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5-year follow-up study of radiofrequency energy delivery for treatment of gastroesophageal reflux disease |
LIU Haifeng, QU Yawei, CHEN Xiaoguang, WANG Weian, TAN Tao, LI Jun, and TANG Hongwei |
Department of Gastroenterology, General Hospital of Chinese People’s Armed Police Force, Beijing 100039, China |
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Abstract Objective To evaluate the symptom control and medication changes after the Stretta procedure with gastroesophageal reflux disease (GERD) during a 5-year follow-up period. Methods We evaluated GERD-health-related quality of life, satisfaction and medication use at baseline and 12 and 60 months after treatment. Results Significant changes in symptoms of GERD, the mean GERD-HRQL score was 25.6 (baseline),and 8.7(60 months,P<0.01).The mean heartburn score was 3.3 (baseline),and 1.3(60 months,P<0.05). The percentage of patients with satisfactory GERD control improved from 31.1% at baseline to 71.6% after treatment, and patient satisfaction improved from 1.4 at baseline to 3.8 at 60 months (P<0.01). Medication usage decreased significantly from 100% of patients on PPI therapy at baseline to 70.1% at 60 months. Conclusions The experience with Stretta procedure confirms that it is well tolerated, safe, effective, and durable in the treatment of GERD. It produces significant improvements in symptom control and and decreased medication usage during a 5-year period follow-up.
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Received: 20 July 2015
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