期刊
WORLD JOURNAL OF GASTROENTEROLOGY
卷 20, 期 24, 页码 7730-7738出版社
BAISHIDENG PUBLISHING GROUP INC
DOI: 10.3748/wjg.v20.i24.7730
关键词
Gastroesophageal reflux disease; Esophageal sphincter; Lower; Radiofrequency energy; Heartburn; Esophagitis
One potential option for the management of refractory gastro-esophageal reflux disease (GERD) is the delivery of radiofrequency energy to the gastro-esophageal junction (Stretta). This endoscopic therapy is safe, effective, durable, and repeatable if necessary and serves an unmet need for many GERD sufferers. Stretta could be effective in decreasing esophageal sensitivity to acid and in decreasing the gastro-esophageal junction compliance, which in turn contributes to symptomatic benefit by decreasing refluxate volume. Therefore, Stretta may serve as an endoscopic pain modulator and should be considered in patients with refractory symptoms despite proton pump inhibitors, as well as in patients with functional heartburn. (C) 2014 Baishideng Publishing Group Inc. All rights reserved.
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