The Annals of Thoracic Surgery, Vol 57, 1660-1661, Copyright © 1994 by The Society of Thoracic Surgeons
Severe dysphagia from an Angelchik prosthesis: futility of routine esophageal testing
TL Demmy, NR Caron and JJ Curtis
Division of Cardiothoracic Surgery, University of Missouri-Columbia 65212.
A 33-year-old woman presented with progressive dysphagia 3 years after
implantation of an Angelchik prosthesis for esophageal reflux disease.
Routine esophageal testing was normal. Esophagogastroduodenoscopy and
computed tomography suggested migration of the prosthesis. Because of the
persistent and progressive dysphagia, the device was removed. All symptoms
of dysphagia or reflux have since resolved. Routine esophageal testing may
not be helpful in the evaluation of dysphagia associated with the Angelchik
prosthesis.