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Comparison of Laparoscopic Nissen Versus Thal Fundoplication in Children

Not Applicable
Completed
Conditions
Gastroesophageal Reflux Disease
Registration Number
NCT01027975
Lead Sponsor
Oxford University Hospitals NHS Trust
Brief Summary

Laparoscopic fundoplication is increasingly performed in paediatric surgery. Many types of fundoplication are performed, each has advantages and disadvantages. The Nissen operation is the most frequently performed procedure in the U.K., however it can be associated with post-operative dysphagia. The relative benefits between Nissen and other fundoplication techniques in children are still uncertain.

The aim of our study was to compare the long-term outcomes following laparoscopic Nissen fundoplication with laparoscopic Thal fundoplication in children.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
Not specified
Inclusion Criteria
  • Gastro-oesophageal reflux unresponsive to medical treatment, or those who had serious complications (e.g. apnoea, aspiration pneumonia, oesophagitis)
Exclusion Criteria
  • Patients who had previous anti-reflux surgery, previous open abdominal surgery, if parents declined to participate into study

Study & Design

Study Type
INTERVENTIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Recurrence of symptoms sufficiently severe to justify the need for additional revisional surgery (i.e. failure of the original surgery)
Early death following surgery directly related to the fundoplication technique
Secondary Outcome Measures
NameTimeMethod
The resumption of symptoms bad enough to necessitate the re-introduction of anti-reflux medication (but not sufficiently bad to require revisional surgery) i.e. "intention to treat"
Post-operative complications (e.g. post-operative dysphagia)

Trial Locations

Locations (1)

Department of Paediatric Surgery, John Radcliffe Hospital NHS Trust

🇬🇧

Oxford (Headington), Oxford, United Kingdom

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