title: Outcomes of magnetic sphincter augmentation - A community hospital perspective.
abstract: 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.
authors.affiliation: General Surgery Residency, Department of Medical Education, Gundersen Medical Foundation, La Crosse, WI, USA.
authors.forename: Nicholas M
authors.initials: NM
authors.lastname: Czosnyka
authors.affiliation: The Heartburn & Acid Reflux Center, Baylor Scott & White Healthcare, Round Rock, TX, USA.
authors.forename: F Paul
authors.initials: FP
authors.lastname: Buckley
authors.affiliation: The Heartburn & Acid Reflux Center, Baylor Scott & White Healthcare, Round Rock, TX, USA.
authors.forename: Stephanie L
authors.initials: SL
authors.lastname: Doggett
authors.affiliation: The Heartburn & Acid Reflux Center, Baylor Scott & White Healthcare, Round Rock, TX, USA.
authors.forename: Hannah
authors.initials: H
authors.lastname: Vassaur
authors.affiliation: Department of General and Vascular Surgery, Gundersen Health System, La Crosse, WI, USA.
authors.forename: Erin E
authors.initials: EE
authors.lastname: Connolly
authors.affiliation: Department of Research, Gundersen Medical Foundation, La Crosse, WI, USA.
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Borgert
authors.affiliation: Department of Research, Gundersen Medical Foundation, La Crosse, WI, USA.
authors.forename: Kara J
authors.initials: KJ
authors.lastname: Kallies
authors.affiliation: Department of General and Vascular Surgery, Gundersen Health System, La Crosse, WI, USA. Electronic address: snkothar@gundersenhealth.org.
authors.forename: Shanu N
authors.initials: SN
authors.lastname: Kothari
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D049630:Esophageal Sphincter, Lower; D005260:Female; D005764:Gastroesophageal Reflux / Q000601:surgery*; D006304:Health Status; D006764:Hospitals, Community; D006801:Humans; D059346:Magnets; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D019736:Prostheses and Implants; D011788:Quality of Life; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult
keywords: Antireflux surgery; Gastroesophageal reflux; Lower esophageal sphincter; Magnetic sphincter augmentation; Postoperative outcomes; Quality of life