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

TY - JOUR

T1 - Long-term results of the Angelchik prosthesis for gastro-oesophageal reflux

AU - Maxwell-Armstrong, C. A.

AU - Steele, R. J. C.

AU - Amar, S. S.

AU - Evans, D.

AU - Morris, D. L.

AU - Foster, G. E.

AU - Hardcastle, J. D.

PY - 1997/6

Y1 - 1997/6

N2 - 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.

AB - 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.

KW - Adult

KW - Aged

KW - Deglutition Disorders

KW - Female

KW - Follow-Up Studies

KW - Gastroesophageal Reflux

KW - Gastrointestinal Transit

KW - Humans

KW - Male

KW - Middle Aged

KW - Prostheses and Implants

U2 - 10.1046/j.1365-2168.1997.02678.x

DO - 10.1046/j.1365-2168.1997.02678.x

M3 - Article

C2 - 9189111

SN - 0007-1323

VL - 84

SP - 862

EP - 864

JO - British Journal of Surgery

JF - British Journal of Surgery

IS - 6

ER -