Procedures

Stretta Therapy

May 4, 2022

What is Stretta Therapy?

Stretta Therapy is a minimally invasive treatment option for patients with gastroesophageal reflux disease (GERD) who have not found relief from medications or are intolerant of long-term drug therapy. Stretta offers an effective alternative to more invasive surgical procedures or the placement of implants. By addressing the root cause of GERD, it helps reduce symptoms and enables many patients to eliminate or significantly reduce the use of PPIs (Proton Pump Inhibitors).

How Does Stretta Therapy Work?

Stretta Therapy is an outpatient procedure that typically takes less than 60 minutes to complete. It uses a specialized device to deliver radiofrequency (RF) energy to the Lower Esophageal Sphincter (LES) and the surrounding muscle tissue. The RF energy stimulates the regeneration and strengthening of the LES, improving its function and reducing the frequency of spontaneous relaxations that cause acid reflux.

Key Benefits of Stretta Therapy

  • Minimally Invasive: Unlike traditional surgery, Stretta does not require incisions or alterations to the anatomy. It is performed through the mouth using an endoscope, resulting in less pain and a faster recovery.
  • No Implants Required: Stretta Therapy does not introduce foreign implants, making it a suitable option for a wide range of patients and preserving future treatment possibilities.
  • Long-Term Relief: Many patients experience a significant reduction in GERD symptoms and are able to decrease or discontinue the use of acid-reducing medications.

Stretta Therapy is a safe and effective option for managing GERD symptoms, providing patients with a non-surgical solution that targets the underlying dysfunction of the LES.

What Are the Advantages of Stretta?

Stretta Therapy is a minimally invasive, non-surgical treatment designed to address the root cause of gastroesophageal reflux disease (GERD). By reducing acid reflux episodes, Stretta Therapy offers numerous benefits, improving both symptom relief and overall quality of life. GERD can lead to various uncomfortable and potentially serious symptoms, including persistent heartburn, regurgitation, chest pain, difficulty swallowing, chronic cough, asthma, laryngitis, and even tissue damage. Long-term acid exposure may result in complications like Barrett’s Esophagus or esophageal cancer.

Key Benefits of Stretta Therapy

  1. Minimally Invasive with Quick Recovery
    • Stretta Therapy is performed using an endoscope through the mouth, meaning there are no external incisions and minimal downtime. This approach results in less pain and faster recovery compared to traditional surgical procedures.
  2. Reduces the Need for Medications
    • Many patients with GERD rely heavily on proton pump inhibitors (PPIs) for symptom relief. Stretta Therapy has been shown to significantly reduce or even eliminate the need for these medications by targeting the underlying dysfunction of the lower esophageal sphincter (LES).
  3. Strengthens the Lower Esophageal Sphincter (LES)
    • Stretta uses radiofrequency (RF) energy to stimulate the natural healing process, encouraging the growth of thicker, stronger muscle tissue in the LES. This helps reduce the frequency of acid reflux episodes and improves the barrier function of the esophagus.
  4. Improves Symptom Control and Quality of Life
    • By reducing persistent symptoms like heartburn, regurgitation, and chest discomfort, Stretta Therapy helps patients regain control over their lives. This can lead to improved sleep, fewer dietary restrictions, and a greater sense of well-being.
  5. Safe and Well-Tolerated
    • Stretta Therapy is a safe option for a wide range of patients, including those who may not be suitable candidates for invasive surgery or who prefer to avoid anatomical alterations. The procedure has a strong track record of success with a low risk of complications.
  6. Preserves Future Treatment Options
    • Unlike surgical procedures that permanently alter the anatomy or involve implants, Stretta Therapy does not change the natural structure of the esophagus. This means patients retain the flexibility to pursue other treatment options if necessary in the future.

Stretta Therapy offers an effective, minimally invasive solution for managing GERD symptoms, making it an excellent choice for patients seeking long-term relief without surgery.

What are the risks of Stretta?

While Stretta Therapy is considered a safe and effective treatment for GERD, as with any medical procedure, there are some potential risks and side effects to be aware of. Understanding these risks can help you make an informed decision and discuss any concerns with your healthcare provider before undergoing the procedure.

Possible Risks and Complications

  1. Adverse Reaction to Anesthesia
    • Stretta Therapy is typically performed under light sedation, which helps ensure patient comfort during the procedure. However, some individuals may experience reactions to the anesthesia, such as nausea, dizziness, or allergic responses. These effects are usually mild and temporary.
  2. Erosive Esophagitis
    • The insertion of the Stretta device through the mouth and esophagus can sometimes cause irritation or inflammation of the esophageal lining, known as erosive esophagitis. This is usually mild and resolves on its own, but in rare cases, it may require additional treatment.
  3. Esophageal Perforation
    • Though extremely rare, there is a small risk of esophageal perforation or injury during the procedure. This occurs when the esophageal wall is accidentally punctured by the device. If this complication arises, it may require surgical intervention to repair.
  4. Gastroparesis (Delayed Stomach Emptying)
    • Some patients may experience gastroparesis, a condition where the stomach empties food more slowly than normal. Symptoms of gastroparesis include nausea, bloating, and a feeling of fullness. These symptoms are usually temporary but may persist in rare cases.
  5. Gas and Bloating
    • Patients may experience increased gas and bloating following the procedure. This is typically due to the changes in the function of the lower esophageal sphincter and should decrease as the body adjusts.

Discussing Risks with Your Doctor

While these risks are uncommon, it’s important to discuss any concerns with your healthcare provider before undergoing Stretta Therapy. Your doctor will review your medical history, evaluate your individual risk factors, and determine whether Stretta is a suitable option for you.

Overall, Stretta Therapy has a strong safety profile and a low complication rate, especially when performed by an experienced gastroenterologist.