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New Offering for GERD

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  • Transcript

    • 1. Linx Reflux Management System What do you need to know C. Daniel Smith, MD www.facebook.com/cdanielsmith
    • 2. What is it? • Bracelet of magnetic beads • Magnetic force holds bracelet closed until pressure in esophagus causes magnetic force to release • Resting state is closed to prevent GERD • Opens and closes in response to swallowed food or liquids
    • 3. Has the device been tested? • Device in development for past 9-10 years • Studied in humans for over 4 years • Results from studies presented to FDA in January 2012 • FDA approved the device for U.S. use in March 2012 • Device in use in Europe since 2010
    • 4. How is it placed? • Surgically placed around end of esophagus over existing lower esophageal sphincter • Placed using laparoscopy • Typically an outpatient procedure • Resume normal diet immediately after surgery
    • 5. Who is a candidate? • You must have objectively confirmed diagnosis of GERD with incomplete control of symptoms while on medication • No evidence of Barretts esophagus of active esophagitis (grade c or d) • Hiatal hernia of 3 cm or less • Candidate for surgical procedure
    • 6. Who is a candidate? • Current testing will be required esophageal pH test (off medicine) esophageal motility test barium swallow upper endoscopy (EGD) • Body Mass Index (BMI) of 35 or less • At least 18 years of age • Not pregnant
    • 7. Where can I get it? • Procedure will be available at Centers with expertise in all aspects of the management of GERD • Surgeons and gastroenterologists will have been specifically trained in the Linx Reflux Management System • Check company’s website for list of implanting centers (www.toraxmedical.com)
    • 8. GERD Definitions Typical GERD Symptoms Heartburn Regurgitation Chest pain Atypical GERD Symptoms Cough Laryngitis Sore throat Asthma