Gastro-esophageal Reflux Disease
Conditions
Brief summary
The purpose of this study is to characterize and compare epithelial damage in patients with erosive esophagitis and non-erosive reflux disease.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Typical GERD-symptoms lasting for more than 6 months (recurrent episodes of heartburn or acid regurgitation) * abnormal pH-parameters (pathological acid exposure and/or symptom association)
Exclusion criteria
* Age \<18 years * Previous esophageal or gastric surgery * Severe esophageal motility disorder on manometry * Histological evidence of Barrett's mucosa * Severe co-morbidities (including cardiopulmonary disease, portal hypertension, collagen diseases, morbid obesity, coagulation disorders and co-morbidity hindering a gastroscopic procedure) * Use of anticoagulant or immunosuppressive drugs * Inability to stop medication that can influence the test results, like PPI, for at least 10 days before tests * Excessive alcohol consumption (\>20 units per week) * Patients unable to give informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Epithelial integrity in tissue biopsies | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| Immunohistochemical markers in tissue biopsies | 1 year |
| Histological changes in tissue biopsies | 1 year |
Countries
Netherlands