Minimally Invasive Treatment for GERD

Gastroesophageal reflux disease (GERD) occurs when stomach acid flows back into the esophagus, the tube connecting the mouth and the stomach. This common condition can cause a range of uncomfortable symptoms, including heartburn, abdomen or chest pain and difficulty swallowing.

Our esophageal surgery and gastric surgery teams offer several surgical GERD treatments, including laparoscopic Nissen fundoplication, gastric bypass surgery and the Linx® Reflux Management System. This minimally invasive procedure uses a ring of small beads to help close the esophagus and stop stomach acid backflow.

How Does the Linx® Reflux Management System Work?

The LINX® Reflux Management System is a band of magnetized titanium beads linked by titanium wires. Surgeons place the device around the lower end of the esophagus to prevent reflux, when stomach acid and stomach contents flow back into the esophagus.

Specifically, the LINX® system supports the proper functioning of the lower esophageal sphincter, a muscle that prevents food and air from flowing in the wrong digestive direction. The design of the LINX® device allows normal swallowing and belching or vomiting when necessary. Otherwise, the magnetic beads cause the device to tighten and restrict the lower esophagus. This process helps the esophagus close properly, ensuring correct digestive flow.

What to Expect During LINX® Reflux Management System Surgery

Our surgeons have completed specialized LINX® System placement training. During surgery, they implant the device using minimally invasive laparoscopic surgery, a procedure that requires only small abdominal incisions. The surgery takes under an hour, and most patients can go home the same day.

Recovery from the procedure is generally easy, though some patients report short-term LINX® Reflux Management System side effects, including surgery site swelling, bloating, hiccups or heartburn, and chest or shoulder pain when swallowing.
After LINX® device placement, patients can quickly return to their regular diet — but some may need time to become accustomed to eating with their LINX® band in place. Patients may initially feel that the LINX® device makes swallowing food difficult, but drinking water before eating, taking small bites and chewing food well can ease this sensation.
Studies have found the LINX® system has a high success rate as an acid reflux treatment. Many patients are able to stop taking anti-heartburn or anti-nausea medications following surgery.