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Ann Thorac Surg 1994;57:1660-1661
© 1994 The Society of Thoracic Surgeons

Articles

Severe dysphagia from an Angelchik prosthesis: Futility of routine esophageal testing

Todd L. Demmy, MD*, Normand R. Caron, MD, Jack J. Curtis, MD

Division of Cardiothoracic Surgery, University of Missouri-Columbia, Columbia, Missouri, USA

Accepted for publication October 26, 1993.

* Address reprint requests to Dr Demmy, Division of Cardiothoracic Surgery, University of Missouri-Columbia. 245 Major Hall, Dc119.0, One Hospital Dr, Columbia, MO 65212.


   Abstract
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 Abstract
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A 33-year-old woman presented with progressive dysphagia 3 years after implantation of an Angelchik prosthesis for esophageal reflux disease. Routine esophageal testing was normal. Esophagogastroduodenoscopy and computed tomography suggested migration of the prosthesis. Because of the persistent and progressive dysphagia, the device was removed. All symptoms of dysphagia or reflux have since resolved. Routine esophageal testing may not be helpful in the evaluation of dysphagia associated with the Angelchik prosthesis.


   References
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 Abstract
 References
 

  1. Angelchik JP, Cohen R. A new surgical procedure for the treatment of gastroesophageal reflux and hiatal hernia Surg Gynecol Obstet 1979;148:246-248.[Medline]
  2. Goedkoop MM. De Angelchik-prothese bij de behandeling van gastro-oesofageale reflux: een mislukt experiment Ned Tijdschr Geneeskd 1988;132:111-114.[Medline]
  3. Haney PJ, Gunadi IK, Arnold J, Diaconis JN. Spontaneous penetration of an antireflux prosthesis into the stomach Gastroinlest Radiol 1983;8:303-305.
  4. Benjamin SB, Kerr R, Cohen D, Motaparthy V, Castell DO. Complications of the Angelchik antireflux prosthesis Ann Intern Med 1984;100:570-575.[Medline]
  5. Lilly MP, Slafsky F, Thompson WR. Intraluminal erosion and migration of the Angelchik antireflux prosthesis Arch Surg 1984;119:849-853.[Medline]
  6. Kozarek RA, Phelps JE, Sandowski RA, Grobe JL, Fredell H. An anti-reflux prosthesis in the treatment of gastroesophageal reflux Ann Intern Med 1983;98:310-315.[Medline]
  7. Wale RJ, Bennett JR, Buckton GK. Prospective study of the Angelchik antireflux prosthesis Br J Surg 1985;72:520-524.[Medline]
  8. Robertson CS, Smart N, Amar SS, Morris DL. Oesophageal transit of marshmallows after the Angelchik procedure Br J Surg 1988;76:245-247.



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 Ann. Thorac. Surg.Home page
P. F. Crookes and T. R. DeMeester
The Angelchik prosthesis: What have we learned in fifteen years?
Ann. Thorac. Surg., June 1, 1994; 57(6): 1385 - 1386.
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This Article
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Google Scholar
Right arrow Articles by Demmy, T. L.
Right arrow Articles by Curtis, J. J.
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PubMed
Right arrow PubMed Citation
Right arrow Articles by Demmy, T. L.
Right arrow Articles by Curtis, J. J.