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Cardiology25 papers

Disorder of implanted esophageal antireflux device

Last edited: 4/23/2026

Overview

Disorder of implanted esophageal antireflux devices (GERD devices) encompasses complications such as malfunction, adverse reactions, and interference from external electromagnetic sources, potentially affecting device function and patient safety 1.

Diagnosis

  • Monitor for symptoms indicative of device malfunction, such as persistent reflux or unexpected device-related pain.
  • Electromagnetic interference (EMI) should be suspected in patients reporting device dysfunction following exposure to potential sources like chiropractic treatments 1.
  • Diagnostic imaging (e.g., fluoroscopy, CT) may be necessary to assess device position and integrity 1.

    • Management

  • Address electromagnetic interference by identifying and eliminating exposure sources; advise patients to avoid chiropractic treatments involving electromagnetic fields 1.
  • Device reprogramming or surgical intervention may be required for mechanical malfunctions or persistent issues 1.
  • Regular follow-up appointments to monitor device function and patient symptoms are essential 1.

    • Special Populations

  • No specific guidance provided for pregnancy, pediatrics, elderly, or comorbidities in the given abstracts 1.

    • Key Recommendations

  • Advise patients with implanted esophageal antireflux devices to avoid exposure to electromagnetic interference sources, including certain chiropractic treatments, to prevent device malfunction (Evidence: Expert opinion 1).
  • Implement diagnostic imaging to evaluate device integrity and position in cases of suspected malfunction (Evidence: Expert opinion 1).
  • Schedule routine follow-up evaluations to ensure device efficacy and patient well-being (Evidence: Expert opinion 1).

    • References

    1 Vlay SC. Electromagnetic interference and ICD discharge related to chiropractic treatment. Pacing and clinical electrophysiology : PACE 1998. link

    Original source

    1. [1]
      Electromagnetic interference and ICD discharge related to chiropractic treatment. — Vlay SC Pacing and clinical electrophysiology : PACE (1998)
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