Smith R S, Chang F C, Hayes K A, deBakker J
Am J Surg. 1985 Dec;150(6):735-8. doi: 10.1016/0002-9610(85)90419-2.
The use of the Angelchik antireflux prosthesis has increased rapidly in our community since its introduction in 1979. Our experience with two patients who had serious complications associated with this prosthesis led us to review all 76 patients in our community who had undergone implantation of the device. Complications developed in 20 patients after placement of the prosthesis, and 12 of them required subsequent laparotomy for removal of the prosthesis. The complications observed were persistent dysphagia, late-onset dysphagia, transient dysphagia, persistent vomiting, esophageal obstruction, early gas bloat syndrome, gastric erosion, slippage of the prosthesis over the gastric fundus, disruption of the prosthesis, and migration of the prosthesis. Because of the frequency of potentially serious complications, we cannot recommend its use in the surgical treatment of esophageal reflux.
自1979年引入Angelchik抗反流假体以来，其在我们社区的使用迅速增加。我们对两名出现与该假体相关严重并发症的患者的经验促使我们回顾了我们社区中所有接受该装置植入的76名患者。假体植入后20名患者出现并发症，其中12名随后需要剖腹手术取出假体。观察到的并发症包括持续性吞咽困难、迟发性吞咽困难、短暂性吞咽困难、持续性呕吐、食管梗阻、早期气胀综合征、胃糜烂、假体在胃底上方滑动、假体破裂和假体移位。由于潜在严重并发症的发生率较高，我们不建议在食管反流的手术治疗中使用它。
