Efficacy of the LINX® reflux management system in patients with large hiatal hernias

Background: Magnetic sphincter augmentation (MSA) with LINX® has demonstrated long-term safety and efficacy in patients with gastroesophageal reflux (GERD). The efficacy of LINX in patients with larger hiatal hernias has yet to be determined. Methods: A retrospective review of all patients who underwent MSA at our institutions between May 2009 and December 2015 was performed. Information regarding demographics, GERD characteristics, intraoperative anatomic abnormalities, and surgical procedure was obtained. Clinical outcomes included postoperative GERD-Health Related Quality of Life (HRQL) scores, proton pump in…