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The Angelchik anti-reflux prosthesis--some reservations
The British Journal of Surgery
|July 1, 1985
Summary
The Angelchik prosthesis shows promise for treating hiatus hernia and gastro-oesophageal reflux, with 80.9% satisfactory outcomes. However, its use may require caution due to potential complications like dysphagia and the need for removal in some cases.
Area of Science:
- Gastroenterology
- Surgical Innovation
Background:
- Hiatus hernia and gastro-oesophageal reflux are common conditions requiring effective treatment.
- The Angelchik prosthesis has been introduced as a potential surgical solution.
Purpose of the Study:
- To prospectively evaluate the efficacy and safety of the Angelchik prosthesis.
- To assess outcomes and complications associated with its use in hiatus hernia treatment.
Main Methods:
- A prospective study of 41 patients undergoing Angelchik prosthesis implantation.
- Follow-up over a 3-year period to monitor results and complications.
Main Results:
- The procedure was found to be simple and safe.
- 80.9% of patients achieved satisfactory results after initial transient dysphagia in 12 patients.
- Prosthesis removal was necessary in 17.1% of cases, primarily due to dysphagia or recurrent symptoms.
Conclusions:
- Established strictures may be a contraindication for Angelchik prosthesis use.
- The prosthesis shows potential as a secondary procedure for failed previous surgeries.
- Further long-term evaluation is recommended before widespread adoption.