POLAR-STUDY: Polish AntiReflux Study

Gastroesophageal reflux disease (GERD) is one of the most common gastrointestinal disorders worldwide and is associated with impaired quality of life and an increased risk of long-term complications. Although antireflux surgery is an established treatment option for appropriately selected patients, considerable variation exists in patient selection, preoperative diagnostic work-up, surgical techniques, and postoperative management between centers.

POLAR-STUDY (Polish AntiReflux Study) is a prospective, multicenter observational study designed to evaluate the real-world practice of antireflux surgery in Poland. Consecutive adult patients undergoing surgical treatment for GERD at participating surgical centers will be enrolled. The study is observational and will not interfere with routine diagnostic or therapeutic management.

Clinical data collected during routine care will include patient demographics, medical history, preoperative investigations (including upper gastrointestinal endoscopy, esophageal pH monitoring, and high-resolution manometry when performed), indications for surgery, operative technique, and perioperative outcomes. Follow-up assessments will be conducted at 30 days and 12 months after surgery to evaluate reflux symptom control, quality of life, postoperative complications, and the need for reintervention.

The primary objective is to characterize contemporary antireflux surgical practice in Poland and to identify factors associated with successful surgical outcomes. The results are expected to provide nationwide real-world evidence that may contribute to optimizing patient selection, standardizing perioperative management, and improving the quality of surgical care for patients with GERD.

Inclusion criteria

• Age 18 years or older
• Diagnosis of gastroesophageal reflux disease
• Qualification for antireflux surgery according to the routine clinical practice of the participating center
• Planned antireflux surgical procedure at a participating center
• Ability to provide written informed consent
• Willingness to participate in postoperative follow-up

Exclusion criteria

• Age younger than 18 years
• Lack of qualification for antireflux surgery
• Inability to provide informed consent
• Refusal to participate in the study
• Inability to complete the planned follow-up assessments
• Emergency surgery or surgery performed for an indication other than gastroesophageal reflux disease