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Upper G.I. Surgery

Gastroesophageal Reflux Disease (GERD)

Before, During and After Treatment

Under general anesthesia, a surgeon who has experience in laparoscopic anti-reflux procedures and has received specific training in the use of the LINX device, will access the esophagus using a laparoscopic approach (through several small incisions made in the abdomen). The LINX System is placed around the esophagus and the ends of the device are attached to each other. The procedure usually takes less than one hour to perform. It is unlikely that the LINX System will move from the place where it was implanted since it becomes encapsulated (covered) with tissue during the healing process.

LINX Procedure

What happens after the treatment?

Return to normal diet
You should return to a normal diet as soon as tolerated after the surgery. This is important to ensure proper healing at the implant site of the LINX System.

You may have difficulty swallowing
You may feel like you are having difficulty or pain with swallowing after the surgery. This is normal and expected. If you experience difficulty swallowing, follow these steps:

  • Drink a few sips of water before taking your first bite of food and between bites as necessary.
  • Take small bites of foods that can easily pass down your esophagus and into your stomach.
  • Chew food well before swallowing.
  • Foods like bread, pasta, rice, and meat are more likely to cause problems.

Implant Card
You will receive a LINX Implant Card following your surgery. Carry your LINX Implant Card with you as notification to care providers that you have received a LINX System. If you lose this card, please contact your doctor’s office to receive a replacement card.

When to call your doctor

After the procedure, your doctor will provide you with instructions about when to call. In general, you should contact your doctor if you have:

  • Fever over 100.4 degrees or signs of infection
  • Difficulty swallowing or inability to swallow
  • Painful swallowing
  • Increased abdominal pain
  • Nausea or vomiting
  • Cough or difficulty breathing

You should call your doctor if:

  • You are told that you need to have an MRI procedure. You should not be exposed to an MRI environment. The MRI could cause injury to you and/or damage to the LINX System.
  • You are told you need other surgical procedures or endoscopic treatments of your esophagus. These may be contraindicated because of the presence of the LINX System.
    Travel You may travel as soon as advised by your doctor. The LINX System should not interfere with airport security. You should carry your implant card when traveling so others will know you have an implanted device in case of an emergency.


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University of Southern California
Upper G.I. and General Surgery

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Phone: (323) 442-6868
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