Results of Magnetic Sphincter Augmentation for Gastroesophageal Reflux Disease

Background Magnetic sphincter augmentation (MSA) is a modern treatment option for gastroesophageal reflux disease (GERD); however, laparoscopic fundoplication remains the gold standard. The aim of the study was to evaluate outcomes of MSA patients at a reflux center. Methods A retrospective review w...

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Bibliographic Details
Published in:World journal of surgery 2018-10, Vol.42 (10), p.3263-3269
Main Authors: Schwameis, Katrin, Nikolic, Milena, Morales Castellano, Deivis G., Steindl, Ariane, Macheck, Sarah, Kristo, Ivan, Zörner, Barbara, Schoppmann, Sebastian F.
Format: Article
Language:English
Subjects:
Abdominal Surgery
Adult
Augmentation
Cardiac Surgery
Complications
Dysphagia
Esophageal Sphincter, Lower - surgery
Esophagus
Female
Gastroesophageal reflux
Gastroesophageal Reflux - drug therapy
Gastroesophageal Reflux - surgery
Gastrointestinal symptoms
General Surgery
Hernias
Humans
Laparoscopy
Male
Medical treatment
Medicine
Medicine & Public Health
Middle Aged
Morbidity
Original Scientific Report
Patients
pH effects
Prosthesis Implantation - instrumentation
Prosthesis Implantation - methods
Proton pump inhibitors
Proton Pump Inhibitors - therapeutic use
Quality of life
Retrospective Studies
Sphincter
Surgery
Swallowing
Thoracic Surgery
Treatment Outcome
Vascular Surgery
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Summary:Background Magnetic sphincter augmentation (MSA) is a modern treatment option for gastroesophageal reflux disease (GERD); however, laparoscopic fundoplication remains the gold standard. The aim of the study was to evaluate outcomes of MSA patients at a reflux center. Methods A retrospective review was performed of all patients that underwent MSA between March 2012 and November 2017. Out of 110 patients, 68 with a follow-up >3 months were included. Postoperative gastrointestinal symptoms, proton pump inhibitor (PPI) intake, GERD-Health-related Quality of Life (GERD-HRQL) and alimentary satisfaction (AS) were assessed. Postoperative esophageal functioning tests were performed in 50% of patients. Results Sixty-eight patients underwent MSA; hiatal repair was performed in 31 cases. The median OR time was 27 min, and no intraoperative complications occurred. The median follow-up was 13 months (IQR 4.2–45). Endoscopic dilatation was performed in 2 patients (3%) and device removal in another 2 cases. The postoperative GERD-HRQL score was significantly reduced (3 vs. 24; p  
ISSN:0364-2313
1432-2323
DOI:10.1007/s00268-018-4608-8