Esophageal Calibration During Laparoscopic Fundoplication Reduces Dysphagia
Esophageal Calibration With Soft Orogastric Tube During Laparoscopic Fundoplication Reduces Postoperative Transient Dysphagia
1 other identifier
interventional
50
1 country
1
Brief Summary
Gastro esophageal reflux is the most common benign disease of the esophagus and Laparoscopic Nissen fundoplication became the standard surgical treatment of this disease. Although being almost transient postoperative dysphagia is still a common complaint following this procedure. The aim of this study is to investigate the effect of inserting a soft structured and blunt mounted 39 F orogastric tube to postoperative dysphagia.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Jan 2009
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2011
CompletedFirst Submitted
Initial submission to the registry
December 27, 2011
CompletedFirst Posted
Study publicly available on registry
December 29, 2011
CompletedDecember 29, 2011
December 1, 2011
1.8 years
December 27, 2011
December 28, 2011
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
dysphagia severity score
This score system is used to assess the severity of dysphagia
one year
Study Arms (2)
esophageal calibration
EXPERIMENTALEsophageal calibration tube was applied to this group of patients during laparoscopic Nissen fundoplication operation
Control
NO INTERVENTIONStandard Laparoscopic Nissen fundoplication without esophageal calibration
Interventions
An orogastric calibration tube is inserted during laparoscopic Nissen fundoplication in order to secure a certain esophageal lumen for reducing postoperative dysphagia
Eligibility Criteria
You may qualify if:
- Grade 3 or more esophagitis
- Hiatal hernia larger than 3 centimeters
- Acide suppression therapy history longer than 2 years
You may not qualify if:
- Story of endoscopic mucosal resection for Barret's mucosa
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Antalya Training and Research Hospital, Department of 2nd General Surgery
Antalya, 07100, Turkey (Türkiye)
Related Publications (17)
Nebel OT, Fornes MF, Castell DO. Symptomatic gastroesophageal reflux: incidence and precipitating factors. Am J Dig Dis. 1976 Nov;21(11):953-6. doi: 10.1007/BF01071906.
PMID: 984016BACKGROUNDRonkainen J, Aro P, Storskrubb T, Lind T, Bolling-Sternevald E, Junghard O, Talley NJ, Agreus L. Gastro-oesophageal reflux symptoms and health-related quality of life in the adult general population--the Kalixanda study. Aliment Pharmacol Ther. 2006 Jun 15;23(12):1725-33. doi: 10.1111/j.1365-2036.2006.02952.x.
PMID: 16817916BACKGROUNDRattner DW. Measuring improved quality of life after laparoscopic Nissen fundoplication. Surgery. 2000 Mar;127(3):258-63. doi: 10.1067/msy.2000.103881.
PMID: 10715979BACKGROUNDTerry M, Smith CD, Branum GD, Galloway K, Waring JP, Hunter JG. Outcomes of laparoscopic fundoplication for gastroesophageal reflux disease and paraesophageal hernia. Surg Endosc. 2001 Jul;15(7):691-9. doi: 10.1007/s004640080144. Epub 2001 May 7.
PMID: 11591970BACKGROUNDPessaux P, Arnaud JP, Delattre JF, Meyer C, Baulieux J, Mosnier H. Laparoscopic antireflux surgery: five-year results and beyond in 1340 patients. Arch Surg. 2005 Oct;140(10):946-51. doi: 10.1001/archsurg.140.10.946.
PMID: 16230543BACKGROUNDLafullarde T, Watson DI, Jamieson GG, Myers JC, Game PA, Devitt PG. Laparoscopic Nissen fundoplication: five-year results and beyond. Arch Surg. 2001 Feb;136(2):180-4. doi: 10.1001/archsurg.136.2.180.
PMID: 11177138BACKGROUNDGotley DC, Smithers BM, Rhodes M, Menzies B, Branicki FJ, Nathanson L. Laparoscopic Nissen fundoplication--200 consecutive cases. Gut. 1996 Apr;38(4):487-91. doi: 10.1136/gut.38.4.487.
