The LINX® Reflux Management System is a minimally invasive option that can help reduce acid reflux when medications, lifestyle modifications, and dietary changes are not effective. Duke esophageal surgeons are among the few in the region with experience to perform this latest advance in GERD treatment. They can evaluate your condition and determine if the LINX procedure is the best GERD treatment for you.
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Showing of DoctorsAcid reflux, also known as gastroesophageal reflux disease or GERD, occurs when a weak lower esophageal sphincter (valve) allows food and drink to re-enter the esophagus after swallowing. Medications, lifestyle changes, and special diets can effectively treat the symptoms of acid reflux in some people, but they don’t repair the weak valve that is the root of the problem.
The LINX procedure corrects a weak esophageal valve to prevent acid reflux from occurring. The LINX device, which looks like a small, stretchy bracelet, is placed around the lower esophagus through small incisions in the abdomen. A flexible band of magnetic beads expands when you swallow, allowing food and liquid to pass into the stomach. Afterward, the magnets in the device cause the band to contract and the esophageal valve to close. Stomach contents can no longer flow back into the esophagus.
Watch this video to learn how the LINX® Reflux Management System works.
LINX surgery is less invasive than other procedures that correct acid reflux. This means less time in the hospital and a faster recovery. Instead of waiting weeks, you can return to a normal diet the day after surgery. LINX is designed to stay in place permanently to prevent acid reflux but can be removed if needed.
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Before LINX surgery is recommended, you will meet with a team of specialists, including a gastroenterologist and a thoracic surgeon, for a thorough evaluation. You may undergo one or more of the following tests to determine the cause of your symptoms and if LINX is the best treatment for you.
Upper Endoscopy
Your doctor inserts a flexible tube into your mouth to view the inside of your esophagus, stomach, and small intestine.
EndoFLIP
During endoscopy, your gastroenterologist uses a device to measure pressures inside your esophagus and assess the ability of your esophagus to contract. When the esophagus works as it should, coordinated contractions move food and liquid down to your stomach.
Esophageal Manometry
A thin, flexible tube called a catheter is inserted through your nose and into your esophagus. It evaluates esophageal motility by monitoring strength and patterns of muscle function within the esophagus.
Esophageal Reflux Test
A catheter or probe placed in the esophagus is used to determine the presence and severity of reflux.
Barium Swallow
A barium liquid is swallowed and travels the length of your esophagus. X-ray images show how the barium moves through your esophagus. This test can detect problems with the structure of your esophagus.