Gastro-oesophageal Reflux Clinical Trial
Official title:
Randomized Comparison of Elemental Diets and Semi-solid Diets on Gastric Excretion and Gastroesophageal Regurgitation in Bedridden Gastrostomy-fed Patients
Study 1: A randomized, crossover trial using elemental or semi-solid diets containing
contrast medium as a tracer given to bedridden PEG patients. The distribution of the
administered diets is assessed at the distal esophagus, proximal and distal stomach using a
plain CT before and 1 hour after the administration.
Study 2: A randomized, crossover trial using elemental or semi-solid diets containing 13C
sodium acetate as a tracer given to bedridden PEG patients. 13C breath tests are performed
to estimate gastric emptying.
Study 1: A mix of elemental or semi-solid diet (300 kcal/300 mL ) and contrast medium (5ml)
is administered using PEG, respectively. Using a plain CT, the distribution of the
administered diet is assessed at the distal esophagus, proximal and distal stomach before
and 1 hour after the administration. The volume of the residual diet at the distal
esophagus, proximal and distal stomach is compared between an elemental and semi-solid diet.
Study 2: Either the elemental diet or semi-solid diet (200 kcal/200 mL) is labeled with 100
mg [13C]sodium acetate (Cambridge Isotope Laboratories Inc, Cambridge, MA) and is
administered in the first 15 min of the examination at the same speed using the PEG.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Crossover Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
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