The National Institute for Health and Care Excellence (NICE) issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on 26 July 2017. NICE is currently updating this guidance. The new guidance will be published shortly. Until then the NHS should continue to follow the recommendations outlined in the current version of the guidance. The Interventional Procedures Advisory Committee (IPAC) will consider this procedure review and NICE will issue an interventional procedures consultation document about its safety and efficacy for 4 weeks’ public consultation. IPAC will then review the consultation document in the light of comments received and produce a final interventional procedures document, which will be considered by NICE before guidance is issued to the NHS in England, Wales, Scotland and Northern Ireland.
 
Status In progress
Decision Selected
Process IP
ID number 973
Description The aim of laparoscopic insertion of a magnetic titanium ring for gastro-oesophageal reflux disease is to provide relief of reflux-related symptoms without impeding the ability to swallow, belch or vomit, and with less morbidity than traditional anti-reflux surgery. The procedure is done with the patient under general anaesthesia. Using a laparoscopic approach, a specially designed sizing tool is loosely wrapped around the distal oesophagus to assess the size of implant needed. The sizing tool is then removed and the implant is placed so that it encircles the distal oesophagus at the gastro-oesophageal junction. The ends of the implant are secured together to hold it in place. Intraoperative endoscopy may be used to check whether the implant is correctly positioned. The implant consists of a ring of interlinked titanium beads, each with a weak magnetic force that holds the beads together to keep the distal oesophagus closed. When the patient swallows, the magnetic force is overcome, allowing the ring to open. After swallowing, magnetic attraction brings the beads together and the distal oesophagus is again closed.

For further information on how we develop interventional procedures guidance, please see our IP manual