Long-term results of the Angelchik prosthesis for gastro-oesophageal reflux

C. A. Maxwell-Armstrong, R. J. C. Steele, S. S. Amar, D. Evans, D. L. Morris, G. E. Foster, J. D. Hardcastle

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    35 Citations (Scopus)

    Abstract

    Introduction: Between 1982 and 1989, 46 patients had insertion of an Angelchik prosthesis for gastro-oesophageal reflux. Eleven patients (24 per cent) subsequently had the prosthesis removed, all but one for intractable dysphagia. Methods: Thirty-six of the original patients were followed by questionnaire, and 32 of these had a barium marshmallow swallow investigation. Results: A high proportion of patients (20 of 26) with a prosthesis in situ had symptoms of dysphagia. On objective evaluation by marshmallow swallow, the transit time was significantly slower than that of an age-matched control group (P<0.01), but showed no significant deterioration with time compared with previous postinsertion studies. Conclusion: The Angelchik prosthesis causes long-term dysphagia in a high proportion of patients, severe enough in one-quarter to necessitate its removal. Its continued use cannot, therefore, be recommended.
    Original languageEnglish
    Pages (from-to)862-864
    Number of pages3
    JournalBritish Journal of Surgery
    Volume84
    Issue number6
    DOIs
    Publication statusPublished - Jun 1997

    Keywords

    • Adult
    • Aged
    • Deglutition Disorders
    • Female
    • Follow-Up Studies
    • Gastroesophageal Reflux
    • Gastrointestinal Transit
    • Humans
    • Male
    • Middle Aged
    • Prostheses and Implants

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