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Long-term results of treatment of peptic stricture of the oesophagus with the Angelchik prosthesis

✍ Scribed by Professor J. H. Wyllie; S. R. Baker; D. Hakhamaneshi; K. S. Soo; D. A. W. Edwards

Publisher: John Wiley and Sons
Year: 1993
Tongue: English
Weight: 471 KB
Volume: 80
Category: Article
ISSN: 0007-1323
DOI: 10.1002/bjs.1800800333

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✦ Synopsis

Abstract

An Angelchik prosthesis was inserted in 43 patients with a peptic stricture above a hiatus hernia; 16 showed columnar lining of the oesophagus below the stricture. The mean preoperative bore of strictures was 8.7 mm. Within months, and without dilatation, 33 strictures shortened, 35 widened and of these 13 disappeared with a mean bore of 11.7 mm. In the long term, three more strictures resolved but three recurred. Final measurements gave a mean bore of 12.2 mm. The mean follow-up was 3.5 years. Symptomatic and radiological assessments suggested that the prosthesis was less effective when sited in the chest.

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