STANLEY B. BENJAMIN, M.D.; ROBERT KERR, M.D.; DAVID COHEN, M.D.; V. MOTAPARTHY, M.D.; DONALD O. CASTELL, M.D.
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.
BENJAMIN SB, KERR R, COHEN D, et al. Complications of the Angelchik Antireflux Prosthesis. Ann Intern Med. 1984;100:570–575. doi: 10.7326/0003-4819-100-4-570
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Published: Ann Intern Med. 1984;100(4):570-575.
Emergency Medicine, Esophageal Disorders, Gastroenterology/Hepatology, Gastroesophageal Reflux Disease, Peptic Disease.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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