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Open Access 29-04-2022 | Gastroesophageal Reflux Disease | Original Scientific Report

Severe Dysphagia is Rare After Magnetic Sphincter Augmentation

Authors: Milena Bologheanu, Aleksa Matic, Joy Feka, Reza Asari, Razvan Bologheanu, Franz M. Riegler, Lisa Gensthaler, Bogdan Osmokrovic, Sebastian F. Schoppmann

Published in: World Journal of Surgery | Issue 9/2022

Abstract

Background

Dysphagia remains the most significant concern after anti-reflux surgery, including magnetic sphincter augmentation (MSA). The aim of this study was to evaluate postoperative dysphagia rates, its risk factors, and management after MSA.

Methods

From a prospectively collected database of all 357 patients that underwent MSA at our institution, a total of 268 patients were included in our retrospective study. Postoperative dysphagia score, gastrointestinal symptoms, proton pump inhibitor intake, GERD-HRQL, Alimentary Satisfaction, and serial contrast swallow imaging were evaluated within standardized follow-up appointments. To determine patients’ characteristics and surgical factors associated with postoperative dysphagia, a multivariable logistic regression analysis was performed.

Results

At a median follow-up of 23 months, none of the patients presented with severe dysphagia, defined as the inability to swallow solids or/and liquids. 1% of the patients underwent endoscopic dilatation, and 1% had been treated conservatively for dysphagia. 2% of the patients needed re-operation, most commonly due to recurrent hiatal hernia. Two patients underwent device removal due to unspecific discomfort and pain. No migration of the device or erosion by the device was seen. The LINX® device size ≤ 13 was found to be the only factor associated with postoperative dysphagia (OR 5.90 (95% CI 1.4–24.8)). The postoperative total GERD-HRQL score was significantly lower than preoperative total score (2 vs. 19; p = 0.001), and daily heartburn, regurgitations, and respiratory complains improved in 228/241 (95%), 131/138 (95%) and 92/97 (95%) of patients, respectively.

Conclusions

Dysphagia requiring endoscopic or surgical intervention was rare after MSA in a large case series. LINX® devices with a size < 13 were shown to be an independent risk factor for developing postoperative dysphagia.

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Title: Severe Dysphagia is Rare After Magnetic Sphincter Augmentation
Authors: Milena Bologheanu
Aleksa Matic
Joy Feka
Reza Asari
Razvan Bologheanu
Franz M. Riegler
Lisa Gensthaler
Bogdan Osmokrovic
Sebastian F. Schoppmann
Publication date: 29-04-2022
Publisher: Springer International Publishing
Keywords: Gastroesophageal Reflux Disease
Dysphagia
Dysphagia
Dysphagia
Published in: World Journal of Surgery / Issue 9/2022
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-022-06573-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Severe Dysphagia is Rare After Magnetic Sphincter Augmentation

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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