Magnetic sphincter augmentation is an effective treatment for atypical symptoms caused by gastroesophageal reflux diseas

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and Other Interventional Techniques

Magnetic sphincter augmentation is an effective treatment for atypical symptoms caused by gastroesophageal reflux disease Marc A. Ward1,2,3   · Ahmed Ebrahim3 · Jeffrey Kopita4 · Lindsay Arviso5 · Gerald O. Ogola6 · Brittany Buckmaster1,2 · Steven G. Leeds1,2,3 Received: 17 July 2019 / Accepted: 14 November 2019 © Springer Science+Business Media, LLC, part of Springer Nature 2019

Abstract Background  The purpose of this study was to determine whether magnetic sphincter augmentation (MSA) could effectively treat patients with gastroesophageal reflux disease (GERD) who suffer primarily from atypical symptoms due to laryngopharyngeal reflux (LPR). MSA has been shown to treat typical symptoms of GERD with good success, but its effect on atypical symptoms is unknown. Methods  A retrospective review of a prospectively maintained institutional review board-approved database was conducted for all patients who underwent MSA between January 2015 and December 2018. All patients had objective confirmation of GERD from ambulatory pH monitoring off anti-reflux medications (DeMeester score > 14.7). Symptoms were assessed preoperatively and at 1 year postoperatively using GERD Health-Related Quality of Life (GERD–HRQL) and Reflux Symptom Index (RSI) questionnaires. Results  There were 86 patients (38 males; 48 females) with a median age of 51.5 years. Total GERD HRQL scores improved from a mean of 38.79 to 6.53 (p