What question did this study set out to answer?

To explore the physiologic events contributing to dysphagia post-LINX procedure using EndoFLIP.

February 11, 2026Open Access

A Tough Pill to Swallow: Demonstration of Esophageal Physiologic Events Explaining Severe Dysphagia Captured on EndoFLIP After LINX Procedure

Key Points

To explore the physiologic events contributing to dysphagia post-LINX procedure using EndoFLIP.
Conducted EndoFLIP assessment for esophageal distensibility.
Documented patient case of dysphagia following LINX procedure.
Analyzed changes in esophageal physiology.
Developed a treatment plan focusing on larger solid bolus ingestion.
EndoFLIP showed esophageal narrowing and stiffness at lower volumes.
Acceptable distensibility was observed at the largest balloon volume.
The treatment plan emphasized ingesting larger solid food boluses.
Visualization of obstruction provided insights for non-invasive management.

Abstract

ABSTRACT Dysphagia is a common symptom after magnetic sphincter augmentation, a minimally invasive antireflux alternative to laparoscopic Nissen fundoplication. A 69-year-old woman underwent LINX procedure in 2017 for GERD symptoms, after which she had the onset of dysphagia. EndoFLIP demonstrated narrowing and stiffness at lower volumes but acceptable distensibility at the largest balloon volume. The treatment plan aimed to improve swallowing by ingesting larger solid boluses and avoiding additional invasive procedures. This visualization of the obstruction on EndoFLIP presented a more physiologic approach to treatment with ingesting larger, rather than smaller, solid food boluses.

Read Full Paperexternally

Bookmark

View Full Paper

Cite This Study

Bidani et al. (Sun,) studied this question.

synapsesocial.com/papers/698c1cd3267fb587c655f994 https://doi.org/https://doi.org/10.14309/crj.0000000000001995

Bookmark

View Full Paper