What is Gastroesophageal Reflux?

Gastroesophageal Reflux Disease (GERD) is often caused by gastric acid infrequently escaping to the esophagus by other secretions such as pepsin and bile acid. The main reason for this escape is that the valve-like structure called the esophageal lower sphincter, which consists of dense muscles between the esophagus and the stomach, is constantly open.

It usually causes burning behind the breastbone, sometimes in the back and stomach, and is manifested by symptoms such as sour mouth, bitter/sour water, and food coming into the mouth. Prolonged throat infections, hoarseness, chronic fringe, asthma attacks at night, and excessive snoring are also among the causes.

How is Reflux Treated?

The treatment method is decided according to the stage of the disease. It starts with medication first. However, in some people, complaints can continue despite drug treatment. In this case, two different methods are used: Surgical Intervention (Fundoplication treatment) and Radiofrequency Ablation (Stretta) to eliminate gastric valve laxity.

Radiofrequency Ablation (Stretta)

Decreased expansion of the stomach valve as a result of contact with high-grade current (RF) from certain points is the basis of the process. Radiofrequency current, which is used in the radiofrequency ablation method by endoscopy, has been used for the treatment of various diseases such as heart rhythm disorders and liver cysts for years. The method, in which patient selection is very important, can be applied in young people and people with an opening in the stomach valve below 3 cm.

It is possible to return home on the same day after the procedure in which reflux can be treated in 30 minutes without the need for surgical intervention.

Who is the Suitable Radiofrequency Ablation Method?

Those over 18 years of age,
Those who have had GERD complaints for more than 6 months,
Those with a stomach opening of 2 cm or less,
Those without Barret Esophagitis

Who is the Radiofrequency Ablation Method Not Suitable for?

Endoscopic reflux treatment has some limitations and cannot be applied to the following individuals.

Persons less than 18 years of age,
Pregnant women,
Gastric hernia over 2 cm
Patients with severe esophageal damage (Stages 3-4),
Patients who have damage to the esophagus up to cellular change (Barrett's esophagus),
Patients with achalasia

What is the Success Rate of the Treatment?

SAGES (Society of American Gastrointestinal and Endoscopic Surgeons) and FDA (U.S. Food and Drug Administration) recommend the use of the procedure in the treatment of GERD based on strong evidence.

This content was prepared by Yeditepe University Hospitals Medical Editorial Board.

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