Severe dysphagia from an Angelchik prosthesis: futility of routine esophageal testing.
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.
Demmy
T L
TL
Division of Cardiothoracic Surgery, University of Missouri-Columbia 65212.
Caron
N R
NR
Curtis
J J
JJ
D000328:Adult; D003680:Deglutition Disorders / Q000209:etiology*; D016145:Endoscopy, Digestive System; D005260:Female; D005548:Foreign-Body Migration / Q000150:complications; D005764:Gastroesophageal Reflux / Q000503:physiopathology / Q000601:surgery*; D005769:Gastrointestinal Motility; D006801:Humans; D011312:Pressure; D019736:Prostheses and Implants / Q000009:adverse effects*