Status:

COMPLETED

Comparative Analysis of Postoperative Manometry Outcomes in Nissen vs Toupet Fundoplication

Lead Sponsor:

Ain Shams University

Conditions:

GERD - Gastro-Esophageal Reflux Disease

Eligibility:

All Genders

18-65 years

Phase:

NA

Brief Summary

This randomized controlled trial investigates the effects of laparoscopic Nissen and Toupet fundoplication on postoperative esophageal manometry findings in patients with gastroesophageal reflux disea...

Detailed Description

Preoperative Setting: Before surgery, all patients underwent a thorough clinical assessment to evaluate the severity of their GERD symptoms, history of medication use, and the presence of extra-esoph...

Eligibility Criteria

Inclusion

  • Adult patients between 18 and 65 years of age
  • Patients with pre-operable low LES pressure proven by High resolution manometry.
  • Patients refractory to medical therapy: Persistent symptoms after 12 weeks of maximal medical therapies, recurrence upon cessation of medications.
  • Patients who are non-compliance with medical therapies or inability to tolerate medical therapies .
  • Patients with esophageal motility more than 30%

Exclusion

  • Patients with esophageal motility less than 30%.
  • Patent with morbidly obese (BMI more than 35 kg/m2),
  • Patients with recent upper abdominal surgery or severely shortened esophagus
  • Extremes of age less than 18 and more than 65.
  • Patients who are unfit for general anesthesia (ASAIII,IV or V)..

Key Trial Info

Start Date :

March 10 2024

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

March 15 2025

Estimated Enrollment :

20 Patients enrolled

Trial Details

Trial ID

NCT06986902

Start Date

March 10 2024

End Date

March 15 2025

Last Update

May 23 2025

Active Locations (1)

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1

Ain Shams University

Cairo, Egypt, Egypt, 11111