Gastric Accommodation and Gastroesophageal Reflux

The recruitment status of this study is unknown because the information has not been verified recently.
Verified February 2010 by Nationwide Children's Hospital.
Recruitment status was  Not yet recruiting
Sponsor:
Information provided by:
Nationwide Children's Hospital
ClinicalTrials.gov Identifier:
NCT01078064
First received: February 25, 2010
Last updated: March 1, 2010
Last verified: February 2010

February 25, 2010
March 1, 2010
March 2010
September 2010   (final data collection date for primary outcome measure)
NUMBER OF REFLUX EPISODES [ Time Frame: 1 day ] [ Designated as safety issue: No ]
It is a cross-sectional exam, and the number of reflux episodes at baseline, after a clinically indicated 24-hour impedance study
Same as current
Complete list of historical versions of study NCT01078064 on ClinicalTrials.gov Archive Site
Gastric volume ratio: 10 min/baseline [ Time Frame: 1 day ] [ Designated as safety issue: No ]
It is a cross-sectional study. This variable will be assessed by ultrasound in the next morning of the impedance study.
Same as current
Not Provided
Not Provided
 
Gastric Accommodation and Gastroesophageal Reflux
Gastric Accommodation as a Factor Influencing the Number of Reflux Episodes in Children and Adolescents

Gastroesophageal reflux events generally happen during relaxation of lower esophageal sphincter. This relaxation is a reflex that is triggered by gastric stimuli. The investigators hypothesize that abnormal relaxation of the gastric wall after a meal may lead to reflux events. To test this hypothesis, a study was designed to measure the gastric accommodation in patients undergoing esophageal impedance monitoring.

Gastroesophageal reflux events happen during relaxations of lower esophageal sphincter not related to swallowing, called transient. These transient lower esophageal sphincter relaxations (tLESR) are generally triggered by gastric distension and its physiological purpose is to vent the stomach. The gastric accommodation is a physiological process in which the gastric fundus actively relaxes during a meal in order to accommodate it.

This study is driven by the hypothesis that impairment of the gastric accommodation may facilitate triggering tLESR and, therefore, reflux events. We aim to evaluate the relation between gastric fundic relaxation and the number of gastroesophageal reflux events in children. We also aim to evaluate if there is a relation between the gastric emptying and the number of reflux episodes.

Observational
Observational Model: Case-Only
Time Perspective: Cross-Sectional
Not Provided
Not Provided
Non-Probability Sample

children and adolescents older than 1-year old who were referred for combined esophageal impedance pH monitoring for GERD symptoms, such as epigastric pain, respiratory symptoms, heartburn, feeding difficulties, chest pain, nausea or vomiting.

Gastroesophageal Reflux Disease
Not Provided
Study group
Patients with symptoms suggesting gastroesophageal reflux and referred to perform an impedance study.
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Not yet recruiting
33
November 2010
September 2010   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • children and adolescents older than 1-year old who were referred for combined esophageal impedance pH monitoring for GERD* symptoms

Exclusion Criteria:

  • continuous feeding
  • previous fundoplication
Both
1 Year to 30 Years
No
Contact: Rodrigo S Machado, MD, PhD 622-722-3474 Rodrigo.Machado@NationwideChildrens.org
Contact: Beth Skaggs, CCRC 622-722-3474 Beth.Skaggs@nationwidechildrens.org
United States
 
NCT01078064
001-2010
No
Rodrigo Strehl Machado, Nationwide Children's Hospital
Nationwide Children's Hospital
Not Provided
Principal Investigator: Rodrigo S Machado, MD, PhD Nationwide Children's Hospital
Study Director: Beth Skaggs, CCRC Nationwide Children's Hospital
Nationwide Children's Hospital
February 2010

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP