How Successful Is The Stretta Procedure?


The device for carrying out the procedure was originally developed by a company called Curon which obtained FDA approval for the device in 2000 but then went bankrupt in 2006; the device was brought back to market by Mederi Therapeutics in 2010. The procedure costs between $3,000 and $4,000 as of 2004.

Who qualifies for Stretta?

Stretta is considered appropriate therapy in a select group of patients being treated for chronic GERD who are 18 years of age or older, who have had symptoms of chronic GERD, heartburn, regurgitation, or both for 6 months or more, who have been partially or completely refractory to antisecretory pharmacologic therapy, …

Is Stretta procedure reversible?

Reality: Stretta Is Safe. The recently published meta-analysis by Perry revealed that the most common complications encountered after the Stretta procedure were gastroparesis and erosive esophagitis. These are known to be transient and reversible.

Does Stretta really work?

Stretta therapy has been studied the most in terms of treatments for GORD (Gastro Oesophageal Reflux Disease) and in over 40 clinical studies and 25,000 procedures it has proven to be a safe and effective treatment option. These studies also show that relief from the symptoms of reflux last from 4-10 years.

Is the Stretta procedure safe?

The Stretta procedure is a safe and effective long-term treatment for patients with refractory GERD. The procedure produces significant long-term improvements in heartburn, QOL and medication use in these patients.

Is Stretta covered by insurance?

New Insurance Coverage:

In addition, Stretta is covered by multiple BCBS plans, other private insurers, as well as some Medicare plans. These policies allow access to Stretta for tens of millions of patients across the U.S.

How effective is Stretta for LPR?

Stretta is effective in laryngopharyngeal reflux (LPR). 99 refractory LPR and non-LPR patients were studied. At 10-year follow-up, all parameters demonstrated statistically significant improvement across the entire respondent cohort.

What is magnetic sphincter augmentation?

About. Laparoscopic magnetic sphincter augmentation (LINX) involves implanting a small device (LINX) to tighten the opening of the lower esophageal sphincter (LES) and stop reflux while allowing the patient to eat normally. The LINX is a small implant comprised of interlinked titanium beads with magnetic cores.

What is endoluminal therapy?

The Stretta procedure uses radiofrequency (RF) energy delivered to the tissues of the distal lower esophageal sphincter (LES) and gastric cardia, which decreases LES compliance, increases LES muscle mass, and limits the inappropriate transient LES relaxations responsible for GERD in many patients.

Does Medicare pay for Nissen fundoplication?

(November 14, 2017) – Medicare beneficiaries in 23 additional states have been granted reimbursed access to the Transoral Incisionless Fundoplication (TIF®) 2.0 procedure following positive coverage decisions by Medicare Administrative Contractors (MACs) Noridian Health Care Solutions (Noridian) and National Government …

What is a Collis?

Collis gastroplasty is a minimally invasive procedure to lengthen a shortened esophagus, so we can treat the underlying cause of your condition. A shortened esophagus happens when irritation from chronic acid reflux leaves scar tissue in your esophagus.


What is the purpose of fundoplication?

Fundoplication is a surgical procedure used to treat stomach acid reflux. During fundoplication, the top part of your stomach — called the fundus — is folded and sewn around the lower esophageal sphincter, a muscular valve at the bottom of your esophagus.

What is TIF for GERD?

Transoral incisionless fundoplication (TIF) is an advanced endoscopy procedure that provides relief from acid reflux (heartburn) symptoms associated with chronic gastroesophageal reflux disease (GERD).

What is a DeMeester score?

The DeMeester score (DMS) is a composite score of the acid exposure during a prolonged ambulatory pH monitoring that has been used since 1970s to categorize patients as GERD+ or GERD-.

What is the best surgery for LPR?

Nissen fundoplication is an effective treatment for most LPR symptoms, although patients with adult-onset asthma and repetitive throat clearing appear to benefit least from surgical intervention.

Is there surgery for LPR?

Laparoscopic surgery called Nissen fundoplication if your LPR is severe (during this procedure, a surgeon wraps part of your stomach around the lower part of your esophagus to keep acid from leaking back up)

Does Linx fix LPR?

Laryngopharyngeal Reflux (LPR) – We are occasionally asked whether LINX™ is an effective treatment for LPR in the same way it is for conventional reflux disease/symptoms. The answer is yes and we have a number of successful LPR patients who are now symptom free and off medication.

What is the strongest medication for GERD?

PPIs are the most powerful medications available for treating GERD. These agents should be used only when this condition has been objectively documented. They have few adverse effects. However, data have shown that PPIs can interfere with calcium homeostasis and aggravate cardiac conduction defects.

Is a 2 cm hiatal hernia large?

Hiatal hernias were classified as small if their size ranged from 2 to 4 cm and large if > or = 5 cm. Results: A total of 192 patients were included, being 115 in erosive reflux disease group and 77 in non-erosive reflux disease group.

Does stretta work for hiatal hernia?

No. If you have a hiatus hernia Stretta is unlikely to work.

How do you heal the lower esophageal sphincter?

Laparoscopic anti-reflux surgery for GERD may involve a procedure to reinforce the lower esophageal sphincter, called Nissen fundoplication. In this procedure, the surgeon wraps the top of the stomach around the lower esophagus after reducing the hiatal hernia, if present.

Are there any new treatments for GERD?

Rather than doubling down on acid reflux, compound targets bile reflux. An investigational drug that binds to bile in the stomach may provide relief for patients with difficult-to-treat cases of gastroesophageal reflux (GERD).

Can GERD be cured with surgery?

Surgery is very effective in treating GERD. The most commonly performed operation for GERD is called a fundoplication (usually a Nissen fundoplication, named for the surgeon who first described this procedure in the late 1950’s).