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Outcome of Stretta radiofrequency and fundoplication for GERD-related severe asthmatic symptoms

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Abstract

This study aimed to investigate the outcome of treatment with Stretta radiofrequency (SRF) or laparoscopic Nissen fundoplication (LNF). A total of 137 gastroesophageal reflux disease (GERD) patients with severe asthmatic symptoms who responded inadequately to medical treatment for asthma were investigated. The patients were followed up 1 year and 5 years after SRF (n = 82) or LNF (n = 55) treatment. A questionnaire covering 29 related symptoms and medication use was employed. Digestive, respiratory, and ear-nose-throat (ENT) symptom scores significantly decreased after antireflux treatment. Symptom scores respectively changed from 17.2 ± 10.1, 31.9 ± 6.6, and 21.1 ± 11.8 to 5.0 ± 6.2, 11.5 ± 10.2, and 6.3 ± 6.8 at 1 year and to 5.6 ± 6.5, 13.1 ± 10.1, and 7.8 ± 7.2 at 5 years (P < 0.001). The outcome of LNF was significantly better than that of SRF in terms of digestive (P < 0.001, P = 0.001), respiratory (P = 0.006, P = 0.001), and ENT symptoms (P = 0.006, P = 0.003) at both 1 year and 5 years. SRF and LNF were both effective against the digestive symptoms of GERD as well as GERD-related severe asthmatic and ENT symptoms, with better outcomes exhibited by the LNF group. Severe asthmatic symptoms and GERD were closely associated, and this finding warrants further study.

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Authors and Affiliations

  1. Department of Gastroesophageal Reflux Disease, the Second Artillery General Hospital PLA, Beijing, 100088, China

    Zhiwei Hu, Jimin Wu, Zhonggao Wang, Yu Zhang, Weitao Liang & Chao Yan

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  1. Zhiwei Hu
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  2. Jimin Wu
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  3. Zhonggao Wang
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  4. Yu Zhang
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  5. Weitao Liang
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  6. Chao Yan
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Correspondence to Zhonggao Wang.

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Hu, Z., Wu, J., Wang, Z. et al. Outcome of Stretta radiofrequency and fundoplication for GERD-related severe asthmatic symptoms. Front. Med. 9, 437–443 (2015). https://doi.org/10.1007/s11684-015-0422-y

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  • DOI: https://doi.org/10.1007/s11684-015-0422-y

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