla
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Address
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Macarthur Clinical School, Parkside Cres, Campbelltown NSW 2560
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Country
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Australia
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Phone
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+61 2 4634 4579
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Madhuri Venigalla
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Address
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Macarthur Clinical School, Parkside Cres, Campbelltown NSW 2560
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Country
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Australia
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Phone
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+61 2 4634 4579
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Fax
142172
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Email
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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