Michael A Antiporda, MD, Steven P Bowers, MD. Mayo Clinic Florida
Revision of failed fundoplication remains a challenging operation. Magnetic sphincter augmentation (MSA) devices may play an expanded role beyond primary anti-reflux procedures to potentially be of great value in revisional operation to mitigate some of the drawbacks of a complete fundoplication such as bloating and inability to belch. Herein we present a case in which a patient who had undergone two prior anti-reflux procedures in adolescence was referred with a herniated Nissen fundoplication and recurrent reflux and dysphagia with normal manometry. His fundoplication was taken down, hernia repaired, and an MSA device placed. This video demonstrates that these devices may be a good alternative in need of further study in the role of revisional antireflux surgery.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 79974
Program Number: V169
Presentation Session: Foregut 3
Presentation Type: Video