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Foregut Erosion Related to Biomedical Implants: A Scoping Review.
J Laparoendosc Adv Surg Tech A
August 2024
Department of Biomedical Sciences for Health, Division of General and Foregut Surgery, IRCCS Policlinico San Donato, University of Milan, Milan, Italy.
Biomedical devices implanted transabdominally have gained popularity over the past 50 years in the treatment of gastroesophageal reflux disease, paraesophageal hiatal hernia, and morbid obesity. Device-related foregut erosions (FEs) represent a challenging event that demands special attention owing to the potential of severe postoperative complications and death. The aim was to provide an overview of full-thickness foregut injury leading to erosion associated with four types of biomedical devices.
View Article and Find Full Text PDFThe historical Angelchik anti-reflux device: laparoscopic removal for dysphagia.
ANZ J Surg
January 2023
Department of Surgery, University Hospital Geelong, Barwon Health, Geelong, Victoria, Australia.
Magnetic challenge against gastroesophageal reflux.
World J Gastroenterol
December 2021
Department of Internal Medicine and Gastroenterology, S. Orsola-Malpighi Polyclinic, University of Bologna, Bologna 40138, Italy.
Almost 15 years have passed since the first paper on the possibility of using magnets to prevent gastro-esophageal reflux (GER) was published and so it is time to assess the results obtained with the first magnetic device available on the market, the Linx magnetic sphincter augmentation (MSA) and to consider what other options are forthcoming. MSA demonstrated an anti-reflux activity similar to that of Nissen fundoplication, considered the "gold standard" surgical treatment for GER disease, and caused less gas-bloating and a better ability to allow vomiting and belching. However, unlike Nissen fundoplication, this magnetic device is burdened by complications, which are roughly similar to those of the non-magnetic anti-reflux Angelchik prosthesis, that, after considerable use in the eighties, was shelved due to these complications.
View Article and Find Full Text PDFLessons from recent medical history: an obsolete anti-reflux device in an older patient with variable gastrointestinal symptoms.
Age Ageing
June 2021
Department of Radiology, Borders General Hospital, NHS Borders, Melrose, UK.
A frail 93-year-old lady presented with delirium, on a background of heart failure, cerebrovascular disease, constipation and osteoporosis. A computed tomography (CT) pulmonary angiography, undertaken due to persistent hypoxia, identified no pathology aside from an unusual appearance of the left hypochondrium, necessitating further elucidation with CT abdomen. This unexpectedly reported the presence of a gastric band, leading us to consider possible misidentification.
View Article and Find Full Text PDFLaparoscopic Removal of Angelchik Prosthesis Followed by Interval Sleeve Gastrectomy.
Case Rep Surg
May 2019
Department of Surgery, West Virginia University, Morgantown, USA.
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.
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