Laparoscopic management of severe reflux after sleeve gastrectomy using the LINX ® system: Technique and one year follow up case report

Abstract

HighlightsPrevalence of reflux after sleeve gastrectomy.Introduction of new device to treat reflux after sleeve gastrectomy.The use of LINX system in treating reflux after sleeve gastrectomy.

Systematic review of the introduction and evaluation of magnetic augmentation of the lower oesophageal sphincter for gastro-oesophageal reflux disease

“…). A total of 39 full‐text papers, published between 2008 and 2019, were finally included. The 39 articles consisted of one RCT, five comparative cohort studies (2 prospective and 3 retrospective), three comparative case–control studies, 25 case series (14 prospective, 11 retrospective) and five case reports ( Fig .…”

“…Twenty‐one followed the FDA eligibility criteria for MSA insertion. Seven, comprising a total of 427 patients and published after FDA approval, extended these criteria to include patients with a hiatus hernia greater than 3 cm or previous gastrointestinal surgery, to assess whether the device could be used in this population.…”

“…One premarket study documented specific discussions with patients regarding the innovative use of MSA: ‘each patient was informed about the investigational nature of the trial and received detailed information about the study protocol’. One further paper reported that the authors ‘advised patients about the novelty of the approach’. None of the seven articles that extended the inclusion criteria off licence to patients outside the FDA‐approved guidelines reported discussing this with patients, although ethical approval was obtained for all seven.…”

Magnetic sphincter augmentation is an effective option for refractory duodeno-gastro-oesophageal reflux following Billroth II gastrectomy

“…Device erosions have rarely occurred and have been managed without sequelae 9 10. More recently, the MSA procedure has been successfully performed in patients with large hiatus hernia11 and in those presenting de novo GERD after sleeve gastrectomy 12…”

Spotlight on the Linx™ Reflux Management System for the treatment of gastroesophageal reflux disease: evidence and research

“…If GERD refractory to medical management does occur after sleeve gastrectomy, the traditional management is conversion to a Roux-en-Y gastric bypass as the gastric fundus can no longer be used to perform a fundoplication 25,30. MSA, an alternative and potentially safer procedure, has been found in some studies to be effective for GERD management in this specific postoperative setting 25,31. It has also been suggested that perioperative insertion of the Linx device during sleeve gastrectomy may be a reasonable prophylactic measure 32.…”