Treatment Options

Treatment Options for the Center

Minimally Invasive / Endoscopic Therapies

• Transoral Incisionless Fundoplication (TIF)
  • A procedure to reconstruct or reinforce the barrier at the lower esophageal sphincter (LES) using an endoscope. 

• Radiofrequency (RF) Therapy (Stretta)
  • Uses radiofrequency energy to remodel tissue at the LES, potentially reducing reflux 

• Ablation Therapies for Barrett’s Esophagus
  • Radiofrequency Ablation (RFA): Heat-based therapy to remove abnormal Barrett’s tissue. 
  • Cryotherapy: Uses freezing to eradicate precancerous tissue. 
  • Endoscopic Mucosal Resection (EMR): To remove larger or localized early lesions. 

• Endoscopic Tumor Removal or Resection
  • For early-stage cancers or pre-cancerous lesions in the esophagus or stomach.

• Stent Placement
  • Self-expanding metallic stents can be placed to open up narrowed or obstructed areas of the esophagus. 

Surgical Treatments

• Antireflux Surgery (Fundoplication)
  • Nissen Fundoplication: The top part of the stomach is wrapped completely around the lower esophagus to prevent reflux 
  • Toupet (Partial) Fundoplication: A partial wrap, used in selected patients. 

• Myotomy
  • Cutting the esophageal muscle (e.g., Heller myotomy) in motility disorders like achalasia to help relax the sphincter. 

• Minimally Invasive Surgery
  • Many surgical interventions are done with minimally invasive techniques to reduce recovery time.