Stretta Radiofrequency Treatment for GERD: A Safe and Effective Modality

Gastroesophageal reflux disease is one of the leading gastrointestinal disorders. Current treatments include lifestyle modifications, pharmacological therapies, surgical fundoplications, and, more recently, endoscopic procedures. The rising concern of long-term side effects of the popular proton-pum...

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Main Authors: Mark Franciosa, George Triadafilopoulos, Hiroshi Mashimo
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2013/783815
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author Mark Franciosa
George Triadafilopoulos
Hiroshi Mashimo
author_facet Mark Franciosa
George Triadafilopoulos
Hiroshi Mashimo
author_sort Mark Franciosa
collection DOAJ
description Gastroesophageal reflux disease is one of the leading gastrointestinal disorders. Current treatments include lifestyle modifications, pharmacological therapies, surgical fundoplications, and, more recently, endoscopic procedures. The rising concern of long-term side effects of the popular proton-pump inhibitors and the more recent evidence raising doubts about the durability of fundoplication have spurred reinterest in endoscopic procedures to treat reflux disorders. In the aftermath of several innovative antireflux procedures that were introduced and failed clinically or financially over the past decade, there is lingering confusion regarding the merits of the presently available interventions. This paper focuses on one endoscopic procedure, Stretta, which now enjoys the longest experience, a recent meta-analysis, and robust data supporting its safety, efficacy, and durability. Stretta reduces esophageal acid exposure, decreases the frequency of transient lower esophageal relaxation, increases patient satisfaction, decreases medication use, and improves quality of life. As such, this procedure remains a valuable nonsurgical treatment option in the management of gastroesophageal reflux disease.
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institution Kabale University
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spelling doaj-art-806a98e06fdf411e807083ccf33998652025-02-03T06:00:50ZengWileyGastroenterology Research and Practice1687-61211687-630X2013-01-01201310.1155/2013/783815783815Stretta Radiofrequency Treatment for GERD: A Safe and Effective ModalityMark Franciosa0George Triadafilopoulos1Hiroshi Mashimo2Center for Swallowing and Motility Disorders, VA Boston Healthcare System, Harvard Medical School, Boston, MA 02132, USADivision of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, CA 94040, USACenter for Swallowing and Motility Disorders, VA Boston Healthcare System, Harvard Medical School, Boston, MA 02132, USAGastroesophageal reflux disease is one of the leading gastrointestinal disorders. Current treatments include lifestyle modifications, pharmacological therapies, surgical fundoplications, and, more recently, endoscopic procedures. The rising concern of long-term side effects of the popular proton-pump inhibitors and the more recent evidence raising doubts about the durability of fundoplication have spurred reinterest in endoscopic procedures to treat reflux disorders. In the aftermath of several innovative antireflux procedures that were introduced and failed clinically or financially over the past decade, there is lingering confusion regarding the merits of the presently available interventions. This paper focuses on one endoscopic procedure, Stretta, which now enjoys the longest experience, a recent meta-analysis, and robust data supporting its safety, efficacy, and durability. Stretta reduces esophageal acid exposure, decreases the frequency of transient lower esophageal relaxation, increases patient satisfaction, decreases medication use, and improves quality of life. As such, this procedure remains a valuable nonsurgical treatment option in the management of gastroesophageal reflux disease.http://dx.doi.org/10.1155/2013/783815
spellingShingle Mark Franciosa
George Triadafilopoulos
Hiroshi Mashimo
Stretta Radiofrequency Treatment for GERD: A Safe and Effective Modality
Gastroenterology Research and Practice
title Stretta Radiofrequency Treatment for GERD: A Safe and Effective Modality
title_full Stretta Radiofrequency Treatment for GERD: A Safe and Effective Modality
title_fullStr Stretta Radiofrequency Treatment for GERD: A Safe and Effective Modality
title_full_unstemmed Stretta Radiofrequency Treatment for GERD: A Safe and Effective Modality
title_short Stretta Radiofrequency Treatment for GERD: A Safe and Effective Modality
title_sort stretta radiofrequency treatment for gerd a safe and effective modality
url http://dx.doi.org/10.1155/2013/783815
work_keys_str_mv AT markfranciosa strettaradiofrequencytreatmentforgerdasafeandeffectivemodality
AT georgetriadafilopoulos strettaradiofrequencytreatmentforgerdasafeandeffectivemodality
AT hiroshimashimo strettaradiofrequencytreatmentforgerdasafeandeffectivemodality