Anterior Gastropexy for Paraesophageal Hernia Repair: A Randomized Clinical Trial.

ABSTRACT:

Importance

Paraesophageal hernias can cause severe limitations in quality of life and life-threatening complications. Even though minimally invasive paraesophageal hernia repair (MIS-PEHR) is safe and effective, anatomic recurrence rates remain notoriously high. Retrospective data suggest that suturing the stomach to the anterior abdominal wall after repair-an anterior gastropexy-may reduce recurrence, but this adjunct is currently not the standard of care.

Objective

To determine whether anterior gastropexy reduces 1-year recurrence after MIS-PEHR.

Design, setting, and participants

This registry-based randomized clinical trial was conducted by 10 surgeons at 3 academic hospitals within the Cleveland Clinic Enterprise. Between June 26, 2019, and July 24, 2023, 348 pati

SUBMITTER: Petro CC 

PROVIDER: S-EPMC11904718 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature