The outcomes of magnetic sphincter augmentation in patients with gastroesophageal reflux disease post bariatric surgery: A systemic review and meta-analysis

Q3 Medicine

Laparoscopic Endoscopic and Robotic Surgery Pub Date : 2025-03-01 DOI:10.1016/j.lers.2025.01.002

Turki Alkully , Sara Mahfoud Alghamdi , Najla Khalid A. Alzahrani , Raghad Saeed S. Alghamdi , Sarah Ibrahim Alghamdi , Hassan Mahfouz H. Alghamdi , Afaf Safar E. Alzahrani

{"title":"The outcomes of magnetic sphincter augmentation in patients with gastroesophageal reflux disease post bariatric surgery: A systemic review and meta-analysis","authors":"Turki Alkully , Sara Mahfoud Alghamdi , Najla Khalid A. Alzahrani , Raghad Saeed S. Alghamdi , Sarah Ibrahim Alghamdi , Hassan Mahfouz H. Alghamdi , Afaf Safar E. Alzahrani","doi":"10.1016/j.lers.2025.01.002","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>Although bariatric surgeries are widely performed around the world, patients frequently experience the recurrence of pre-existing gastroesophageal reflux disease (GERD) symptoms or develop new symptoms, some of which are resistant to medical treatment. This study investigates the effect and outcome of magnetic sphincter augmentation (MSA), a minimally invasive treatment for GERD, in this population.</div></div><div><h3>Methods</h3><div>A thorough search of the PubMed, Cochrane, Scopus, Web of Science, and Google Scholar databases from inception until June 6, 2024 was performed to retrieve relevant studies that evaluated the effects of MSA on the GERD health-related quality of life (GERD-HRQL) score and the reduction in proton pump inhibitor (PPI) use in patients who underwent bariatric surgery. The “meta” package in RStudio version 2023.12.0 + 369 was used.</div></div><div><h3>Results</h3><div>A total of eight studies were included in the systematic review and seven studies were included in the meta-analysis. MSA significantly reduced the GERD-HRQL score (MD = −27.55 [95% CI: −30.99 to −24.11], <em>p</em> < 0.01) and PPI use (RR = 0.23 [95% CI: 0.16 to 0.33], <em>p</em> < 0.01).</div></div><div><h3>Conclusion</h3><div>MSA is a viable treatment option for patients with GERD symptoms who undergo bariatric surgery. This approach showed promising results in terms of reducing the GERD-HRQL score and reducing the use of PPI.</div></div>","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":"8 1","pages":"Pages 45-52"},"PeriodicalIF":0.0000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Laparoscopic Endoscopic and Robotic Surgery","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2468900925000027","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

Abstract

Objective

Although bariatric surgeries are widely performed around the world, patients frequently experience the recurrence of pre-existing gastroesophageal reflux disease (GERD) symptoms or develop new symptoms, some of which are resistant to medical treatment. This study investigates the effect and outcome of magnetic sphincter augmentation (MSA), a minimally invasive treatment for GERD, in this population.

Methods

A thorough search of the PubMed, Cochrane, Scopus, Web of Science, and Google Scholar databases from inception until June 6, 2024 was performed to retrieve relevant studies that evaluated the effects of MSA on the GERD health-related quality of life (GERD-HRQL) score and the reduction in proton pump inhibitor (PPI) use in patients who underwent bariatric surgery. The “meta” package in RStudio version 2023.12.0 + 369 was used.

Results

A total of eight studies were included in the systematic review and seven studies were included in the meta-analysis. MSA significantly reduced the GERD-HRQL score (MD = −27.55 [95% CI: −30.99 to −24.11], p < 0.01) and PPI use (RR = 0.23 [95% CI: 0.16 to 0.33], p < 0.01).

Conclusion

MSA is a viable treatment option for patients with GERD symptoms who undergo bariatric surgery. This approach showed promising results in terms of reducing the GERD-HRQL score and reducing the use of PPI.

查看原文本刊更多论文

求助全文

约1分钟内获得全文求助全文

来源期刊

Laparoscopic Endoscopic and Robotic Surgery minimally invasive surgery-

CiteScore

1.40

自引率

0.00%

发文量

期刊介绍： Laparoscopic, Endoscopic and Robotic Surgery aims to provide an academic exchange platform for minimally invasive surgery at an international level. We seek out and publish the excellent original articles, reviews and editorials as well as exciting new techniques to promote the academic development. Topics of interests include, but are not limited to: ▪ Minimally invasive clinical research mainly in General Surgery, Thoracic Surgery, Urology, Neurosurgery, Gynecology & Obstetrics, Gastroenterology, Orthopedics, Colorectal Surgery, Otolaryngology, etc.; ▪ Basic research in minimally invasive surgery; ▪ Research of techniques and equipments in minimally invasive surgery, and application of laparoscopy, endoscopy, robot and medical imaging; ▪ Development of medical education in minimally invasive surgery.