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Updated: Mar 12, 2026
Robotic Myotomy and Partial Fundoplication for Achalasia
Published on: August 11, 2023
Outcomes of magnetic sphincter augmentation - A community hospital perspective
Nicholas M Czosnyka1, F Paul Buckley2, Stephanie L Doggett2
1General Surgery Residency, Department of Medical Education, Gundersen Medical Foundation, La Crosse, WI, USA.
Background:
Magnetic sphincter augmentation (MSA) is FDA approved for the surgical treatment of GERD. While multiple reports from academic settings exist, we report the early experience from two community-based health systems.
Methods:
The first 102 post-trial cases of MSA were reviewed. Outcomes were compared to those in the initial clinical trial.
Results:
Mean follow-up duration was 7.6 months. GERD medication use decreased from 98% preoperative to 8% postoperative (P<0.001). Median GERD health-related quality of life (HRQL) improved from 27 preoperative to 5 postoperative (P<0.001). Patient satisfaction increased from 8% preoperative to 84% postoperative (P<0.001). Results were similar to the trial data.
Conclusions:
MSA is a safe and effective treatment for GERD, with significant improvement in quality of life. GERD-HRQL, medication reduction, operative times, and dysphagia rates were similar to other reports, demonstrating the reproducibility of MSA. Lower dilation rates may be due to refinements in technique and postoperative dietary management.
