Endoscopic Removal of an Angelchik Prosthesis after Migration through the Gastro-Oesophageal Junction

Souka, H.; Karanjia, N D

doi:10.1055/s-2007-1005746

Cited by 11 publications

(2 citation statements)

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“…No. 8 TRANSGASTRIC REMOVAL OF ANGELCHIK PROSTHESIS и Compared with the other operations performed for GERD at the time, the placement of the Angelchik prosthesis was simple and was associated with low morbidity. It was an effective operation resulting in normalization of distal esophageal acid exposure and good short to midterm outcomes; however, dysphagia, migration, and erosion were known complications.…”

Section: Discussionmentioning

confidence: 99%

“…Several reports have been published demonstrating the pure endoscopic removal of complete and nearcomplete erosion of Angelchik prostheses through the gastroesophageal junction by transecting the remaining mucosal bridge. 8,9 The first laparoscopic removal of an Angelchik prosthesis was published by Underwood and colleagues. 10 In this report, the prosthesis had not eroded into the gastric lumen, rather, the patient had severe dysphagia necessitating removal.…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic Transgastric Removal of an Eroded Angelchik Prosthesis

Carbonell

Maher

2006

The American Surgeon

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The Angelchik prosthesis is a silicone gel-filled implant historically placed around the gastroesophageal junction for the treatment of gastroesophageal reflux disease. Herein, we describe the laparoscopic transgastric removal of an Angelchik prosthesis that had eroded through the gastroesophageal junction of a patient 25 years after its placement. Under direct laparoscopic and endoscopic guidance, laparoscopic trocars were placed transabdominally, directly into the gastric lumen. Using 2-mm instrumentation, the prosthesis was transected, endoscopically snared, and removed perorally. The patient was discharged after a 3-day hospital stay. This is the first published description of a laparoscopic, transgastric approach to removal of a partially eroded prosthetic device to the stomach.

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Section: Discussionmentioning

confidence: 99%