Prospective Studies in Progress Prospective Randomized Trial Evaluating the Utility of Esophageal Stitches During Laparoscopic Fundoplication

In a previous two-center trial, we found that mobilization of the distal esophagus by circumferentially dividing the esophago-crural attachments predisposes to post-operative herniation of the fundoplication wrap.

Currently, our recommendation is leave the phreno-esophageal membrane intact. However, in the previous study, both groups received four stitches between the esophagus and crura; two on the right side, and two on the left.

In this study, we will compare the use of these four esophago-crural sutures vs. not using these stitches. Similar to the last study, hiatal herniation is the primary outcome variable. Based on the wrap transmigration rates from the last study, we will enroll 120 patients.

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