Magnetic Sphincter Augmentation for Gastroesophageal Reflux Disease

Gastrointest Endosc Clin N Am. 2020 Apr;30(2):325-342. doi: 10.1016/j.giec.2019.12.010. Epub 2020 Feb 13.

Abstract

Magnetic sphincter augmentation is an effective and safe surgical method for the treatment of gastroesophageal reflux disease (GERD). The device has been compared with twice-daily proton pump inhibitor therapy and laparoscopic fundoplication (in randomized trials and prospective cohort studies, respectively). Magnetic sphincter augmentation was superior to medical therapy and equivalent to surgery for the relief of GERD symptoms. Recent research focuses on implanting the device into more complex patients, such as those with larger hiatal hernias or those with Barrett's esophagus. Additional novel research topics include cost analysis and predicting and minimizing postoperative dysphagia.

Keywords: Fundoplication; Gastroesophageal reflux disease; Hiatal hernia; Magnetic sphincter augmentation.

Publication types

  • Review

MeSH terms

  • Adult
  • Esophageal Sphincter, Lower / physiopathology
  • Esophageal Sphincter, Lower / surgery*
  • Female
  • Gastroesophageal Reflux / physiopathology
  • Gastroesophageal Reflux / surgery*
  • Humans
  • Magnetic Field Therapy / instrumentation*
  • Magnetic Field Therapy / methods
  • Magnets
  • Male
  • Middle Aged
  • Prospective Studies
  • Prosthesis Implantation / instrumentation
  • Prosthesis Implantation / methods*
  • Randomized Controlled Trials as Topic
  • Treatment Outcome