Laparoscopic Removal of Angelchik Prosthesis Followed by Interval Sleeve Gastrectomy.

ABSTRACT:

Introduction

The Angelchik prosthesis (AP) is a historic antireflux device which consists of a C-shaped silicone ring placed around the gastroesophageal junction (GEJ) and secured by Dacron tape. We present a rare experience with an AP and its impact on bariatric surgical outcomes.

Case

Our patient is a 66-year-old woman who had an open antireflux procedure with an AP in 1987. She presented to a bariatric clinic for consideration of bariatric surgery for the treatment of morbid obesity and associated comorbidities. She also reported significant problems with reflux and dysphagia. After an appropriate work-up, an AP was identified at her GEJ. She was taken to the operating room for laparoscopic removal with planned interval laparoscopic sleeve gastrectomy. Intraoperatively, t

SUBMITTER: Afridi FG 

PROVIDER: S-EPMC6556362 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature