Spire St. Anthony’s Hospital is now offering Stretta® Therapy – an effective and minimally invasive treatment for Gastric Reflux patients, performed by Mr Marcus Reddy, Upper GI Consultant Surgeon.
Stretta Therapy is a highly effective and ultra-minimally invasive procedure that offers an alternative to invasive surgery or implants. Stretta Therapy uses radiofrequency (RF) energy to strengthen and improve the function of the valve, known as the lower oesophageal sphincter (LOS), which prevents regurgitation or reflux.
Stretta clinical studies show improvement in every measureable outcome for Gastro-Oesophageal Reflux Disease (GORD), including up to a 93% patient satisfaction score, while demonstrating symptom relief lasting a minimum of 4 years.
What is Stretta®?
Stretta Therapy is used to treat Gastro Oesophageal Reflux Disease (GORD). It is an endoscopic procedure which provides low energy radiofrequency to the lower oesophageal sphincter in order to increase the muscle wall thickness and reduce the reflux episodes to the patient. This involves a specially designed catheter and a low watt RF generator.
What are the benefits of Stretta®?
The aim of STRETTA is to resolve the GORD symptoms. STRETTA is a one off treatment, lasting approximately 45 minutes in the operating theatre under anaesthesia or an Endoscopic Suite under conscious sedation. This is an endoscopic procedure which means there are no cuts to the skin.
What are the risks of Stretta?
These complications are rarely seen but could potentially occur with the use of electrosurgery for the treatment of GORD:
- Chest Pain
- Dysphagia – difficulty swallowing
- Epigastric discomfort
- Injury to oesophageal mucosa
- Vomiting - if any vomiting occurs, contact your treating physician immediately. Excessive vomiting may result in perforation.
Are there any alternatives to this procedure?
Usually patients are prescribed medication to resolve GORD, however, if this has been unsuccessful – there are two options surgical options:
- Minimally invasive: i.e. STRETTA
- Invasive - Laparoscopic NISSEN Fundoplication (LNF)
LNF is an invasive procedure which wraps the stomach around the Oesophageal Sphincter. This is carried out through keyhole surgery by skilled Upper Gastro Intestinal Surgeons
What will happen if I do not have this procedure?
If medications are not working for you, it will be increasingly difficult to manage the reflux symptoms unless some form of surgical intervention takes place.
What anaesthetic will I be given?
You could be presented with two types of anaesthesia:
- General Anaesthesia
- Conscious Sedation
Preparing for your Stretta procedure:
Do not have anything to eat or drink for at least six hours before your test. This is to make sure that we can have a clear view of your stomach.
You must tell the nurse if you have any loose teeth, caps, crowns or veneers as there is a risk they could become dislodged.
You will be asked to remove any tight clothing, ties, dentures, spectacles and contact lenses.
When you come to the department, please tell the doctor or nurse about any medicines you are taking, any possible allergies or bad reactions you may have had in the past or any heart valve problems that may require antibiotics before your procedure.
The STRETTA procedure involves passing a camera into your mouth and down your throat to locate the sphincter which separates the oesophagus to your stomach. Precise measurements are taken, four needles are deployed to begin treatment.
RF energy treatment is provided above and below the sphincter, which remodels and improves the muscle tissue, resulting in improved barrier function and fewer reflux events.
After your procedure
- Avoid instrumentation of oesophagus for at least one month after treatment
- Avoid oral use of NSAIDS for a period of 14 days postoperative
- Use liquid acetaminophen with or without codeine or equivalent preparation for postoperative analgesia
- Crush all medications or use liquid preparations of all medications where possible for at least one month after treatment
- Modify diet after STRETTA procedure: full liquids for 24 hours, soft diet for 2 weeks
- Should continue previous anti-secretory regimen for two months postoperative