Stretta Procedure for GERD

Posted by billgil @billgil, Jul 5, 2022

Anyone familiar with the Stretta procure for GERD ?
And how effective it is?
Have had silent reflux for a lot of years and the PPIs I have been on are starting to lose there effectiveness.
Is it better than Nissen fundoplication ?
Certainly seems to be a lot less invasive. Thanks B

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Hello @billgil, Welcome to Connect. @mmax mentioned they were researching the procedure in 2019 in another discussion but never received an answer or posted followup information. Here is a link to their post - https://connect.mayoclinic.org/comment/160530/. Here is some information I found on the topic while we wait for other members to respond.

-- Stretta Procedure: Effectiveness and Benefits | Healthline:
https://www.healthline.com/health/gerd/stretta-procedure
Have you discussed the possible effectiveness and benefits of the Stretta procedure with your doctor?

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I'm also wondering about the Stretta procedure. My doctor said that it wasn't being performed anymore where he worked but that they were considering whether to reinstate it. On the internet I saw one article from 2015 that said it wasn't really significantly useful (https://www.nghd.pt/uploads/radiofrequency_ablation_in_gerd_1.pdf), so I'm also wondering what the latest situation is.

Aside from this, I wonder if anyone knows if one should consider electrical stimulation therapy (EST) for GERD. Also, I wonder if you can use an external TENS machine without implantation and introduce the electrical stimulation that way. I even tried it... but found that I had no idea where to place the electrodes, and especially I was concerned because I found that when I put it where I wanted to, it also caused my heart to jump... If TENS could work externally this would be the best solution - if the stimulation could shock the LES sphincter into closing better? I got to thinking about this direction because after doing an endoscopy I found that I felt less acid leaking, so I was wondering if the trauma of the procedure shocked the sphincter into closing better. (Unfortunately the great improvement after the endoscopy lasted a short time, and then the situation was only somewhat better than before the endoscopy. The doctor has no idea why I should feel any better after the endoscopy and thinks I'm somewhat nuts.)

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Also, @billgil , I think you should see if there were other factors that caused your GERD to flare up and not that the PPI is not effective. (By me I think it was caused by carrying something very very heavy)
It might be a temporary flare up, so if you can identify what might have caused it (stress, food, etc...), maybe you can get back to a stable situation.

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Has anyone tried diaphragm exercises for GERD ??? There is some evidence they work.

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