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The Stretta procedure: effective endoluminal therapy for GERD.

Robert D Fanelli¹, Keith S Gersin, Adel Bakhsh

¹Department of Surgery, Berkshire Medical Center, University of Massachusetts Medical School, Pittsfield, MA, USA.

Surgical Technology International

|August 22, 2003

Summary

The Stretta procedure offers an effective endoluminal therapy for gastroesophageal reflux disease (GERD). This radiofrequency energy treatment improves lower esophageal sphincter function, providing relief for GERD symptoms.

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Area of Science:

Gastroenterology
Minimally Invasive Surgery

Background:

Laparoscopic fundoplication transformed GERD treatment.
Endoluminal therapies offer less invasive alternatives to surgery.
Proton pump inhibitors (PPIs) are common GERD medications.

Purpose of the Study:

To evaluate the efficacy of the Stretta procedure as an endoluminal therapy for GERD.
To assess the impact of Stretta on lower esophageal sphincter (LES) function.
To determine if Stretta can reduce reliance on PPIs.

Main Methods:

The Stretta procedure utilizes radiofrequency (RF) energy on the distal LES and gastric cardia.
Studies include laboratory research, randomized sham-controlled trials, and prospective clinical trials.
The procedure aims to decrease LES compliance and increase muscle mass.

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Main Results:

Stretta effectively decreases LES compliance.
The procedure increases LES muscle mass.
Stretta limits transient LES relaxations, a cause of GERD.

Conclusions:

The Stretta procedure is an effective endoluminal treatment for symptomatic GERD.
It offers a less invasive option compared to traditional surgery.
Stretta shows efficacy across various study designs.