Dr Manish Joshi, Additional Director- Surgical Gastroenterology, Bariatric and Robotic Surgery,

Fortis Hospital, Bannerghatta Road, Bengaluru

Gastroesophageal reflux disease (GERD) is a chronic condition that affects millions of people
worldwide. Characterized by the backflow of stomach acid into the esophagus, GERD can
cause symptoms such as heartburn, regurgitation, and difficulty swallowing. While lifestyle
modifications and medications can provide relief, some individuals may require more invasive
treatments. The Stretta procedure is a minimally invasive treatment option that has shown
promising results in managing GERD symptoms.

What is the Stretta Procedure?
The Stretta procedure is a radiofrequency (RF) energy treatment that aims to strengthen the
lower esophageal sphincter (LES), a muscle that separates the esophagus and stomach. During
the procedure, a thin, flexible tube called an endoscope is inserted through the mouth and
guided into the esophagus. The endoscope is equipped with a RF energy generator, which
delivers controlled amounts of energy to the LES.

How Does the Stretta Procedure Work?
The RF energy delivered during the Stretta procedure heats the tissue in the LES, causing
collagen contraction and tissue tightening. This tightening effect strengthens the LES, reducing
the likelihood of stomach acid refluxing into the esophagus. The procedure typically takes about
45 minutes to an hour to complete and can be performed on an outpatient basis.

Benefits and Effectiveness
Studies have shown that the Stretta procedure can provide significant symptom relief for GERD
patients. The benefits of the procedure are numerous, including reduced symptoms of heartburn
and regurgitation, improved quality of life, and a decreased need for antacid medications.
Additionally, the Stretta procedure is minimally invasive, resulting in less discomfort and faster
recovery times compared to traditional surgery, making it a valuable treatment option for those
seeking effective and efficient relief from GERD symptoms.

The Stretta procedure is a promising treatment option for GERD patients who have not
responded to lifestyle modifications or medications. With its minimally invasive approach and
significant symptom relief, the Stretta procedure offers a valuable alternative to traditional
surgery. If you are experiencing persistent GERD symptoms, consult with your healthcare
provider to determine if the Stretta procedure is right for you.