{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T11:06:34Z","timestamp":1785409594999,"version":"3.56.0"},"reference-count":18,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2024,7,19]],"date-time":"2024-07-19T00:00:00Z","timestamp":1721347200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,7,19]],"date-time":"2024-07-19T00:00:00Z","timestamp":1721347200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Surg Endosc"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Introduction<\/jats:title>\n                <jats:p>Management of gastroesophageal reflux disease after bariatric procedures can be challenging. There are very few long-term studies in this arena. This study aims to evaluate the long-term outcomes of the magnetic sphincter augmentation (MSA) reflux management system in a cohort of bariatric patients who had previously undergone sleeve gastrectomy and Roux-en-Y gastric bypass, with a focus on assessing gastroesophageal reflux disease (GERD) scores, medication use, and patient-reported symptoms.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>We conducted a retrospective chart review of 16 consecutive bariatric patients who received MSA implants following sleeve gastrectomy (<jats:italic>n<\/jats:italic>\u2009=\u200914) or gastric bypass (<jats:italic>n<\/jats:italic>\u2009=\u20092) surgeries. Data were collected regarding BMI, GERD quality of life assessments (GERD-HRQL), reflux symptoms, and use of PPIs in the sleeve\/RGB patients through an extended period with a mean follow-up of 48\u00a0months.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Patients were followed up for a range of .5\u201384\u00a0months. Preoperative assessments included upper gastrointestinal imaging (UGI), high-resolution manometry, Bravo pH studies, and esophagogastroduodenoscopy (EGD). Three patients exhibited reflux on UGI, and 13\/13 patients had positive Bravo studies preoperatively. Sixteen patients had a lower esophageal sphincter (LES) pressure under 18\u00a0mmHg, and eight patients had biopsy-proven esophagitis. Long-term outcomes are as follows. Daily PPI use fell from 88 to 25% at greater than three years. GERD-HRQL scores fell from 50.6 at baseline (range 27\u201370) and normalized at long-term follow-up. GERD symptom of regurgitation completely resolved. At long term, two patients had dysphagia and two patients had ongoing reflux. No adverse events were noted.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>This is the first long-term outcomes study of magnetic sphincter augmentation placement after bariatric surgery. Our study showed the majority of patients had long-term improvement in GERD-HRQL scores and resolution\/ relief of their reflux symptoms, with decreased use of PPIs. MSA is a safe, effective and durable management tool for reflux after bariatric surgery in carefully selected patients.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00464-024-11059-4","type":"journal-article","created":{"date-parts":[[2024,7,19]],"date-time":"2024-07-19T16:01:43Z","timestamp":1721404903000},"page":"5343-5349","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Long-term outcomes of magnetic sphincter augmentation in sleeve gastrectomy and Roux-en-Y gastric bypass patients: a comprehensive analysis"],"prefix":"10.1007","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7247-5863","authenticated-orcid":false,"given":"Mina A.","family":"Ibrahim","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel P.","family":"Mowoh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mai","family":"Al Khadem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mujjahid","family":"Abbas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leena","family":"Khaitan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,7,19]]},"reference":[{"issue":"4","key":"11059_CR1","doi-asserted-by":"publisher","first-page":"1561","DOI":"10.1007\/s00464-019-06916-6","volume":"34","author":"J Pandolfino","year":"2020","unstructured":"Pandolfino J et al (2020) A budget impact analysis of a magnetic sphincter augmentation device for the treatment of