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Laparoscopic management of pathologic gastroesophageal reflux after sleeve gastrectomy using the magnetic sphincter augmentation (MSA) device—a Video Vignette

PURPOSE: The development of gastroesophageal reflux disease (GERD) has been shown to be not infrequent after laparoscopic sleeve gastrectomy (LSG). Management may vary from medical therapy to Roux-en-Y gastric bypass (RYGB) conversion. Magnetic sphincter augmentation (MSA) device has been shown to b...

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Autores principales: Bona, Davide, Zappa, Marco Antonio, Panizzo, Valerio, Sozzi, Andrea, Lastraioli, Caterina, Lombardo, Francesca, Ogliari, Cristina, Aiolfi, Alberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8986733/
https://www.ncbi.nlm.nih.gov/pubmed/35290612
http://dx.doi.org/10.1007/s11695-022-06007-x
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author Bona, Davide
Zappa, Marco Antonio
Panizzo, Valerio
Sozzi, Andrea
Lastraioli, Caterina
Lombardo, Francesca
Ogliari, Cristina
Aiolfi, Alberto
author_facet Bona, Davide
Zappa, Marco Antonio
Panizzo, Valerio
Sozzi, Andrea
Lastraioli, Caterina
Lombardo, Francesca
Ogliari, Cristina
Aiolfi, Alberto
author_sort Bona, Davide
collection PubMed
description PURPOSE: The development of gastroesophageal reflux disease (GERD) has been shown to be not infrequent after laparoscopic sleeve gastrectomy (LSG). Management may vary from medical therapy to Roux-en-Y gastric bypass (RYGB) conversion. Magnetic sphincter augmentation (MSA) device has been shown to be a promising option with excellent results. The purpose of this video was to demonstrate the laparoscopic management of post-LSG GERD with MSA device implant. MATERIALS AND METHODS: An intraoperative video has been edited to demonstrate the MSA device placement after LSG for the treatment of pathologic GERD. RESULTS: The procedure started with the lysis of the perigastric adhesions to free the distal esophagus circumferentially. The posterior vagus nerve was identified, and a small window was created between the posterior esophageal wall anteriorly and the vagus nerve posteriorly. A hiatoplasty was performed using two non-resorbable interrupted 2.0 Prolene® sutures. The system’s sizer was placed to measure the junctional circumference. A 15-mm MSA device was implanted. CONCLUSION: MSA device placement seems technically feasible and safe with promising results in term of improved LES resting pressure and esophageal acid exposure. While future studies are necessary to corroborate these preliminary indications, MSA device may possibly become a valid option in surgeon armamentarium. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s11695-022-06007-x.
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spelling pubmed-89867332022-04-22 Laparoscopic management of pathologic gastroesophageal reflux after sleeve gastrectomy using the magnetic sphincter augmentation (MSA) device—a Video Vignette Bona, Davide Zappa, Marco Antonio Panizzo, Valerio Sozzi, Andrea Lastraioli, Caterina Lombardo, Francesca Ogliari, Cristina Aiolfi, Alberto Obes Surg Multimedia Article PURPOSE: The development of gastroesophageal reflux disease (GERD) has been shown to be not infrequent after laparoscopic sleeve gastrectomy (LSG). Management may vary from medical therapy to Roux-en-Y gastric bypass (RYGB) conversion. Magnetic sphincter augmentation (MSA) device has been shown to be a promising option with excellent results. The purpose of this video was to demonstrate the laparoscopic management of post-LSG GERD with MSA device implant. MATERIALS AND METHODS: An intraoperative video has been edited to demonstrate the MSA device placement after LSG for the treatment of pathologic GERD. RESULTS: The procedure started with the lysis of the perigastric adhesions to free the distal esophagus circumferentially. The posterior vagus nerve was identified, and a small window was created between the posterior esophageal wall anteriorly and the vagus nerve posteriorly. A hiatoplasty was performed using two non-resorbable interrupted 2.0 Prolene® sutures. The system’s sizer was placed to measure the junctional circumference. A 15-mm MSA device was implanted. CONCLUSION: MSA device placement seems technically feasible and safe with promising results in term of improved LES resting pressure and esophageal acid exposure. While future studies are necessary to corroborate these preliminary indications, MSA device may possibly become a valid option in surgeon armamentarium. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s11695-022-06007-x. Springer US 2022-03-15 2022 /pmc/articles/PMC8986733/ /pubmed/35290612 http://dx.doi.org/10.1007/s11695-022-06007-x Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Multimedia Article
Bona, Davide
Zappa, Marco Antonio
Panizzo, Valerio
Sozzi, Andrea
Lastraioli, Caterina
Lombardo, Francesca
Ogliari, Cristina
Aiolfi, Alberto
Laparoscopic management of pathologic gastroesophageal reflux after sleeve gastrectomy using the magnetic sphincter augmentation (MSA) device—a Video Vignette
title Laparoscopic management of pathologic gastroesophageal reflux after sleeve gastrectomy using the magnetic sphincter augmentation (MSA) device—a Video Vignette
title_full Laparoscopic management of pathologic gastroesophageal reflux after sleeve gastrectomy using the magnetic sphincter augmentation (MSA) device—a Video Vignette
title_fullStr Laparoscopic management of pathologic gastroesophageal reflux after sleeve gastrectomy using the magnetic sphincter augmentation (MSA) device—a Video Vignette
title_full_unstemmed Laparoscopic management of pathologic gastroesophageal reflux after sleeve gastrectomy using the magnetic sphincter augmentation (MSA) device—a Video Vignette
title_short Laparoscopic management of pathologic gastroesophageal reflux after sleeve gastrectomy using the magnetic sphincter augmentation (MSA) device—a Video Vignette
title_sort laparoscopic management of pathologic gastroesophageal reflux after sleeve gastrectomy using the magnetic sphincter augmentation (msa) device—a video vignette
topic Multimedia Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8986733/
https://www.ncbi.nlm.nih.gov/pubmed/35290612
http://dx.doi.org/10.1007/s11695-022-06007-x
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