The Annals of Thoracic Surgery, Vol 35, 551-552, Copyright © 1983 by The Society of Thoracic Surgeons
Intractable dysphagia following placement of Angelchik prosthesis for reflux esophagitis
JW Battaglini, GR Schorlemmer and PT Frantz
In 1979, Angelchik and Cohen [1] reported a series of 46 patients in whom a
Silastic prosthesis was used to control gastroesophageal reflux. The
initial results were good, and to date, no long-term complications have
been noted. We discuss a patient whom severe dysphagia developed following
placement of an Angelchik prosthesis. Preoperative evaluation revealed no
motor abnormality and no stricture, but there was acute angulation of the
gastroesophageal junction. The prosthesis was removed through a left
thoracotomy, and a Belsey repair resulted in good relief of symptoms.