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Related Experiment Videos

Angelchik prosthesis revisited.

Subodh Varshney1, John J Kelly, Graham Branagan

  • 1Department of Surgery, Queen Alexandra Hospital, Cosham, Portsmouth PO6 3LY, UK. varshney@bom6.vsnl.net.in

World Journal of Surgery
|March 19, 2002
PubMed
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The Angelchik prosthesis (AP) shows poor long-term outcomes for gastro-oesophageal reflux (GOR), with only 66% achieving good results and a 15% removal rate. Complications and symptom recurrence limit its effectiveness.

Area of Science:

  • Gastroenterology
  • Surgical Devices
  • Medical Device Analysis

Background:

  • Long-term follow-up data for the Angelchik prosthesis (AP) is limited.
  • The AP was used to treat gastro-oesophageal reflux (GOR) with or without hiatus hernia (HH).

Purpose of the Study:

  • To report the longest follow-up series on the Angelchik prosthesis (AP).
  • To critically analyze the long-term clinical outcomes and complications associated with the AP for GOR.

Main Methods:

  • Review of clinical, radiological, endoscopy, and operative details for 65 patients who received an AP.
  • Symptomatic assessment using a modified Visick system for 53 living patients with an AP in situ.
  • Analysis of postoperative complications, investigations, and follow-up data.

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Main Results:

  • The average follow-up was 145 months.
  • 15% of patients required prosthesis removal.
  • Complications included dysphagia (29%), prosthesis migration (28%), and erosion (1.5%).
  • Only 66% of patients achieved a Visick score of I or II, indicating suboptimal symptom control.

Conclusions:

  • The Angelchik prosthesis (AP) demonstrates poor long-term efficacy and a high complication rate for treating GOR.
  • Patients with preoperative dysphagia, hypothyroidism, or diabetes had worse outcomes.
  • The AP is not recommended due to inferior results compared to conventional surgical options.