{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T06:52:07Z","timestamp":1781506327093,"version":"3.54.1"},"reference-count":20,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T00:00:00Z","timestamp":1776729600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2026,8,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>\n                      Magnetic sphincter augmentation (MSA) using the LINX device is a minimally invasive treatment for gastroesophageal reflux disease (GERD). With increasing rates of sleeve gastrectomy and associated postoperative GERD, evaluating MSA outcomes in both post-bariatric and\n                      <jats:italic toggle=\"yes\">de novo<\/jats:italic>\n                      patients is clinically relevant. Data from the Middle East remain limited.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      This retrospective cohort study included 30 consecutive patients who underwent LINX placement for GERD at King Abdulaziz University Hospital between 2018 and 2024. Briefly, 20 patients (66.7%) had prior sleeve gastrectomy, while 10 patients (33.3%) were\n                      <jats:italic toggle=\"yes\">de novo<\/jats:italic>\n                      cases. Primary outcomes were improvement in GERD\u2013Health-Related Quality of Life (GERD-HRQL) scores and proton pump inhibitor (PPI) discontinuation. Secondary outcomes included perioperative complications and comparison between patient groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The mean age was 42.8 years, and the mean body mass index was 26.9 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      . Hiatal hernia was present in 76.7% of patients (23\/30). The mean operative time was 65 minutes, with a median LINX size of 15 beads. Early postoperative dysphagia occurred in 23.3% (7\/30), with 10% (3\/30) requiring endoscopic dilation (two postsleeve and one\n                      <jats:italic toggle=\"yes\">de novo<\/jats:italic>\n                      ). One postsleeve patient (3.3%) required laparoscopic device removal for migration after failed dilation; removal was technically challenging but uncomplicated, with sustained GERD improvement, likely related to hiatal scarring. Mean GERD-HRQL scores improved from 27.2 to 7.1 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001), with 76.7% achieving a \u226550% reduction. Complete PPI cessation occurred in 66.7% (20\/30), and 86.7% (26\/30) achieved at least a 50% dose reduction. Outcomes were comparable between postsleeve and\n                      <jats:italic toggle=\"yes\">de novo<\/jats:italic>\n                      patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>\n                      MSA appears safe and effective for GERD management in this Middle Eastern cohort, with outcomes comparable to international reports. Similar results in postsleeve gastrectomy and\n                      <jats:italic toggle=\"yes\">de novo<\/jats:italic>\n                      patients support broader applicability. This series provides valuable regional outcome data.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10926429261445262","type":"journal-article","created":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T08:45:56Z","timestamp":1776761156000},"page":"585-591","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Magnetic Sphincter Augmentation for Gastroesophageal Reflux Disease: Experience from a Single Center in the Middle East"],"prefix":"10.1177","volume":"36","author":[{"given":"Ashraf","family":"Maghrabi","sequence":"first","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia."},{"name":"Department of Surgery, Thoracic Surgery Division, King Abdulaziz University Hospital, Jeddah, Saudi Arabia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6893-537X","authenticated-orcid":false,"given":"Moaz","family":"Abulfaraj","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murad","family":"Aljiffry","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wisam","family":"Jamal","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, University of Jeddah, Jeddah, Saudi Arabia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emad","family":"Aljahdli","sequence":"additional","affiliation":[{"name":"Department of Medicine, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9324-3137","authenticated-orcid":false,"given":"Alaa","family":"Habeebullah","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia."},{"name":"Department of Surgery, Thoracic Surgery Division, King Abdulaziz University Hospital, Jeddah, Saudi Arabia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suha","family":"Kaaki","sequence":"additional","affiliation":[{"name":"Department of Surgery, College of Medicine, Thoracic Surgery Unit, King Saud University, Riyadh, Saudi Arabia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aroub","family":"Kaaki","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia."},{"name":"Department of Surgery, Thoracic Surgery Division, King Abdulaziz University Hospital, Jeddah, Saudi Arabia."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,21]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2012-304269"},{"key":"e_1_3_4_3_1","doi-asserted-by":"publisher","DOI":"10.14740\/jocmr3292w"},{"key":"e_1_3_4_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2012.444"},{"key":"e_1_3_4_5_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2017.07.045"},{"key":"e_1_3_4_6_1","doi-asserted-by":"publisher","DOI":"10.15537\/smj.2025.46.8.20250231"},{"key":"e_1_3_4_7_1","doi-asserted-by":"publisher","DOI":"10.4103\/ejs.ejs_302_23"},{"key":"e_1_3_4_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2010.09.011"},{"key":"e_1_3_4_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-017-2748-9"},{"key":"e_1_3_4_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2015.08.507"},{"key":"e_1_3_4_11_1","doi-asserted-by":"publisher","DOI":"10.14309\/01.ajg.0000858692.61964.fa"},{"key":"e_1_3_4_12_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1205544"},{"key":"e_1_3_4_13_1","doi-asserted-by":"publisher","DOI":"10.1590\/0102-672020230063e1781"},{"key":"e_1_3_4_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/dote.12199"},{"key":"e_1_3_4_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2013.04.039"},{"key":"e_1_3_4_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/dote\/doad014"},{"key":"e_1_3_4_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-024-07523-8"},{"key":"e_1_3_4_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000005239"},{"key":"e_1_3_4_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2019.05.030"},{"key":"e_1_3_4_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2024.09.010"},{"key":"e_1_3_4_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2018.02.041"}],"container-title":["Journal of Laparoendoscopic &amp; 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