Most patients are discharged the same day as their procedure.
For the LINX procedure, there are 4-5 tiny laparoscopic incisions required. Most of these incisions are underneath the rib cage in the upper abdomen. Most of the incisions are 5-mm (1/2 cm). A necessary single 1-cm incision will be made.
We will be happy to schedule an appointment with Dr. Gould to determine if the LINX system is the best surgical approach for you and your GERD. If you have had any tests performed to evaluate your gastroesophageal reflux (an endoscopy, a pH study, or an esophageal manometry for example), please arrange for a copy of these records to be faxed to our office ahead of your visit. You may choose to hand carry a copy of these records with you to your appointment as well. At your appointment, Dr. Gould and his staff will review your history and any testing you have had done to determine if additional testing is necessary and if you are a candidate for the LINX device.
Once the recommendation is made to have the LINX system placed, we will obtain prior authorization for surgery. Once submitted, your insurance company will review your case and notify us of a decision 3-4 weeks following initial submission. (As this is a new FDA approved device, some insurance companies may at first decline to provide benefits. We have protocols and resources in place designed to aid us in the appeal process.)
The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES), whose mission is to improve quality patient care through education, research, innovation and leadership in gastrointestinal and endoscopic surgery, just completed a safety and effectiveness analysis of the LINX Reflux Management System. On the basis of the available evidence, they concluded that “the LINX device should be an option available to patients and providers for the management of medically refractory GERD”. Read more about the LINX Reflux Management System
Unfortunately, some insurance companies will refuse to pay for the LINX procedure even when your surgeon determines that the procedure is medically necessary and appropriate. Froedtert and the Medical College of Wisconsin have worked out a discounted, self-pay package for these patients. If this applies to you, please contact us and we will provide you with a package price.
Surgeons at Froedtert and the Medical College of Wisconsin are now offering a discounted, self-pay package for patients without insurance benefits for the LINX® Reflux Management System, or for patients with high insurance deductibles and those who don't want to spend weeks to months fighting with their insurance companies for benefits. Find more information on the attached flyer (PDF).