The “magnetic collar”: the ultimate solution for gastroesophageal reflux?

Bortolotti, Mauro

doi:10.3109/00365521.2013.878383

Cited by 3 publications

(2 citation statements)

References 10 publications

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“…The consequent MSA device removal also leaves a functional aftermath at the gastro-esophageal junction as well as the stomach. Considering the trend over time of these latter complications, which in some way could recall to mind those of the Angelchik prosthesis, although much less severe, one might wonder if there may be a risk that the the story of the latter will repeat itself with the “magnetic collar”, as was feared in an article in 2014[ 60 ]. However, I do not think this could happen, as the power of technology will not allow it.…”

Section: The Msa Devicementioning

confidence: 99%

“…Furthermore, although it obtained a high endoluminal pressure, it may give the impression of not completely seal the esophageal lumen against reflux. The insertion of magnets in submucosal tunnels, chosen by Bortolotti et al [ 60 ], by means of a special endoesophageal device is easy to perform, but it requires a more stable fixing of the devices to the esophageal wall. A biologic glue and closure of the proximal mucosal opening by a surgical stitch, could avoid loss of the magnets.…”

Section: Other Magnetic Techniques To Prevent Germentioning

confidence: 99%

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Magnetic challenge against gastroesophageal reflux

Bortolotti¹

2021

WJG

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Almost 15 years have passed since the first paper on the possibility of using magnets to prevent gastro-esophageal reflux (GER) was published and so it is time to assess the results obtained with the first magnetic device available on the market, the Linx magnetic sphincter augmentation (MSA) and to consider what other options are forthcoming. MSA demonstrated an anti-reflux activity similar to that of Nissen fundoplication, considered the “gold standard” surgical treatment for GER disease, and caused less gas-bloating and a better ability to allow vomiting and belching. However, unlike Nissen fundoplication, this magnetic device is burdened by complications, which are roughly similar to those of the non-magnetic anti-reflux Angelchik prosthesis, that, after considerable use in the eighties, was shelved due to these complications. It is interesting to note that some of these complications show the same pathophysiological mechanism in both devices. The upcoming new magnetic devices should avoid these complications, as their anti-reflux magnetic mechanism is completely different. The experiments in animals regarding these new magnetic appliances were examined, remarking their advantages and drawbacks, but the way to apply them in surgical practice is long and difficult, although worthy, as they represent the future of magnetic surgery.

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Section: The Msa Devicementioning

confidence: 99%

Section: Other Magnetic Techniques To Prevent Germentioning

confidence: 99%