Nonmedical Treatment of Gastroesophageal Reflux Disease
You should consider all options before deciding on surgery. You should also consider the costs of each procedure, as the costs can vary. Checking with your insurance prior to deciding on a procedure is also important. Some of these procedures are not covered by insurance.
Treatment of Gastroesophageal Reflux Disease
The sphincter normally prevents food from moving out of the stomach and back up into the esophagus. Gastroesophageal reflux disease (GERD) occurs when stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus. In the Stretta procedure, or radiofrequency treatment, the doctor directs high-energy waves into the wall of the lower esophagus to create small amounts of scar tissue.
The most feared complications are esophageal and gastric perforations and splenic injury, which are potentially life-threatening. These complications occur infrequently, but when they do occur, they can be quite problematic. VV A recent randomized trial of transoral incisionless fundoplication found modest improvement on a short-term basis. However, these results are still not great, and there have certainly been enough failures even in the short term and in expert hands to further diminish any enthusiasm for the use of this procedure. It is unclear whether other endoluminal devices will be any better.
There are prescription and OTC drugs available.
Normally, stomach contents are kept in the stomach by a group of muscles called the lower esophageal sphincter (LES). When these muscles arenâ€™t functioning properly, digestive juices and stomach content can move back up into the esophagus. For more popular surgeries used to treat GERD, the outlook is very good. In most people with GERD, they relieve or even eliminate their symptoms.
- We searched online bibliographic databases, including MEDLINE, EMBASE, the Cochrane Collaboration and Clinical Trials Database, and alternative medicine databases for the terms gastroesophageal reflux and infants.
- But some patients are finding permanent relief through a non-surgical procedure called Stretta.
- This procedure doesnâ€™t require incisions.
This blocks the nerves that respond to refluxed acid. The scar tissue that forms also helps strengthen the surrounding muscles. This is the standard surgical treatment for GERD. It tightens and reinforces the LES.
The most common treatment of GERD is taking medications to improve symptoms. There are a host of medications available both over the counter and by prescription that all function the same way.
We selected randomized controlled trials of nonpharmacological and nonsurgical GERD therapies in otherwise healthy infants. Data were extracted from the selected articles regarding reflux, emetic episodes and intraesophageal pH. Unfortunately, this device fell out of favor because it did not have good long-term results.
There are short-term side effects such as headache, diarrhea and abdominal pain and over the long term they may increase the risk of hip fractures, cause low magnesium levels in the blood and increase the risk of pneumonias and a severe type of colon infection. It is easy to see why the proper supervision of a qualified physician is needed. Radiofrequency ablation may be an option for treating precancerous cells in the esophagus that are associated with Barrettâ€™s esophagus.