Long-term objective hiatal hernia recurrence after magnetic sphincter augmentation versus laparoscopic fundoplication: a multicenter cohort study of moderate and large hiatal hernias - Takeaways - MDSpire
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Long-term objective assessment of hiatal hernia recurrence following magnetic sphincter augmentation versus laparoscopic fundoplication: a multicenter cohort study in moderate-to-large hernias

  • By

  • Shahin Ayazi

  • F. P. Buckley

  • John C. Lipham

  • Philip Woodworth

  • Mark S. Shachner

  • Carlos J. Anciano

  • Vineeth Sadda

  • Kate Freeman

  • Rachel Heidrick

  • Reginald C. W. Bell

  • October 13, 2026

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  • 1

    This multicenter observational cohort compared long-term hiatal hernia repair durability after magnetic sphincter augmentation or fundoplication for moderate-to-large hernias.

  • 2

    The primary outcome was objective recurrence, defined as more than 2 cm of stomach, fundoplication wrap, or magnetic sphincter augmentation device above the diaphragm.

  • 3

    Eligible adults underwent primary laparoscopic repair of an intraoperatively confirmed hernia of at least 3 cm and objective assessment at 3 years or later.

  • 4

    The study drew on prospectively maintained registries at six high-volume tertiary referral centers and included procedures performed from 2012 through 2022.

  • 5

    Secondary outcomes included GERD-related quality of life, proton pump inhibitor use, patient satisfaction, and revision surgery for recurrent hiatal hernia.

Original Source(s)

Long-term objective hiatal hernia recurrence after magnetic sphincter augmentation versus laparoscopic fundoplication: a multicenter cohort study of moderate and large hiatal hernias

  • by Shahin Ayazi, F. P. Buckley, John C. Lipham, Philip Woodworth, Mark S. Shachner, Carlos J. Anciano, Vineeth Sadda, Kate Freeman, Rachel Heidrick, Reginald C. W. Bell

  • October 13, 2026

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