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Esophagogastric Fistula Caused by an Angelchik Antireflux Prosthesis
Mark M Pence1, Mark Hubbard1, Manish B Singla1
1Department of Gastroenterology, Division of Internal Medicine, Walter Reed National Military Medical Center, Bethesda, MD.
Abstract:
The Angelchik prosthesis is an antireflux device that was popular in the 1980s for treatment of refractory gastroesophageal reflux disease (GERD). We present a patient who developed a gastroesophageal fistula 17 years after Angelchik prosthesis placement. The incidence of late complications continues to grow, and clinicians should consider device malfunction in patients with history of Angelchik placement presenting with abdominal symptoms.
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