The present proposal aims to asses which is the optimal treatment strategy in a clinical study in patients with paraoesophageal hernia (PEH), a condition often found in elderly, fragile patients The investigator want to study the optimal approach to a paraoesophageal hernia (PEH) repair. The incidence of PEH increases with age and the older patient typically has additional co-morbidities, reduced physiological fitness, and frailty which makes surgery challenging regarding increased morbidity and mortality. Thus, the decision to offer surgery can be challenging in this cohort of patients. The need of an anti-reflux procedure as part of the repair is one of the main subjects for discussion worldwide. To date no consensus exists and many surgical centres do a routine anti-reflux procedure as part of their standard operation for PEH. But is this procedure redundant? Can the patients be managed with a less complicated procedure; an anterior gastropexy with comparable outcome?
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peri- and postoperative complications
Timeframe: 30 days after operation
Gastro-esophageal reflux disease-Health related quality of life, GERD-HRQL
Timeframe: Before surgery and 3,6 and 12 months after surgery
Short From questionnaire (SF-36) Health related quality of life
Timeframe: before surgery and 3, 6 and 12 months after surgery