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Are magnetic sphincter augmentation and transoral incisionless fundoplication procedures effective for refractory GERD?

Are magnetic sphincter augmentation and transoral incisionless fundoplication procedures effective for refractory GERD? Are magnetic sphincter augmentation and transoral incisionless fundoplication procedures effective for refractory GERD?
Are magnetic sphincter augmentation and transoral incisionless fundoplication procedures effective for refractory GERD? Are magnetic sphincter augmentation and transoral incisionless fundoplication procedures effective for refractory GERD?

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Magnetic sphincter augmentation (MSA) can be useful for recovery from regurgitation and discontinue the use of proton pump inhibitors (PPI) in gastroesophageal reflux disease (GERD).

MSA and transoral incisionless fundoplication (TIF) were found to have a similar improvement in GERD-Health Related Quality of Life (GERD-HRQL) score, but MSA had better outcomes as compared to TIF2 in terms of patient satisfaction, after procedure regurgitation and the number of patients who stopped using PPI, concluded a study in Endoscopy international open. 

Saurabh Chandan et al. compared the efficacy of both procedures- MSA and TIF2 as evaluated via GERD-HRQL) score, patient satisfaction, improved after procedure regurgitation, and the number of patients who stopped using PPI therapy at follow-up.

After a widespread database search to recognize suitable studies, 24 studies with 1942 patients were included. Of particular interest, a significantly greater number of patients with MSA (91.1 %) described recovery in regurgitation compared to patients who opted for the TIF2 procedure (73.1 %). Furthermore, 91.3 % of patients with MSA were able to completely discontinue PPI therapy than only 63.8 % in TIF2. The body mass index and occurrence of a hiatal hernia in patients did not affect the procedural outcomes. 

Source:

Endoscopy International Open

Article:

Clinical efficacy and safety of magnetic sphincter augmentation (MSA) and transoral incisionless fundoplication (TIF2) in refractory gastroesophageal reflux disease (GERD): a systematic review and meta-analysis

Authors:

Saurabh Chandan et al.

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