A quantitative assessment of results with the Angelchik prosthesis

The Angelchik antireflux prosthesis was assessed in 15 unpromising patients, 12 of whom had peptic strictures of the oesophagus. Radiological techniques were used to show the effect of the device on gastro-oesophageal reflux, and on the bore and length of strictures. Twelve months later (range 6-24) most patients were well satisfied with the operation, and all considered it had been worthwhile; there was radiological evidence of reduction in reflux and remission of strictures. The device never surrounded the oesophageal sphincter; in all but 1 case it encircled a tube of stomach.