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New treatment for reflux with radiofrequency: fast and uncut

New treatment for reflux with radiofrequency: fast and uncut

Radiofrequency antireflux therapy, also known as Stretta, is a minimally invasive endoscopic procedure that significantly reduces symptoms of reflux disease, allowing most patients to eliminate or decrease the use of medications such as omeprazole. It is an outpatient procedure, performed in less than 40 minutes, allowing patients to return to normal activities the next day. The treatment does not require incisions, stitches or implants.

This treatment has been around for a long time in other countries, where more than 20 thousand patients have already undergone it. In Brazil, this therapy arrived in 2017 as a new weapon in the therapeutic arsenal against chronic reflux disease.

Benefits of antireflux therapy

  • Studies show that this therapy considerably improves reflux symptoms and greatly increases quality of life of the patient with chronic reflux
  • Reduces or eliminates antacids and reduces acid exposure in the esophagus with a significant reduction in the number of reflux episodes
  • Is a non-surgical treatment given through the mouth by endoscopy
  • More than 40 clinical studies conclude that this treatment has good safety
  • The results are long-lasting, proven effective for 4-10 years
  • It also treats the cause of reflux disease and not just its symptoms
  • life reported by patients
  • An improvement in reflux disease symptoms such as odynophagia, asthma, hoarseness, respiratory symptoms and laryngitis
  • Lower rate of complications in relation to any medical treatment for reflux disease (medical or surgical)

Indications of antireflux therapy by radiofrequency

Treatment is intended for those patients suffering from chronic gastroesophageal reflux (GERD) and who can not adequately control with medication or drug treatment should be long-term and this is not a viable option. If the person is among the 30% of patients with chronic GERD, whose symptoms are not well controlled by medications, or are worried about the potential side effects of long-term drug treatment, and the surgery seems very aggressive, perhaps this therapy is

  • Up to 93% of patient satisfaction
  • 86% of patients discontinue using drugs for at least 4 years
  • 64% of patients quit to use anti-GERD drugs for 10 years
  • Studies show efficacy in patients who have already undergone reflux surgery
  • Is indicated for chronic reflux after bariatric procedures
  • It is indicated after antireflux surgery that has relapsed or did not adequately control the disease
  • Significant improvement in the quality of life reported by patients
  • Large decrease in acid exposure in the esophagus with a significant reduction in the number of episodes of r Patients who do not have a diagnosis of reflux disease confirmed by appropriate exams

Patients who have megaesophagus

  • Patients with large hiatal hernias
  • Patients under the age of 18
  • How is radiofrequency antireflux therapy performed?
  • Is an outpatient procedure performed in less than 40 minutes and does not require incisions, stitches or implants. The system provides radiofrequency (RF) energy to the muscle between the stomach and the esophagus, which remodels and improves muscle tissue, resulting in improved barrier function that decreases reflux events. Radiofrequency (RF) energy is an energy waveform that is used in many medical specialties:

Cardiologists use RF to stop dangerous heart rhythms

Urologists use RF to treat prostate enlargement

  • Experts in ear, nose and throat use RF to eliminate snoring and sleep apnea
  • RF is also used in cosmetic procedures for body contouring, skin rejuvenation, and shrinking
  • See how RF antireflux therapy works
  • Radiofrequency antireflux therapy

Which doctor does this?

Since it is an endoscopic procedure, it is natural that the procedure is performed by a physician who specializes in digestive endoscopy and who has been properly trained to perform this type of procedure.

Duration of the procedure

On average 40 minutes, under general anesthesia, in clinics or hospitals with support for this type of anesthesia. The patient should remain fully immobilized during the procedure and therefore the need for general anesthesia.

What to do before the procedure

Tests are needed to confirm the diagnosis of chronic reflux, such as digestive endoscopy, 24-hour esophageal PH and manometry of the lower esophageal sphincter. As the procedure, although not surgical, is done by general anesthesia, then some preoperative tests required by the anesthesiologist for patient safety, such as hemogram, coagulogram, electrocardiogram and chest X-ray are necessary. To perform the procedure, you must be fasted for at least 8 hours.

What to do after the procedure

It is forbidden to perform endoscopies for 30 days as well as to pass any tube through the esophagus

Do not you should use anti-inflammatories for at least 15 days

  • Grind all medicines and only drink liquid medicines for at least 30 days
  • Liquid diet for 5 days and creamy-pasty for another 20 days after procedure
  • Continue use antacids (prazoses) for at least another 60 days
  • Use liquid pain medicines if you feel pain
  • Tell your doctor if you have fever, vomiting with blood or difficulty breathing in the first few days
  • Complications and risks
  • This therapy is the most widely studied minimally invasive treatment option for reflux disease (GERD) - and has proven to be safe and effective in more than 37 clinical trials and 18,000 procedures. Serious complications are very rare, such as bleeding at the site of treatment in the esophagus, pulmonary embolism, perforation of the esophagus, septicemia, and death. More frequent are transient symptoms such as pain, difficulty in swallowing, temporary fever, lacerations of the esophageal mucosa, stomach pain, pain behind the chest.

What to Expect After Antireflux Radiofrequency Therapy

Usually the benefits are 2 to 4 months after the procedure

Outpatient treatment

  • Short time away from work and social life
  • Non-surgical

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