Three quick endoscopic checks may predict who still has reflux after surgery

NCT ID NCT07722663

First seen Jul 23, 2026 · Last updated Jul 24, 2026 · Updated 1 time

Summary

This study is developing and testing a simple endoscopic classification to predict whether patients still have pathologic acid reflux after anti-reflux surgery (Nissen or Toupet fundoplication). Researchers are evaluating three key features seen during endoscopy—valve position, valve disruption, and hiatal opening—to see if they can reliably identify surgical failure. The goal is to create a standardized tool that helps doctors quickly assess fundoplication integrity without relying on complex tests.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

What this could lead to
If successful, this classification could standardize how doctors assess fundoplication integrity after anti-reflux surgery, helping identify patients who need further treatment.
What could go wrong
This is a single-center study with a relatively small sample, and the classification may not perform as well in broader populations or different surgical settings.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • IRCCS Policlinico San Donato

    San Donato Milanese, Milan, 20097, Italy

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