ESSENTIALS OF LAPAROSCOPIC REMOVAL OF MAGNETIC LES AUGMENTATION DEVICE (LINX), REDO HIATAL HERNIA REPAIR AND TOUPET FUNDOPLICATION FOR RECURRENT GERD
Roshin Thomas*, Jad Khoraki, Guilherme Campos
VCU, Richmond, VA
Magnetic LES augmentation device (LINX) is an alternative to fundoplication for gastroesophageal reflux disease (GERD) in selected patients, and Its utilization has increased since its approval in 2012. LINX failure is reported in 6-10% of patients as recurrent GERD, dysphagia or erosion. This video presents the work-up prior to removal in a patient with recurrent GERD, 17 months after LINX. The removal of the device should only be attempted after complete dissection of GE junction and distal esophagus. Other technical steps highlighted in the video include the use of energy to unearth the LINX from its capsule, hiatus closure, fundus mobilization, and a Toupet fundoplication
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