This study is looking into whether you can safely have surgery for acid reflux (GERD) or a hiatal hernia without first undergoing a test called esophageal manometry. Esophageal manometry uses a thin tube to measure the muscles in your food pipe, and it can be uncomfortable and delay surgery. Researchers want to see if skipping this test still leads to good swallowing one year after surgery, and if it reduces discomfort, shortens waiting times, and lowers costs. You might be able to join if you are at least 18 years old and have documented GERD or a hiatal hernia. The study will compare two groups: one that has surgery without manometry, and another that has manometry first, as is currently standard practice. The main goal is to check your swallowing ability 12 months after surgery.

Study design

This interventional study plans to enroll 96 participants to compare two different approaches to preparing for antireflux surgery.

What's involved

Participants will undergo either a standard preoperative workup including esophageal manometry, or a workup without this test, followed by antireflux surgery.

Compensation

Not stated in the trial record.

Follow-up

Your swallowing will be assessed 12 months after surgery.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.