Latest Therapy for Gastric Acid Reflux 2019

What are the latest thermal radiofrequency gastric cardia procedures (stretta), esophageal shocking with esophageal implantation and traditional fundic creasing procedures, respectively?

61% of patients who underwent thermal radiofrequency Stretta procedure could stop ppi (hydrogen ion pump blocker) for 4-6 years, while 64.7% of patients who underwent laparoscopic fundic crease surgery could stop ppi (hydrogen ion pump blocker) for three years. However, there is a high risk of surgery in the fundic crease, and surgical sequelae, such as dysphagia, are more likely to occur. Thermal radiofrequency Stretta procedure is a relatively safe invasive procedure, in which the cardia is heated to trauma the sphincter, and then the new muscle is re-generated, so that the cardia sphincter recovers elasticity. These operations are maintained for 4-6 years, and it may be necessary to perform another operation every 4-6 years. Furthermore, it is possible that PPI should be continued after surgery. Esophageal electric shock instrument surgery is to implant the pulse generator for the patient and continuously stimulate the lower esophageal sphincter with electric pulse, but the disadvantage is that it is necessary to regularly retest the instruments implanted into human body for life, and it also has the opportunity to have surgical complications.

Are probiotics, proteases, pancreatic enzymes, vegetable enzymes, honey, aloe, etc. useful for gastric acid reflux?

Probiotics can help the intestine healthy, but do not treat and cure gastric acid reflux. Enzymes are enzymes, and there are many kinds of enzymes. Different types of enzymes are responsible for different posts and tasks. In general, digestive enzymes on the market can help digestion, but it is also impossible to treat or cure gastric acid reflux. Honey and aloe are not suitable for people with gastric acid reflux. Honey makes the sphincter relaxed, making the gastric acid more likely to rise up the esophagus and throat, and the aloe is cold, so it is not good for you to eat more.

What are the most recent thermal radiofrequency gastric cardia surgery (stretta), esophageal shock instrument surgery with esophageal implantation and traditional fundoplication, respectively?

61% of patients who underwent thermal radiofrequency gastric cardia surgery (stretta), could stop ppi (hydrogen ion pump blocker) for 4-6 years, while 64.7% of patients who underwent laparoscopic fundic crease surgery could stop ppi (hydrogen ion pump blocker) for three years. However, there is a high risk of surgery in the fundic crease, and surgical sequelae, such as dysphagia, are more likely to occur. Thermal radiofrequency Stretta procedure is a relatively safe invasive procedure, in which the cardia is heated to trauma the sphincter and then the new muscle is re-generated, so that the cardia sphincter recovers elasticity. These operations are maintained for 4-6 years, and it may be necessary to perform another operation every 4-6 years. Furthermore, it is possible that PPI should be continued after surgery. Esophageal electric shock instrument surgery is to implant the pulse generator for the patient and continuously stimulate the lower esophageal sphincter with electric pulse, but the disadvantage is that it is necessary to regularly retest the instruments implanted into human body for life, and it also has the opportunity to have surgical complications.

Are probiotics, proteases, pancreatic enzymes, vegetable enzymes, honey, aloe, etc. useful for gastric acid reflux?

Probiotics can help the intestine healthy, but do not treat and cure gastric acid reflux. Enzymes are enzymes, there are many kinds of enzymes. Different types of enzymes are responsible for different posts and tasks. In general, digestive enzymes on the market can help digestion, but it is also impossible to treat or cure gastric acid reflux. Honey and aloe are not suitable for people with gastric acid reflux. Honey makes the sphincter relaxed, making the gastric acid more likely to rise up the esophagus and throat, and the aloe is cold, so it is not good for you to eat more.

In addition, HKU Med has successfully performed the first operation in Asia to enhance the function of lower esophageal sphincter with implanted magnet ring for patients with acid reflux’s disease in Hong Kong in recent years.
Magnetic Sphincter Augmentation is a relatively new operation, and the operation process is relatively simple: firstly, five small holes are opened in the patient’s upper abdomen, and then high-pixel laparoscopy and minimally invasive surgical instruments are placed in minimally invasive surgery to repair the hiatal hernia. Then measure the size of the lower esophagus to judge the size of the magnet ring, and then implant a magnet ring composed of 13-17 titanium magnetic beads around the sphincter of the lower esophagus.

More importantly, the operation will not change the stomach structure and can be completed within two hours. After operation, patients can eat in real time and be discharged the next day. Interested friends can also pay close attention to the development news in the next few years.