PPI/PCAB refractory/dependent GERD
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patient with PPI/PCAB refractory/dependent GERD.
Exclusion criteria
Exclusion criteria: Inability or unwillingness of patients to give written informed consent. Patient with prominent sliding hernia. Patient with impaired esophageal motility. Pregnancy. Patient with psychiatric/Neurological disorders. Patient with severe comorbidities. Judged unsuitable for this study by the physicians
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Symptom scores(F scale,GERD-Q,GERD-HRQL,SF-36, Pittsburgh sleep quality index) | — |
Secondary
| Measure | Time frame |
|---|---|
| 24h pH monitoring(Acid Exposure Time, DeMeester Composite Score, Number of acid exposure, All reflux episode, Symptom Index, Symptom Associated Possibility) Endoscopic image (after 1-3 years) 24h pH monitoring (after 1-3 years) Necessity of PPI/PCAB EPSIS before and after ARMA Adverse event: incidence of bleeding, perforation, stenosis | — |
Countries
Japan
Contacts
Showa University Koto Toyosu Hospital Digestive Diseases Center