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Complications of the Angelchik Antireflux Prosthesis

STANLEY B. BENJAMIN, M.D.; ROBERT KERR, M.D.; DAVID COHEN, M.D.; V. MOTAPARTHY, M.D.; and DONALD O. CASTELL, M.D.
[+] Article and Author Information

▸Requests for reprints should be addressed to Stanley B. Benjamin, M.D.; Division of Gastroenterology, University of Louisville, Veterans Administration Medical Center at Louisville, 550 South Jackson Street; Louisville, KY 40292.


Louisville, Kentucky; Winston-Salem, North Carolina; and Washington, D.C.


© 1984 American College of PhysiciansAmerican College of Physicians


Ann Intern Med. 1984;100(4):570-575. doi:10.7326/0003-4819-100-4-570
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Various complications have been reported recently for the Angelchik antireflux prosthesis, a silicone-gel prosthesis used in the treatment of gastroesophageal reflux and associated hiatal hernia. We have studied the cases of 11 patients with complications of this prosthesis and have reviewed the literature for others. Complications included 8 erosions of the device into the gastrointestinal tract, 1 migration, 1 improper placement, and 1 case of pain believed to be a sequel of surgical trauma. These complications represent those typical to reflux surgery and some unique to the Angelchik prosthesis (migration and erosion). Their exact frequency is unknown, with the manufacturer estimating migration at 0.81% and erosion at 0.15%. Available data indicate that complications may occur up to several years after implantation, and physicians may not recognize the problems with the prosthesis if they are unaware of the complications.

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