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Hiatoplasty with ligamentum teres augmentation vs dorsal hiatoplasty alone for the surgical treatment of postbariatric, symptomatic hiatal hernias

Hiatoplasty with ligamentum teres augmentation vs dorsal hiatoplasty alone for the surgical treatment of postbariatric, symptomatic hiatal hernias - HP alone vs HP+LTA for pbHH

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
DRKS
Registry ID
DRKS00026203
Enrollment
30
Registered
2022-01-26
Start date
2022-03-01
Completion date
Unknown
Last updated
2025-04-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

K44 E66

Interventions

Group 1: Dorsal stand-alone hiatoplasty Group 2: Dorsal hiatoplasty with additional ligamentum teres augmentation

Sponsors

Universitätsklinikum Freiburg, Departemnt Chirurgie, Klinik für Allgemein- und Viszeralchirurgie
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 65 Years

Inclusion criteria

Inclusion criteria: Inclusion criteria: Patients after Roux- en – Y gastric bypass for obesity AND At least 3 symptoms of the symptomatic pbHH cluster: bloating (nausea/vomiting or fullness), abdominal pain, regurgitation, food intolerance or dysphagia AND Hiatal hernia > 2cm in gastrografin swallow AND Indication and consent to revisional surgery AND Signed informed consent to study participation

Exclusion criteria

Exclusion criteria: Exclusion criteria • 65 years of age • Pregnancy • Lack of the ligamentum teres due to previous upper GI surgery (eg. laparotomy, liver resection, open cholecystectomy)

Design outcomes

Primary

MeasureTime frame
Symptomatic control using GERD HRQL and QOLRAD RI score at 12 months postoperative—

Secondary

MeasureTime frame
Recurrence rates (Gastrografin X ray, Endoscopy) Refluxesophagitis (Endoscopy) Lower esophageal sphincter pressure (manometry)—

Countries

Germany

Contacts

Public ContactMira Fink

Klinik für Allgemein und Viszeralchirurgie, Universitätsklinikum Freiburg

mira.fink@uniklinik-freiburg.de076127024010

Outcome results

None listed

Source: DRKS (via WHO ICTRP) · Data processed: Feb 4, 2026