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This study is to evaluate the safety and efficacy of radiofrequency energy procedure for Gastro-esophageal reflux disease (GERD) based on changes of symptoms, medication esophagitis grade, esophageal acid exposure and lower esophageal sphincter pressure. Symptom assessment was performed at baseline and 3, 6, 12 months after treatment.
Gastroesophageal reflux disease (GERD) is a chronic disease characterized by symptoms of heartburn and acid regurgitation. Uncontrolled GERD can significantly impact quality of life. The use of proton pump inhibitors (PPI) remains the mainstay therapy. However, the efficacy of this intervention is often hampered by adherence, costs, and the risks of long-term PPI use. Anti-reflux surgery is an option for patients with refractory symptoms or in those in whom medical therapy is contraindicated or not desirable, but the incidence of dysphagia, abdominal distension associated wth the surgery is high. Radiofrequency ablation, minimally invasive, less complications, has become alternative treatments options. But the current research on radiofrequency treatment of the data is limited in China. Therefore, the investigators conduct this multi-center clinical trial.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Radiofrequency | Experimental | Radiofrequency delivery to the gastroesophageal junction |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Radiofrequency delivery | Procedure | Radiofrequency to the gastroesophageal junction |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change from Baseline GERD-HRQL scores at 12 months | Assess the GERD-HRQL scores at 12 month and compare it with the baseline | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline esophagitis grade at 12 months | Assess the esophagitis condition at 12 month and compare it with the baseline | 12 months |
| Change from baseline esophageal acid exposure times from at 12 months |
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Inclusion Criteria:
age 18 years or older
diagnosis of GERD established by either
presence of typical symptoms of GERD (heartburn and ⁄or regurgitation with at least three episodes of typical symptoms per week in the absence of PPI therapy),
adequate symptom relief obtained with PPIs,but needing maintenance with at least standard dose.
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| luowei Wang, MD | Contact | 13901833088 | wangluoweimd@126.com | |
| peipei Liu, MD | Contact | 15821692703 | 15821692703@163.com |
| Name | Affiliation | Role |
|---|---|---|
| zhaoshen Li, MD | Changhai Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Departmentof Gastroenterology Changhai Hospital | Recruiting | Shanghai | Shanghai Municipality | 200433 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27261337 | Background | Fock KM, Talley N, Goh KL, Sugano K, Katelaris P, Holtmann G, Pandolfino JE, Sharma P, Ang TL, Hongo M, Wu J, Chen M, Choi MG, Law NM, Sheu BS, Zhang J, Ho KY, Sollano J, Rani AA, Kositchaiwat C, Bhatia S. Asia-Pacific consensus on the management of gastro-oesophageal reflux disease: an update focusing on refractory reflux disease and Barrett's oesophagus. Gut. 2016 Sep;65(9):1402-15. doi: 10.1136/gutjnl-2016-311715. Epub 2016 Jun 3. |
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| ID | Term |
|---|---|
| D005764 | Gastroesophageal Reflux |
| D006356 | Heartburn |
| ID | Term |
|---|---|
| D015154 | Esophageal Motility Disorders |
| D003680 | Deglutition Disorders |
| D004935 | Esophageal Diseases |
| D005767 | Gastrointestinal Diseases |
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Measure the esophageal acid exposure at 12 months and compare it with the baseline
| 12 month |
| Change from baseline lower esophageal sphincter pressure at 12 months | Measure the lower esophageal sphincter pressure at 12 month and compare it with the baseline | 12 month |
| Change from baseline medication at 12 months | Assess dosage of the medication at 12 month and compare it with the baseline | 12 months |
| D004066 | Digestive System Diseases |
| D012817 | Signs and Symptoms, Digestive |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |