When someone has seemingly tried everything and wants to move onto the next step to fix their LPR or reflux the stretta procedure is definitely one that comes to mind.
It is a preferred option not only because of its effectiveness in treating LPR ( Laryngopharyngeal Reflux) or GERD (Gastroesophageal Reflux Disease) but also because it isn’t invasive like most other surgeries out there. In fact, there is no cutting needed at all for the procedure unlike other options.
How the Stretta Procedure Works
The whole point of the procedure is to target the muscle area above the stomach right where the lower esophageal sphincter (LES) is positioned. The LES is the sphincter that is above the stomach and is designed to keep acid/food inside the stomach. The problem is a LES on a patient with LPR or GERD is likely to not be functioning correctly. This is often caused by things like overeating.
A person who regularly overeats and overloads the stomach will put more pressure on the LES muscle. This process will make the LES weaker and will cause it to degrade over time. It’s a slow process that can develop over months/years of overeating. You can read more about LESs role here – stomach sphincters important role in acid reflux. It’s also worth mentioning certain foods can affect its effectiveness.
The whole point of Stretta is to stimulate that muscle to strengthen and to get it working as it should be.
The process should make the muscle stronger and thicker which should directly help with preventing reflux and LPR symptoms. This not only will create more stomach pressure which will help prevent against reflux but also should get the LES working as it was intended. So, you sort of get a two in one effect.
Stretta procedure uses special needles that send a radiofrequency into the sphincter muscle (LES). This radiofrequency is designed to stimulate the muscles which will strengthen as I mentioned before. The device only uses 5 watts of power which is about the same as a light bulb so it’s very low energy and safe to use.
Who Should Choose Stretta?
Someone who should be considering doing Stretta should be someone with LPR or GERD. It should be someone who has tried the recommended treatment advice such as medications and diet. Check out my advice in my full LPR guide here for treatment advice for LPR specifically. Once someone has exhausted these options and still has no improvement then considering Stretta should be a good idea.
Before doing Stretta it may be a good idea to confirm you have LPR/GERD if you haven’t already – the best way to confirm this is a test called Restech. This test measures the acidity level in your esophagus to see if it’s normal and if it’s more acidic than it should be then that is a good way to know for sure that it is reflux related. If you have already been diagnosed with GERD or LPR already and you meet the criteria I mentioned above, then Stretta could be a great choice for you.
The great thing about Stretta is that it is only minimally invasive and has been shown to be an effective treatment where patients have shown improved symptoms after completion. You can check out one of the studies here.
Stretta Procedure Success Rate
As far the Stretta success rate results have shown that 64% of patients shown a reduction in PPI intake and 41% eliminated them entirely. As this study was primarily for GERD patient PPI’s as a treatment choice was effective though for LPR sufferers will not help, you can read more about that in my LPR guide.
Stretta Procedure Side Effects
Secondly the Stretta procedure side effects didn’t exist with no patients showing any adverse effects in the first 10 years after treatment. If you are looking for an LPR surgery or a do the Stretta procedure for GERD it is definitely worth considering.
When it comes to Stretta procedure complications they are very rare. For example in this study only 29 people out of 15000 had any problems or complications.
Stretta Procedure Cost
On a final note I think it is worth mentioning that the Stretta procedure cost is approximately $5000. Of course this amount can vary but this is an approximate cost of the procedure in America.
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10 thoughts on “Stretta Procedure and its Effectiveness for Fixing Reflux and LPR”
Love the website, very informative! Did you have the Stretta procedure done? If you did, does it work and are you able to eat more foods that you couldn’t before?
Thank you for the kind comments. I didn’t have the Stretta done myself but I heard it has quite a high success rate for people with LPR with over 80% showing improvement.
Hello there, I am considering this procedure here in New Zealand, it looks a much better option than a Nissen fundoplication.
Hey Steve, Yes I would agree with you Stretta seems to be the best option for surgery options for LPR. I definitely think it should the first surgery choice for people with LPR.
Just a quick clarification-Stretta is not a surgical procedure; it’s an endoscopic one. It’s very safe-however it’s not as effective as a traditional fundoplication. One of the good things about it is that it keeps the door open for other anti-reflux procedures as well, because you’re not making gross anatomical changes to the sphincter.
Yes that is correct, thanks for clarifying that 🙂
Hi David. Just want to say thanks — I have been suffering from LPR for the last three months. Several doctors couldn’t diagnose me until an ENT finally told me it looked like reflux and put me on PPIS.
They weren’t helpful at all, but your info has been a life saver. My symptoms have gone from 8/10 to a 3/10 following your advice.
I’m heavily considering the stretta procedure if things don’t resolve further in the next couple months. I don’t care where I have to travel or how much I have to pay.
I’m 25 and I’m good shape. Following a strict diet and still having daily throat mucus and globus is miserable and I don’t want to deal with this for the rest of my life. I wish there was a lot more research done into LPR, but I really appreciate the effort you have made into organizing what little information about it we have.
Thank you Trev for the kind comments. It’s great to hear that you have seen a good improvement so far. I wouldn’t rush too much into the surgery especially seeing as you have seen good improvements already. I think give it some more time and adjustments to diet and lifetstyle and you could perhaps be completely symptom free sometime soon. If you do consider surgery Stretta is the best first option for someone with LPR definitely in my opinion.
Have had all the tests and appears this would be MY first choice on this -especially with the recovery period. Will have a meeting with an assigned surgeon soon, I hope – from there; would imagine THIS would be his choice too… wish me luck! Getting tired of taking the pantoprazole/lansoprazole, or nexium to get the acid under control – had an upper scope, esophagram, manometry … appears the issue is in this area…
Best of luck I hope it goes great for you 🙂