A young male patient, Mr. FJ presented to Aster Hospital with typical as well as atypical symptoms of reflux disease in the form of abdominal burning sensation after consumption of food, non-cardiac chest pain, globus sensation and irritation in throat. His abdominal symptoms responded to PPI but throat symptoms were refractory to all forms of treatment.
OGD scopy was done and the result was surprisingly normal. At this point of time it became necessary to make a judgment whether the patient really had reflux or he had a sensitive esophagus; for this purpose he was referred for pHmetry and esophageal manometry to another center and these studies confirmed that he actually suffered from significant GERD.
Patients with GERD who are unable to continue medicines for any reason have an option of undergoing anti-reflux procedures in order to strengthen the Gastroesophageal junction. Those who do not have a significant Hiatus Hernia can choose to have this done endoscopically.
For this particular patient we chose to perform radio-frequency application to LES using the STRETTA procedure. This is an endoscopically guided radio-frequency application to the lower esophageal sphincter that subsequently leads to tightening of the muscles, thus improving reflux. It is very safe and has been shown in a lot of studies to improve patient outcome.
This procedure was done on 13th July, 2017. The patient was seen in a follow up visit and is doing very well now. He is expected to show progressive improvement over the coming months and hopefully will be able to continue without GERD symptoms and without medications.