Radiofrequency energy delivery to the lower esophageal sphincter reduces esophageal acid exposure and improves GERD symptoms: A systematic review and meta-analysis

Kyle A. Perry, Ambar Banerjee, William Scott Melvin

Research output: Contribution to journalReview article

60 Scopus citations

Abstract

Purpose: Studies of endoscopic application of radiofrequency energy to the lower esophageal sphincter for gastroesophageal reflux control have produced conflicting reports of its effectiveness. This study aimed to conduct a meta-analysis of randomized controlled trials and cohort studies to assess the impact of this treatment. Methods: Twenty studies were included. Outcomes analyzed included gastroesophageal reflux disease (GERD) symptom assessment, quality of life, esophageal pH, and esophageal manometry. Results: A total of 1441 patients from 18 studies were included. Radiofrequency treatment improved heartburn scores (P = 0.001), and produced improvements in quality of life as measured by GERD-health-related quality-of-life scale (P = 0.001) and quality of life in reflux and dyspepsia score (P = 0.001). Esophageal acid exposure decreased from a preprocedure Johnson-DeMeester score of 44.4 to 28.5 (P = 0.007). Conclusions: Radiofrequency ablation of the lower esophageal sphincter produces significant improvement in reflux symptoms and may represent an alternative to medical treatment and surgical fundoplication in select patients.

Original languageEnglish (US)
Pages (from-to)283-288
Number of pages6
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume22
Issue number4
DOIs
Publication statusPublished - Aug 1 2012
Externally publishedYes

    Fingerprint

Keywords

  • GERD
  • gastroesophageal reflux disease
  • radiofrequency

ASJC Scopus subject areas

  • Surgery

Cite this