Title: robotic assisted removal of magnetic esophageal sphincter with fundoplication authors: meara m.P., alexander c., rodman c., renton d.B., schwartz j citation: surg endosc (2018); 32:s50¿s66.Doi: http://dx.Doi.Org/10.1007/s00464-018-6120-5.Magnetic esophageal sphincter augmentation is a relatively new technique for management for reflux beyond traditional medications.The long-term outcomes of this device and concerns for potential failure or erosion remain a paramount issue as the device is applied to an increasing number of individuals, both in the united states and worldwide.This case involves a (b)(6)-year-old female patient with a past surgical history significant for linx device (ethicon) implantation in 2013.The patient noted that since the surgery, she had no relief of the reflux and that in fact, the reflux had worsened to a point where the symptoms were lifestyle limiting.The device was removed from the patient intact.A standard nissen fundoplication was performed with minimal impact on the procedure from the previously removed device.In conclusion, robotic assisted removal of magnetic esophageal sphincter with fundoplication can be completed safely and effectively.Robotic removal and repeat fundoplication can be considered in patient's whose device has subsequently failed and removal is necessary.
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