Stretta is a procedure that is recommended for patients with GERD
(Gastro oesophageal reflux disease ) that is not responsive to
The Stretta procedure utilizes radiofrequency energy (RF), an energy waveform which is used in many medical treatments.
In the Stretta procedure, RF energy modifies the tissue and its action
in the lower esophageal sphincter (LES), which restores normal LES
function and may reduce or eliminate GERD (gastro esophageal reflux
The Stretta procedure was FDA cleared for the treatment of GERD in April 2000.
How is STRETTA performed ?
The Stretta procedure is performed on an out-patient (same day) basis in an endoscopy unit or hospital operating room.
You will receive appropriate anesthesia based on your doctor’s preference.
There may be mild to moderate discomfort involved with this
procedure, but you will be given medication following treatment to ease
The GERD symptoms may persist for several months post-treatment
and therefore may require continued anti-secretory medication for some
Steps of STRETTA
A specially designed, flexible Stretta catheter is passed through your
mouth, into your esophagus, and positioned at your LES (lower esophageal
sphincter)near the top of your stomach.
The catheter inserts 4 thin needles into your LES and delivers RF selectively to the muscle.
Several areas in the region of the LES and stomach are treated.
The procedure may last approximately 60 minutes. You will be observed
for a period of time after the procedure and then permitted to return
home. Because you will receive sedation for the procedure, you will
require a friend or family member to help with transportation from the
hospital or endocscopy unit.
You are advised to modify your diet to include liquids and soft
foods only for the first 24 hours, followed by a soft diet for the next 7
What are the benefits of STRETTA ?
The possibility of resolution or improvement of GERD symptoms and elimination or reduction of anti-secretory medication use.
What are the risks associated with STRETTA ?
Common issues related to the Stretta procedure include chest or
abdominal discomfort in the 24-72 hour post treatment period.
Infrequent risks such as difficulty belching, esophageal mucosal
ulceration (injury to the mucosal lining of the esophagus), bleeding,
infection, surgery to correct the infection, burn related to position of
external skin return electrode, diarrhea related to antibiotic
prophylaxis, perforation (creating a hole in the esophagus), surgery to
correct the perforation, difficulty in relaxing the LES in response to a
swallow, difficulty swallowing, nausea, vomiting which may lead to
bleeding or esophageal injury, and failure to resolve symptoms of GERD.
Chest and upper abdominal or epigastric discomfort may be
experienced in the first 48 hours or, less commonly, for the first 7
days after treatment.
Mild discomfort, medication reactions,
Very rare complications are esophageal perforation, and bleeding.
Persistent or more severe chest, pleuritic, or epigastric
discomfort, fever, dyspnea (labored breathing), pleural effusion (fluid
buildup), are much less likely, but possible, adverse events.
Call your physician immediately if any of these symptoms occur.
Note: if you have any questions or concerns, please address them immediately with your physician.