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Safety outcomes in 602 GERD patients treated by RefluxStop: a multi-center real-world study from 22 centers across six European countries

delete2026-04-18
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S
Sebastian F. Schoppmann *
J
Joerg Zehetner
M
Moustafa Elshafei
T
Thorsten Lehmann
A
Ahmed Ahmed
N
Naim Fakih-Gomez
J
Joy Feka
F
Fergus Noble
N
Nicholas Boyle
M
Maria Eugenia Barrios Carvajal
A
Alberto Hernández Matias
J
J. Daniel Sánchez López
M
Marta Cuadrado Ayuso
B
Beatriz Guil Ortiz
C
Carlos Miliani Molina
C
Carlos Moreno Sanz
G
Gabriele Pozzo
M
Maurizio Pavanello
A
Adolfo Renzi
D
Davide Bona
L
Leonardo Vincenti
L
Luigi Bonavina
Y
Yves Borbély
J
John C. Lipham
DOI:10.1038/s41598-026-47034-3delete
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Abstract

Abstract

En 中文
RefluxStop surgery aims to restore a functional anti-reflux barrier in gastroesophageal reflux disease (GERD) without encircling the esophagus, purportedly limiting dysphagia and gas-bloating. This report presents safety outcomes from 602 patients at 22 centers across six European countries and up to 6.75 years follow-up (mean [SD] 2 [1.25] years). Serious safety outcomes and reoperation occurred in 1.99% (12/602), all satisfactorily resolved. Thereof, two-thirds were reherniations (1.33%), which manifested from total disruption of crural repair, resolved by straightforward fundic repositioning and redo hiatal repair with RefluxStop unaffected in its pouch. Non-operative safety events included 4/602 (0.66%) cases of asymptomatic erosion (without action) in the early postoperative phase (4 weeks) as the learning curve of a new procedure. Dilatation for new-onset dysphagia was performed in one patient. This report presents an analysis focused on safety data from the largest independent RefluxStop study to date (n = 602). Despite inter-surgeon variability, the learning curve for a new procedure, and sizable proportions of large hernia and/or dysmotility patients, results show low rates of serious safety outcomes with reoperations occurring in <2%. The overall experience of the RefluxStop Evaluation Group demonstrated a consistent and favorable mid-to-long-term safety profile for RefluxStop in real-world surgical treatment of GERD.
Keywords:
Diseases
Gastroenterology
Health care
Medical research
Science
Humanities and Social Sciences
multidisciplinary

Journal

Scientific Reports cover
Scientific Reports
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3.9
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