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Gastropexy in the Repair of Patients With Paraesophageal Hernias — PEH3  

Paraesophageal Hernia Clinical Trial

Official title:
Can Gastropexy Improve the Efficacy of the Crural Repair in Patients With Paraesophageal Hernias? A Double Blind, Randomized, Multicenter Clinical Trial

Clinical Trial Summary

Patients scheduled for surgery for primary paraesophageal herniation are randomized to either conventional surgical hernia repair or with the addition of gastropexy.

Clinical Trial Description

Patient undergoing surgery for primary paraesophageal herniation, are randomized to either the control group or interventional group. The control group have a crural repair alone to which is added a short and floppy Nissen fundoplication. The interventional arm contains the addition of a gastropexy which incorporates fixation of the left part of the wrap to the diaphragm as well as the posterior part to the right crus. Finally the minor curvature of the stomach is sutured left to the midline of the abdominal wall. The patients are examined by computed tomography before surgery and at 1 and 3 years after surgery. SF-36 (global quality of Life instrument), GSRS (Gastrointestinal Symptoms Rating Scale), Reflux frequency issues and Watson's dysphagia score are completed before and at 3 and 6 month as well as 1 and 3 years after surgery. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT06107634
Study type Interventional
Source Ersta Diakoni
Contact Marcus Reuterwall Hansson, PhD
Phone +466147500
Email marcus.reuterwall.hansson@ki.se
Status Recruiting
Phase N/A
Start date June 1, 2023
Completion date August 2, 2030
View Details
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