Anti-reflux Mucosal Valvuloplasty Versus PPIs for GERD Treatment
NCT06348420 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 74
Last updated 2024-11-18
Summary
The study objective is to evaluate the relative merits, safety and effectiveness of Anti-reflux mucosal valvuloplasty (ARMV) in GERD patients currently treated with daily Proton Pump Inhibitors (PPIs).
Conditions
- Gastroesophageal Reflux Disease
Interventions
- PROCEDURE
-
anti-reflux mucosal valvuloplasty (ARMV)
During the ARMV procedure, a segment of the mucosa at the esophagogastric junction (EGJ) is released and reconstructed to form a mucosal flap. Cautery markings are made on 3/4-4/5 of the mucosa along the lesser curvature, approximately 2 cm below the dentate line. After submucosal injection of saline with indigocarmine, the premarked mucosa is dissected from the caudal to cranial side using an endoscopic submucosal dissection technique. The cranial edge of the released mucosa is left in place, and the semi-free mucosa naturally curls to form a double-layer flap. Metal clips are then used to anchor the free edge of the mucosa to the exposed submucosa/smooth muscle to prevent flattening of the mucosal flap. Any visible bleeding on the exposed submucosa is coagulated using electric forceps.
Sponsors & Collaborators
-
Shandong University
collaborator OTHER -
Qilu Hospital of Shandong University
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 60 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-09-10
- Primary Completion
- 2025-12-01
- Completion
- 2028-12-30
Countries
- China
Study Locations
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