medication-refractory mechanical gastroesophageal reflux disease: a United States payer perspective. Surg Endosc 34(4):1561\u20131572","journal-title":"Surg Endosc"},{"issue":"2","key":"11059_CR2","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1503\/cjs.030612","volume":"57","author":"M El-Hadi","year":"2014","unstructured":"El-Hadi M et al (2014) The effect of bariatric surgery on gastroesophageal reflux disease. Can J Surg 57(2):139\u2013144","journal-title":"Can J Surg"},{"issue":"5","key":"11059_CR3","doi-asserted-by":"publisher","first-page":"506","DOI":"10.3390\/medicina57050506","volume":"57","author":"R Vilallonga","year":"2021","unstructured":"Vilallonga R et al (2021) GERD after bariatric surgery. Can we expect endoscopic findings? Medicina (Kaunas) 57(5):506","journal-title":"Medicina (Kaunas)"},{"issue":"13","key":"11059_CR4","doi-asserted-by":"publisher","first-page":"2269","DOI":"10.3748\/wjg.v23.i13.2269","volume":"23","author":"F Rebecchi","year":"2017","unstructured":"Rebecchi F et al (2017) Gastroesophageal reflux disease and morbid obesity: to sleeve or not to sleeve? World J Gastroenterol 23(13):2269\u20132275","journal-title":"World J Gastroenterol"},{"key":"11059_CR5","doi-asserted-by":"publisher","first-page":"1041889","DOI":"10.3389\/fendo.2022.1041889","volume":"13","author":"A Aili","year":"2022","unstructured":"Aili A et al (2022) Gastroesophageal reflux related changes after sleeve gastrectomy and sleeve gastrectomy with fundoplication: a retrospective single center study. Front Endocrinol (Lausanne) 13:1041889","journal-title":"Front Endocrinol (Lausanne)"},{"key":"11059_CR6","doi-asserted-by":"crossref","first-page":"S52","DOI":"10.1016\/j.ciresp.2022.11.005","volume":"101","author":"E Martinez Negro","year":"2023","unstructured":"Martinez Negro E, Martinez Cortijo S (2023) Gastroesophageal reflux management after vertical sleeve gastrectomy. Cir Esp (Engl Ed) 101:S52\u2013S57","journal-title":"Cir Esp (Engl Ed)"},{"issue":"Suppl 4","key":"11059_CR7","doi-asserted-by":"crossref","first-page":"S58","DOI":"10.1016\/j.ciresp.2023.05.010","volume":"101","author":"A Sanchez-Pernaute","year":"2023","unstructured":"Sanchez-Pernaute A, Perez-Aguirre E (2023) Gastroesophageal reflux after Roux-en-Y gastric bypass: is it just related to technical details? Cir Esp (Engl Ed) 101(Suppl 4):S58\u2013S62","journal-title":"Cir Esp (Engl Ed)"},{"issue":"2","key":"11059_CR8","doi-asserted-by":"publisher","first-page":"294","DOI":"10.12998\/wjcc.v8.i2.294","volume":"8","author":"D Schizas","year":"2020","unstructured":"Schizas D et al (2020) LINX((R)) reflux management system to bridge the \u201ctreatment gap\u201d in gastroesophageal reflux disease: a systematic review of 35 studies. World J Clin Cases 8(2):294\u2013305","journal-title":"World J Clin Cases"},{"issue":"1","key":"11059_CR9","doi-asserted-by":"publisher","first-page":"387","DOI":"10.1007\/s11695-022-06381-6","volume":"33","author":"L Khaitan","year":"2023","unstructured":"Khaitan L et al (2023) Feasibility and efficacy of magnetic sphincter augmentation for the management of gastroesophageal reflux disease post-sleeve gastrectomy for obesity. 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Surg Endosc 33(3):782\u2013788","journal-title":"Surg Endosc"},{"key":"11059_CR17","doi-asserted-by":"publisher","first-page":"3323","DOI":"10.3390\/jcm12093323","volume":"12","author":"L Castagneto-Gissey","year":"2023","unstructured":"Castagneto-Gissey L et al (2023) Efficacy of sleeve gastrectomy with concomitant hiatal hernia repair versus sleeve-fundoplication on gastroesophageal reflux disease resolution: systematic review and meta-analysis. J Clin Med 12:3323","journal-title":"J Clin Med"},{"key":"11059_CR18","doi-asserted-by":"publisher","DOI":"10.1093\/dote\/doac115","author":"E Furay","year":"2023","unstructured":"Furay E, Doggett S, Buckley III FP (2023) Criteria of patient selection for magnetic sphincter augmentation. 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Dr. Abbas is a consultant for Intuitive robotics.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosures"}}]}}