Abstract

Magnetic Sphincter Augmentation in Patients with Paraesophageal Hernia vs Large Sliding Hiatal Hernia: Comparison of Clinical Outcome and Complexity of the Surgery

Highlights

  • Recent studies encourage the use of magnetic sphincter augmentation (MSA) in patients with large sliding hiatal hernia (LHH)

  • Magnetic sphincter augmentation is increasingly utilized as an effective alternative to laparoscopic Nissen fundoplication in the treatment of patients with gastroesophageal reflux disease (GERD).[1− 3] Multiple studies have shown that these two anti-reflux procedures result in comparable postoperative GERD symptom control, rates of freedom from pump inhibitor (PPI) and pH normalization.[1, 4, 5]

  • The paraesophageal hernia (PEH) group consisted of 37 patients (65% females) with a median age of 63 years (35–82) who underwent repair of hernia and magnetic sphincter augmentation

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Summary

Introduction

Recent studies encourage the use of magnetic sphincter augmentation (MSA) in patients with large sliding hiatal hernia (LHH). The titanium beads of the Linx® device can induce an inflammatory host reaction in surrounding tissues resulting in the formation of a fibrotic encapsulation Formation of this “circumferential biological mesh” can reinforce the crural repair and previous studies have proposed it as an explanation for the low recurrence rate after MSA. Formation of this “circumferential biological mesh” can reinforce the crural repair and previous studies have proposed it as an explanation for the low recurrence rate after MSA. 7, 9, 10

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