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LAPAROSCOPIC MAGNETIC SPHINCTER AUGMENTATION DEVICE REMOVAL WITH CONCURRENT NISSEN FUNDOPLICATION
Matthew T. Allemang*, Andrew T. Strong, James Villamere, John Rodriguez, Jeffrey Ponsky, Matthew Kroh
Department of Surgery, Cleveland Clinic Foundation, Cleveland, OH

This is a 43 year old male patient with a longstanding history of gastroesophageal reflux disease and Barrett’s esophagus. He has previously undergone laparoscopic placement of a magnetic device to augment the lower esophageal sphincter. He had experience little symptom improvement. Evaluation revealed a small hiatal hernia with esophagitis, no esophageal dysmotility, and low pressure of the lower esophageal sphincter. At laparoscopy, it was discovered that the magnetic device was positioned too high, and was removed. A Nissen fundoplication was then completed to alleviate reflux symptoms. He experienced no perioperative morbidity.


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