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Battle of the belly buttons: which surgery fixes Kids' reflux best?
NCT ID NCT07387042
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study compares two laparoscopic surgeries—Nissen fundoplication and Hill-Snow repair—for children with hiatal hernia and severe acid reflux. Forty participants will be randomly assigned to one surgery, and doctors will use a camera (endoscope) before, during, and after to check how well it works. The goal is to find which technique is safer and more effective at relieving symptoms like heartburn.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Laparoscopic surgery (Nissen fundoplication or Hill-Snow repair)
- What this could lead to
- If successful, this could show which surgical technique is safer and more effective for treating severe acid reflux and hiatal hernia in children, and confirm the value of using an endoscope during surgery.
- What could go wrong
- This is a small, early-stage trial with only 40 participants, so results may not apply to all patients. Surgery always carries risks like infection or complications from anesthesia.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 40 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Mar 2026
An estimate. Start dates often move.
- Expected to finish
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Oct 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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Up to 18 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patients aged less than 18 years including both sexes with a confirmed diagnosis of congenital hiatus hernia * Diagnosis of hiatus hernia refractory to maximal medical therapy (PPI for ≥12 weeks) AND/OR presence of complications (e.g., erosive esophagitis, Barrett's esophagus, recurrent aspiration pneumonia, failure to thrive) * Objective evidence of pathological GERD on upper endoscopy e.g: erosive esophagitis, Barrett's esophagus. Exclusion Criteria: * Previous esophageal or gastric surgery * Contraindications to laparoscopy e.g: cardiopulmonary decompensated cases.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Pediatrics and Pediatric Surgery University Hospital, Faculty Of Medicine, Minia Universty
Minya, Egypt
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