Role of ARMA in Selective Subset of Refractory GERD Patients.
GERD, Reflux, Reflux Esophagitis
About this trial
This is an interventional treatment trial for GERD
Eligibility Criteria
Inclusion Criteria: Normal Upper Gastrointestinal endoscopy And 24 hour pH Impedance: AET < 6%, More than 80 refluxes Patients who are willing to give consent for the procedure Exclusion Criteria: Large Hiatal hernia >3cm Lower esophageal sphincter (LES) pressure >15 mm Hg Paraesophageal hernia GE flap valve grade IV (Hill's classification) Barretts esophagus Esophageal dysmotility ASA physical status >II Previous esophageal or gastric surgery Pregnancy
Sites / Locations
- Asian institute of Gastroenterology, hyderabad, IndiaRecruiting
Arms of the Study
Arm 1
Arm 2
Active Comparator
Sham Comparator
ARMA Group
Sham Group
All patients in this group will undergo Anti-reflux mucosal ablation using upper gastrointestinal endoscopy. The stomach will be insufflated with CO2 to visualize the cardia in retroflex view.
UGI Endoscopy will be performed under Propofol based sedation with scope kept inside for at least 5 minutes.