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January 15, 2019  
COMMUNITY: Frequently Asked Questions
Reflux1: What endoscopic treatments can help my GERD?
Dr. George Triadafilopoulos: The endoscopic treatment of reflux has undergone a similar revolution over the past few years. Several technologies have been introduced into the U.S. market and the general world market. One of the technologies is the Stretta procedure that applies radio frequency energy into the muscle of the gastroesophageal junction or valve mechanism, tightening it up in order to prevent reflux. Another treatment is the injection of a polymer compound into the valve muscle again to tighten it up. Other procedures that are applied are stapling or suturing of that area to reconfigure the structure and function of that valve. All of these have been available for the past five years providing new options for patients. The comparison to each other is just a technical issue; one applies a heating effect, the other applies a foreign material, bulking the tissue. Other methods apply some kind of plication or suturing technique. There are differences that are important from a technical perspective but the overall result however is that each one of these procedures provides a new option for someone suffering from reflux who has not responded to medication.
Dr. George Triadafilopoulos: The endoscopic treatment of reflux has undergone a similar revolution over the past few years. Several technologies have been introduced into the U.S. market and the general world market. One of the technologies is the Stretta procedure that applies radio frequency energy into the muscle of the gastroesophageal junction or valve mechanism, tightening it up in order to prevent reflux. Another treatment is the injection of a polymer compound into the valve muscle again to tighten it up. Other procedures that are applied are stapling or suturing of that area to reconfigure the structure and function of that valve. All of these have been available for the past five years providing new options for patients. The comparison to each other is just a technical issue; one applies a heating effect, the other applies a foreign material, bulking the tissue. Other methods apply some kind of plication or suturing technique. There are differences that are important from a technical perspective but the overall result however is that each one of these procedures provides a new option for someone suffering from reflux who has not responded to medication.
Dr. George Triadafilopoulos

Dr. George Triadafilopoulos


Dr. George Triadafilopoulos earned his medical degree at the Aristotelian University Medical School in Thessaloniki, Greece and went on to complete his internship and residency at Wayne State University Affiliated Hospitals in Michigan and a clinical and research fellowship in gastroenterology at the Boston University Medical Center in Boston, MA. His research has covered many areas of gastroenterology, but mostly gastroesophageal reflux disease. An author of more than 180 articles, monographs, and book chapters Dr. Triadafilopoulos is the Editor-in-Chief of Gastrointestinal Endoscopy and a reviewer for many other professional journals, including the New England Journal of Medicine, Gastroenterology and the American Journal of Gastroenterology. He is a fellow of the American College of Gastroenterology and the American College of Physicians, and a member of numerous other professional societies, including the American Gastroenterological Association, and the American Society for Gastrointestinal Endoscopy.

Dr. George Triadafilopoulos

Dr. George Triadafilopoulos


Dr. George Triadafilopoulos earned his medical degree at the Aristotelian University Medical School in Thessaloniki, Greece and went on to complete his internship and residency at Wayne State University Affiliated Hospitals in Michigan and a clinical and research fellowship in gastroenterology at the Boston University Medical Center in Boston, MA. His research has covered many areas of gastroenterology, but mostly gastroesophageal reflux disease. An author of more than 180 articles, monographs, and book chapters Dr. Triadafilopoulos is the Editor-in-Chief of Gastrointestinal Endoscopy and a reviewer for many other professional journals, including the New England Journal of Medicine, Gastroenterology and the American Journal of Gastroenterology. He is a fellow of the American College of Gastroenterology and the American College of Physicians, and a member of numerous other professional societies, including the American Gastroenterological Association, and the American Society for Gastrointestinal Endoscopy.

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