NICE interventional procedure guidance
Issued: September 2012
IPG431

Laparoscopic insertion of a magnetic bead band for gastro-oesophageal reflux disease

This is an extract from the guidance. The complete guidance is available at guidance.nice.org.uk/ipg431

1 Guidance

1.1 The evidence on the safety and efficacy of laparoscopic insertion of a magnetic bead band for gastro-oesophageal reflux disease (GORD) is limited in quantity. Therefore, this procedure should only be used with special arrangements for clinical governance, consent and audit or research.

1.2 Clinicians wishing to undertake laparoscopic insertion of a magnetic bead band for GORD should take the following actions.

  • Inform the clinical governance leads in their Trusts.

  • Ensure that patients understand the uncertainty about the procedure's safety and efficacy and provide them with clear written information. In addition, the use of NICE's information for the public is recommended.

  • Audit and review clinical outcomes of all patients having laparoscopic insertion of a magnetic bead band for GORD (see section 3.1).

1.3 NICE encourages further research and collaborative data collection on laparoscopic insertion of a magnetic bead band for GORD. Clear descriptions of patient selection are particularly important. Perioperative and long-term complications should be reported, together with details of long-term efficacy, including the need for further procedures and medication to control symptoms of GORD. NICE may review the procedure on publication of further evidence.