title: The Angelchik prosthesis in the surgical therapy of reflux oesophagitis. Short and long term results.
abstract: The authors report the results acquired from 1981 to 1985 using the Angelchik prosthesis in 22 patients with reflux oesophagitis resisting medical therapy for more than 6 months. Clinical evaluation has been done using Visick scale, as modified by Deakin. Clinical and instrumental controls have been done at 1 month, 12 months and 5-10 years after the operation. Intraoperative mortality and morbidity were zero. Complications directly related to the operation were: transitory dysphagia in 4 cases, persistent dysphagia in 3 cases, transitory gas bloat syndrome in 1 case and persistent gas bloat syndrome in another, persistent stenosis in 1 case and prosthesis dislocation in 6 cases. Clinical results were satisfactory (success rate: 90.9%) only in patients with a short term follow-up (30 days). The full rate of success has come down to 84.2% and 66.6% in patients having follow-ups respectively of 1 year and 5-10 years. The results are truly disappointing and the authors conclude that this procedure is not to be employed.
authors.affiliation: Institute of Surgical Clinic, University of Genoa, Italy.
authors.forename: R
authors.initials: R
authors.lastname: Fornaro
authors.forename: R
authors.initials: R
authors.lastname: Ferraris
authors.forename: A
authors.initials: A
authors.lastname: Ruffo
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002299:Cardia / Q000601:surgery; D004942:Esophagitis, Peptic / Q000517:prevention & control / Q000601:surgery*; D004947:Esophagus / Q000000981:diagnostic imaging; D005260:Female; D005548:Foreign-Body Migration; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D019736:Prostheses and Implants / Q000009:adverse effects; D011859:Radiography