Registry of Outcomes From AntiReflux Surgery

NCT ID: NCT02923362

Last Updated: 2023-02-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

2500 participants

Study Classification

OBSERVATIONAL

Study Start Date

2016-05-31

Study Completion Date

2025-05-31

Brief Summary

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Prospective registry comparing outcomes after laparoscopic treatment of gastroesophageal reflux disease and hiatal hernia.

Detailed Description

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This is a prospective, multi center, observational database of patients that are having surgical laparoscopic antireflux procedure and/or hiatal hernia repair, including laparoscopic Nissen fundoplication and Magnetic Sphincter Augmentation with the LINX device. Patients meeting registry inclusion and exclusion will be followed for 5 years with standardized quality of life surveys and appropriate standard of care testing. Up to 40 sites will participate with total enrollment of 1000 patients.

The main objectives are to collect data from everyday clinical practices and track patients from preoperative assessments to 5 years post surgical intervention to evaluate symptoms, medication use and side effects.

Conditions

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Gastroesophageal Reflux Disease Hiatal Hernia

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Laparoscopic Fundoplication Group

This group of patients are surgical candidates based on preoperative testing results for laparoscopic fundoplication antireflux procedure and possible hiatal hernia repair.

Laparoscopic Fundoplication

Intervention Type PROCEDURE

The gastric fundus of the stomach is wrapped or plicated around the lower end of the esophagus and and stitched in place reinforcing the closing function of the lower esophageal sphincter. The hiatus is also narrowed down with sutures or mesh to prevent or treat a concurrent hiatal hernia.

LINX Antireflux Device Group

This group of patients are surgical candidates based on preoperative testing results for the laparoscopic LINX antireflux device placement and possible hiatal hernia repair.

LINX Antireflux

Intervention Type DEVICE

The LINX is a flexible band of interlocked titanium beads with a magnetic core. The LINX is placed around the lower esophageal sphincter to help restore the function of the LES by preventing reflux into the esophagus.

Interventions

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Laparoscopic Fundoplication

The gastric fundus of the stomach is wrapped or plicated around the lower end of the esophagus and and stitched in place reinforcing the closing function of the lower esophageal sphincter. The hiatus is also narrowed down with sutures or mesh to prevent or treat a concurrent hiatal hernia.

Intervention Type PROCEDURE

LINX Antireflux

The LINX is a flexible band of interlocked titanium beads with a magnetic core. The LINX is placed around the lower esophageal sphincter to help restore the function of the LES by preventing reflux into the esophagus.

Intervention Type DEVICE

Other Intervention Names

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Nissen Fundoplication Fundoplication Fundoplasty Hiatal Hernia Repair Partial Fundoplication LINX System LINX Implant LINX Reflux Management System LINX Magnetic Sphincter Augmentation

Eligibility Criteria

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Inclusion Criteria

* Subject must be at least 21years of age and at least the minimum Age of Majority according to applicable state law.
* Subject is a suitable surgical candidate, i.e. is able to undergo appropriate anesthesia and endoscopic procedure or laparoscopic surgery.
* Appropriate indications for and documentation of disease process requiring surgery. (Documented gastroesophageal reflux disease by accepted endoscopic or ambulatory reflux monitoring criteria, or have a hiatal hernia that meets accepted criteria for repair (e.g. large paraesophageal hernia with chest pain)).
* Subject is willing and able to cooperate with follow-up examinations
* Subject has been informed of the study procedures and treatment and has signed an informed consent for the study.

Exclusion Criteria

* Suspected or confirmed esophageal or gastric cancer.
* Cannot understand trial requirements or is unable to comply with follow-up schedule
* Pregnant or nursing, or plans to become pregnant during the course of the study
* Medical illness (i.e. congestive heart failure) that may cause the subject to be non-compliant with or able to meet the protocol requirements or is associated with limited life expectancy (i.e. less than 3 years)
* Diagnosed psychiatric disorder (e.g. bipolar, schizophrenia, etc.), subjects that exhibit depression that are on appropriate medication(s) are allowable.
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The Heartburn Foundation

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Reginald Bell, MD

Role: PRINCIPAL_INVESTIGATOR

The Heartburn Foundation

Locations

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Advanced Surgeons, PC

Birmingham, Alabama, United States

Site Status

University of Southern Alabama

Mobile, Alabama, United States

Site Status

The Arkansas Heartburn Treatment Center

Heber Springs, Arkansas, United States

Site Status

Bass Medical Group

Walnut Creek, California, United States

Site Status

HealthOne Cardiothoracic Surgery Associates

Aurora, Colorado, United States

Site Status

Institute of Esophageal and Reflux Surgery

Englewood, Colorado, United States

Site Status

Suncoast Surgical Associates

Brandon, Florida, United States

Site Status

South Florida Surgical Specialists, LLC

Coral Springs, Florida, United States

Site Status

Mayo Clinic

Jacksonville, Florida, United States

Site Status

Tampa Bay Reflux Center

Riverview, Florida, United States

Site Status

The Tampa Bay Reflux Center

Tampa, Florida, United States

Site Status

Coastal Carolina Bariatric and Surgical Center

Summerville, South Carolina, United States

Site Status

Baylor Scott and White Research Institute

Dallas, Texas, United States

Site Status

Baylor University Medical Center at Dallas

Dallas, Texas, United States

Site Status

Houston Methodist Research Institute

Houston, Texas, United States

Site Status

North Texas Surgical Oncology Associates

Plano, Texas, United States

Site Status

Swedish Health Services

Seattle, Washington, United States

Site Status

Affinity Medical Group

Chilton, Wisconsin, United States

Site Status

Froedtert & The Medical College of Wisconsin Hospitals and Health Partners

Milwaukee, Wisconsin, United States

Site Status

Countries

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United States

Other Identifiers

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THF001

Identifier Type: -

Identifier Source: org_study_id

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