Short-Term Outcomes Using Magnetic Sphincter Augmentation Versus Nissen Fundoplication for Medically Resistant Gastroesophageal Reflux Disease

Charges, outcomes, and complications: a comparison of magnetic sphincter augmentation versus laparoscopic Nissen fundoplication for the treatment of GERD

“…Despite this, insurance carriers have been hesitant to cover MSA as a surgical option for GERD, either due to concerns over perceived additional costs of the procedure or due to the lack of comparative studies to the traditional surgical treatment for GERD. Several recent comparative studies including this one have now definitively shown that MSA is equally effective as LNF in symptom control and PPI elimination rates [5,6,12]. Additionally, in this analysis of MSA versus LNF, we found that MSA patients had less gas bloat symptoms and increased ability to belch and vomit.…”

“…Previous studies have shown MSA to be safe and effective with PPI elimination rates, pH normalization, and symptom control similar to that reported for LNF [1][2][3][4][5][6][7]. However, the device has only been approved for a few years and many payers are hesitant to cover the cost of the procedure over continued concerns about long-term outcomes, potential side effects, and the cost of the device, which averages $5000.…”

Long-term Outcomes of Patients Receiving a Magnetic Sphincter Augmentation Device for Gastroesophageal Reflux

“…In contrast, the magnetic device results in more normal sphincter function. 22 The rate of laparoscopic device removal was 7% over a 5-year period and has been reported to be 3% in another study spanning 6 years of clinical experience. 21 These rates are less than the expected range for reoperation after laparoscopic fundoplication at 5 years.…”

“…18 In this study, side effects commonly associated with Nissen fundoplication were largely absent, consistent with other studies of the magnetic device. 12, 19-21 Louie et al provided a rationale for the difference in side effect profile between the magnetic device and Nissen fundoplication: 22 Nissen fundoplication reduces the total number of reflux episodes below what is considered normal, creating a "super-normal" sphincter that is highly effective at preventing reflux but to the point of preventing or decreasing venting of ingested air under normal circumstances. The inability to vent (i.e.…”

Longitudinal comparison of quality of life in patients undergoing laparoscopic Toupet fundoplication versus magnetic sphincter augmentation

“…[5] Three recent observational studies have compared LINX and laparoscopic Nissen fundoplication. Louie et al [23] performed a retrospective case–control study comparing 66 patients undergoing LINX or Nissen fundoplication; at a mean follow-up of 6 and 10 months, respectively, scores on the GERD-HRQL scale significantly improved in both groups. Reynolds et al [24] conducted a retrospective analysis of 1-year outcomes of 100 patients matched by PS; although the GERD-HRQL scores were similar in both groups, there were 10.6% of patients in the Nissen group complaining of severe gas-bloat symptoms compared with 0% in the LINX group.…”