Multicenter Single-Blind RCT of CTIF Versus LNF For Treatment of GERD in Patients Requiring Hiatal Hernia Repair

Exclusion Criteria

• •1. Hiatal hernia \> 5 cm (defined as maximum axial height from end of the esophagus to diaphragm by any study including upper endoscopy esophagram and or at time of surgery)
• •2. Evidence of clinically significant major esophageal motility disorder as determined by the site primary investigator
• •3. Pregnancy (in females) at time of procedure
• •4. Previous anti-reflux procedure
• •5. Subjects requiring mesh treatment at time of procedure
• •6. At the discretion of the site PI for subject safety
• •7. BMI \> 35 at time of surgery.
• •8. Prior gastric surgery that may affect ability to perform either procedure or affect normal gastric function (e.g. gastrectomy, gastric bypass, sleeve gastrectomy, pyloroplasty.
• •9. Severe gastroparesis