January 2017 – NICE is updating this guidance (see the guidance in development page for information). The NHS should continue to follow the recommendations in this guidance until the update is complete.

The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Laparoscopic insertion of a magnetic-bead band for gastro-oesophageal reflux disease


In patients with gastro-oesophageal reflux disease, the acidic contents of the stomach are able escape backwards into the oesophagus (gullet). This is known as acid reflux and causes heartburn (a burning sensation or pain) or an acid sensation or taste in the mouth. This happens because the sphincter (ring of muscle) that keeps the stomach contents down isn’t working properly. This procedure involves placing a small flexible band of interlinked titanium beads with magnetic cores around the lower oesophagus, just above the stomach. The aim is that the magnetic attraction between the beads will help to keep the sphincter closed when not eating to prevent acid reflux, but the person can still belch or vomit.

Coding recommendations

G24.8 Other specified antireflux operations

Y75.2 Laparoscopic approach to abdominal cavity NEC

In addition an ICD-10 code from category K21.- Gastro-oesophageal reflux disease is assigned.

Your responsibility

This guidance represents the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, healthcare professionals are expected to take this guidance fully into account. However, the guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer.

Commissioners and/or providers have a responsibility to implement the guidance, in their local context, in light of their duties to have due regard to the need to eliminate unlawful discrimination, advance equality of opportunity, and foster good relations. Nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties.

Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.

  • National Institute for Health and Care Excellence (NICE)