{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T22:31:44Z","timestamp":1780698704180,"version":"3.54.1"},"reference-count":26,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2018,5,9]],"date-time":"2018-05-09T00:00:00Z","timestamp":1525824000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2018,5,9]],"date-time":"2018-05-09T00:00:00Z","timestamp":1525824000000},"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":["Sci Rep"],"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Magnetic sphincter-augmentation (MSA) has been proven effective in the treatment of GERD. No consensus exists on whether crural closure should be performed. Our aim was to assess the impact of cruroplasty on reflux-control and quality of life. MSA-Patients treated between 03\/2012-03\/2017 were classified into those without hiatal hernia (\u201cNHH\u201d), those post-MSA (NHR) and those post-MSA\/hiatal repair (HR). GERD-symptoms, PPI-intake, GERD-Health-related-Quality-of-Life (GERD-HRQL) and Alimentary Satisfaction were assessed. Sixty-eight patients underwent MSA, 26 patients had additional crural closure. PH-monitoring was negative in 80% of HR, 73% of NHR and 89% of NHH-patients. GERD-HRQL-total scores decreased significantly in all groups (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Alimentary satisfaction was 8\/10 in HR\/NHH and 10\/10 in NHR-patients. Satisfaction with heartburn relief was high (HR: 96%, NR: 95%, NHH: 94%) as was the elimination of PPI-intake (HR\/NHH: 87%, NR: 86%). Heartburn and regurgitations were eliminated in 100% of HR, 88% and 94% of NHR and 87% and 91% of NHH-patients. Endoscopic dilatation or device explantation was performed in 3% each. MSA leads to significant symptom relief, increased quality of life and alimentary satisfaction with low perioperative morbidity. Cruroplasty tends to result in better reflux control and symptom relief than exclusive MSA without increasing dysphagia rates.<\/jats:p>","DOI":"10.1038\/s41598-018-24322-1","type":"journal-article","created":{"date-parts":[[2018,5,3]],"date-time":"2018-05-03T09:24:16Z","timestamp":1525339456000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Crural Closure improves Outcomes of Magnetic Sphincter Augmentation in GERD patients with Hiatal Hernia"],"prefix":"10.1038","volume":"8","author":[{"given":"Katrin","family":"Schwameis","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milena","family":"Nikolic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deivis G. Morales","family":"Castellano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ariane","family":"Steindl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Macheck","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Riegler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7999-1625","authenticated-orcid":false,"given":"Ivan","family":"Kristo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Z\u00f6rner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian F.","family":"Schoppmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2018,5,9]]},"reference":[{"key":"24322_CR1","doi-asserted-by":"publisher","first-page":"3225","DOI":"10.1007\/s00464-015-4635-6","volume":"30","author":"JL Reynolds","year":"2016","unstructured":"Reynolds, J. L. et al. Charges, outcomes, and complications: a comparison of magnetic sphincter augmentation versus laparoscopic Nissen fundoplication for the treatment of GERD. Surgical endoscopy 30, 3225\u20133230, https:\/\/doi.org\/10.1007\/s00464-015-4635-6 (2016).","journal-title":"Surgical endoscopy"},{"key":"24322_CR2","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1016\/j.jamcollsurg.2015.02.025","volume":"221","author":"JL Reynolds","year":"2015","unstructured":"Reynolds, J. L. et al. Laparoscopic Magnetic Sphincter Augmentation vs Laparoscopic Nissen Fundoplication: A Matched-Pair Analysis of 100 Patients. Journal of the American College of Surgeons 221, 123\u2013128, https:\/\/doi.org\/10.1016\/j.jamcollsurg.2015.02.025 (2015).","journal-title":"Journal of the American College of Surgeons"},{"key":"24322_CR3","doi-asserted-by":"publisher","unstructured":"Rona, K. A. et al. Efficacy of magnetic sphincter augmentation in patients with large hiatal hernias. Surg Endosc, https:\/\/doi.org\/10.1007\/s00464-016-5204-3 (2016).","DOI":"10.1007\/s00464-016-5204-3"},{"key":"24322_CR4","doi-asserted-by":"publisher","unstructured":"Czosnyka, N. M. et al. Outcomes of magnetic sphincter augmentation - A community hospital perspective. Am J Surg, https:\/\/doi.org\/10.1016\/j.amjsurg.2016.09.044 (2016).","DOI":"10.1016\/j.amjsurg.2016.09.044"},{"key":"24322_CR5","first-page":"128","volume":"13","author":"TR DeMeester","year":"2017","unstructured":"DeMeester, T. R. Surgical Options for the Treatment of Gastroesophageal Reflux Disease. Gastroenterology & hepatology 13, 128\u2013129 (2017).","journal-title":"Gastroenterology & hepatology"},{"key":"24322_CR6","doi-asserted-by":"publisher","first-page":"261","DOI":"10.1177\/1756283X13486311","volume":"6","author":"L Bonavina","year":"2013","unstructured":"Bonavina, L., Saino, G., Lipham, J. C. & Demeester, T. R. 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Laparoscopic sphincter augmentation device eliminates reflux symptoms and normalizes esophageal acid exposure: one- and 2-year results of a feasibility trial. Annals of surgery 252, 857\u2013862, https:\/\/doi.org\/10.1097\/SLA.0b013e3181fd879b (2010).","journal-title":"Annals of surgery"},{"key":"24322_CR17","doi-asserted-by":"publisher","first-page":"2944","DOI":"10.1007\/s00464-012-2289-1","volume":"26","author":"JC Lipham","year":"2012","unstructured":"Lipham, J. C. et al. The LINX(R) reflux management system: confirmed safety and efficacy now at 4 years. Surgical endoscopy 26, 2944\u20132949, https:\/\/doi.org\/10.1007\/s00464-012-2289-1 (2012).","journal-title":"Surgical endoscopy"},{"key":"24322_CR18","doi-asserted-by":"publisher","first-page":"671","DOI":"10.1016\/j.cgh.2015.05.028","volume":"14","author":"RA Ganz","year":"2016","unstructured":"Ganz, R. A. et al. Long-term Outcomes of Patients Receiving a Magnetic Sphincter Augmentation Device for Gastroesophageal Reflux. 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