OGBN V08 Day case explantation of a magnetic lower oesophagal sphincter augmentation device due to dysphagia


 
 
 Although laparoscopic Nissen fundoplication remains the gold standard surgical treatment of gastroesophageal reflux disease (GERD), the magnetic Lower oesophageal sphincter augmentation device (LINX ®) has been suggested as a safe alternative for patients with uncomplicated and early-stage disease.
 The LINX device is a small flexible band of interlinked titanium beads with magnetic cores designed to mimic the body's natural defence mechanism against reflux in patients with GERD.
 Concerns about the LINX procedure comprise erosions and dysphagia.
 The purpose of this video is to show a safe technique for the removal of the device and how to check the integrity of the oesophagus.
 
 
 
 A video presentation explaining the needed investigations before LINX removal and showing a safe technique for removal of LINX device and how to check oesophageal integrity afterwards.
 
 
 
 The LINX device was explanted safely the patient went home afterwards.
 
 
 
 Explantation of t the LINX device can be done safely as a day case with precautions. Take home message is to carefully dissect the capsule around each bead and to use OGD to exclude any oesophageal injury.
