Nissen and Gastroplasty in Gastroesophageal Reflux Disease (GERD)

G. Hatzikosta General Hospital90 enrolled

Overview

Laparoscopic Nissen Fundoplication has established itself as the procedure of choice in the surgical management of the majority of patients suffering from gastroesophageal reflux disease (GERD). Postoperative paraesophageal herniation has incidence ranges up to 7% in the immediate postoperative period. This randomized controlled study was scheduled to investigate the role of the posterior gastropexy, in combination with laparoscopic Nissen fundoplication, in prevention of paraesophageal herniation and improvement of postoperative results, in surgical treatment of GERD.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Gastroesophageal Reflux Disease Hiatal Hernia Barrett's Esophagus Esophagitis Dysphagia

Interventions

NissenPROCEDURE

Laparoscopic Nissen Fundoplication

GastropexyPROCEDURE

posterior gastropexy

Eligibility

Sex: ALLMin age: 18 YearsMax age: 75 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age \>18 years * Indications for surgical treatment of GERD * ASA I, II Exclusion Criteria: * ASA III, IV * Previous gastric procedures * Conversion to open procedure

Locations (1)

G. Hatzikosta General Hospital Department of Surgery

Ioannina, Epirus, Greece

Outcomes

Primary Outcomes

Laparoscopic Nissen fundoplication combined with posterior gastropexy may prevent postoperative paraesophageal or sliding herniation in surgical treatment of GERD

Time frame: 9-94 months postoperatively

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.