PMID: 8707074BACKGROUNDWatson DI, Pike GK, Baigrie RJ, Mathew G, Devitt PG, Britten-Jones R, Jamieson GG. Prospective double-blind randomized trial of laparoscopic Nissen fundoplication with division and without division of short gastric vessels. Ann Surg. 1997 Nov;226(5):642-52. doi: 10.1097/00000658-199711000-00009.
PMID: 9389398BACKGROUNDHunter JG, Swanstrom L, Waring JP. Dysphagia after laparoscopic antireflux surgery. The impact of operative technique. Ann Surg. 1996 Jul;224(1):51-7. doi: 10.1097/00000658-199607000-00008.
PMID: 8678618BACKGROUNDPatterson EJ, Herron DM, Hansen PD, Ramzi N, Standage BA, Swanstrom LL. Effect of an esophageal bougie on the incidence of dysphagia following nissen fundoplication: a prospective, blinded, randomized clinical trial. Arch Surg. 2000 Sep;135(9):1055-61; discussion 1061-2. doi: 10.1001/archsurg.135.9.1055.
PMID: 10982510BACKGROUNDRichardson WS, Hunter JG. Laparoscopic floppy Nissen fundoplication. Am J Surg. 1999 Feb;177(2):155-7. doi: 10.1016/s0002-9610(98)00324-9.
PMID: 10204561BACKGROUNDSchauer PR, Meyers WC, Eubanks S, Norem RF, Franklin M, Pappas TN. Mechanisms of gastric and esophageal perforations during laparoscopic Nissen fundoplication. Ann Surg. 1996 Jan;223(1):43-52. doi: 10.1097/00000658-199601000-00007.
PMID: 8554418BACKGROUNDLowham AS, Filipi CJ, Hinder RA, Swanstrom LL, Stalter K, dePaula A, Hunter JG, Buglewicz TG, Haake K. Mechanisms and avoidance of esophageal perforation by anesthesia personnel during laparoscopic foregut surgery. Surg Endosc. 1996 Oct;10(10):979-82. doi: 10.1007/s004649900218.
PMID: 8864089BACKGROUNDRantanen TK, Salo JA, Salminen JT, Kellokumpu IH. Functional outcome after laparoscopic or open Nissen fundoplication: a follow-up study. Arch Surg. 1999 Mar;134(3):240-4. doi: 10.1001/archsurg.134.3.240.
PMID: 10088561BACKGROUNDSomasekar K, Morris-Stiff G, Al-Madfai H, Barton K, Hassn A. Is a bougie required for the performance of the fundal wrap during laparoscopic Nissen fundoplication? Surg Endosc. 2010 Feb;24(2):390-4. doi: 10.1007/s00464-009-0592-2. Epub 2009 Jun 24.
PMID: 19551431BACKGROUNDDeMeester TR, Bonavina L, Albertucci M. Nissen fundoplication for gastroesophageal reflux disease. Evaluation of primary repair in 100 consecutive patients. Ann Surg. 1986 Jul;204(1):9-20. doi: 10.1097/00000658-198607000-00002.
PMID: 3729589BACKGROUNDMathavan VK, Yuh JN, Marks JM. Long-term evaluation of patients undergoing laparoscopic antireflux surgery without bougie placement. J Laparoendosc Adv Surg Tech A. 2009 Feb;19(1):7-12. doi: 10.1089/lap.2007.0135.
PMID: 18973468BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Nurullah Bulbuller, MD
Antalya Training and Research Hospital
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER GOV
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Clinical director
Study Record Dates
First Submitted
December 27, 2011
First Posted
December 29, 2011
Study Start
January 1, 2009
Primary Completion
November 1, 2010
Study Completion
November 1, 2011
Last Updated
December 29, 2011
Record last verified: 2011-12