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LINX Reflux Management System

Phoenix Hospital Group is proud to announce that the first LINX procedure in London has been successfully undertaken by Mr Majid Hashemi at the Weymouth Street Hospital. The LINX Reflux Management System is used for treating GERD when medication no longer provides adequate symptom control. The LINX System is another option to the standard surgery for GERD, such as Nissen Fundoplication.

  • Less invasive. Placement of the LINX System does not involve significant alterations to anatomy that may limit future treatment options. With the Nissen fundoplication, the top part of the stomach is wrapped around the lower oesophagus to improve the reflux barrier.
  • Removable. If needed, the LINX System can be removed during a laparoscopic procedure similar to the implant procedure. Removal of the device generally leaves the oesophagus the same as before the implant.
  • Well-tolerated. After surgery, patients usually go home the same day or the next day.

    Patients are able to eat a normal diet after surgery. With Nissen fundoplication, patients are restricted to a liquid diet that is slowly advanced over weeks to normal food.

Mr Majid Hashemi did the first Linx placements in Central London and now have follow up of over 5 years worldwide and almost one year in his own personal cases. The procedure is safe, appears durable and gives excellent relief of reflux with over 90% of patients reducing medication use and 70% coming off altogether.

Also, at Weymouth Street Hospital, Mr Hashemi was the first in London (if not in the UK) to use MINI LAPAROSCOPY (TINY 3MM LAPAROSCOPIC INSTRUMENTS) for the treatment of reflux and the treatment of Achalaisa.

Patients often struggle with reflux and put up with
the side effects on their voices and lungs and it is painful for me to see this when I know there is a safe, quick and effective fix for this. Many patients don’t realise that symptoms such as hoarseness, throat clearing, loss of voice or even a weak voice may be due to reflux.

Similarly many patients with adult onset asthma don’t realise that their disease and its progression can be due to uncorrected and untreated reflux.

The good thing is that if anyone needs a revision to a formal traditional fundoplication, the actual revision operation is as simple as a first time fundoplication and the results equivalent to a first time fundoplication. This gives it an advantage over traditional surgery where if a revision is required it is a more complex undertaking with less predictable results.

When considering the LINX System, it is important to understand the following:

  • The device is a permanent implant, and limited long-term experience is available. Sustainability of effect, as assessed by quality of life scores, has not been studied past 2 years. It is possible that

    the device may need to be removed or replaced at a later time (for example, in 10 years). If the device fails or breaks, your GERD symptoms may return or you may experience unusual pain.

  • 90% of patients reported improvement in GERD symptoms or elimination of GERD medications in a clinical study at 1 and 2 years after treatment. Every patient is different. There are no guarantees you will have the same results. It is possible you may need to continue GERD medications after treatment.
  • MRI is not allowed while the device is implanted as it may cause serious injury to you and/or the device. This may be an issue if you currently have or may develop a disease or condition where MRI is the appropriate diagnostic test. You should discuss the MRI restriction with your doctor prior to deciding on treatment with the LINX System.
  • The LINX System has not been studied in patients with hiatal hernias greater than 3 cm in size, Barrett’s oesophagus, advanced oesophagitis (inflammation of the oesophagus), swallowing difficulties, or motility disorders. Please discuss your medical history with your doctor to determine if you have any conditions for which the LINX System is not recommended.
  • The LINX System is not the only option available. The standard surgical treatment for GERD is the Nissen fundoplication. Your doctor will discuss this option and other options available to you, which may include treatments performed by endoscopy such as radiofrequency applications to the sphincter area and endoscopic sewing devices that sew part of the stomach to the oesophagus.
  • Other treatments performed in the area of lower esophagus

    may not be possible or will need careful consideration if the LINX System is present. These treatments may include surgical or endoscopic interventions for weight loss, Barrett’s esophagus or GERD.

If you would like to know more about LINX please contact our bookings team who will be happy to assist you at info@weymouthhospital.co.uk