Stretta Method

Stretta reflü tedavisi

The Stretta method is an endoscopic method used in the treatment of reflux, based on the principle of narrowing this area by sending radiofrequency waves to the lower end of the esophagus.

The Stretta method uses radiofrequency energy to improve the functionality of the sphincter between the esophagus and stomach. During the Stretta procedure, the gastroenterologist inserts a catheter into the patient’s esophagus and emits radiofrequency waves at the entry point into the stomach. These waves tighten the muscles around the sphincter, making it harder for stomach acid to escape back into the esophagus.

Gastroesophageal reflux disease (GERD) is a common condition that many people experience. In this condition, stomach acid escapes back into the esophagus (food pipe) and causes uncomfortable symptoms. There are a number of options for treating GERD and the Stretta procedure is one of them.

How is the Stretta Procedure Performed?

The Stretta procedure is usually performed under light sedation. During the procedure, the doctor advances an endoscope (a thin, flexible tube) through the patient’s mouth into the esophagus. Radiofrequency energy is then applied to the lower part of the esophagus. This energy strengthens the muscles in the lower part of the esophagus and thus prevents stomach acid from escaping back up.

If gastroesophageal reflux disease is left untreated, various complications can develop in the long term. Prolonged acid exposure in the esophagus increases the risk of Barrett’s esophagus and esophageal cancer, which increases the importance of treatment. Minimally invasive treatment methods such as Stretta can play an important role in preventing such serious health problems.

The Stretta procedure can be an effective way to relieve reflux symptoms. Studies have shown that most patients who undergo this procedure have a significant reduction in their symptoms. In addition, the Stretta procedure usually comes with a quick recovery time and patients can usually return to normal activities within a few days after the procedure.

Advantages and Disadvantages of the Stretta Method

While the Stretta method offers an alternative way to treat gastroesophageal reflux disease, the unique advantages and potential disadvantages of this minimally invasive procedure should be carefully evaluated.

Advantages

  • It does not require general anesthesia and is performed under sedation.
  • Since it is not a surgical intervention, the recovery period is usually much shorter.
  • It does not require an operating room and can be performed in endoscopic units.
  • Most patients can quickly return to their normal activities after the procedure.
  • Dietary restrictions are generally less after the procedure.

Disadvantages

  • The procedure may not be suitable for everyone and may have limitations, especially for people with severe gastric hernias or those who have had previous gastrointestinal surgery.
  • The effectiveness and duration of the procedure may vary on a patient-by-patient basis.
  • As with all treatment methods, complications may rarely develop.

Possible Side Effects of the Stretta Procedure

As with any medical procedure, the Stretta procedure can have some side effects. These can include a sore throat, temporary narrowing of the esophagus and temporary difficulty eating. However, these side effects are usually mild and temporary.

In conclusion, the Stretta procedure is an effective option for treating reflux. This minimally invasive procedure can help relieve symptoms and usually provides a quick recovery time. However, it is important to determine the most appropriate treatment option for each patient and this requires a detailed appointment process with your doctor.

Success of the Method and Potential for Post-Surgical Application

Stretta treatment is an endoscopic method offered to reflux patients as an alternative to surgery. Research on this procedure generally shows positive results. In particular, two large studies published in 2007 demonstrated the long-term effectiveness of Stretta. In the Puerto Rico study, 87% of patients had successful results even after four years, while in the US study the success rate was 75%.

The Stretta procedure is preferred because it is completely endoscopic, does not require abdominal incisions and can be performed under sedation, which increases patient comfort. The procedure involves the reconstruction of the valve between the esophagus and stomach with radiofrequency waves and usually allows the patient to return home after a 4-6 hour follow-up period. The recovery process is usually completed within 6-8 weeks and in some cases, patients may be able to avoid lifelong medication.

On the other hand, the feasibility of Stretta in patients who have undergone reflux surgery and then experience recurrent reflux symptoms has also been investigated. A study published in the journal Surgical Endoscopy reported that Stretta treatment can provide 10 years of successful results for patients with recurrent reflux complaints after surgery. This suggests that Stretta can be safely applied and effective even after more invasive procedures such as Nissen fundoplication surgery. These data suggest that Stretta may play an important role in the treatment of reflux.