Laparoscopic transgastric removal of an eroded Angelchik prosthesis.
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.
Carbonell
Alfredo M
AM
Minimally Invasive Surgery Center, Division of General Surgery, Virginia Commonwealth University Medical Center, Richmond, Virginia 23298, USA.
Maher
James W
JW
D000368:Aged; D020878:Device Removal / Q000379:methods*; D004943:Esophagogastric Junction / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005764:Gastroesophageal Reflux / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D011475:Prosthesis Failure; D012826:Silicone Elastomers; D013270:Stomach
D012826:Silicone Elastomers