case_images: PMC6556362_01
case_images: (a-f) Laparoscopic removal of Angelchik prosthesis and interval sleeve gastrectomy. (a) Angelchik prosthesis (AP) in situ. (b) AP Dacron ribbon seen encircling the gastroesophageal junction (GEJ). (c) AP dissected free. (d) Angelchik prosthesis ex vivo. (e) Laparoscopic sleeve gastrectomy. (f) UGI after laparoscopic sleeve gastrectomy.
case_images: CRIS2019-2479267.001.jpg
case_images: PMC6556362_01_CRIS2019-2479267.001.jpg
case_images: fig1
case_images: After performing extensive adhesiolysis, the AP was visualized and removed (Figures 1(a)-1(d)). After this work-up and recovery, laparoscopic sleeve gastrectomy was safely performed nine weeks later (Figure 1(e)). An upper GI series demonstrated retained fundus, which may explain the inadequate weight loss (Figure 1(f)).