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Impact of esophageal barrier function on proton pump inhibitor-resistant non erosive reflux disease (PPI-resistant NERD): discovering of pathophysiology and establishment of new therapeutic strategy

Not Applicable
Conditions
Proton pump inhibitor-resistant non erosive reflux disease (PPI-resistant NERD)
Registration Number
JPRN-UMIN000028300
Lead Sponsor
Tohoku university graduate school of medicine dept. gastroenterology
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
All
Target Recruitment
40
Inclusion Criteria

Not provided

Exclusion Criteria

<Only healthy volunteer> 1. Acid suppression drugs such as histamine 2 antagonist or PPI, Nsaids, steroids or immune suppression drugs were not administered 1 month before measurement of esophageal barrier function. <patients and volunteers> 2. scheduled or history of abdominal surgical operation 3. Patients who prohibited to underwent endoscopy 4. pregnancy 5. severe diseases 6. psychogenic diseases 7. Patients whom we decided inappropriate to join in this study.

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
comparison of difference in upper and lower esophageal epithelium of esophageal barrier function by mini ussing chamber system among patients of PPI-resistant NERD, functional heart burn and healthy volunteer.
Secondary Outcome Measures
NameTimeMethod
1. comparison of esophageal barrier function between patients with heart burn (PPI-resistant NERD and FH) and healthy volunteer. 2. comparison of esophageal tight junctional protein in the bisopy specimen among PPI-resistant NERD, FH and healthy volunteer. 3. validation of esophageal histopathological difference amaong PPI-resistant NERD, FH and healthy volunteer. 4. elucidating relationship with intraesophageal luminal pH and esophageal epithelial barrier function between PPI-resistant NERD and FH. 5. comparison of difference in esophageal reflux contents and epithelial barrier function between PPI-resistant NERD and FH
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