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 j...

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Bibliographic Details
Published in:The American surgeon 2006-08, Vol.72 (8), p.724-727
Main Authors: CARBONELL, Alfredo M, MAHER, James W
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Device Removal - methods
Digestive system. Abdomen
Endoscopy
Esophagogastric Junction - surgery
Female
Follow-Up Studies
Gastroesophageal Reflux - surgery
General aspects
Humans
Investigative techniques, diagnostic techniques (general aspects)
Laparoscopy - methods
Medical sciences
Prosthesis Failure
Silicone Elastomers
Stomach
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Description
Summary: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.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313480607200812