Siewert J R, Feussner H
Chirurgische Klinik und Poliklinik der TU, Klinikum r.d. Isar, München.
Z Gastroenterol. 1988 Aug;26(8):421-9.
The clinical effectivity of the Angelchik-antireflux-prosthesis seems to be comparable with fundoplication; the mode of action of both procedures can well be explained by the hypothesis of "neutralizing of the gastric opening pressure". To insert an Angelchik prosthesis is a minor procedure in comparison to the Nissen procedure with a markedly lower operative risk. The long-term results, however, are deteriorated by specific complications due to the use of allogenic material. Following to fundoplication the results remain to be comparably good as in short term period even after a follow up beyond of one decade. Accordingly, the insertion of an Angelchik device should be confined nowadays only on the cases when the risks of long-term complications can be neglected in favor of a technically simple procedure. As for further development of the basic idea, it seems to be consequent to introduce an artificial wrap made of resorbable material.
安吉尔奇克抗反流假体的临床有效性似乎与胃底折叠术相当；两种手术的作用方式都可以用“中和胃开口压力”这一假说来很好地解释。与尼森手术相比，植入安吉尔奇克假体是一个较小的手术，手术风险明显更低。然而，由于使用异体材料，特定并发症会使长期效果恶化。胃底折叠术后，即使在随访超过十年后，短期效果仍保持相当良好。因此，如今安吉尔奇克装置的植入仅应限于那些可以忽略长期并发症风险而选择技术上简单的手术的病例。至于基本理念的进一步发展，引入由可吸收材料制成的人工包裹似乎是合理的。
