Long-Term Results of Radiofrequency Energy Delivery for the Treatment of GERD: Results of a Prospective 48-Month StudyReport as inadecuate




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Diagnostic and Therapeutic EndoscopyVolume 2011 2011, Article ID 507157, 6 pages

Clinical Study

Digestive Motility and Endoscopy Unit, Department of Medicine, ASO San Giovanni Battista Hospital, Via Genova 3, 10121 Turin, Italy

Emergency Surgery Unit, Department of Emergency, ASO San Giovanni Battista Hospital, 10121 Turin, Italy

Anesthesiology Unit, Department of Surgery, ASO San Giovanni Battista Hospital, 10121 Turin, Italy

Received 17 January 2011; Revised 18 June 2011; Accepted 17 August 2011

Academic Editor: Benjamin Kuttikatt Poulose

Copyright © 2011 Luca Dughera et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Since 2000, radiofrequency RF energy treatment has been increasingly offered as an alternative option to invasive surgical procedures for selected patients with gastroesophageal reflux disease GERD. Out of 69 patients treated since June 2002 to December 2007 with the Stretta procedure, 56 of them reached by the end of 2010 a 48-month followup. RF treatment significantly improved heartburn scores, GERD-specific quality of life scores, and general quality of life scores at 24 and 48 months in 52 out of 56 patients 92,8%. At each control time both mean heartburn and GERD HRQL scores decreased = 0.001 and = 0.003, resp. and both mental SF-36 and physical SF-36 ameliorated = 0.001 and 0.05, resp

At 48 months, 41 out of 56 patients 72,3% were completely off PPIs. Morbidity was minimal, with only one relevant but transient complication. According to other literature data, this study shows that RF delivery to LES is safe and durably improves symptoms and quality of life in well-selected GERD patients.





Author: Luca Dughera, Monica Navino, Paola Cassolino, Mariella De Cento, Luca Cacciotella, Fabio Cisarò, and Michele Chiaverina

Source: https://www.hindawi.com/



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