[Innovative Techniques in Reflux Surgery - State of the Art].

There is renewed interested in novel surgical procedures for GERD, as there are potential undesirable effects of PPI therapy and the results of the current surgical methods are not always satisfactory. The technique and results of magnetic enhancement (LINX® ) and electrical stimulation (EndoStim® ) of the lower oesophageal sphincter are presented and discussed. Both methods are less invasive, principally reversible and associated with encouraging mid-term results. It may therefore be an extended indication for the surgical treatment of gastroesophageal reflux disease. However, this, in combination with the technical simplicity of the procedures, carries the risk of inadequate indications. In order to obtain reliable long-term results, the establishment of a mandatory register is proposed.