Crural Repair During Laparoscopic Sleeve Gastrectomy in Patients With a Lax Gastroesophageal Junction (REPAIR)
Obesity, Bariatric Surgery Candidate, Esophagus Injury
About this trial
This is an interventional treatment trial for Obesity focused on measuring Obesity, Bariatric Surgery, Esophagitis, Gastroesophageal reflux disease, Laparoscopic sleeve gastrectomy
Eligibility Criteria
Inclusion Criteria:
- 21-65 years old
- Able to provide informed consent
- Hill's grade III gastroesophageal junction on preoperative endoscopy
- Opted to undergo laparoscopic sleeve gastrectomy as their bariatric procedure
Exclusion Criteria:
- Unable or unwilling to provide informed consent
- Contraindications to laparoscopic sleeve gastrectomy
- Opted not to undergo laparoscopic sleeve gastrectomy
- Had previous upper gastrointestinal surgery
- Had documented erosive esophagitis on preoperative endoscopy
- Had Hill's grade I, II or IV gastroesophageal junction on preoperative endoscopy
Sites / Locations
- Singapore General HospitalRecruiting
- Sengkang General HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
Laparoscopic sleeve gastrectomy arm
Laparoscopic sleeve gastrectomy with hiatal hernia repair arm
Surgical technique will be standardized and will be performed by the study team. The bougie size for the LSG will be 40Fr, and a standard 5-port LSG will be performed. Standard protocolized postoperative recovery for all bariatric patients will be employed, including liquid diet with vitamins for the first 2 weeks postoperatively, followed by introduction of solid foods after.
Surgical technique will be standardized and will be performed by the study team. The bougie size for the LSG will be 40Fr, and a standard 5-port LSG will be performed. Standard protocolized postoperative recovery for all bariatric patients will be employed, including liquid diet with vitamins for the first 2 weeks postoperatively, followed by introduction of solid foods after. A hiatal dissection will also be performed during initial surgery, followed by a cruroplasty with Ethibon 0 sutures, in an interrupted manner.