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Updated: Apr 25, 2026

Robotic Myotomy and Partial Fundoplication for Achalasia
Published on: August 11, 2023
Magnetic lower esophageal sphincter augmentation device removal
Cristina R Harnsberger1, Ryan C Broderick, Hans F Fuchs
1Division of Minimally Invasive Surgery, Department of General Surgery, Center for the Future of Surgery, University of California, San Diego, CA, USA, charnsberger@ucsd.edu.
Magnetic lower esophageal sphincter devices offer an alternative surgical option for gastroesophageal reflux disease (GERD). This paper details the laparoscopic technique for removing these devices when necessary.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Medical Device Technology
Background:
- Gastroesophageal reflux disease (GERD) management includes surgical options.
- Magnetic lower esophageal sphincter (LES) devices are an alternative to traditional fundoplication.
- While effective, GERD device removal may be required in some cases.
Purpose of the Study:
- To present the technique for laparoscopic magnetic LES device removal.
- To provide guidance for surgeons encountering the need for device explantation.
- To ensure safe and effective management when GERD device removal is necessary.
Main Methods:
- Laparoscopic surgical approach.
- Detailed description of device explantation steps.
- Focus on the technical aspects of magnetic LES device removal.
Main Results:
- Successful laparoscopic removal of magnetic LES devices is feasible.
- The presented technique aims to minimize complications during removal.
- This procedure assists surgeons in managing patients requiring device explantation.
Conclusions:
- Laparoscopic magnetic LES device removal is a viable surgical option.
- Understanding the technique is crucial for surgeons managing GERD patients with these devices.
- This method facilitates the safe explantation of magnetic LES devices when indicated.
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