Anterior Gastropexy for Hiatal Hernia

Recruiting in Palo Alto (17 mi)

Age: 18+

Sex: Any

Travel: May Be Covered

Time Reimbursement: Varies

Trial Phase: Academic

Waitlist Available

Sponsor: Clayton Petro

No Placebo Group

Trial Summary

What is the purpose of this trial?This study evaluates the effect of anterior gastropexy (one or more sutures fixing the stomach to the inner abdominal wall) on improving durability of paraesophageal hernia repair. Half of participants will receive anterior gastropexy, while the other half will not. The hypothesis is that anterior gastropexy will help to prevent paraesophageal hernias from recurring.

Eligibility Criteria

This trial is for adults over 18 with a symptomatic paraesophageal hernia that's at least 5cm tall, as seen on an upper GI study or endoscopy. They must be able to do follow-ups and are scheduled for elective laparoscopic hernia repair, which can switch to open surgery if needed. It's not for those who've had previous esophagus/stomach surgeries, emergency operations for twisted stomachs, or need a feeding tube or weight-loss related procedures.

Inclusion Criteria

My surgery will involve stitching the crura together.

Paraesophageal hernia is at least 5 centimeters in height on upper GI study or endoscopy

I can attend all required follow-up appointments.

+3 more

Exclusion Criteria

I need immediate surgery for a twisted stomach.

I have had surgery on my esophagus or stomach before.

I had surgery to fix a hernia near my esophagus and surgery to make my stomach smaller at the same time.

+1 more

Participant Groups

The study tests whether anterior gastropexy (stitching the stomach to the abdominal wall) prevents paraesophageal hernias from coming back after repair surgery. Participants will be randomly divided into two groups: one receiving gastropexy and the other not, to compare outcomes.

2Treatment groups

Experimental Treatment

Active Control

Group I: Intervention 2 (Treatment)Experimental Treatment1 Intervention

Anterior gastropexy will be performed.

Group II: Intervention 1 (Control)Active Control1 Intervention

No anterior gastropexy will be performed.