PMID- 37637187 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230829 IS - 2213-4220 (Print) IS - 2213-4239 (Electronic) IS - 2213-4220 (Linking) VI - 12 IP - 3 DP - 2023 Sep TI - Thread-embedding acupuncture may improve symptom resolution in patients with gastroesophageal reflux disease: A randomized controlled trial. PG - 100971 LID - 10.1016/j.imr.2023.100971 [doi] LID - 100971 AB - BACKGROUND: Various traditional medicine treatments have been investigated to treat GERD. Among those, thread-embedding acupuncture (TEA) has the advantage that patients need to undergo the procedure infrequently; however, its efficacy is unclear. This study evaluated the efficacy of TEA in treating GERD. METHODS: A randomized controlled trial was conducted with 66 participants with GERD: 33 received two sessions of TEA + standard therapy (proton-pump inhibitor [PPI]) (TEA+PPI group) and 33 received PPI alone (PPI group). Primary outcomes included GerdQ score and heartburn and regurgitation resolution. Secondary outcomes were antacids requirement, the Frequency Scale for Symptoms of GERD (FSSG) score, and Gastroesophageal Reflux Disease-Health Related Quality of Life (GERD-HRQL) score. The safety outcome was adverse events (AEs). RESULTS: After four weeks of treatment, the TEA+PPI group significantly reduced the GerdQ score (mean difference [MD] and 95% confidence interval [CI]: -1.8 [-2.4, -1.1]) and increased the rate of heartburn and regurgitation resolution compared to PPI (54.5% versus 9.1%, respectively) compared to PPI. The TEA+PPI group also significantly reduced the number of antacid packs used (MD [95%-CI]: -9.4 [-12.1, -6.7]), FSSG score (MD [95%-CI]: -9.4 [-11.0, -7.8]), and GERD-HRQL score (MD [95%-CI]: -5.6 [-7.7, -3.5]) compared to PPI. Five patients experienced AEs, which were mild local complications at the acupoints. CONCLUSION: TEA combined with PPI is more effective than PPI alone in treating GERD. Further studies with longer follow-ups are required to confirm these findings. CLINICAL TRIALS REGISTRATION INFORMATION: ClinicalTrials.gov, NCT05353933. CI - (c) 2023 Korea Institute of Oriental Medicine. Published by Elsevier B.V. FAU - Trinh, Dieu-Thuong Thi AU - Trinh DT AD - Faculty of Traditional Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam. AD - University Medical Center Ho Chi Minh City, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam. FAU - Tran, An Hoa AU - Tran AH AD - Faculty of Traditional Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam. AD - University Medical Center Ho Chi Minh City, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam. FAU - Bui, Minh-Man Pham AU - Bui MP AD - Faculty of Traditional Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam. AD - University Medical Center Ho Chi Minh City, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam. FAU - Vuong, Nguyen Lam AU - Vuong NL AD - Department of Medical Statistics and Informatics, Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam. LA - eng SI - ClinicalTrials.gov/NCT05353933 PT - Journal Article DEP - 20230707 PL - Netherlands TA - Integr Med Res JT - Integrative medicine research JID - 101612707 PMC - PMC10448015 OTO - NOTNLM OT - Acupuncture OT - GERD OT - Thread embedding acupuncture OT - Traditional medicine EDAT- 2023/08/28 06:42 MHDA- 2023/08/28 06:43 PMCR- 2023/07/07 CRDT- 2023/08/28 04:45 PHST- 2023/03/28 00:00 [received] PHST- 2023/06/20 00:00 [revised] PHST- 2023/06/27 00:00 [accepted] PHST- 2023/08/28 06:43 [medline] PHST- 2023/08/28 06:42 [pubmed] PHST- 2023/08/28 04:45 [entrez] PHST- 2023/07/07 00:00 [pmc-release] AID - S2213-4220(23)00050-1 [pii] AID - 100971 [pii] AID - 10.1016/j.imr.2023.100971 [doi] PST - ppublish SO - Integr Med Res. 2023 Sep;12(3):100971. doi: 10.1016/j.imr.2023.100971. Epub 2023 Jul 7.